“We try our best to offer them the little that we can” coping strategies of Ghanaian community psychiatric nurses: a qualitative descriptive study

Abstract Introduction Community psychiatric nurses work in extremely stressful environments with intense patient relationships as they try to prevent self-harm and manage aggressive behaviors. In order to improve their ability to manage the stressful work environments, community psychiatric nurses n...

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Main Authors: Frederick Yaw Opare, Patience Aniteye, Agani Afaya, Nathaniel Glover-Meni
Format: Article
Language:English
Published: BMC 2020-06-01
Series:BMC Nursing
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12912-020-00449-3
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author Frederick Yaw Opare
Patience Aniteye
Agani Afaya
Nathaniel Glover-Meni
author_facet Frederick Yaw Opare
Patience Aniteye
Agani Afaya
Nathaniel Glover-Meni
author_sort Frederick Yaw Opare
collection DOAJ
description Abstract Introduction Community psychiatric nurses work in extremely stressful environments with intense patient relationships as they try to prevent self-harm and manage aggressive behaviors. In order to improve their ability to manage the stressful work environments, community psychiatric nurses need to incorporate formal coping strategies into their daily work routines. With evidence-based coping strategies, community psychiatric nurses can effectively manage the stressful situations in their work environment to increase their work longevity. The purpose of this study was to explore the individual coping strategies currently used by community psychiatric nurses in practice in order to develop an intervention strategy for future implementation. Methods This was an exploratory qualitative study using an interpretative approach. A purposive sampling method was used to identify participants from the community psychiatric nurses in a region of Ghana. Participants were recruited and interviewed, guided by semi-structured questions, until saturation was reached. The interviews were audio-taped, transcribed verbatim, and analyzed thematically. Results A total of 13 participants, 10 women and 3 men ages 26 to 60 years, were interviewed for this study. From the inductive analysis, four coping themes emerged from the data including: 1) self-disguise, 2) reliance on religious faith, 3) self-motivation, and 4) reduction in the number of home visits. The participants described their work environment as stressful, almost to the point of overwhelming. In this regard, they identified the individual coping strategies as critical daily practices for self care to manage their high stress levels. Conclusion Individual coping strategies are often used by community psychiatric nurses in daily practice. The participants identified personal coping strategies as critical interventions to manage stress and to decrease their risk for burnout. However, community psychiatric nurses must develop. personal-mastery in various coping strategies to care for themselves, as well as motivate them despite the challenging working environment. The individual coping strategies adopted by community psychiatric nurses was not only helped them deliver care, but also protected their clients so people would not label them as ‘mental patients.’ Collectively, the four strategies reported in this study need to be developed into a cohesive and comprehensive intervention.
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spelling doaj.art-fbf1227752eb435b8c7c0f9a916de3702022-12-21T17:48:46ZengBMCBMC Nursing1472-69552020-06-011911810.1186/s12912-020-00449-3“We try our best to offer them the little that we can” coping strategies of Ghanaian community psychiatric nurses: a qualitative descriptive studyFrederick Yaw Opare0Patience Aniteye1Agani Afaya2Nathaniel Glover-Meni3Department of Nursing, School of Nursing and Midwifery, University of Health and Allied SciencesDepartment of Community Health Nursing, School of Nursing and Midwifery, University of GhanaDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied SciencesDepartment of General and Liberal Studies, University of Health and Allied SciencesAbstract Introduction Community psychiatric nurses work in extremely stressful environments with intense patient relationships as they try to prevent self-harm and manage aggressive behaviors. In order to improve their ability to manage the stressful work environments, community psychiatric nurses need to incorporate formal coping strategies into their daily work routines. With evidence-based coping strategies, community psychiatric nurses can effectively manage the stressful situations in their work environment to increase their work longevity. The purpose of this study was to explore the individual coping strategies currently used by community psychiatric nurses in practice in order to develop an intervention strategy for future implementation. Methods This was an exploratory qualitative study using an interpretative approach. A purposive sampling method was used to identify participants from the community psychiatric nurses in a region of Ghana. Participants were recruited and interviewed, guided by semi-structured questions, until saturation was reached. The interviews were audio-taped, transcribed verbatim, and analyzed thematically. Results A total of 13 participants, 10 women and 3 men ages 26 to 60 years, were interviewed for this study. From the inductive analysis, four coping themes emerged from the data including: 1) self-disguise, 2) reliance on religious faith, 3) self-motivation, and 4) reduction in the number of home visits. The participants described their work environment as stressful, almost to the point of overwhelming. In this regard, they identified the individual coping strategies as critical daily practices for self care to manage their high stress levels. Conclusion Individual coping strategies are often used by community psychiatric nurses in daily practice. The participants identified personal coping strategies as critical interventions to manage stress and to decrease their risk for burnout. However, community psychiatric nurses must develop. personal-mastery in various coping strategies to care for themselves, as well as motivate them despite the challenging working environment. The individual coping strategies adopted by community psychiatric nurses was not only helped them deliver care, but also protected their clients so people would not label them as ‘mental patients.’ Collectively, the four strategies reported in this study need to be developed into a cohesive and comprehensive intervention.http://link.springer.com/article/10.1186/s12912-020-00449-3Community healthPsychiatricNursingCopingStressReligion
spellingShingle Frederick Yaw Opare
Patience Aniteye
Agani Afaya
Nathaniel Glover-Meni
“We try our best to offer them the little that we can” coping strategies of Ghanaian community psychiatric nurses: a qualitative descriptive study
BMC Nursing
Community health
Psychiatric
Nursing
Coping
Stress
Religion
title “We try our best to offer them the little that we can” coping strategies of Ghanaian community psychiatric nurses: a qualitative descriptive study
title_full “We try our best to offer them the little that we can” coping strategies of Ghanaian community psychiatric nurses: a qualitative descriptive study
title_fullStr “We try our best to offer them the little that we can” coping strategies of Ghanaian community psychiatric nurses: a qualitative descriptive study
title_full_unstemmed “We try our best to offer them the little that we can” coping strategies of Ghanaian community psychiatric nurses: a qualitative descriptive study
title_short “We try our best to offer them the little that we can” coping strategies of Ghanaian community psychiatric nurses: a qualitative descriptive study
title_sort we try our best to offer them the little that we can coping strategies of ghanaian community psychiatric nurses a qualitative descriptive study
topic Community health
Psychiatric
Nursing
Coping
Stress
Religion
url http://link.springer.com/article/10.1186/s12912-020-00449-3
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