{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:00:51Z","timestamp":1790373651246,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Explore the lived experiences of critical care nurses regarding emotional labor in palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Palliative care plays a vital role in improving quality of life for patients with serious illnesses. The World Health Organization estimates that 40%\u201360% of patients globally require palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Critical care nurses frequently experience emotional work due to delivering life\u2010sustaining interventions while providing compassionate palliative care in a complex environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An interpretive phenomenological analysis design was used. Data were collected from critical care nurses working in a tertiary health care setting in the Eastern Region of Saudi Arabia from September 2024 to November 2024. An interview guide was developed based on a review of emotional work literature. Open\u2010ended prompts encouraged participants to describe their experiences. A purposive sample of 10 nurses was employed. This study adheres to the COREQ checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study's findings revealed five key themes highlighting the emotional complexity nurses face in palliative care. Nurses described emotional labor as a balance between attachment and detachment, influenced by cultural and institutional challenges. They relied on spirituality, peer support, and personal coping mechanisms. Many nurses experienced personal growth and advocated for structured support systems to sustain resilience and well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Critical care nurses face emotional labor in palliative care, requiring cultural, religious, and familial support. Structured respite, family connections, personal growth, and institutional changes can prevent burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implication for nursing<\/jats:title>\n                    <jats:p>The study emphasizes the need to support critical care nurses in managing emotional demands to ensure the delivery of compassionate and effective palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implication for health policy<\/jats:title>\n                    <jats:p>Policies should address nurses\u2019 emotional well\u2010being and regulation strategies to enhance workforce sustainability and care quality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/inr.70210","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:12:35Z","timestamp":1785417155000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Critical Care Nurses\u2019 Experiences With Emotional Labor in Palliative Care"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3670-2031","authenticated-orcid":false,"given":"Azza Abd Elrazek","family":"Baraka","sequence":"first","affiliation":[{"name":"College of Nursing King Saud Bin Abdulaziz University for Health Sciences  Al\u2010Ahsa Saudi Arabia"},{"name":"King Abdullah International Medical Research Center  Al\u2010Ahsa Saudi Arabia"},{"name":"Ministry of the National Guard\u2010Health Affairs Al\u2010Ahsa Saudi Arabia"},{"name":"Critical Care and Emergency Nursing Department Faculty of Nursing Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5811-1561","authenticated-orcid":false,"given":"Ghadah A.","family":"AlShaikh\u2010Mubarak","sequence":"additional","affiliation":[{"name":"College of Nursing King Saud Bin Abdulaziz University for Health Sciences  Al\u2010Ahsa Saudi Arabia"},{"name":"King Abdullah International Medical Research Center  Al\u2010Ahsa Saudi Arabia"},{"name":"Ministry of the National Guard\u2010Health Affairs Al\u2010Ahsa Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2283-2137","authenticated-orcid":false,"given":"Eman Arafa","family":"Hassan","sequence":"additional","affiliation":[{"name":"Critical Care and Emergency Nursing Department Faculty of Nursing Alexandria University Alexandria Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21070931"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12161647"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12708"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119756422.ch27"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.10.013"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2016.08.001"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1202048"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0301101"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/8837024"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1108\/JACPR\u201001\u20102023\u20100767"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/inr.13006"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/5317359"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732317729139"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12559"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2019.28.16.1047"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.13038"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19010549"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2019.151204"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/PRBM.S311996"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.13336"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.295"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2020.112928"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.52756\/ijerr.2023.v35spl.008"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.07.014"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010024\u201002099\u20101"},{"key":"e_1_2_11_28_1","volume-title":"Interpretative Phenomenological Analysis: Theory, Method and Research","author":"Smith J. A.","year":"2009"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR\u20102016\u2010003026"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010024\u201011550\u20107"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.14710\/nmjn.v10i3.31302"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2020.01.026"},{"key":"e_1_2_11_34_1","volume-title":"Integrating Palliative Care and Symptom Relief into Primary Health Care: A WHO Guide for Planners, Implementers and Managers","author":"World Health Organization","year":"2018"},{"key":"e_1_2_11_35_1","volume-title":"Palliative Care","author":"World Health Organization","year":"2020"},{"key":"e_1_2_11_36_1","volume-title":"Ageing and Health","author":"World Health Organization","year":"2025"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/026327689006001005"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2022.04.002"}],"container-title":["International Nursing Review"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inr.70210","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/inr.70210","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/inr.70210","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T21:25:27Z","timestamp":1790371527000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/inr.70210"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":37,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/inr.70210"],"URL":"https:\/\/doi.org\/10.1111\/inr.70210","archive":["Portico"],"relation":{},"ISSN":["0020-8132","1466-7657"],"issn-type":[{"value":"0020-8132","type":"print"},{"value":"1466-7657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"assertion":[{"value":"2025-08-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70210"}}