title: Suffering and suffering with the other - the perspective of perioperative nurse leaders.
abstract: OBJECTIVE
  To capture and interpret meanings of suffering from the perspective of perioperative nurse leaders.
  
  
  BACKGROUND
  There are few studies focusing on suffering and the meaning of being a nurse leader in a perioperative context.
  
  
  METHODS
  Hermeneutic interpretation of interviews with nurse leaders.
  
  
  RESULTS
  A main theme of suffering emerged as learning and non-learning. Suffering as learning comprised 'struggling to come to terms with being misunderstood', 'struggling to wait patiently to be allowed to help', 'struggling to manage daily tasks' and 'struggling to be worthy of the trust of superiors'. Suffering as non-learning comprised 'feeling alone when in charge', 'feeling guilty about not managing daily tasks', 'feeling mistrusted by superiors', 'feeling unfairly criticized', 'feeling humiliated owing to loss of responsibilities' and 'feeling unable to help'.
  
  
  CONCLUSIONS
  Suffering is good when the mission of caring is mastered and the nurse leader feels recognized as unique and trustable, leading to his or her sense of dignity being preserved. Suffering is evil when the mission of caring is threatened, when questioned and not considered a unique and trustable person, leading to loss of dignity.
  
  
  CONCLUSIONS
  Nurse leaders' suffering needs to be acknowledged and a caring culture that permeates the entire organization should be developed.
authors.affiliation: Department of Nursing, Health and Culture, University West, Trollhättan, Sweden. gudrun.rudolfsson@hv.se
authors.forename: Gudrun
authors.initials: G
authors.lastname: Rudolfsson
authors.forename: Gullvi
authors.initials: G
authors.lastname: Flensner
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004645:Empathy; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators / Q000523:psychology*; D015404:Nursing Methodology Research; D015279:Organizational Culture; D013527:Perioperative Nursing / Q000458:organization & administration*; D036301:Qualitative Research; D013315:Stress, Psychological