Challenges Faced by University of Limpopo Learner Nurses during Psychiatry Clinical Exposure: A Qualitative Study
Abstract
:1. Introduction
2. Methods
2.1. Study Site
2.2. Population and Sampling
2.2.1. Population
2.2.2. Sampling
Inclusion Criteria and Exclusion Criteria
2.3. Data Collection
2.4. Data Analysis
2.5. Measures to Ensure Trustworthiness
2.6. Ethical Considerations
3. Results
3.1. Demographic Data
3.2. Themes and Sub-Themes
“When interacting with patients we get scared that the patients may hit us or something like that…”
“Um, I had fear, to be honest. I already had stories about nurses being killed by healthcare users or being sexually assaulted. So I had that fear that what if I don’t come back that day? What if I go to the wrong corner? And then a mental healthcare user comes after me? That was my greatest”.
“Okay, when we are at Thabamoopo, we are having an emotional problem because we are not safe. After all, there are people who kill other people, and then meaning that we are not safe because we feel like those people will also kill us or rape other people. So that’s why we are saying it affects me emotionally. Because sometimes I feel like I don’t want to be close with them due to their threat to us that I have that a challenge….then the police or security must be available anytime or four to five police. Not only one”.
“…what we are taught in class and what we see at the psychiatric institution do not always correlate, for example in class, we are taught that each ward must have a therapeutic ward program; then when we get there some wards do not have those programs”.
“I refrain from interacting with mental health care users. I am not able to apply theory into practice, hence am saying we do not learn enough….We tend not to know how to interact with mental health care users. What we learn is not enough”.
“We do not have all the skills we will need to can use in the future to see if we can get this done so we are limited in the way we must learn”.
“The challenge that I could say we encountered during psychiatric clinical allocation is that we don’t get to do much patient care like the way we do in the general hospital. All we do is just to interact with the patients the whole day, and give them medications”.
“okay, I feel like it affects us when it comes to learning. Because, like I said that we don’t get to do too much. And most of the time, we are just sitting outside and interacting with the patients. So, we are not exposed as to what is done during psych, and that it’s a public or a government facility for treating people with mental illness”.
“I expected to meet severely ill mental health care users. To be able to implement a lot of theory into practice but I found the patients mostly stable and communicating well”.
“Honestly, I didn’t know what to expect. But I could say I did not expect the environment to be the way I saw it. So, I just thought maybe it was supposed to be like a normal hospital or it was going to be something else that of which is not what I saw in terms of arrangements, the way they sleep, how they eat and dress”.
“uh, the challenges, one of the challenges is that we have uh one uh closer hospital of psychiatry around which limits the number of learner nurses to go there for clinical exposure whereby you find that you go there once or twice in the whole of the allocation so the exposure is very much limited”.
“Oh, the time of exposure to the psychiatric hospital is limited and we are not exposed to all the wards. With the limited time of exposure, we end-up not having more knowledge about psychiatry”.
“I was exposed to one unit, and therefore could not learn more about another user in different units….I could not learn how to manage patients in other units because of limited time allocation. I was not able to learn enough without the assistance of the nurses”.
“The first challenge is that the nurses at the psychiatric institution are rude to us. Another challenge is that we are not learning anything there; we just sit with patients the whole day until it is time to knock off…I expected that the nurses would involve us in the nursing care of the patients, to learn more about the psychiatric patients and their conditions”.
“I was exposed to one unit and could not learn more about other users in different units. The staff does not give attention to the learner nurses…I could not learn how to manage patients in the other units, I was not able to learn enough without the assistance of the nurses”.
“I wouldn’t say so as much were normally…In my case, I feel like we don’t get enough monitoring, or even really been getting monitored, to be honest. And the reality because most of the time you find that they’re the staff nurses are in there where they normally sit, and we’re outside with the patients like literally were the ones will you get to explain the patient alone without them explaining to us, like I said, before my challenges, we don’t know this patient and their conditions. We just have to learn it by ourselves. Sometimes. Yes, we do check the files, of course. But if you’re there with us, I feel like it’ll be easier for us because why people write and really what they see or interact with, is much more different. So, we don’t really get monitoring from the nurses who are in charge of us”.
“When we go to the hospital uhm, those Nurses, most of the time when we are there, they do not even give us the attention…”.
Participant 06 further added
“We don’t do anything, we do not even give medication, we don’t even fill form or something, so they only call us maybe when they want us to take vital signs only when the doctors came there to check the patients”.
“I also think of this one of the nurses not being able to, like, you know, they just do not teach us what we are supposed to do, like they do not”.
“I expected that the nurses would involve us in the nursing care of the patients, to learn more about the psychiatric patients and their conditions”.
4. Discussion
5. Recommendations
6. Limitations of the Study
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Public Involvement Statement
Guidelines and Standards Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | Number | |
---|---|---|
Gender | Female | 17 |
Male | 5 | |
Level of study | Level 2 | 5 |
Level 3 | 8 | |
Level 4 | 9 |
Theme | Subtheme |
---|---|
1.Discomfort towards the mental health care users | 1.1. Fear of mental health care users |
1.2. Uncertainty about learned psychiatry skills | |
2.Clinical environment matters | 2.1. Different clinical environment |
2.2. The limited time of exposure | |
3.The attitude of clinical staff at the psychiatric hospital | 3.1. Failure to supervise learner nurses |
3.2. Non-engagement of learner nurses in psychiatric procedures |
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© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Hlahla, L.S.; Ngoatle, C.; Kgatla, M.N.; Mathapo-Thobakgale, E.M. Challenges Faced by University of Limpopo Learner Nurses during Psychiatry Clinical Exposure: A Qualitative Study. Nurs. Rep. 2024, 14, 164-173. https://doi.org/10.3390/nursrep14010014
Hlahla LS, Ngoatle C, Kgatla MN, Mathapo-Thobakgale EM. Challenges Faced by University of Limpopo Learner Nurses during Psychiatry Clinical Exposure: A Qualitative Study. Nursing Reports. 2024; 14(1):164-173. https://doi.org/10.3390/nursrep14010014
Chicago/Turabian StyleHlahla, L. S., C. Ngoatle, M. N. Kgatla, and E. M. Mathapo-Thobakgale. 2024. "Challenges Faced by University of Limpopo Learner Nurses during Psychiatry Clinical Exposure: A Qualitative Study" Nursing Reports 14, no. 1: 164-173. https://doi.org/10.3390/nursrep14010014