D.Cur. ( Psychiatric Nursing) / A marked "revolving door" system is noticeable in health services in South Africa, and the more so in psychiatric services. This is happening in the form of psychiatric patients who are repeatedly being readmitted to psychiatric hospitals for the same or related problem. In most cases this is caused by the psychiatric patients' lack of compliance with the psychiatric treatment prescribed for them once they have been released back into the community. Lack of compliance by the psychiatric patients with their treatment means that the treatment that is prescribed to help the patient to function in the community, is not congruent with his/her life ways, social structure and environmental context. These are the components of everyone's culture, and they determine the psychiatric patients' cultural beliefs, values and practices, including those concerning mental health care. The purpose of this research study is to explain and describe the influence of culture on approaches to mental illness and the patients' compliance with psychiatric treatment, to generate a practice model for culture-congruent psychiatric nursing and guidelines for a culture-congruent approach in psychiatric nursing. The Nursing for the Whole Person Theory was used as the paradigmatic framework of the entire study. The research study followed three distinct phases in which different objectives were addressed. In Phase 1, an explanatory-descriptive study was conducted for the purpose of compiling explanatory case studies reflecting cultural approaches to mental illness and the patients' compliance with psychiatric treatment. The sample population consisted of four psychiatric patients randomly selected from four different long-term wards at the same psychiatric hospital, a group of psychiatric nurses nursing these patients, and the psychiatrists treating these patients, making a total of 22 respondents. Literature was first reviewed on the interrelationships among world view, culture, health beliefs, values and practices, approaches to mental illness and the patients' compliance with psychiatric treatment. The information obtained from literature review was utilized to compile guidelines for explanatory case studies. The explanatory case studies were compiled for each of the four psychiatric patients based on information from interviews, field notes and the patients' clinical...
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:uj/uj:4250 |
| Date | 10 March 2014 |
| Creators | Madela, Edith Nonhlanhla |
| Source Sets | South African National ETD Portal |
| Detected Language | English |
| Type | Thesis |
| Rights | University of Johannesburg |
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