As I See It: The Cry of the Community Psychiatric Nurse in Ghana

Background: Community Psychiatric Nurses (CPNs) play a crucial role in the public health delivery system in Ghana. In general, mental health care in Ghana is largely underdeveloped with limited resources, including skilled personnel to improve quality of care. This study sought to explore the needs and challenges of CPNs in the discharge of their duty. Materials and Methods: An exploratory descriptive qualitative design was adopted in this study. A total of thirteen (13) CPNs were purposively sampled and data gathered through semi-structured interviews using an interview guide. Data was analyzed thematically yielding descriptive results of some of the barriers and challenges encountered by CPNs in Ghana. Findings: The major challenges of CPNs included: inadequate logistical support; irregular supply of medications; stigmatization of the CPN; assaults from patients and limited support from families and caregivers leading to relapse of patients. Conclusion: Psychiatric nurses are integral members of the community health delivery team; however, the work of the community psychiatric nurse in Ghana presents a challenge both in terms of personnel and logistics. Furthermore, quality community psychiatric nursing care requires collaboration with other multidisciplinary teams, including the social worker, families and caregiver.