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Emotional Labor in Pediatric Palliative Care: A Scoping Review
Ana Inês Lourenço da Costa1,2, Luísa Barros3, Paula Diogo1,2
1Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-190 Lisbon, Portugal.
Healthcare professionals experience significant emotional labor when caring for children in palliative care. Implementing intrapersonal, social, and organizational strategies is crucial for their well-being and effective care.
Area of Science:
- Palliative Care
- Healthcare Professionals
- Emotional Labor
Background:
- Caring for children in palliative care profoundly affects healthcare professionals' personal and professional lives.
- The emotional experiences and needs of these professionals are often overlooked.
- Healthcare professionals encounter substantial emotional demands when caring for pediatric patients and their families.
Purpose of the Study:
- To identify and map the scientific literature on the emotional labor of healthcare professionals in pediatric palliative care.
- To provide a comprehensive overview of existing research in this specialized field.
Main Methods:
- A scoping review was conducted following JBI recommendations and PRISMA Extension for Scoping Reviews.
- Searches were performed across 16 electronic databases, with an update in February 2025.
- Content analysis was used to synthesize findings from 11 selected publications.
Main Results:
- Eleven publications were included, primarily from the USA, focusing on nurses in neonatal intensive care settings.
- Qualitative studies dominated the selected literature.
- Five key themes emerged: emotional experience, relational context, boundary management, intrapersonal strategies, and social/organizational strategies.
Conclusions:
- Implementing intrapersonal, social, and organizational emotional labor strategies is vital.
- Workplace culture must support emotional experiences and management through education, training, and reflection.
- Emotional labor in pediatric palliative care requires recognition and further research.
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