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Experience of Psychiatric Nurses in Managing Patient Transference: A Qualitative Study
Mei-Hui Wu1, Gwo-Cheng Chiang2, I-Hsuan Lai2
1Department of Nursing, Tzu Chi University, Hualien City, Taiwan.
Issues in Mental Health Nursing
|January 23, 2026
Summary
Psychiatric nurses effectively manage patient transference by using self-reflection and seeking support, turning challenges into therapeutic relationships. This enhances nursing practice and patient care.
Area of Science:
- Psychiatric Nursing
- Clinical Psychology
- Healthcare Professional Development
Background:
- Patients in psychiatric nursing frequently develop transference due to significant psychological needs.
- Managing patient transference while upholding professionalism is a critical challenge for psychiatric nurses.
Purpose of the Study:
- To explore the experiences of psychiatric nurses in managing patient transference.
- To identify strategies and themes related to handling transference in psychiatric nursing.
Main Methods:
- A qualitative research design was utilized.
- In-depth interviews were conducted with fourteen psychiatric nurses.
- Thematic analysis was employed to analyze interview data and identify core concepts.
Main Results:
- Four major themes emerged: Invisible boundaries, self-reflection, seeking help and responding, and adjustment and relearning.
- Nurses utilized self-reflection to integrate personal experiences and professional skills, converting theoretical knowledge into practical clinical understanding.
- Psychiatric nurses successfully transformed transference challenges into opportunities for fostering therapeutic relationships.
Conclusions:
- Psychiatric nurses can leverage self-reflection and support systems to manage transference effectively.
- Recommendations include enhancing nursing education to focus on awareness, self-reflection, and boundary-setting skills.
- Role-playing and group discussions are suggested to equip nurses with skills for flexible, professional nurse-patient relationships.
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