University of Genoa, Italy.
Local Health Agency, Italy.
Nurs Ethics. 2018 May;25(3):393-409. doi: 10.1177/0969733016639760. Epub 2016 Apr 12.
Prisons are contexts where nurses are required to have specific skills to ensure that, in a setting designed for the expiation of crime, prisoners receive the same type of care as anyone else. But this is not always the case, giving rise to ethical issues.
'How do correctional nurses describe their working experience in prisons? What issues emerged?'
This is a qualitative descriptive study. Following purposive sampling, we conducted five focus groups. Thematic analysis was used to analyse the data. Participants and research context: Our sample included 31 correctional nurses in seven prisons in Northern Italy. Ethical considerations: The scientific merit of this study was recognized by the Academic Board of the University of Genoa. Approval to conduct the study was obtained from the Liguria Regional Government that funded this study and from the Local Health Authority that was the prison nurses' employer. Formal consent was obtained from all the nurses who volunteered to participate in this study.
Five themes emerged from the focus groups: (1) prisoners' healthcare needs, (2) negotiation between custody and care, (3) satisfaction of working in prisons, (4) obstacles to quality care and (5) safety. 'Manipulation' was a transversal theme that emerged from all the focus groups.
The problems generated by the clash between prison security and nursing care priorities did not enable nurses to practice autonomously and provide the best possible to care prisoners, giving rise to ethical issues and moral distress. This in turn causes high nursing turnover rates that negatively impact continuum of care.
In Italy, correctional nurses urgently require specific education interventions with the participation of all those who work in prisons. Interventions based on the post-modern concept of restorative nursing could offer prison nurses the opportunity to both resolve ethical issues and reduce moral distress.
监狱是对护士有特定技能要求的环境，以确保在设计用于赎罪的环境中，囚犯能够获得与其他人相同类型的护理。但情况并非总是如此，这引发了一些伦理问题。
“惩教护士如何描述他们在监狱中的工作经验？出现了哪些问题？”
这是一项定性描述性研究。在经过有目的的抽样后，我们进行了五次焦点小组讨论。使用主题分析对数据进行分析。参与者和研究背景：我们的样本包括意大利北部七所监狱的 31 名惩教护士。伦理考虑：热那亚大学学术委员会认可了这项研究的科学价值。该研究得到了利古里亚地区政府的批准，该政府资助了这项研究，并得到了当地卫生当局的批准，后者是监狱护士的雇主。所有自愿参与这项研究的护士都获得了正式同意。
五个主题从焦点小组中浮现出来：（1）囚犯的医疗需求，（2）监管与护理之间的协商，（3）在监狱工作的满意度，（4）提供优质护理的障碍，（5）安全。“操纵”是一个从所有焦点小组中出现的跨主题。
监狱安全和护理重点之间的冲突所产生的问题，使护士无法自主实践并为囚犯提供最佳护理，从而引发了一些伦理问题和道德困境。这反过来又导致护士离职率很高，从而对护理连续性产生负面影响。
在意大利，惩教护士迫切需要参与所有在监狱工作的人一起进行特定的教育干预。基于后现代护理恢复概念的干预措施，可以为监狱护士提供解决伦理问题和减轻道德困境的机会。
