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Data collection took place until data saturation was reached. Sonographers described caring for their patients as having both positive and negative effects on themselves. Sonographers explained having developed protective mechanisms to help them when caring for tenacious patients. There was also a sense of emotional and psychological strain identified. Despite this, sonographers displayed a sense of professional pride for their careers. Guidelines were developed to alleviate the emotional and psychological strains sonographers are burdened with. These guide