Perceptions of Nigerian Mental Health Nurses towards Community Mental Health Nursing Practice in Nigeria

Sunday Oluwafemi Omoniyi^{1, 2,} , Danjuma Aliyu³, Ibrahim Taiwo Adeleke^{2, 4}, Afam Ndu⁵ and Mary Kakamission Paul¹

¹Department of Nursing Service, Federal Medical Centre Bida, Nigeria

²Centre for Health & Allied Researches, Bida, Nigeria

³Department of Nursing Services, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria

⁴Department of Health Information, Federal Medical Centre, Bida, Nigeria

⁵Post Basic School of Psychiatric and Mental Health Nursing, Enugu, Nigeria

Cite this paper:
Sunday Oluwafemi Omoniyi, Danjuma Aliyu, Ibrahim Taiwo Adeleke, Afam Ndu and Mary Kakamission Paul. Perceptions of Nigerian Mental Health Nurses towards Community Mental Health Nursing Practice in Nigeria. World Journal of Preventive Medicine. 2016; 4(2):25-31. doi: 10.12691/jpm-4-2-1

Abstract

Background: Mental health disorders continue to increase globally and there is a need to care for patients with mental health disorders. In Nigeria, there is continuing advocacy for community mental health practice, largely due to small number of health facilities and mental health professionals. Aim: To determine the perceptions of Nigerian mental health nurses towards community mental health nursing practice in Nigeria. Methods: A cross-sectional descriptive study of all Nigerian mental health nurses who attended the 2015 Annual National Scientific Conference of Association of Psychiatric Nurses of Nigeria (APNON) held at Federal Neuropsychiatric Hospital, Baranawa Kaduna, Kaduna State between Monday 27th and Friday 31st July 2015 was undertaken. A structured questionnaire developed by the authors from relevant literature on community mental health nursing practice was used for data collection. Statistical analysis was performed using SPSS version 16.0 for windows to analyze the data. Descriptive analysis was computed on dependent and independent variables. Results: This study involved 135 Nigerian mental health nurses among the conference attendees who gave consent to participate in this study. More than half (55%) of participants were female and the overall participants had dual nursing certificates with a mean year of experience of 11.1±7 years. A good number (88%) of the Nigerian mental health nurses declared that, the practice of community mental health nursing is very important to the mental health nurse and as well as the patients. Nearly all(99%)of the participants agreed that creating annex hospitals and posting mental health nurses to the communities will significantly reduce the problem of institutionalizing mental health care and nearly six in every ten (59%) of them reported that they did not practice community psychiatry nursing at their various place of work. Major factors hindering the practice of community mental health are lack of substantive policy 62%, workload 48%, and resistance from mental health nurses due to limited staffing 45%. Conclusion: In spite of the acknowledged, important of CMH practice to nursing profession and the patients, most the mental health nurses submitted that they were not practicing it at their various place of work. However, there is urgent need to explore ways to stimulate all levels of government (and their partners) to initiate or activate policies in favour of community mental health is paramount.

Keywords:
community mental health nursing practice mental health nurses psychiatric nurses institutionalization deinstitutionalization perspectives Nigeria

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References:

