College of Nursing, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Nursing Studies, School of Health in Social Science, University of Edinburgh, UK.
Eur J Oncol Nurs. 2024 Dec;73:102693. doi: 10.1016/j.ejon.2024.102693. Epub 2024 Sep 24.
To explore emotional labour in paediatric oncology nurses along with the negative impact of emotional labour on these nurses.
The MEDLINE, CINALH, ScienceDirect, and PubMed databases were searched for relevant evidence published from 2000 to 2023. Selected studies were evaluated for quality and synthesized into themes. The Preferred Reporting Items for Systematic reviews and Meta-Analyses literature search extension was followed.
Eighteen empirical studies were reviewed. Nurses acknowledged the importance of managing and displaying emotions through emotional labour to gain patients' and families' trust and provide care in a safe and comfortable environment. They described emotional labour in the forms of empathy and close relationships. The frequency and intensity of performing emotional labour vary among nurses based on different factors. Nurses reported feelings associated with burnout, compassion fatigue, secondary traumatic stress, and emotional dissonance. The three main coping behaviours were avoidance, changing practice and sharing feelings.
Although using emotional labour facilitates high-quality care, it may negatively influence nurses' well-being without implementing effective supportive interventions. A considerable number of paediatric oncology nurses intended to leave the unit. The proposed solutions are to address this issue at the organizational level by providing training and support services to enhance nurses' competence in performing this high-level skill and minimize its negative impacts.
探讨儿科肿瘤护士的情绪劳动，以及情绪劳动对这些护士的负面影响。
检索 2000 年至 2023 年发表的相关证据，使用 MEDLINE、CINALH、ScienceDirect 和 PubMed 数据库。评估选定的研究质量，并综合成主题。遵循系统评价和荟萃分析文献检索扩展的首选报告项目。
共审查了 18 项实证研究。护士们认识到通过情绪劳动来管理和表达情绪的重要性，以赢得患者和家属的信任，并在安全舒适的环境中提供护理。他们将情绪劳动描述为同理心和密切关系。根据不同因素，护士们表现出的情绪劳动的频率和强度有所不同。护士们报告了与职业倦怠、同情疲劳、继发性创伤应激和情绪失调相关的感觉。三种主要的应对行为是回避、改变实践和分享感受。
尽管使用情绪劳动可以促进高质量的护理，但如果不实施有效的支持性干预，可能会对护士的幸福感产生负面影响。相当数量的儿科肿瘤护士打算离开该单位。建议的解决方案是在组织层面上解决这个问题，通过提供培训和支持服务来提高护士执行这种高技能的能力，并最大限度地减少其负面影响。
