scholarly journals The promotion of mental health of adolescents in a township in Swaziland

Curationis ◽  
2000 ◽  
Vol 23 (1) ◽  
Author(s):  
J.S. Siphepho ◽  
A.C. Gmeiner
Keyword(s):  
Mental Health ◽  
Everyday Life ◽  
Nurse Practitioners ◽  
Dropping Out ◽  
Psychiatric Nurse ◽  
Contextual Design ◽  
The Everyday ◽  
Two Phases ◽  
Group Interviews ◽  
Conducive Environment

A number of adolescents have been observed drinking alcohol, pushing and abusing drugs and also stealing cars. A lot of adolescents idle in the township streets, girls are falling pregnant and dropping out of school. No research has been done to elicit the opinions of families on the everyday life of the adolescents in this township. The objectives of this research were twofold, namely: To explore and describe the families’ opinions on the everyday life of adolescents in a specific township in Swaziland, and to describe guidelines for advanced psychiatric nurse practitioners to assist these families to mobilize resources in order to promote, maintain and restore mental health as integral part of health of adolescents in this township. A qualitative, exploratory, descriptive and contextual design was used where the research was conducted in two phases. Trustworthiness measures as well as ethical measures were applied throughout the research. Five categories were identified from the result of the focus group interviews with families: Adolescents presenting ineffective communication patterns due to lack of support from their families; adolescents engaging into risky lifestyles related to lack of support and healthy relationships with their parents; families unable to create a supportive and conducive environment for their adolescents due to their focus on own family stumbling blocks and non-availability of recreational centres related to lack of a supportive and conducive environment in the community and inadequate accommodation leading to overcrowding. Guidelines for advanced psychiatric nurse practitioners were deducted from identified themes and the literature control.

scholarly journals Psychiatric nurse practitioners’ experiences of working with mental health care users presenting with acute symptoms

Curationis ◽  
2012 ◽  
Vol 35 (1) ◽  
Author(s):  
Kgalabi J. Ngako ◽  
Elsie S.J. Van Rensburg ◽  
Sanah M.L. Mataboge
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Nurse Practitioners ◽  
Public Mental Health ◽  
Emotional Reactions ◽  
Practice Research ◽  
Psychiatric Nurse ◽  
Contextual Design ◽  
Public Mental Health Care

Psychiatric nurse practitioners (PNPs) working with mental health care users presenting with acute symptoms work in a complex environment. This environment is characterised by mental health care users who may present with a history of violence, sexual assault and substance misuse.The objectives of this study were twofold: firstly, to explore and describe the experiences of PNPs working with mental health care users (MHCUs) presenting with acute symptoms; and secondly, to make recommendations for the advanced PNPs to facilitate promotion of the mental health of PNPs with reference to nursing practice, research and education.A qualitative, explorative, descriptive and contextual design was used. The target population was PNPs working with MHCUs presenting with acute symptoms in a public mental health care institution in Gauteng. Data were collected by means of four focus group interviews involving 21 PNPs. The researcher made use of drawings, naïve sketches and field notes for the purpose of data triangulation. Data were analysed in accordance with Tesch’s method of open coding.The three themes that emerged were: PNPs experienced working with these MHCUs as entering an unsafe world where care became a burden; they experienced negative emotional reactions and attitudes towards these MHCUs that compromised quality nursing care; and they made a plea for a nurturing environment that would enhance quality nursing care.The PNPs suggest skills and competency development, organisational support, and a need for external resources. Creation of a positive environment and mobilisation of resources as well as the identification and bridging of obstacles are essential in the promotion of the overall wellbeing and mental health of PNPs. 

scholarly journals The ‘Everyday Work’ of Living with Multimorbidity in Socioeconomically Deprived Areas of Scotland

2014 ◽  
Vol 4 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Rosaleen O'Brien ◽  
Sally Wyke ◽  
Graham G.C.M. Watt ◽  
Bruce Guthrie ◽  
Stewart W. Mercer
Keyword(s):  
Mental Health ◽  
Everyday Life ◽  
Mental Health Problems ◽  
Health Problems ◽  
Socioeconomic Deprivation ◽  
Self Management ◽  
The Everyday ◽  
The Impact ◽  
Life Work ◽  
Deprived Areas

