A Qualitative Study on Strategies to Enhance Student Nurses’ Engagement in Community Mental Health Nursing, Central Uganda

Purpose: Mental illness remains a significant global burden, affecting nearly 970 million people as of 2019. Community Mental Health Nursing (CMHN) is pivotal in promoting recovery and reducing stigma, yet limited student engagement poses a challenge, particularly at Butabika School of Psychiatric Nursing (BSPN), Uganda. Records indicate only 34% of student nurses attended CMHN placements, despite institutional efforts. This study aimed to assess strategies to enhance student nurses' engagement in Community Mental Health Nursing at BSPN. Methodology: A qualitative descriptive cross-sectional design was used. Twenty diploma student nurses who had participated in CMHN placements were purposively selected. Data were collected through face-to-face in-depth interviews and analyzed thematically using NVivo software. Findings: Four major themes emerged: Individual Strategies –hands-on learning, patient interaction, community outreach, and mentorship improved engagement. Institutional Strategies –structured mentorship, hands-on supervision, feedback sessions, and case-based learning were emphasized. Community Strategies –students highlighted the need for community support, mental health education, and involvement in decision-making. General Improvements –suggestions included early pre-placement training, stronger collaboration with local health workers, and culturally informed orientations. Unique Contribution to Theory, Practice and Policy: Enhance mentorship and resilience training, foster peer support, and integrate self-directed learning. Institutions should invest in supervision, workshops, and logistics. Community sensitization and government support are critical to reduce stigma and improve practical training environments. A multifaceted approach involving individual commitment, institutional investment, and community collaboration is essential to improve student nurse engagement in CMHN and ensure competent future psychiatric nursing professionals.