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The nurses as front liners caring for mental health care users (MHCUs) at mental health institutions are susceptible to adverse physical and psychological effects as a result of hostile behaviors of mentally ill patients. Most nurses suffer from stress that is caused by management’s lack of support, working overtime, lack of recognition by supervisors, and lack of skills and knowledge on how to handle aggressive mental health care users. The present study aims to develop a model to promote the mental health of nursing staff providing care to individuals with mental disorders at mental health institutions. Phase 1, the empirical face, will employ a qualitative, exploratory, and descriptive design focusing on nurses’ experiences caring for MHCUs and their views on improving their mental health. Information will be gathered using unstructured individual interviews with nurses purposefully sampled at selected mental health institutions. The study will apply procedures to safeguard trustworthiness and moral principles during the study. Phase 2 will focus on developing a model, and in phase 3, the developed model will be validated. The findings of the study will determine recommendations.

The value of families and professionals in mental health care is well understood. Patient perspectives appear to have gotten less attention to date. This study investigated the perspectives of hospitalized mental health care users on the involvement of family members in their care using a qualitative phenomenological design. The participants with lived experience of family members being involved in their care were chosen using non-probability, purposive sampling. Individual interviews were carried out with the assistance of a voice recorder and observation notes. Because of data saturation, only fifteen people were interviewed. The interviews were transcribed verbatim and analyzed using Colaizzi’s method. It started with reading and reviewing the transcript to extract key statements about the phenomenon. The meaning was then determined by carefully studying the primary significant statements and phrases. The established meanings were then organized into themes and subthemes. The three themes that emerged from the data analysis are as follows: a wide variation in patients’ perspectives when family members remind them of their medicine, unpredictable visitation by family members, and a lack of support from family members. There were also the following five sub-themes: not visiting mental health care users in the hospital causes uncertainty about their future, mental health care users were concerned by fewer visits from relatives, friends were perceived as a contributory factor to no or limited visitation by family members, disappointment by a lack of financial support, and perceived lack of emotional support from family members. There is a need for family members to visit mental health care users to remove uncertainty about their future. Healthcare providers should listen to mental health care users to identify the challenges they are faced with, and hospital policies tailored to enhancing the involvement of family members should be formulated.

BackgroundEmotional abuse is seen as an issue to be kept secret and not reported, because there is no evidence of abuse until stress, sickness and death occur.AimThe study aimed at exploring the experiences and consequences of emotional abuse among married women in a selected village in the Vhembe district in Limpopo province.SettingVhembe district in Limpopo province.MethodsThis qualitative study adopted a descriptive phenomenological design. Participants were selected using purposive sampling, with the support of the local healthcare professional to select participants with lived experiences around emotional abuse. In-depth one-on-one unstructured interviews were conducted. Only ten married women were interviewed because of data saturation. Colaizzi’s method was used to analyse the data.ResultsThe results revealed three themes – the participants’ experiences of emotional abuse, the impacts of emotional abuse on the victim and reasons for remaining in an abusive marriage – and eight sub-themes. Married women also stated several reasons for remaining in abusive marriages such as poverty and love for the spouse.ConclusionThe study showed a lack of understanding and consequences of emotional abuse among married women in a village in Limpopo province. The cultural institutions that support lobola disempower women, reinforce violence and allow husbands to have power over their wives. The participants thought men had every right to do whatever they liked with them because they paid their bridal price (lobola). Hence, it is essential to increase the understanding of emotional abuse among women by educating them on various platforms regarding their rights.ContributionThis study contributes to understanding the lived experiences of emotional abuse and its consequences on married women.