Background Multimorbidity is common in patients living in areas of high socioeconomic deprivation and is associated with poor quality of life, but the reasons behind this are not clear. Exploring the ‘everyday life work’ of patients may reveal important barriers to self-management and wellbeing. Objective To investigate the relationship between the management of multimorbidity and ‘everyday life work’ in patients living in areas of high socioeconomic deprivation in Scotland, as part of a programme of work on multimorbidity and deprivation. Design Qualitative study: individual semi-structured interviews of 14 patients (8 women and 6 men) living in deprived areas with multimorbidity, exploring how they manage. Analysis was continuous and iterative. We report the findings in relation to everyday life work. Results The in-depth analysis revealed four key themes: (i) the symbolic significance of everyday life work to evidence the work of being ‘normal’; (ii) the usefulness of everyday life work in managing symptoms; (iii) the impact that mental health problems had on everyday life work; and (iv) issues around accepting help for everyday life tasks. Overall, most struggled with the amount of work required to establish a sense of normalcy in their everyday lives, especially in those with mental–physical multimorbidity. Conclusions Everyday life work is an important component of self-management in patients with multimorbidity in deprived areas, and is commonly impaired, especially in those with mental health problems. Interventions to improve self-management support for patients living with multimorbidity may benefit from an understanding of the role of everyday life work.

Filipina domestic workers in Hong Kong: Between permanence and temporariness in everyday life

2018 ◽  
Vol 67 (2) ◽  
pp. 273-293 ◽  
Author(s):  
Maren Boersma
Keyword(s):  
Hong Kong ◽  
Everyday Life ◽  
Domestic Workers ◽  
Circular Migration ◽  
Temporal Dimension ◽  
Everyday Lives ◽  
The Everyday ◽  
Group Interviews ◽  
The City ◽  
Lived Time

Hong Kong is residence to around 200,000 Filipina domestic workers who have migrated to the city in order to earn money for their families and futures. The employment of these migrants is organized through temporary two-year contracts. However, since many women stay for ‘multiple contracts’ in Hong Kong, their situation may be better characterized as permanently temporary. In this respect, scholars have coined the term ‘permanent temporariness’, signifying both a specific experience of temporal or circular migration, as well as a sort of disciplinary mechanism that informs people’s everyday lives. Lacking in these understandings, however, is a solid theoretical exploration of the temporal dimension. Based on ethnographic work, individual and group interviews, this article attempts to further the theoretical discussion on permanence and temporariness by focusing on the ‘lived time’ of Filipina domestic workers in Hong Kong. The article discusses how temporariness and permanence are enacted and experienced in the everyday lives of Filipina workers, how these women reflect on and cope with this, and, how this informs everyday life decisions and negotiations with employers. The study indicates that engaging permanently in temporary labour involves many uncertainties that are reflected in the domestic workers’ experiences and decisions with respect to their migration trajectories.

scholarly journals How Did The First COVID-19 Lockdown Affect Persons With Concurrent Mental Health and Substance Use Disorders in Norway? A Qualitative Study

2021 ◽  
Author(s):  
Marja Leonhardt ◽  
Morten Brodahl ◽  
Nicola Cogan ◽  
Lars Lien
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Qualitative Study ◽  
Everyday Life ◽  
Substance Use Disorders ◽  
Substance Use Disorder ◽  
Social Life ◽  
Well Being ◽  
Structured Interview ◽  
The Everyday

Abstract Background: The outbreak of COVID-19 with its severe social restrictions touched the daily life of most people. While everyday social life becomes difficult for citizens with economic and cultural capital, it becomes even worse for vulnerable groups such as persons with mental health and substance use disorders, who are particularly vulnerable to social exclusion. The aim of this study is to investigate how the first COVID-19 lockdown affected the everyday life and health of persons with co-occurring mental health and substance use disorders.Methods: This qualitative study reports data from 17 individual interviews and one focus group of five participants, all with a self-reported mental health and substance use disorder. Interviews were conducted based on a semi-structured interview guide in September and October 2020 in a medium-sized local authority in Norway. Data were analysed using thematic analysis. A reference group of people with varied knowledge and experiences of the phenomenon were involved in study design, recruitment, data generation and analysis.Results: The analysis identified four interrelated main themes, describing how the first lockdown affected the everyday life and health of persons suffering from a mental health and substance use disorder: 1) The COVID-19 outbreak as a perceived challenge, 2) A decline in mental health and well-being, 3) Increased substance use challenges, and 4) Diverse experiences with health and social services. The results show that people with a co-occurring disorder have challenges with digital tools and/or do not have the appropriate equipment. Further, participants were not concerned about becoming infected themselves, but infecting others.Conclusion:Persons with a mental health and substance use disorder face major challenges during the COVID-19 pandemic. There is a need to maintain continuous low-threshold services especially directed towards persons with co-occurring disorders during the pandemic. Furthermore, it is important to improve the digital skills of every service user or offer alternatives to digital consultations and meetings.

