Emotional Labour of Caring for Hematopoietic Stem Cell Transplantation Patients: Iranian Nurses' Experiences

Zamanzadeh, Vahid; Valizadeh, Leila; Sayadi, Leila; Taleghani, Fariba; Howard, A. Fuchsia; Jeddian, Alireza

doi:10.1016/j.anr.2013.04.004

Cited by 21 publications

(18 citation statements)

References 49 publications

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“…Nurses apply the strategies for supporting HSCT patients and try to reduce the risk of death by prevention, monitoring, management of dangers, following-up, continuing education program and providing spiritual care. Nurses did it by counseling, instilling hope and fading out the bitter realities as mentioned in another studies 59 .By these strategies, caring achievements were emerged 60 .…”

Section: Discussionmentioning

confidence: 91%

Caring Process in Hematopoietic Stem Cell Transplantation: A Grounded Theory Study

Sayadi

Zamanzadeh

Valizadeh

et al. 2019

IJHOSCR

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Background: Caring is one of the main concepts in nursing and its modes of delivery in different diseases have been widely studied. Hematopoietic Stem Cell Transplantation (HSCT) is a novel, complex, and time-consuming clinical intervention which is applied as a final medical choice in several life-threatening diseases. The aim of the current study was to explore the process of caring for patients undergoing HSCT. Materials and Methods: In this article, we present a qualitative research study conducted between 2011 and 2013 in accordance with the procedures of grounded theory methodology. Data were gathered by interviewing and observing health professionals involved in HSCT process, as well as patients and their families. The study participants consisted of 18 HSCT nurses, 2 physicians, 12 patients, and 7 members of patients’ families. The initial sampling in the study was purposeful, followed by theoretical sampling. Data were analyzed using the Corbin & Strauss (2008) method. Results: Four main categories, reflecting 13 sub-categories, were emerged by analyzing the data: struggling of patients between life and death, trying to reduce the chance of patient’s death, enforcing patients’ spirit and caring achievements. The core variable of study, defined as “supporting patients to go through the HSCT process successfully”, represented the nature and efficiency of care delivered to HSCT patients in the study setting. Conclusion: HSCT patients enter the caring process in the context of life-and-death limbo. The caring strategy in HSCT patients is aimed at trying to reduce the chance of the patient’s death, as well as enforcing patients’ spirit. The HSCT process affects all areas involved in various ways and has some outcomes. The findings and the theoretical conclusions of this study are potentially valuable in improving nursing practice, designing of educational programs and setting of caring policies.

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Section: Discussionmentioning

confidence: 91%

Caring Process in Hematopoietic Stem Cell Transplantation: A Grounded Theory Study

Sayadi

Zamanzadeh

Valizadeh

et al. 2019

IJHOSCR

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“…The results of previous studies showed nurses' empathic behaviors in cancer wards for cancer patients [7,63]. A recent qualitative study in caring experience of Iranian nurses showed that they developed empathic behaviors and compassion toward hematopoietic stem cell transplantation patients [64]. In Buyuk et al's study [58], there was no difference between oncology nurses' empathy in adults and pediatric wards.…”

Section: Discussionmentioning

confidence: 96%

Empathy from the perspective of oncology nurses

Kesbakhi

Rohani

Mohtashami

et al. 2017

J of Compassionate Health Care

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Background: Empathy is the ability to put yourself in the place of others and understand their feelings and experiences. Empathy with cancer patients is essential in all disease stages. The purpose of our study was to determine the level and type of empathy in a sample of Iranian oncology nurses and to investigate the relationship between nurses' empathy and their demographic characteristics. Methods: This is a descriptive study with cross-sectional design, which was carried out by a convenience sample of oncology nurses (n = 181). They answered the Jefferson Scale of Empathy-Nursing Student version R (JSE-NS version R), and the Interpersonal Reactivity Index (IRI). Independent t-test and ANOVA were used to determine the difference of empathy based on various demographic variables. The relationship between empathy and significant demographic variables were evaluated by multiple linear regression (MLR) analyses. Results: The mean age of the oncology nurses was 34.9 ± 6.7 years. The mean score of empathy was 106 ± 16.5 (range of 20-140) using the JSE-NS version R. Based on the IRI subscales, the mean score of empathic concern (20.5 ± 5.8) was higher in comparison with the subscales of perspective-taking (14.6 ± 3.5), fantasy (11.0 ± 5.5), and personal distress (14.0 ± 4.5). MLR models showed that the variables of age (β = 0.22, p ≤ 0.005), marital status (β = 0. 21, p ≤ 0.006), and having children, (β = 0.19, p ≤ 0.012) predicted 22% of changes in the nurses' empathy, respectively. Discussion: This study showed that empathy is more emotional than cognitive in this sample of oncology nurses. As a cognitive response is more dependent on subjective judgments, there is a possibility to increase the level of this kind of empathy. Conclusions: Empowering oncology nurses is necessary in the field of cognitive empathy, by periodic measurements, and in-service training programs with focus on nurses' experiences.

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“…Zamanzadeh, Valizadeh, Sayadi, Taleghani, Howard, and Jeddian (2013) [16] conducted a qualitative study of 18 Iraninan female nurses and argues that since women are usually more emotionally engaged than members of the opposite sex, they are likelier to be more engaged in emotional labor. The study also reported that the efforts expended by nurses in carrying out emotional labor during the course of their profession could cause them personal emotional pain, which may lead to emotional exhaustion and depression [16].…”

Section: Discussionmentioning

confidence: 99%

The impact of emotional labor on the health in the workplace: a narrative review of literature from 2013–2018

Aung

Tewogbola

2019

AIMS Public Health

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There is a paradigm-shift in the workplace from a production mentality to a service-oriented mentality. As a result, there is a greater need on employees to expend emotional labor in dealing with the challenges of meeting the demands of a service-oriented economy. This present study discussed the impact that expending emotional labor has on the health of employees in the workplace. Literature was retrieved from MEDLINE/PubMed, Excerpta Medica/EMBASE, Scopus and Thomson Reuters' Web of Science databases. Studies were selected if they were published between 2013 and 2018, written in English and had the terms “emotional labor” or “emotional labour” in their titles. An overview of the different effects of emotional labor on the health of employees in different sectors of the economy revealed effects ranging from burnout and fatigue to dysmenorrhea, disruptions in sleep patterns and suicidal tendencies. The effects of emotional labor on the health of members of the population who belong to the working class can be attributed to reciprocal determinism where environmental influences in the form of clients, supervisors, or organizational culture put employees in a position where they had to develop the habit of engaging emotional labor to cope with environmental stresses.

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Emotional Labour of Caring for Hematopoietic Stem Cell Transplantation Patients: Iranian Nurses' Experiences

Abstract: Iranian nurses who care for HSCT patients experience a range of positive and negative emotions. Establishing appropriate support systems for nurses might help mediate the negative aspects of emotional labour. thereby improving nursing work life and ultimately the quality of patient care.

Cited by 21 publications

References 49 publications

Caring Process in Hematopoietic Stem Cell Transplantation: A Grounded Theory Study

Caring Process in Hematopoietic Stem Cell Transplantation: A Grounded Theory Study

Empathy from the perspective of oncology nurses

The impact of emotional labor on the health in the workplace: a narrative review of literature from 2013–2018

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