Abstract
We aimed to clarify the experiences of psychiatric nurses after feeling negative emotions towards a patient and examine those experiences that did not result in a positive relationship in order to obtain hints for construction of support framework. A semi-structured interview was conducted and obtained data was analyzed in a qualitative and inductive manner. As a result, 28 categories and 82 subcategories were obtained from 317 labels, which were consolidated into the four elements of "contents of harboring negative feelings," "supportive action," "state of mind of nurse," "and "factor influencing on behavior and state of mind" and, by placing those categories on a timeline, a structural diagram of the experiences of psychiatric nurses harboring negative attitudes was created. The results pointed to the precense of different distinctive processes underlying experiences that end in a positive relationship and experiences that do not end in a positive relationship. Characteristics of experiences that did not result in a positive relationship were the presence of anger that crossed the bounds of personal values as a negative emotional content, frequent feelings of being taken aback by a lack of support, a lack of reinterpretation of the situation as a type of helping behavior and the presence of a bias towards a negative evaluation of the situation. For nurses to achieve a positive relationship after experiencing negative emotions, support is needed to help them control their emotions and to reinterpret the situation.
