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Abstract
Since the inception of the decentralisation and integration of psychiatric mental health care services into the general health care delivery system in Botswana, there has never been a study to investigate what community mental health nurses are experiencing due to the policy. Many of these nurses have been leaving the scantily staffed mental health care services in increasing numbers to join other sectors of health or elsewhere since the beginning of the implementation of the policy. During the research study, phenomenological in-depth interviews were conducted with three groups of 12 community mental health nurses altogether. An open central question was posed to each group followed by probing questions to explore and describe these nurses’ experience of the decentralisation and integration of psychiatric-mental health care services. After the data was analysed, related literature was incorporated and guidelines for advanced psychiatric nurses were formulated and described to assist these nurses to cope with the decentralisation and integration of psychiatric-mental health care services. The guidelines were set up for the management of the community mental health nurses who are experiencing obstacles in the quest for mental health which also interfere with their capabilities as mental health care providers.
Highlights
Since the inception of the decentralisation and integration of psychiatric mental health care services into the general health care delivery system in Botswana, there has never been a study to investigate what community mental health nurses are experiencing due to the policy
This study demonstrated that community mental health nurses, working in mental health units attached to general health facili ties in the Southern M ental H ealth region of Botsw ana, experience unhappiness, frustration, discouragement, disap pointment, loss of interest in mental health work, disbelieve and confusion due to negative attitudes of their supervisors, management of facilities they w ork under, top authorities in the ministries, doctors and general nurses towards mental health, mental health services and personnel
There were negligible or insignificant positive experiences of the community mental health nurses yielded from the study, which were badly marred by their massive negative experiences
Summary
Since the inception of the decentralisation and integration of psychiatric mental health care services into the general health care delivery system in Botswana, there has never been a study to investigate what community mental health nurses are experiencing due to the policy. Botsw ana is daar nog nooit ‘n studie o f indiepte ondersoek gedoen om te bepaal wat die verpleegkundiges in die gem eenskapsgeestesgesondheidsdienste se ondervindings as gevolg van die beleid is nie. Dit was gevolg deur indiepte vrae om te bepaal w at die belew enis van hierdie verpleegkundiges ten opsigte van die desentralisasie en integrasie van die psigiatriese geestesgesondheidsorgdienste is. Effective utilisation of the community mental health health care services into the general health care delivery system was started in 1980 in Botswana The introduction of this policy was nurses such as supervising and giving guidance on mental health to general health workers
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