An ethnographic study of schizophrenia in Zimbabwe: the role of culture, faith, and religion

This ethnographic study explored the experiences of eighteen Shona speakers living with schizophrenia in Zimbabwe. Data were collected using semistructured interviews, observations and field notes. Almost three in four participants reported having a strong religious affiliation and believed mental illnesses are caused by spirits (zvirwere zvemweya) or witchcraft (zvirwere zvevaroyi). Cultural and religious beliefs influenced the perceived causes of schizophrenia, symptom explanations, and help-seeking behavior. Schizophrenia compounded social disadvantage, often leading to family disruption, isolation, homelessness, and wandering. Faith and religious belonging provided participants access to support and fostered hope, resilience, a sense of self-worth and greater quality of life

The Impact of Sensory Modulation Interventions on Practice in Acute Inpatient Mental Health Settings: A Meta-Ethnography

This review explores the transformative impact of sensory modulation interventions in acute inpatient mental health care setting utilising meta-ethnography. The methodology by Noblit & Hare guided the approach to creating the review. Searches of articles published within the previous 10 years were conducted in Cumulative Index of Nursing and Allied Health Literature (CINAHL), MEDLINE, and PsycINFO. Searches aimed to identify rich qualitative data on the area of sensory modulation interventions and acute inpatient mental health care. Seven articles were selected for inclusion and a reciprocal translation synthesis was undertaken. Sensory modulation interventions emerged as a key alternative to traditional inpatient practices, including seclusion and restraint and the use of PRN psychotropic medication. It introduces a new dimension within care strategies that emphasise individual preferences and care plans that empower individuals. Sensory modulation interventions serve as an effective means to de-escalation that promotes shared responsibility between staff and individuals in care. The review highlights this practice as a departure from coercive practices and biomedical interventions, promoting meaningful therapeutic engagement. Our findings show that sensory modulation interventions have the potential to create a culture shift in acute inpatient mental health settings towards person-centred, recovery-orientated, trauma-informed clinical practice

Ethnographic insights into the quality of life and experiences of people living with schizophrenia in Harare, Zimbabwe

Schizophrenia is a complex and severe mental disorder affecting more than 20 million people worldwide. This study used focused ethnography to explore the everyday lives of 18 people living with schizophrenia in Zimbabwe and its impact on their quality of life (QOL). Data were collected using semi-structured interviews, observational fieldwork, and the short form of the World Health Organization QOL-BREF questionnaire. Those aged 20–40 years experienced poorer QOL than older people. Family dislocation, living with stigma and discrimination, cost of medications and limited and variable access to treatment and support disrupted participants’ ability to enjoy life and function socially

An ethnographic study of schizophrenia in Zimbabwe: The role of culture, faith, and religion

This ethnographic study explored the experiences of eighteen Shona speakers living with schizophrenia in Zimbabwe. Data were collected using semistructured interviews, observations and field notes. Almost three in four participants reported having a strong religious affiliation and believed mental illnesses are caused by spirits (zvirwere zvemweya) or witchcraft (zvirwere zvevaroyi). Cultural and religious beliefs influenced the perceived causes of schizophrenia, symptom explanations, and help-seeking behavior. Schizophrenia compounded social disadvantage, often leading to family disruption, isolation, homelessness, and wandering. Faith and religious belonging provided participants access to support and fostered hope, resilience, a sense of self-worth and greater quality of life

The impact of sensory modulation interventions on practice in acute inpatient mental health settings: a meta-ethnography

This review explores the transformative impact of sensory modulation interventions in acute inpatient mental health care setting utilising meta-ethnography. The methodology by Noblit & Hare guided the approach to creating the review. Searches of articles published within the previous 10 years were conducted in Cumulative Index of Nursing and Allied Health Literature (CINAHL), MEDLINE, and PsycINFO. Searches aimed to identify rich qualitative data on the area of sensory modulation interventions and acute inpatient mental health care. Seven articles were selected for inclusion and a reciprocal translation synthesis was undertaken. Sensory modulation interventions emerged as a key alternative to traditional inpatient practices, including seclusion and restraint and the use of PRN psychotropic medication. It introduces a new dimension within care strategies that emphasise individual preferences and care plans that empower individuals. Sensory modulation interventions serve as an effective means to de-escalation that promotes shared responsibility between staff and individuals in care. The review highlights this practice as a departure from coercive practices and biomedical interventions, promoting meaningful therapeutic engagement. Our findings show that sensory modulation interventions have the potential to create a culture shift in acute inpatient mental health settings towards person-centred, recovery-orientated, trauma-informed clinical practice. </p