Sub-Saharan Africa faces and is severely affected by many conflicts. Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) threaten both the physical and financial well-being of individuals in these struggling countries. This research aims to investigate the immigrants' attitudes and beliefs regarding HIV/AIDS in the Mopani district, Limpopo Province. Qualitative and quantitative designs were used, and 200 immigrants were sampled. Data was collected using a questionnaire with closed and open-ended questions. Ethical standards were maintained. The study revealed that many respondents expressed discriminatory practices towards individuals infected by HIV. Many viewed promiscuity and the disease called Makhume (meaning illness caused by the omission of purification rites following the death of a family member) as causes of HIV/AIDS. These attitudes could hinder the achievement of healthy lives and the promotion of well-being at all ages if not addressed appropriately. The collaboration of various departments in the Mopani district is required to change these negative attitudes and beliefs that influence immigrants' behaviours. Also, the use of audio-visuals and peer teaching is most successful in changing attitudes and beliefs.

 The implementation of the Mother-Baby Friendly Initiative (MBFI) strategy demonstrated its capabilities to improve global children's health and maternal survival. However, its implementation in primary healthcare (PHC) facilities remains a challenge as many nurses are reluctant to adopt it for the improvement of child and maternal healthcare services in their respective clinics.  The primary objective of this study was to determine the attitudes of nurses towards the implementation of the MBFI in selected PHC facilities in the Makhuduthamaga Municipality, Limpopo province.  This study used a quantitative, descriptive design, and all respondents were conveniently sampled. A self-administered questionnaire was used to collect data. One-hundred and seventy-seven questionnaires were distributed, and 153 nurses responded and completed the questionnaire. The Statistical Package for Social Sciences version 23 was used to analyse data.  Results show that the majority of nurses (professional nurses [PNs] = 65, 78%; enrolled nurses [ENs] = 18, 72%; enrolled nursing auxiliaries [ENAs] = 23, 51%) had a positive attitude towards the MBFI strategy implementation as they agreed that it increased breastfeeding rates. Most PNs (n = 58, 70%) and ENs (n = 15, 60%) showed positive attitudes towards exclusive breastfeeding (EBF) as they agreed that it was the ideal feeding option for any child, and most ENAs (n = 38, 84%) showed a negative attitude as they disagreed that EBF was the ideal feeding option for any child.  In this study, most PNs and ENs had a positive attitude in all the aspects that determined their attitudes towards MBFI strategy implementation. A concern is the fact that most ENAs showed negative attitudes in almost all the statements that were in line with the principles of MBFI, as they disagreed in most aspects. Therefore, this study recommends that on-going orientation and trainings should be offered to all nurses including ENAs to equip them with information that can assist in changing their attitudes towards MBFI implementation in PHC facilities.

Earlier research on managing strain among police officers in South Africa is inadequate. Most studies conducted have centered on the predictors of stress and few have examined their coping mechanisms. The current study aimed to investigate the coping mechanisms used by law enforcement officers in dealing with stress. The study was conducted in one Province of South Africa. A qualitative approach using phenomenological research design was used to explore the mechanisms police officers used in handling stressful situations. The target population was police officers; purposive convenient sampling was used to select 12 police officers. The one-on-one semi-structured interviews were used to gather data. The data was gathered until saturation was reached; it was analyzed using the thematic analytical approach. The findings revealed support systems, religion, participation in sports, and substance abuse as strategies used by police officers to deal with stressful situations. The main limitation of the study is the geographical area, it focused on one out of five districts. However, the study findings have important implications for psychological intervention within the police service. The findings suggest the establishment of counseling services in each police station by the South African Police Service to avoid distributing therapists at the cluster level.

South Africa has taken initiative to strengthen its mental health system, by improving the Mental Health Care Act 17 of 2002 which proclaims that mental healthcare users (MHCUs) can be treated in communities and homes. Due to short-term hospitalisations for acute MHCUs and advocacy for community-based care, families play a significant role in providing care to severe mental healthcare users. The objective of the study was to explore primary caregivers’ perspective regarding the relapse of MHCUs following a short-term admission in acute psychiatric units. A qualitative explorative design was used. In-depth individual interviews were conducted with 18 primary caregivers whose family members were readmitted to four hospitals with units designated for acute MHCUs in Limpopo. NVivo computer software version 11 was used to analyse data. The findings are that MHCUs deny the mental health condition. Mental illness is considered a short illness that can be cured, which shows misconceptions about self-mental health conditions. Refusal of direct observed treatment support also emerged; hence, it is difficult for caregivers to identify if the patient is taking the correct doses or not taking the medication at all. Perceived wrong beliefs about mental illness can affect the patient’s desire to seek proper management and it can be damaging in many ways. Drugs and alcohol abuse makes MHCUs display disruptive behaviours and contribute to treatment non-adherence resulting in caregivers becoming reluctant to be around them. In conclusion, mixing traditional and faith-based mental healthcare practices as reported by primary caregivers can mean that tailor-fabricated culture-specific mental healthcare is required.

