Marie Mohammad, Hannigan Ben, Jones Aled
College of Medicine and Health Sciences, Annajah National University, Annajah National University Hospital, West Bank, Palestine.
School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Eastgate House, 35-43 Newport Road, Cardiff, CF24 0AB UK.
Int J Ment Health Syst. 2017 Jan 3;11:3. doi: 10.1186/s13033-016-0112-4. eCollection 2017.
Nurses in Palestine (occupied Palestinian territory) work in a significantly challenging environment. The mental health care system is underdeveloped and under-resourced. For example, the total number of nurses who work in community mental health centres in the West Bank is seventeen, clearly insufficient in a total population of approximately three million. This research explored daily challenges that Palestinian community mental health nurses (CMHNs) face within and outside their demanding workplaces.
An interpretive qualitative design was chosen. Face-to-face interviews were completed with fifteen 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.
These themes consist of the context of unrest, stigma, lack of resources, and organisational or mental health system challenges. The study concludes with a better understanding of challenges in nursing which draws on wider cultural contexts and resilience. The outcomes from this study can be used to decrease the challenges for health professionals and enhance the mental health care system in Palestine.
巴勒斯坦（巴勒斯坦被占领土）的护士工作环境极具挑战性。精神卫生保健系统发展不完善且资源匮乏。例如，约旦河西岸社区精神卫生中心的护士总数为17名，在约三百万的总人口中显然远远不足。本研究探讨了巴勒斯坦社区精神卫生护士（CMHNs）在其要求严苛的工作场所内外所面临的日常挑战。
采用诠释性定性设计。对15名参与者进行了面对面访谈。在两个社区精神卫生中心对日常工作环境和工作流程进行了32小时的观察。还从各个工作场所收集了与实际工作相关政策的书面文件。对所有数据源进行主题分析，得出四个主要主题，描述了社区精神卫生护士所面临的挑战。
这些主题包括动荡的背景、污名化、资源匮乏以及组织或精神卫生系统挑战。该研究以对护理挑战的更好理解作为结论，这种理解借鉴了更广泛的文化背景和复原力。本研究的结果可用于减少卫生专业人员面临的挑战，并加强巴勒斯坦的精神卫生保健系统。
