Bennett Clare, Perry Jane, Lapworth Tracy, Davies Judith, Preece Vicky
Primary Care Nursing, University of Worcester.
Br J Nurs. 2010;19(12):782-6. doi: 10.12968/bjon.2010.19.12.48657.
Since April 2006, commissioning responsibility for healthcare services in public prisons has been fully devolved to NHS primary care trusts (PCTs), with the expectation that offenders will have access to the same range and quality of health services available to the wider population. In order to support prison nurses in meeting this goal, a PCT and university established a partnership, which used an action research approach to develop, instigate and evaluate a bespoke educational programme for nurses working in two local prisons. This article outlines the processes involved in the design and implementation of the programme. It also reports on findings from pre- and post-intervention questionnaires and focus groups with course participants, and semi-structured interviews with key stakeholders, which suggest that the innovation had a positive impact on the nurses' confidence, assertiveness, clinical expertise and approach to change. The article concludes that the action research project should continue, but its scope should now broaden to address educational support for healthcare assistants, collaborative learning between prison officers and prison nurses, and the implementation of clinical supervision and action learning sets.
自2006年4月起，公立监狱医疗服务的委托责任已完全下放给国民健康保险制度（NHS）的基层医疗信托机构（PCTs），目的是让罪犯能够获得与广大民众相同范围和质量的医疗服务。为了支持监狱护士实现这一目标，一个基层医疗信托机构与一所大学建立了合作伙伴关系，采用行动研究方法为在当地两所监狱工作的护士开发、启动并评估了一个定制的教育项目。本文概述了该项目设计和实施过程。文章还报告了干预前后对课程参与者进行问卷调查和焦点小组讨论的结果，以及对关键利益相关者进行半结构化访谈的结果，这些结果表明该创新举措对护士的信心、自信、临床专业知识及应对变革的方式产生了积极影响。文章得出结论，行动研究项目应继续进行，但目前其范围应扩大，以解决对医疗助理的教育支持、狱警与监狱护士之间的协作学习，以及临床监督和行动学习小组的实施等问题。