In the version of this article published earlier, in the reference list on page 9, the second author of the reference below was unintentionally omitted. The reference should read as follows: Du Plessis, L.M. & Pereira, C.J., 2013, ‘Commitment and capacity for the support of breastfeeding in South Africa: A paediatric food-based dietary guideline’, South African Journal of Clinical Nutrition 26(3), S120–S128. The sentence on page 2, first paragraph, is then updated to reflect the correct reference citation: The renaming of BFHI to MBFI linked to Resolution 9 of the Tshwane Declaration (DoH 2014:33), which calls for community-based interventions to promote, protect and support breastfeeding (Du Plessis & Pereira 2013:125). This correction does not alter the study’s findings of significance or overall interpretation of the study results. The authors apologise for any inconvenience caused.

Background: Adolescents in South Africa have higher suicide rates than older people. A suicide or unexpected death of a fellow student can result in increased copycat behavior. Previous studies have placed emphasis on the significance of school involvement in the prevention of suicide. The study sought to explore the perspective on the prevention of suicide among school learners by school management. A qualitative phenomenological design was applied. The study used purposive sampling to select six high schools. In-depth interviews were conducted with six focus group discussions comprising fifty school management. A semi-structured interview guide guided the interviews. Data were analyzed using a general inductive approach. Findings revealed that school management should be supported through workshops to increase their skills in handling stressful situations at school. Support for learners through audio-visuals, professional counseling, and awareness campaigns also emerged. Parents–school partnership was said to be effective in preventing suicide among learners as both parties will be free to discuss the problems faced by the learner. In conclusion, empowering school management in the prevention of suicide is critical for Limpopo learners. Awareness campaigns conducted by suicide survivors where they can share their testimonies is necessary. School-based professional counseling services should be established to benefit all learners, particularly those experiencing financial challenges. Pamphlets in local languages should be developed for students to convey information about suicide.

Background Attempted and completed suicide constitute a major public health problem among young people world-wide, including South Africa (SA). Suicide attempt and completed suicide increase during the adolescent period. One in 5 adolescents considers attempting suicide, but statistics are frequently unreliable. Methods Data for this study were derived from the 2002 and 2008 South African Youth Risk Behaviour Surveys (YRBS). The study population comprised grades 8, 9, 10 and 11 students in governmental schools in the nine provinces of SA (N = 10,699 in 2002 and 10,270 in 2008). Key outcome measures were suicide ideation and suicide attempts. Results Of the total sample, 18% of the students in 2002 and 19% in 2008 reported to have seriously considered and/or made a plan to commit suicide during the past six months ( Suicide ideation), whereas 18.5% of students in 2002 and 21.8% in 2008 reported that they had attempted suicide at least 1 time during the past six months. On both suicide measures girls have higher prevalence scores than boys, and older school learners score higher than younger learners. In addition, 32% of the learners reported feelings of sadness or hopelessness. These feelings contributed significantly to the explanation of suicide ideation and suicide attempt next to being the victim or actor in violent acts and illegal substance use. Conclusion The prevalence of suicide ideation and suicide attempts among South African adolescents is high and seems to be influenced by a wide spectrum of factors at the demographic, psychological and behavioural level. Hence, more research is needed to determine the behavioural and psychological determinants of suicide among youngsters in order to develop comprehensive intervention strategies for suicide prevention and care.