Mental health nurses' experiences of managing work-related emotions through supervision

MacLaren, Jessica; Stenhouse, Rosie; Ritchie, Deborah

Abstract

Aim
The aim of this study was to explore emotion cultures constructed in supervision and consider how supervision functions as an emotionally safe space promoting critical reflection.
Background
Research published between 1995–2015 suggests supervision has a positive impact on nurses' emotional well‐being, but there is little understanding of the processes involved in this and how styles of emotion interaction are established in supervision.
Design
A narrative approach was used to investigate mental health nurses' understandings and experiences of supervision.
Methods
Eight semi‐structured interviews were conducted with community mental health nurses in the UK during 2011. Analysis of audio data used features of speech to identify narrative discourse and illuminate meanings. A topic‐centred analysis of interview narratives explored discourses shared between the participants. This supported the identification of feeling rules in participants' narratives and the exploration of the emotion context of supervision.
Findings
Effective supervision was associated with three feeling rules: safety and reflexivity; staying professional; managing feelings. These feeling rules allowed the expression and exploration of emotions, promoting critical reflection. A contrast was identified between the emotion culture of supervision and the nurses' experience of their workplace cultures as requiring the suppression of difficult emotions. Despite this, contrast supervision functioned as an emotion micro‐culture with its own distinctive feeling rules.
Conclusions
The analytical construct of feeling rules allows us to connect individual emotional experiences to shared normative discourses, highlighting how these shape emotional processes taking place in supervision. This understanding supports an explanation of how supervision may positively influence nurses' emotion management and perhaps reduce burnout.

Citation

MacLaren, J., Stenhouse, R., & Ritchie, D. (2016). Mental health nurses' experiences of managing work-related emotions through supervision. Journal of Advanced Nursing, 72(10), 2423-2434. https://doi.org/10.1111/jan.12995

• Journal Article Type: Article
• Acceptance Date: Mar 18, 2016
• Online Publication Date: May 18, 2016
• Publication Date: 2016-10
• Deposit Date: Mar 29, 2018
• Journal: Journal of Advanced Nursing
• Print ISSN: 0309-2402
• Electronic ISSN: 1365-2648
• Publisher: Wiley
• Peer Reviewed: Peer Reviewed
• Volume: 72
• Issue: 10
• Pages: 2423-2434
• DOI: https://doi.org/10.1111/jan.12995
• Keywords: clinical supervision, emotions, feeling rules, interviews, mental health,narratives, nurses, qualitative studies, supervisors and supervision
• Public URL: http://researchrepository.napier.ac.uk/Output/1019658