Nurses in Palestine work in a significantly challenging environment within and outside their workplaces. Mental health services in Palestine are underdeveloped and under-resourced. For example, the total number of community mental health nurses (CMHNs) in the West Bank is seventeen, clearly insufficient in a total population of approximately 3 million. This thesis is concerned with the resilience of nurses who work in community mental health workplaces in Palestine. This research explored sources of resilience and daily challenges that Palestinian CMHNs face within and outside their demanding workplaces. The up to date understanding of resilience is drawn from the social ecological perspective. Within Arabic culture, resilience has traditionally been conceptualised as a prerequisite to understanding and achieving ‘Sumud’, meaning that the individual has to be resilient in order to remain steadfast in the face of daily challenges and not to leave their place or position. An interpretive qualitative design was chosen to explore resilience and the daily challenges. Fifteen face-to-face interviews were completed with participants. Thirty-two hours of observations of the day-to-day working environment and workplace routines were conducted in two communities’ mental health centres. Written documents relating to practical job-related policies were also collected from various workplaces. Thematic analysis was used across all data sources resulting in four main themes, which describe the challenges faced by CMHNs and their sources of resilience. These themes consist of the context of unrest, societal challenges, lack of resources and organisational challenges. These sources are Sumud and Islamic cultures, supportive relationships, making use of the available resources, and personal capacity. The study concludes with a better understanding of resilience in nursing which draws on wider cultural contexts and responses. The outcome of this thesis will be used to develop the resilience of CMHNs in Palestine.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:646347 |
| Date | January 2015 |
| Creators | Marie, Mohammad |
| Publisher | Cardiff University |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Source | http://orca.cf.ac.uk/73210/ |
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