Other emotions directly or indirectly related to supervision were anger and rage, and some described situations where providers and supervisors had been in harsh confrontations, almost fights. Also, supervisors found that providers often felt embarrassed during their interaction. A supervisor in FGD1 thought that especially providers with performance difficulties felt ashamed: ‘Those who have a low level of knowledge … feel ashamed. … Maybe s/he thinks: “Perhaps s/he [supervisor] has discovered that I am stupid or that I have little competency and then s/he has come for challenging me and reporting me to my superiors”.’ (S2, male, A0 degree)