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      The benefits of experiential learning during a service-learning engagement in child psychiatric nursing education

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      African Journal of Health Professions Education
      Health and Medical Publishing Group

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          Abstract

          BACKGROUND: Children, families and communities are affected by mental health challenges caused by high levels of violence and domestic upheaval in South African (SA) communities. There are too few specialised healthcare professionals, e.g. nurses, psychologists, occupational therapists and social workers, to meet the enormous mental healthcare needs of children and adolescents in the country. Because of the unique challenges people face in this context, professionals need to be trained in all aspects of child psychiatric nursing. One important way to provide this training could be a service-learning strategy. In this approach, nursing students are taught how to engage and educate communities by means of community-outreach programmes that form part of the curriculum. The purpose of this article is to report on nursing students' experiences during their community-engagement outreach programmes in the challenging SA healthcare contextOBJECTIVES: To explore and describe students' community-based learning experiences during outreach programmesMETHOD: A qualitative methodological approach used structured reflection reports of 47 students over 3 years as data. Participants' responses were thematically analysed by contentRESULTS: Nursing students experienced community-learning engagement as thought provoking. They were able to practise their professional development within a collaborative environment, which built self-confidence and stimulated critical thinking. They indicated that the experience made them aware of the needs of the community and enabled them to share reciprocal knowledge. It helped them to integrate theory with practice, develop responsible citizenship and enhance professional developmentCONCLUSION: Evidence from a challenging context supports the use of service learning as an ideal approach to develop students' professionalism, ethical responsibility and personal growth to become responsible citizens who can engage with mental health users in the community

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          Mental health in Africa

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            A systematic review of service-learning in medical education: 1998-2012.

            PHENOMENON: In the United States, the Affordable Care Act has increased the need for community-centered pedagogy for medical education such as service-learning, wherein students connect academic curriculum and reflections to address a community need. Yet heterogeneity among service-learning programs suggests the need for a framework to understand variations among service-learning programs in medical education.
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              Mental illness in the Western Cape Province, South Africa: A review of the burden of disease and healthcare interventions

              Neuropsychiatric disorders were ranked third as contributors to disability-adjusted life-years in South Africa (SA). Despite this high morbidity, mental health is often overlooked on the public health agenda. This article reviews evidence on the burden of mental illness in the Western Cape Province of SA, as well as current provincial interventions to decrease the burden of mental illness. Available evidence supports the need for improved integration of mental health services in primary healthcare and strengthening of community services. Challenges include a lack of capacity due to staff shortages and inadequate availability and allocation of resources. Evidence from large epidemiological studies to quantify the burden of disease as well as cost-effectiveness studies of interventions are required to successfully plan and implement interventions. Similar reviews may provide a national overview of mental health issues as well as allow improvement through better understanding of research and best practices in various provinces.
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                Author and article information

                Journal
                ajhpe
                African Journal of Health Professions Education
                Afr. J. Health Prof. Educ. (Online)
                Health and Medical Publishing Group (Pretoria, Gauteng, South Africa )
                2078-5127
                June 2020
                : 12
                : 2
                : 81-85
                Affiliations
                [01] Bloemfontein orgnameUniversity of the Free State orgdiv1Faculty of Health Sciences orgdiv2School of Nursing South Africa
                Article
                S2078-51272020000200006 S2078-5127(20)01200200006
                10.7196/AJHPE.2020.v12i2.1214
                de9cf446-57b9-43c7-9b14-c240466e2c64

                This work is licensed under a Creative Commons Attribution 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 24, Pages: 5
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                SciELO South Africa

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                Research

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