Lived experiences of Ghanaian community psychiatric nurses resilience strategies in combating stigma: an interpretive phenomenology

Abstract Background Community Psychiatric Nurses (CPNs) deliver healthcare services to people with mental illness, offering in-home, personalized care. However, stigma surrounding mental illness in both rural and urban communities complicates service delivery. Stigma refers to a social construct inv...

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Main Authors: Abigail Ansere Buertey, Gideon Lawer Puplampu, Mary Ani-Amponsah, Mohammad Amin Ibrahim Jibril, Alexander Attiogbe
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Nursing
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Online Access:https://doi.org/10.1186/s12912-025-02818-2
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author Abigail Ansere Buertey
Gideon Lawer Puplampu
Mary Ani-Amponsah
Mohammad Amin Ibrahim Jibril
Alexander Attiogbe
author_facet Abigail Ansere Buertey
Gideon Lawer Puplampu
Mary Ani-Amponsah
Mohammad Amin Ibrahim Jibril
Alexander Attiogbe
author_sort Abigail Ansere Buertey
collection DOAJ
description Abstract Background Community Psychiatric Nurses (CPNs) deliver healthcare services to people with mental illness, offering in-home, personalized care. However, stigma surrounding mental illness in both rural and urban communities complicates service delivery. Stigma refers to a social construct involving the devaluation and discrimination against individuals based on perceived undesirable characteristics or attributes. This study aimed to explore how community psychiatric nurses employ resilience strategies to combat stigma. Methods This study used an interpretive phenomenological framework to examine community psychiatric nurses’ experiences with stigma. Participants were purposefully sampled, and interviews were audio-taped and manually transcribed. Thematic analysis was conducted, achieving data saturation by the 12th participant, ensuring comprehensive coverage of recurring themes and patterns without new information emerging. Results The CPNs employ a variety of resilience strategies to manage the stigma they encounter in their professional lives. Many CPNs choose to avoid situations or individuals that perpetuate stigma. This passive approach allows them to shield themselves from negative interactions and comments, creating a buffer against the emotional toll of stigma. In contrast to avoidance, some nurses adopt a proactive stance by directly addressing and challenging stigma when they encounter it. This approach not only empowers them but also serves to educate others about the realities of their profession. The CPNs often find solace and strength in discussions with their peers. These supportive conversations provide a safe space for sharing experiences. The CPN actively engage in public education efforts to raise awareness and reduce stigma within their communities. Conclusion The findings indicate a complex interplay between resilience strategies and the professional experiences of CPNs, suggesting that targeted interventions could enhance their resilience and effectiveness in combating stigma.
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spelling doaj-art-0f68290d4879415c8d5b1657b31ac3f62025-08-20T02:14:59ZengBMCBMC Nursing1472-69552025-02-0124111210.1186/s12912-025-02818-2Lived experiences of Ghanaian community psychiatric nurses resilience strategies in combating stigma: an interpretive phenomenologyAbigail Ansere Buertey0Gideon Lawer Puplampu1Mary Ani-Amponsah2Mohammad Amin Ibrahim Jibril3Alexander Attiogbe4Department of Mental Health, School of Nursing and Midwifery, University of GhanaDepartment of mental health, School of Nursing, College of Health Sciences, University of GhanaDepartment of Maternal and Child Health, School of Nursing and Midwifery, College of Health Sciences, University of GhanaRMN Department of Mental Health, School of Nursing and Midwifery, College of Health Sciences, University of GhanaDepartment of Nursing, School of Nursing and Midwifery, University of Health and Allied SciencesAbstract Background Community Psychiatric Nurses (CPNs) deliver healthcare services to people with mental illness, offering in-home, personalized care. However, stigma surrounding mental illness in both rural and urban communities complicates service delivery. Stigma refers to a social construct involving the devaluation and discrimination against individuals based on perceived undesirable characteristics or attributes. This study aimed to explore how community psychiatric nurses employ resilience strategies to combat stigma. Methods This study used an interpretive phenomenological framework to examine community psychiatric nurses’ experiences with stigma. Participants were purposefully sampled, and interviews were audio-taped and manually transcribed. Thematic analysis was conducted, achieving data saturation by the 12th participant, ensuring comprehensive coverage of recurring themes and patterns without new information emerging. Results The CPNs employ a variety of resilience strategies to manage the stigma they encounter in their professional lives. Many CPNs choose to avoid situations or individuals that perpetuate stigma. This passive approach allows them to shield themselves from negative interactions and comments, creating a buffer against the emotional toll of stigma. In contrast to avoidance, some nurses adopt a proactive stance by directly addressing and challenging stigma when they encounter it. This approach not only empowers them but also serves to educate others about the realities of their profession. The CPNs often find solace and strength in discussions with their peers. These supportive conversations provide a safe space for sharing experiences. The CPN actively engage in public education efforts to raise awareness and reduce stigma within their communities. Conclusion The findings indicate a complex interplay between resilience strategies and the professional experiences of CPNs, suggesting that targeted interventions could enhance their resilience and effectiveness in combating stigma.https://doi.org/10.1186/s12912-025-02818-2Community Psychiatric NurseCommunitiesResilienceStigma
spellingShingle Abigail Ansere Buertey
Gideon Lawer Puplampu
Mary Ani-Amponsah
Mohammad Amin Ibrahim Jibril
Alexander Attiogbe
Lived experiences of Ghanaian community psychiatric nurses resilience strategies in combating stigma: an interpretive phenomenology
BMC Nursing
Community Psychiatric Nurse
Communities
Resilience
Stigma
title Lived experiences of Ghanaian community psychiatric nurses resilience strategies in combating stigma: an interpretive phenomenology
title_full Lived experiences of Ghanaian community psychiatric nurses resilience strategies in combating stigma: an interpretive phenomenology
title_fullStr Lived experiences of Ghanaian community psychiatric nurses resilience strategies in combating stigma: an interpretive phenomenology
title_full_unstemmed Lived experiences of Ghanaian community psychiatric nurses resilience strategies in combating stigma: an interpretive phenomenology
title_short Lived experiences of Ghanaian community psychiatric nurses resilience strategies in combating stigma: an interpretive phenomenology
title_sort lived experiences of ghanaian community psychiatric nurses resilience strategies in combating stigma an interpretive phenomenology
topic Community Psychiatric Nurse
Communities
Resilience
Stigma
url https://doi.org/10.1186/s12912-025-02818-2
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