Emotional labour and compassionate care: what's the relationship?
BACKGROUND
Malawi is one of the countries in the Sub-Saharan region of Africa severely affected by the HIV pandemic. This being the case, student nurses' clinical encounters include caring for patients with HIV and AIDS.


OBJECTIVE
The study explored the clinical learning experience of undergraduate nursing students in Malawi, with the aim of understanding the nature of their experience.


METHODS
This was a hermeneutic phenomenological study.


METHODS
The study took place at a university nursing college in Malawi.


METHODS
Thirty undergraduate nursing students were purposively selected.


METHODS
Conversational interviews were conducted and a framework developed by modifying Colaizzi's procedural steps guided the phenomenological analysis.


RESULTS
The participants reported their experience during the early years of their studies and their current experience at the time of the study, depicting them as novice and senior students respectively. The study findings demonstrated an overt fear of contracting HIV infection among novice nursing students. Such fear led students to deliberately avoid taking care of HIV positive patients and develop a sense of legitimate emotional detachment. However, as students progressed in their studies, and their knowledge and experiences increased, they realised that HIV and AIDS patients needed support and empathy. The learning trajectory demonstrate a gradual change from emotional detachment based on fear to a sense of emotional engagement built on knowledge, experiential insights and the notion of emotions management that led to the provision of care driven by compassion as opposed to anxiety.


CONCLUSIONS
The findings illustrate that nursing students need to work on their emotions to provide compassionate care. This is consistent with the concept of emotional labour and the paper argues that undertaking emotional labour is essential in promoting compassionate care.
Kamuzu College of Nursing, University of Malawi, Malawi. Electronic address: gladysmsiska@kcn.unima.mw.
Gladys
G
Msiska
School of Health in Social Science, The University of Edinburgh, United Kingdom.
Pam
P
Smith
School of Health in Social Science, The University of Edinburgh, United Kingdom.
Tonks
T
Fawcett
Kamuzu College of Nursing, University of Malawi, Malawi.
Betty Mkwinda
BM
Nyasulu
D001291:Attitude of Health Personnel; D004508:Education, Nursing, Baccalaureate; D004644:Emotions; D004645:Empathy; D015658:HIV Infections / Q000451:nursing; D006801:Humans; D007858:Learning; D008295:Malawi; D009723:Nurse-Patient Relations; D013338:Students, Nursing / Q000523:psychology
Clinical learning experience; Compassionate care; Emotional labour; HIV care; Hermeneutic phenomenological research