Cloyes Kristin G, Rosenkranz Susan J, Supiano Katherine P, Berry Patricia H, Routt Meghan, Llanque Sarah M, Shannon-Dorcy Kathleen
1 University of Utah, Salt Lake City, UT, USA.
2 Oregon Health and Science University, Portland, OR, USA.
J Correct Health Care. 2017 Jan;23(1):43-55. doi: 10.1177/1078345816684833.
The increasing numbers of aging and chronically ill prisoners incarcerated in Western nations is well-documented, as is the growing need for prison-based palliative and end-of-life care. Less often discussed is specifically how end-of-life care can and should be provided, by whom, and with what resources. One strategy incorporates prisoner volunteers into end-of-life services within a peer-care program. This article reports on one such program based on focused ethnographic study including in-depth interviews with inmate hospice volunteers, nursing staff, and corrections officers working in the hospice program. We describe how inmate volunteers learn hospice care through formal education and training, supervised practice, guidance from more experienced inmates, and support from correctional staff. We discuss how emergent values of mentorship and stewardship are seen by volunteers and staff as integral to prison hospice sustainability and discuss implications of this volunteer-centric model for response-ability for the end-of-life care of prisoners.
西方国家被监禁的老年囚犯和慢性病囚犯人数不断增加，这已得到充分记录，对基于监狱的姑息治疗和临终关怀的需求也在日益增长。但较少被讨论的是临终关怀具体可以如何以及应该由谁提供，以及需要哪些资源。一种策略是将囚犯志愿者纳入同伴关怀项目的临终关怀服务中。本文报告了一项基于重点民族志研究的此类项目，该研究包括对临终关怀项目中的囚犯临终关怀志愿者、护理人员和惩教人员进行深入访谈。我们描述了囚犯志愿者如何通过正规教育和培训、监督实践、经验更丰富的囚犯的指导以及惩教人员的支持来学习临终关怀护理。我们讨论了志愿者和工作人员如何将指导和管理等新出现的价值观视为监狱临终关怀可持续性的核心，并讨论了这种以志愿者为中心的模式对囚犯临终关怀责任的影响。
