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监狱卫生服务主管对监狱研究的优先事项和开展研究的组织问题的看法:一次全国性审议圆桌会议的成果

Prison health service directors' views on research priorities and organizational issues in conducting research in prison: outcomes of a national deliberative roundtable.

作者信息

Simpson Paul Leslie, Guthrie Jill, Butler Tony

机构信息

Department of Medicine, The Kirby Institute, University of New South Wales , Sydney, Australia.

National Centre for Epidemiology and Population Health, Australian National University , Canberra, Australia.

出版信息

Int J Prison Health. 2017 Jun 12;13(2):113-123. doi: 10.1108/IJPH-12-2016-0070.

Abstract

Purpose Given that prisoners have significant health needs across most areas, the paucity of prisoner health research, and the difficulties involved in the conduct of research in this setting, there is a need to develop research priorities that align with key stakeholder groups. One such group are those responsible for health service provision in prisons - prison health service directors. The paper aims to discuss these issues. Design/methodology/approach Prison health service directors in each Australian state and territory were invited to participate in a national (deliberative) roundtable where the consensus building nominal group technique was utilized. This involved the identification of research priorities and organizational issues in conducting research with prisoners, and ranking research priorities. A thematic analysis was conducted on organizational issues. Findings In total, 13 participants attended the roundtable. Participants identified 28 research priorities and 12 organizational issues. Top ranked research priorities were mental health, cognitive and intellectual disability, post-release health maintenance, ageing prisoners, chronic health conditions and Aboriginal and Torres Strait Islander health. Themes identified from the organizational issues included prisoner access to research participation, health and research literacy of custodial staff, and institutional protectionism in response to research that may discover negative information about the custodial setting. Research limitations/implications These findings should inform future efforts to improve research infrastructures to undertake research to improve the health of people in Australian prisons, and help to align researchers' efforts with those of a key organizational stakeholder. Originality/value This is the first paper to determine the research priorities and organizational issues in conducting research in prisons of prison health service directors.

摘要

目的 鉴于囚犯在大多数领域都有重大的健康需求,囚犯健康研究匮乏,且在此环境下开展研究存在困难,因此有必要制定与关键利益相关者群体相一致的研究重点。其中一个这样的群体是负责监狱卫生服务提供的人员——监狱卫生服务主任。本文旨在讨论这些问题。

设计/方法/途径 邀请澳大利亚每个州和领地的监狱卫生服务主任参加一次全国性(审议性)圆桌会议,会上采用了共识构建名义群体技术。这包括确定研究重点以及在对囚犯开展研究时的组织问题,并对研究重点进行排序。对组织问题进行了主题分析。

结果 共有13名参与者参加了圆桌会议。参与者确定了28个研究重点和12个组织问题。排名靠前的研究重点是心理健康、认知和智力残疾、出狱后健康维持、老年囚犯、慢性健康状况以及原住民和托雷斯海峡岛民健康。从组织问题中确定的主题包括囚犯参与研究的机会、监管人员的健康和研究素养,以及针对可能发现有关监管环境负面信息的研究的机构保护主义。

研究局限性/影响 这些研究结果应为未来改善研究基础设施以开展研究从而改善澳大利亚监狱中人们健康的努力提供参考,并有助于使研究人员的工作与关键组织利益相关者的工作保持一致。

原创性/价值 这是第一篇确定监狱卫生服务主任在监狱开展研究时的研究重点和组织问题的论文。

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