General TopicsExposed to an Accumulation of Burdensome Feelings Mental Health Nurses' Vulnerability in Everyday Encounters With Seriously Ill InpatientsVatne, Solfrid PhD, RNAuthor Information Faculty of Health Sciences and Social Care, Molde University College, Specialized University in Logistics, Molde, Norway. Correspondence: Solfrid Vatne, PhD, RN, Faculty of Health Sciences and Social Care, Molde University College, Specialized University in Logistics, Britveien 2, Molde, Norway 6410 ([email protected]). The author discloses no conflicts of interest in the submission, including financial, consultant, institutional, and other relationships and in any commercial pertaining of this article. Advances in Nursing Science: April/June 2017 - Volume 40 - Issue 2 - p 194-206 doi: 10.1097/ANS.0000000000000149 Buy Metrics Abstract Seriously mentally ill patients' unusual behavior is considered challenging in caring relationships, but we know little about how this affects mental health nurses' vulnerability. This article uses a phenomenological design inspired by Heidegger's philosophy with the results of fieldwork and reflection groups with 11 nurses on an acute ward. The nurses were exposed to an accumulation of negative emotions, caused by potentially or actually harmful scenarios that were more extreme than those in other nursing contexts. They protected themselves through limit-setting approaches, which conflicted with their standards of building trusting relationships with patients. The feeling of guilt might function as an appeal for authentic practice, but a change in practice requires the use of acknowledgment approaches and the systematic debriefing of accumulated burdensome feelings. © 2017 Wolters Kluwer Health, Inc. All rights reserved.