[1]	Ndetei D.M, Khasakhala L.I, Mutiso V,Mbwayo A.W,Knowledge, attitude and practice (KAP) of mental illness among staff in general medical facilities in Kenya: practice and policy Implications, Afr J Psychiatry, 14: 225-235, 2011.
[2]	European Public Health Alliance. EPHA report on the impact of the crisis on the population mental health October, 2012). Available from: www.epha.org . Retrieved on 28th December, 2013.
[3]	European Nurses Federation Report. Caring in Crisis- The impact of financial crisis on Nursing and Nursing, 2011.
[4]	Atlas: Nurses in Mental Health, World Health Organization, 2007.
[5]	Psychiatry and Mental Health Nursing. Wikipedia. Accessed on Feb. 2016.
[6]	Psychiatric Mental Health Nursing Scope & Standards Draft Revision. Page 3 of 49, 2006.
[7]	Marcos, L. R, The politics of deinstitutionalization. In N. L. Cohen (Ed.), Psychiatry takes to the streets: Outreachand crisis intervention for the mentally ill, New York: Guilford Press, pp. 3-15,1990.
[8]	Amiegheme F.E, Adeyemo F.O, Knowledge and attitude of nurses to community psychiatry services in Edo state, Nigeria. Int J Med Biomed Res,3(2): 68-74, 2014.
[9]	W.H.O.Community mental health services will lessen social exclusion, says WHO 2007: Retrieved from http://en.wikipedia.org/wiki/Community_mental_health_service on 25 June 2012.
[10]	Varcolis E.M, Foundation of psychiatric mental health nursing, 4th ed. Philadelphia: United State of America 2002.
[11]	Dahiru A.H, Mental health and treatment of mental illness, pg 167, 2000.
[12]	Buckwalter& Church, An uncommon psychiatric nurse perspective in psychiatric care, 1979.
[13]	Smith, C. M, Origins and future of community health nursing. In C. M. Smith & F. A. Maurer (Eds.), Community health nursing: Theory and practice, Philadelphia: Saunders, pp. 30-52,1995.
[14]	Odejide A.O, Ohaeri J.U, The existing mental health facilities in Nigeria. Niger. J. Psychiatry, 1(4): 235-248, 1997.
[15]	Aina O.F, Ladapo H.T.O, Lawal R.A, Owoeye O.A, Community– oriented services in a psychiatric hospital. Efforts to reduce stigmatization. Niger. J. Psychiatry, 5(1): 19-25, 2007.
[16]	Osibogun A, Crisis and challenges in the Nigerian health sector, J. Community Med. and Primary Health Care, 16(2): 1-7, 2004.
[17]	Boroffka A, Psychiatric care in Nigeria. Psychopathologie Africaine XXVII: 27-36, 1996.
[18]	Gureje O, Odejide O.A, and Acha R.A, Pathways to psychiatric care in Ibadan, Nigeria.Tropical and Geographical Medicine, 47: 125-129, 1995.
[19]	Ladapo H.T.O,Aina O.F, Lawal R.A, Adebiyi O.P, Olomu S.O, Aina R.B, Long stay patients in a psychiatric hospital in Lagos, Nigeria, Afr. J. Psychiatry, 11; 128-132, 2008.
[20]	Amering M, Stastny P, Hopper K, Psychiatric advance directives: qualitative study of informed deliberations by mental health services users, Brit. J. Psychiatry, 186: 247-252, 2005.
[21]	Macpherson R, Dix R, Morgan S, A growing evidence base for management guidelines. Advances in Psychiatric Treatment, 11: 404-415, 2005.
[22]	Ahanotu C.A, Onyeizugbo E.U, The practice of psychiatry in Nigeria: A call for a paradigim shift, Niger. J. Psychiatry, 5(1): 42-44, 2007.
[23]	Kabir M, Iliyasu Z, Abubakar I.S, Aliyu M.H, Perception and beliefs about mental illness among adults in Karfi village, northern Nigeria. BMC International Health Human Rights, 20(4): 1-2, 2004.
[24]	Gureje O, Lasebikan V.O, Ephraim–Oluwanuga O, Olley B.O, Kola L, Community study of knowledge and attitude to mental illness in Nigeria. Brit. J. Psychiatry, 186: 436-441, 2005.
[25]	National Advisory Mental Health Council, Health care reform for Americans with severe mental illness. Am. J. Psychiatry, 150; 1447-1465, 1993.
[26]	Lyons D, McLoughlin D.M, Recent advances in psychiatry. Brit. Med. J. West Afr. Edition, 5; 1:11-14, 2002.
[27]	Glozier N, Hough C, Henderson M, Holland-Elliot K, Attitudes of Nursing staff towards co-workers returning from psychiatric and physical illnesses, 52: 525-534, 2006.
[28]	Caplan G, An approach to community mental health psychiatric Text Book, 6 Ed.
[29]	Mrazek&Hagerty, Reducing risks for mental disorders: Frontiers for preventive intervention research, Washington, DC: National Academy Press, 1994.
[30]	World Health Organization, Community Mental Health Services will Lessen Social Exclusion: Report on Global Forum for Community Mental Health. Geneva: Author. 2007.
[31]	Dunne, E, The Views of Adult Users of the Public Sector Mental Health Services: Report of a Survey for the Mental Health Commission, 2006. Retrieved from Mental Health Commission. website: http://www.mhcirl.ie/Publications/.
[32]	Valsraj K.M, Lygo-baker S,A balancing act: developing curricula for blood care within community psychiatry, AdvPsychiatr Treat,; 12: 69-78, 2006.
[33]	Birgit R, Julian E, Mike D, Istvan P, Andrew M, Community mental health. Implementation guidelines by CBM, 2010.
[34]	Fernando S.M, Deane F.P, McLeod H.J, Sri Lankan doctors’ and medical undergraduates’ attitudes towards mental illness,Social Psychiatry and Psychiatric Epidemiology, published online 18 August 2009.
[35]	Olatunji. A.F, Tajudeen S. F, Yewande O.O, Derin O.O, Medical students’ beliefs about treatment and rehabilitation of persons with mental illness, Journal of Neuroscience and Behavioural Health, Vol. 2(2), pp. 012-017.