scholarly journals Belize: a new psychiatric service revisited

1996 ◽  
Vol 20 (4) ◽  
pp. 237-238
Author(s):  
C. Walsh ◽  
L. Ward ◽  
J. O'Neill-Byrne ◽  
K. O'Neill-Byrne ◽  
J. L. Herzberg
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Central America ◽  
Nurse Practitioners ◽  
Psychiatric Service ◽  
Psychiatric Nurse ◽  
Community Clinics ◽  
Community Psychiatric ◽  
Set Up

In 1990 a UK psychiatrist and community psychiatric nurse (CPN) went to Belize, in Central America, to set up a comprehensive mental health service, based on community clinics staffed by psychiatric nurse practitioners. This work was completed by 1992. In 1994 two medical students visited Belize for eight weeks to review the new mental health service.

scholarly journals Advanced psychiatric nurse practitioners’ ideas and needs for supervision in private practice in South Africa

Curationis ◽  
2014 ◽  
Vol 37 (1) ◽  
Author(s):  
Annie M. Temane ◽  
Marie Poggenpoel ◽  
Chris P.H. Myburgh
Keyword(s):  
Data Analysis ◽  
Nurse Practitioners ◽  
Private Practice ◽  
Phenomenological Approach ◽  
Psychiatric Nursing ◽  
Psychiatric Nurse ◽  
Contextual Design ◽  
Qualitative Descriptive ◽  
Analyse Data ◽  
Personal Competencies

Background: Supervision forms an integral part of psychiatric nursing. The value of clinicalsupervision has been demonstrated widely in research. Despite efforts made toward advancedpsychiatric nursing, supervision seems to be non-existent in this field.Objectives: The aim of this study was to explore and describe advanced psychiatric nursepractitioners’ ideas and needs with regard to supervision in private practice in order tocontribute to the new efforts made in advanced psychiatric nursing in South Africa.Method: A qualitative, descriptive, exploratory, and contextual design using a phenomenological approach as research method was utilised in this study. A purposive sampling was used. Eight advanced psychiatric nurse practitioners in private practice described their ideas and needs for supervision during phenomenological interviews. Tesch’s method of open coding was utilised to analyse data. After data analysis the findings were recontextualised within literature.Results: The data analysis generated the following themes – that the supervisor should have or possess: (a) professional competencies, (b) personal competencies and (c) specificfacilitative communication skills. The findings indicated that there was a need for supervision of advanced psychiatric nurse practitioners in private practice in South Africa.Conclusion: This study indicates that there is need for supervision and competent supervisors in private practice. Supervision can be beneficial with regard to developing a culture of support for advanced psychiatric practitioners in private practice and also psychiatric nurse practitioners.

Stigmatisation of mental illness in the workplace: evidence and consequences

2013 ◽  
Vol 10 (02) ◽  
pp. 102-107 ◽  
Author(s):  
N. Bezborodovs ◽  
G. Thornicroft
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Everyday Life ◽  
Mental Health Problems ◽  
Self Esteem ◽  
Health Problems ◽  
Work Place ◽  
Stigma And Discrimination ◽  
Workplace Stigma

SummaryWork plays an important part in everyday life. For people experiencing mental health problems employment may both provide a source of income, improved self-esteem and stability, and influence the course and outcomes of the disorder. Yet in many countries the work-place consistently surfaces as the context where people with mental health problems feel stigmatised and discriminated the most. This paper will review the existing evidence of stigma and discrimination in the workplace, consider the consequences of workplace stigma on the lives of people experiencing mental health problems, and discuss implications for further action.

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