Background: The nurse has an important role in palliative care. The nursing care is unique to each patient and includes physical, emotional and spiritual comfort and support. Working in palliative care can be emotionally stressful. Nurses need strategies to manage their emotions to cope with the work. Aim: Describe how the nurse deals with feelings of caring for patients in palliative end of life care. Method: A literature-based study with qualitative approach. Literature searches were made through databases Cinahl and ProQuest. Similarities and differences were identified and new themes were created. Results: A number of strategies to manage emotions were identified. An important strategy is to have control which can implicate not to be too private to the patient. Other important strategies are support from colleagues, guidance and religious beliefs which makes the feelings manageable. It also appears important to increase competence to manage their emotions in palliative end of life care. Conclusion: The nurse in palliative care needs strategies to handle emotions. By having control, get support and to increase the skills, the nurse can become aware of the feelings that arise in palliative end of life care, and thus, the nurse understands and manages the emotions. The result from this study can be helpful and guidance for those working in palliative care, especially for the nurses with little experience of palliative care. It can also be helpful in other care situations that are emotionally stressful.