Jack Kathryn, Islip Natalie, Linsley Paul, Thomson Brian, Patterson Anne
Nottingham University Hospitals NHS Trust, Nottingham, UK.
HMP Lowdham Grange, Nottingham, UK.
J Clin Nurs. 2017 Jul;26(13-14):1861-1868. doi: 10.1111/jocn.13489. Epub 2017 Mar 20.
To explore the views of prison officers in an English category B male prison about people in prison being tested and treated for hepatitis C.
Hepatitis C testing and treatment in English prisons remain low with the reasons being poorly understood. Prison officers are in continuous contact with prisoners so might observe factors that may influence people in prisons' choice in whether to accept hepatitis C testing and treatment.
A qualitative design within an interpretative framework was employed.
Semistructured interviews were conducted with 10 prison officers at an English male category B prison. The interviews were audiorecorded and transcribed at the prison.
Four themes emerged Safeguarding, Stigma, Confidentiality and Education. Hepatitis C testing and treatment were supported in principle but if a person in prison poses a threat to the overall security of a prison, any health issues that are not immediately life threatening will be overridden, irrespective of the financial or health consequences. The prison officers respected people in prisons' confidentiality regarding health matters, but this could be compromised during violent incidents. All of the prison officers displayed limited knowledge about hepatitis C.
This qualitative enquiry illustrates that prison security transcends health. This suggests that health providers may need to offer greater flexibility and collaboration across the network of National Health Service hospitals to maintain continuity in treatment if a prisoner is moved to a different establishment or liberated.
This study introduces the notion that prison security staff may have a potential role in promoting or discouraging hepatitis C testing and treatment by the ways in which their knowledge impacts on their interactions with people in prison. Engaging this staff group in educational opportunities should be a component of commissioned hepatitis service delivery in prisons.
探讨一所英国B类男性监狱的狱警对监狱中丙型肝炎检测与治疗的看法。
英国监狱中丙型肝炎的检测与治疗率仍然很低，原因尚不清楚。狱警与囚犯持续接触，因此可能会观察到一些可能影响囚犯接受丙型肝炎检测与治疗选择的因素。
采用解释性框架内的定性设计。
对一所英国B类男性监狱的10名狱警进行了半结构化访谈。访谈在监狱中进行了录音和转录。
出现了四个主题：保障、耻辱感、保密性和教育。丙型肝炎检测与治疗原则上得到支持，但如果监狱中的某个人对监狱的整体安全构成威胁，任何不直接危及生命的健康问题都将被搁置，无论其财务或健康后果如何。狱警尊重监狱中人员在健康问题上的保密性，但在暴力事件中这可能会受到损害。所有狱警对丙型肝炎的了解都有限。
这项定性研究表明，监狱安全超越了健康。这表明，如果一名囚犯被转移到不同的监狱或获释，医疗服务提供者可能需要在国家医疗服务体系医院网络中提供更大的灵活性和协作，以维持治疗的连续性。
本研究提出了这样一种观点，即监狱安全工作人员可能通过其知识对与监狱中人员互动的影响，在促进或阻碍丙型肝炎检测与治疗方面发挥潜在作用。让这一工作人员群体参与教育机会应成为监狱委托提供的丙型肝炎服务的一个组成部分。
