Abstract:
This study sought to explore the experiences of Community Psychiatric Nurses (CPNs) in
the discharge of their duty. An exploratory descriptive qualitative design was used in this
study. The study was conducted in the Accra Metropolis. Thirteen participants working in
the six districts of the Community Psychiatric Units of Ayawaso, Osu-Koltey, Ablekuma,
Okai-koi, LEKMA, and Ashiedu-Keteke in the Accra Metropolis were used. Purposive
sampling method was used to select participants with more than 3 years working
experience from each Community Psychiatric Unit. A semi-structured interview guide
was the tool for data collection. The major findings included difficulty locating the homes
of patients due to poor home addresses and transportation, limited logistical support and
irregular supply of medications. Also, there were stigmatization of the CPN, assaults from
patients and the negative attitudes of relatives of patients which led to relapses.
Participants had the expectation that risk allowances should be given in the event of any
injury sustained whiles working. They also emphasized the need for recognition from
their employers, support from stakeholders as well as Training and certification of CPNs.
Various coping strategies such as reducing stigma, religion, self-motivation and reduction
in home visits were employed to deal with the challenges. Based on these findings,
recommendations were made to help address the challenges of the Community
Psychiatric Nurses in the Accra Metropolis. Among them were: the employer and
management of the various health care facilities should provide the CPNs with transport
to facilitate access to their clients in the community. There should be media involvement
in educating the general public on mental health issues to reduce the stigma of mental
health and mental illness. The Ministry of Health in collaboration with stakeholders
should embark on the training and certification of CPNs for their recognition.
