Psychological impact of violence on male nurses in forensic units in Gauteng, South Africa.

Background: Male psychiatric nurses are pivotal in providing treatment, care and rehabilitation to state patients admitted to forensic units. The nature of patients admitted in forensic units increase the likelihood violence for male psychiatric nurses. Substantial evidence suggests that a high incidence of violence in such units is linked to lack of security personnel amongst other factors, adding to the strain. Fewer studies adequately explored the psychological impact thereof specifically on male psychiatric nurses. Aim: To explore the psychological impact of violence on male nurses working in forensic units in Gauteng, South Africa, and the strategies used to deal with the impact of exposure to violence. Setting: The study was conducted at a mental health institution in the west of Tshwane Gauteng, South Africa. Methods: An exploratory, qualitative research design was used. In-depth interviews were used to collect data from 11 male psychiatric nurses. Data were analysed using thematic analysis. Results: Two main overarching themes emerged: (1) Traumatic experience and (2) Survival strategies to deal with the experience. The results suggest that exposure to violence has a debilitating psychological effect on male nurses, prompting them to utilise various ways to cope with the experiences. Psychological support and skills development could benefit male psychiatric nurses to manage the impact of violence adequately. Conclusion: Further research is recommended to explore the strategies to support male psychiatric nurses working in forensic units. Contribution: The study findings may be used to improve the psychological well-being of male psychiatric nurses working in forensic units in South Africa.