School of Nursing, Queen's University, 92 Barrie Street, Kingston, ON K7L 3N6, Canada.
Implement Sci. 2013 Jun 21;8:71. doi: 10.1186/1748-5908-8-71.
Nurses are the primary healthcare providers in correctional facilities. A solid knowledge and expertise that includes the use of research evidence in clinical decision making is needed to optimize nursing practice and promote positive health outcomes within these settings. The institutional emphasis on custodial care within a heavily secured, regulated, and punitive environment presents unique contextual challenges for nursing practice. Subsequently, correctional nurses are not always able to obtain training or ongoing education that is required for broad scopes of practice. The purpose of the proposed study is to develop an educational intervention for correctional nurses to support the provision of evidence-informed care.
A two-phase mixed methods research design will be used. The setting will be three provincial correctional facilities. Phase one will focus on identifying nurses' scope of practice and practice needs, describing work environment characteristics that support evidence-informed practice and developing the intervention. Semi-structured interviews will be completed with nurses and nurse managers. To facilitate priorities for the intervention, a Delphi process will be used to rank the learning needs identified by participants. Based on findings, an online intervention will be developed. Phase two will involve evaluating the acceptability and feasibility of the intervention to inform a future experimental design.
The context of provincial correctional facilities presents unique challenges for nurses' provision of care. This study will generate information to address practice and learning needs specific to correctional nurses. Interventions tailored to barriers and supports within specific contexts are important to enable nurses to provide evidence-informed care.
护士是惩教设施中的主要医疗保健提供者。为了优化护理实践并促进这些环境中的积极健康结果，需要具备扎实的知识和专业技能，包括在临床决策中使用研究证据。在一个高度安全、受监管和惩罚性的环境中，机构强调监管护理，这给护理实践带来了独特的背景挑战。因此，惩教护士并不总能获得广泛实践所需的培训或持续教育。拟议研究的目的是为惩教护士开发教育干预措施，以支持提供循证护理。
将采用两阶段混合方法研究设计。研究地点将是三个省级惩教设施。第一阶段将侧重于确定护士的实践范围和实践需求，描述支持循证实践的工作环境特征，并制定干预措施。将对护士和护士长进行半结构化访谈。为了确定干预措施的优先顺序，将使用德尔菲法对参与者确定的学习需求进行排名。根据研究结果，将开发在线干预措施。第二阶段将涉及评估干预措施的可接受性和可行性，以为未来的实验设计提供信息。
省级惩教设施的背景给护士提供护理带来了独特的挑战。本研究将提供信息，以解决惩教护士特定的实践和学习需求。针对特定背景下的障碍和支持因素量身定制的干预措施对于使护士能够提供循证护理非常重要。
