Weiskopf Constance S
University of Connecticut Health Center, Correctional Managed Health Care, Farmington, Connecticut 06030-5386, USA.
J Adv Nurs. 2005 Feb;49(4):336-43. doi: 10.1111/j.1365-2648.2004.03297.x.
The aim of this paper is to report the findings of a study of the experience of caring for prisoners through examining the everyday experience of nurses' delivering health care to inmate patients in a correctional setting.
Prisons are most often viewed as places for punishment, while the goals of health and healing, and prevention of diseases in correctional facilities are often neglected. Nurses who deliver health care to prisoners are challenged to do so in a caring relationship that will facilitate their health and healing. The literature on the nature of prison nursing indicates that delivering health care to inmates must be carefully balanced against the need for security, and is affected by factors such as custody staff values, staff education, nursing management, and organizational practices.
In-depth interviews were carried out with nine Registered Nurses who had been employed in a variety of correctional institutions throughout their careers, and analysed thematically using Colaizzi's phenomenological method. Findings. Nurses' caring was experienced as an attempt to negotiate the boundaries between the cultures of custody and caring. Facing complex challenges and a number of limitations on the nurse-patient relationship, nurses strived to find a way to care for their inmate patients. Environmental risk meant that caution and vigilance were essential and these nurses demonstrated courage and persevered for the sake of their inmate patients.
The findings make clear the challenging and frustrating experience of nurses' caring for inmate patients in restrictive settings. As a result, there are implications for nursing practice, education, and research to assure the best possible health outcomes for inmate patients, the integrity of caring nursing practice, and the safety of both nurses and patients.
本文旨在通过审视护士在惩教机构为囚犯患者提供医疗保健的日常经历，报告一项关于照顾囚犯经历的研究结果。
监狱通常被视为惩罚场所，而惩教机构中健康、康复及疾病预防的目标往往被忽视。为囚犯提供医疗保健的护士面临挑战，需在有助于囚犯健康和康复的关怀关系中开展工作。关于监狱护理性质的文献表明，为囚犯提供医疗保健必须在安全需求之间仔细权衡，并受到诸如监管人员价值观、员工教育、护理管理和组织实践等因素的影响。
对九名在其职业生涯中曾受雇于各种惩教机构的注册护士进行了深入访谈，并采用科莱齐的现象学方法进行主题分析。研究结果。护士的关怀被视为一种在监管文化和关怀文化之间协商界限的尝试。面对复杂的挑战以及护士 - 患者关系中的诸多限制，护士们努力寻找照顾囚犯患者的方法。环境风险意味着谨慎和警惕至关重要，这些护士为了囚犯患者表现出勇气并坚持不懈。
研究结果明确了护士在受限环境中照顾囚犯患者所面临的具有挑战性和令人沮丧的经历。因此，对护理实践、教育和研究具有启示意义，以确保为囚犯患者实现尽可能好的健康结果、关怀护理实践的完整性以及护士和患者的安全。
