title: Nurse leaders' responsibilities in supporting nurses experiencing difficult situations in clinical nursing.
abstract: OBJECTIVE
  To make nurse leaders aware of different kinds of difficult situations in clinical nursing that may cause suffering to nurses and to discuss how nurse leaders can approach and alleviate this suffering.
  
  
  BACKGROUND
  Difficult situations are a part of clinical nursing. Nurses are repeatedly exposed to situations that may cause them suffering and reduce their ability to serve the patients.
  
  
  METHODS
  Data collection was based on a sample of semi-structured face-to-face deep interviews with eight nurses who were encouraged to narrate their lived experiences of difficult situations in clinical nursing.
  
  
  RESULTS
  Nurses want to discuss issues connected to nursing and caring science that emerge in clinical nursing with their nurse leaders. Painful memories and thoughts are often related to patients struggling between life and death, the despair of families and friends, and their hovering between hope and hopelessness. The results do not support the notion that nurses would request other kinds of support or debriefing.
  
  
  CONCLUSIONS
  The mission of nursing is to serve, console and alleviate human suffering. Nurse leaders carry a responsibility to create such evidence-based caring cultures that support the mission of nursing. Nurse leaders' understanding, sympathetic attitude, ethical value basis, personality and ability to discuss are important aspects for nurses. Through the support from nurse leaders, it seems possible to alleviate the nurse's suffering in clinical nursing. Implications for Nursing Management Nurse leaders' support creates a foundation for the nurses' professional development.
authors: Division for Social Sciences, Department of Caring Science, University of Åbo Akademi, Vasa, Finland.
authors: Leena
authors: L
authors: Honkavuo
authors: Division for Social Sciences, Department of Caring Science, University of Åbo Akademi, Vasa, Finland.
authors: Unni Å
authors: UÅ
authors: Lindström
keywords: clinical nursing; difficult situations; nurse leader; responsibility; suffering; support