Papadopoulos Irena, Lay Margaret
Research Centre for Transcultural Studies in Health, School of Health and Education, Middlesex University, London, UK.
Freelance Researcher, London, UK.
BMJ Support Palliat Care. 2016 Mar;6(1):101-4. doi: 10.1136/bmjspcare-2015-000880. Epub 2015 Nov 3.
There are concerns about prisoners and detainees not having equal access to end-of-life care while in prison. There is a lack of existing literature about the standards of end-of-life care in UK prisons.
The aim of this study was to investigate the views of current and former prison nurses with regard to the end-of-life care being provided in UK prisons.
Prison nurses were invited to participate in an online survey and asked about their role in the prison, prisoners' access to healthcare facilities, and any barriers and good practices to end-of-life care. The survey included open-ended and closed questions. The closed questions were analysed using descriptive statistics. The open-ended responses were coded and grouped into themes.
31 (N=31) prison nurses responded to the survey. The reported barriers to end-of-life care included some prison regimes, lack of appropriate care and visiting facilities, lack of privacy and inadequate visiting hours. Respondents also reported examples of good practice, including having access to specialist palliative care and specialist equipment, and being able to receive visits from family and friends.
The findings suggest that there is considerable variability in the end-of-life care provided to prisoners in the UK. Further research is needed in order to reduce the health inequalities and improve the quality of end-of-life care experienced by prisoners in the UK.
人们担心囚犯和被拘留者在狱中无法平等获得临终关怀。目前缺乏关于英国监狱临终关怀标准的文献。
本研究旨在调查现任和前任监狱护士对英国监狱提供的临终关怀的看法。
邀请监狱护士参与在线调查，询问他们在监狱中的角色、囚犯获得医疗设施的情况以及临终关怀的任何障碍和良好做法。该调查包括开放式和封闭式问题。使用描述性统计分析封闭式问题。对开放式回答进行编码并分组为主题。
31名监狱护士回复了调查。报告的临终关怀障碍包括一些监狱管理制度、缺乏适当的护理和探视设施、缺乏隐私以及探视时间不足。受访者还报告了良好做法的例子，包括获得专科姑息治疗和专科设备，以及能够接受家人和朋友的探视。
研究结果表明，英国为囚犯提供的临终关怀存在很大差异。需要进一步研究以减少健康不平等现象，并改善英国囚犯所体验的临终关怀质量。
