Challenges faced by mental health nurses working with people living with mental illness in Eswatini: A qualitative study

Background: Research on the challenges faced by mental health nurses working in poorly resourced settings, especially in Eswatini, is limited. As a result, we conducted this study to explore and describe the challenges faced by mental health nurses working with people living with mental illness in E...

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Main Authors: Phetsile G. Zwane, Mduduzi Colani Shongwe, Fortunate S. Shabalala
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:International Journal of Africa Nursing Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214139122000828
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author Phetsile G. Zwane
Mduduzi Colani Shongwe
Fortunate S. Shabalala
author_facet Phetsile G. Zwane
Mduduzi Colani Shongwe
Fortunate S. Shabalala
author_sort Phetsile G. Zwane
collection DOAJ
description Background: Research on the challenges faced by mental health nurses working in poorly resourced settings, especially in Eswatini, is limited. As a result, we conducted this study to explore and describe the challenges faced by mental health nurses working with people living with mental illness in Eswatini. Methods: The study employed a qualitative approach, using an exploratory-descriptive design and the data were collected from nine (9) purposively selected mental health nurses at the National Psychiatric Referral Hospital (NPRH). A majority (n = 7) of the participants had bachelors’ degrees and were female (n = 5), with a mean of 6 years working experience in a mental health setting. The data were collected using an unstructured interview guide through audio-recorded individual in-depth-interviews, and were analysed manually using Colaizzi’s method of phenomenological analysis. Results: Five themes emerged from the data: i) physical violence; ii) sexual harassment iii) emotional distress due to verbal abuse; iv) stigma and discrimination; and v) administrative challenges (drug stock-outs, staff shortage, overcrowding, and inadequate infrastructure and medical equipment). Conclusion: The mental health nurses shared several challenges they encounter on their day-to-day job, including physical, psychological and administrative challenges. There is a need for the Ministry of Health working with the Wellness Centre for health workers to design staff wellness programs aimed at mitigating work-related stress and challenges faced by mental health nurses. The Ministry of Health and the NPRH administration should put in place safety measures at the NPRH and should devise a management strategy to tackle the administrative challenges raised by the nurses in this study.
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spelling doaj.art-b78be023fbfa4f4ca6daed61dcc65b442022-12-22T04:37:57ZengElsevierInternational Journal of Africa Nursing Sciences2214-13912022-01-0117100475Challenges faced by mental health nurses working with people living with mental illness in Eswatini: A qualitative studyPhetsile G. Zwane0Mduduzi Colani Shongwe1Fortunate S. Shabalala2Department of Nursing, Faculty of Health Sciences, Southern Africa Nazarene University, Manzini, EswatiniDepartment of Midwifery Science, Faculty of Health Sciences, University of Eswatini, Mbabane, Eswatini; International Health Program, Institute of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Corresponding author at: Department of Midwifery Science, Faculty of Health Sciences, University of Eswatini, P.O. Box 369, Mbabane (H100), Eswatini.Department of Community Health Nursing Science, Faculty of Health Sciences, University of Eswatini, Mbabane, EswatiniBackground: Research on the challenges faced by mental health nurses working in poorly resourced settings, especially in Eswatini, is limited. As a result, we conducted this study to explore and describe the challenges faced by mental health nurses working with people living with mental illness in Eswatini. Methods: The study employed a qualitative approach, using an exploratory-descriptive design and the data were collected from nine (9) purposively selected mental health nurses at the National Psychiatric Referral Hospital (NPRH). A majority (n = 7) of the participants had bachelors’ degrees and were female (n = 5), with a mean of 6 years working experience in a mental health setting. The data were collected using an unstructured interview guide through audio-recorded individual in-depth-interviews, and were analysed manually using Colaizzi’s method of phenomenological analysis. Results: Five themes emerged from the data: i) physical violence; ii) sexual harassment iii) emotional distress due to verbal abuse; iv) stigma and discrimination; and v) administrative challenges (drug stock-outs, staff shortage, overcrowding, and inadequate infrastructure and medical equipment). Conclusion: The mental health nurses shared several challenges they encounter on their day-to-day job, including physical, psychological and administrative challenges. There is a need for the Ministry of Health working with the Wellness Centre for health workers to design staff wellness programs aimed at mitigating work-related stress and challenges faced by mental health nurses. The Ministry of Health and the NPRH administration should put in place safety measures at the NPRH and should devise a management strategy to tackle the administrative challenges raised by the nurses in this study.http://www.sciencedirect.com/science/article/pii/S2214139122000828ChallengesMental health nursingPsychiatryPsychiatric nursingEswatini
spellingShingle Phetsile G. Zwane
Mduduzi Colani Shongwe
Fortunate S. Shabalala
Challenges faced by mental health nurses working with people living with mental illness in Eswatini: A qualitative study
International Journal of Africa Nursing Sciences
Challenges
Mental health nursing
Psychiatry
Psychiatric nursing
Eswatini
title Challenges faced by mental health nurses working with people living with mental illness in Eswatini: A qualitative study
title_full Challenges faced by mental health nurses working with people living with mental illness in Eswatini: A qualitative study
title_fullStr Challenges faced by mental health nurses working with people living with mental illness in Eswatini: A qualitative study
title_full_unstemmed Challenges faced by mental health nurses working with people living with mental illness in Eswatini: A qualitative study
title_short Challenges faced by mental health nurses working with people living with mental illness in Eswatini: A qualitative study
title_sort challenges faced by mental health nurses working with people living with mental illness in eswatini a qualitative study
topic Challenges
Mental health nursing
Psychiatry
Psychiatric nursing
Eswatini
url http://www.sciencedirect.com/science/article/pii/S2214139122000828
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AT fortunatesshabalala challengesfacedbymentalhealthnursesworkingwithpeoplelivingwithmentalillnessineswatiniaqualitativestudy