En. Madela et M. Poggenpoel, THE EXPERIENCE OF A COMMUNITY CHARACTERIZED BY VIOLENCE - IMPLICATIONS FOR NURSING, Journal of advanced nursing, 18(5), 1993, pp. 691-700
Social situations make a person vulnerable to mental illness. These si
tuations include circumstances such as poverty, family instability and
inadequate nutrition. A combination of these circumstances predispose
s exposed people to developing unhealthy ways of coping with stress. V
iolence is seen as a way of managing stress, but also as a factor caus
ing stress. An example of unhealthy ways of stress management in the c
urrent South African society is the violence that leads to unrest whic
h has affected different communities in a short space of time. The aim
of this study was to explore the experience of a community exposed to
violence and to identify implications for nursing. An exploratory con
textual study was undertaken with the purpose of generating meaning re
garding the experience of a community characterized by violence. The p
henomenological method of interviewing was used to gather data. The ta
rget population consisted of a township community of 228 000. Ten resp
ondents were interviewed in total, selected by the convenience purposi
ve sampling method through intermediaries. The interviews were recorde
d on tape and later transcribed verbatim. Data were analysed by the me
thod of content analysis. The results were centred on the respondents'
and their families' experiences of violence since March 1990. The res
ults indicated four types of experiences for all people exposed to vio
lence: psychological, spiritual, physical and behavioural experiences.
The experiences of interactions with the internal environment (psycho
logical, spiritual and physical experience) were predominantly negativ
e, except for only two positive spiritual experiences (improvements in
the people's faith and in the employer-employee relationships). On th
e other hand, experiences of interactions between the internal and ext
ernal environments namely behavioural experiences, were both negative
and positive. The negative experiences included pretence, thuggery, sc
apegoating and harassment. The positive experiences included solidarit
y, bravery and increased appreciation. The presence of positive experi
ences in both environments brought about new insights; that is, that e
ven though most of their internal environment and part of their extern
al environment is bleak and hopeless, the victims of violence still ha
ve the will to survive and live a normal life like other people. This
positive attitude supplies the psychiatric nuse with a point of entry
to bring about positive change that acts as a support for the communit
y exposed to violence. Possibilities of applying the results of this s
tudy in education, practice and research in the health field became ev
ident.