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18/5/647    most recent
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First published on March 12, 2008, doi:10.1177/1049732308315736

Qualitative Health Research 2008;18:647.

A more recent version of this article appeared on May 1, 2008

Article

Protecting Professional Composure in Transcultural Pediatric Nursing

Pernilla Pergert1*, Solvig Ekblad1, Karin Enskär2, and Olle Björk1

1 Karolinska Institutet, Stockholm, Sweden
2 Jönköping University, Jönköping, Sweden

* To whom correspondence should be addressed. E-mail: pernilla.pergert{at}ki.se.


  Abstract
In this qualitative study, we used grounded theory to explore the category of "overwhelming emotional expressions" that emerged in a previous study. Using theoretical sampling, 12 individual interviews were conducted with nurses in Swedish pediatric care. Overwhelming emotional expressions have been found to override nurses’ professional preparedness; they continuously resolve this by protecting professional composure. Various strategies are used to protect professional composure, including rationalizing, controlled expression, power display, escape/avoidance, distancing, sharing, and management of space. Some of these strategies are similar to coping strategies. However, they differ in that they are about managing the situation and also include protecting the professional composure of the individual as well as the whole care situation. Nurses need to gain preparedness to meet overwhelming emotional expressions in transcultural care and to be aware of strategies for protecting professional composure so as to use them consciously and positively.


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