Objective: To explore the challenges of mental health nurses in dealing with psychiatric patients. Method: The qualitative, descriptive, phenomenological study was conducted at three public and private psychiatric setups in Karachi from August 13 to October 30, 2018, and comprised mental health nurses having a minimum 6-month experience of working in a psychiatric ward. Data was collected using focus group discussion using a semi-structured interview guide. The proceedings were transcribed, translated and analysed using thematic analysis, leading to the formation of themes, categories and sub-categories. Result: Of the 15 nurses with mean age 25±1.95 years, 5(33.3%) were from the public sector and 10(66.6%) were associated with private-sector institutions. Besides, 7(46.6%) nurses had work experience up to 5 years. There were three sessions of focus group discussion; 1(33.3%) of public-sector nurses and 2(66.6%) of priver-sector nurses. Each session had 5(33.3%) participants. Post-transcription feedback was provided by 8(53%) nurses. There were 4 themes; lack of resources, safety-related challenges, lack of staff capacity building, and lack of support. The themes overall had 14 categories and 7 sub-categories. Conclusion: The nurses exposed to patient aggression should be provided debriefing sessions to deal with possible burnout. Key Words: Career, Mental health nurses, Mental health, Public health, Stigmatised, Violence.

Background: Cancer is becoming serious and emerging health concern around world. In Pakistan, 8% of all deaths are due to cancer as one of the major cause. Treatment of cancer consists of surgical management, radiation, chemotherapy, hormone therapy, immunotherapy, and combined therapy. Psychological imbalance is observed during treatment and cause altered self-esteem, which requires psychological modification. The study aimed to assess the alteration in self-esteem after receiving chemotherapy. Methods: This research study was cross-sectional study, in which fifty individuals were selected between ages of 18-80 years from oncology unit of tertiary care hospital. A self-administered questionnaire consist of Rosenberg self-esteem scale assessing the self-esteem was administered. Teaching sessions for developmental change towards giving education on increasing self-esteem of patients were conducted for oncology nurses. Results were analyzed using SPSS version 22. Results: Since, 44% male and 56% female were participated. In all surveyed individuals 96% participants identified with average normal self-esteem, 3% participants had low self-esteem, whereas, only 1% participants had high self-esteem. Conclusion: This research study revealed that most of the patient suffering cancer had average self-esteem. Therefore, there is need to work on strategies to promote psychological well-being of patients, aiming to uphold and rehabilitate emotional aspects of cancer patients.