title: Emotional labour of caring for hematopoietic stem cell transplantation patients: Iranian nurses' experiences.
abstract: OBJECTIVE
  The purpose of this study was to describe the emotional labour experienced by nurses who care for hematopoietic stem cell transplantation (HSCT) patients in Iran.
  
  
  METHODS
  Eighteen nurses participated in semi-structured interviews. The interviews were analyzed using qualitative content analysis methods.
  
  
  RESULTS
  Three main categories described the emotional labour involved, namely, emotional intimacy, feeling overwhelmed with the sadness and suffering, and changing self. Nurses had compassion for their patients, contributing to a close nurse-patient relationship. The nurses' emotional labour resulted in their feeling overwhelmed with sadness and suffering. Five subcategories described this emotional toll: (a) witnessing suffering, (b) struggling mentally, (c) hurting emotionally, (d) feeling drained of energy, and (e) escaping grief. Dealing with death and dying on an ongoing basis promoted the nurses' changing self.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Zamanzadeh
authors.affiliation: Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Leila
authors.initials: L
authors.lastname: Valizadeh
authors.affiliation: Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran. Electronic address: sayadi117@hotmail.com.
authors.forename: Leila
authors.initials: L
authors.lastname: Sayadi
authors.affiliation: Nursing and Midwifery care research center, Nursing and Midwifery Faculty, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Fariba
authors.initials: F
authors.lastname: Taleghani
authors.affiliation: School of Population & Public Health, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
authors.forename: Fuchsia
authors.initials: F
authors.lastname: Howard
authors.affiliation: Hematology-Oncology and Stem Cell Transplantation Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Jeddian