University of Hertfordshire, Hatfield, UK.
Nurs Ethics. 2019 Aug;26(5):1424-1441. doi: 10.1177/0969733017747959. Epub 2018 Feb 19.
The United Kingdom has the highest incarceration rate in Western Europe. It is known that women in prison are a vulnerable female population who are at risk of mental ill-health due to disadvantaged and chaotic life experiences. Accurate numbers of pregnant women held in UK prisons are not recorded, yet it is estimated that 6%-7% of the female prison population are at varying stages of pregnancy and around 100 babies are born to incarcerated women each year. There are limited published papers that document the departure of the researcher following closure of fieldwork with women in prison. This article identifies the dilemmas and challenges associated with the closure of prison fieldwork through the interwoven reflections of the researcher. Departure scenarios are presented which illuminate moments of closure talk with five women, supported by participant reflections regarding abandonment and loss, making pledges for the future, self-affirmation, incidental add-ons at the end of an interview and red flags, alerting the researcher to potential participant harm through ill health or self-injury.
The primary intention of the study was to observe the pregnant woman's experience with the English prison system through interviews with pregnant women and field observations of the environment.
Ethnographic design enabled the researcher, a practising midwife, to engage with the prisoners' pregnancy experiences in three English prisons, which took place over 10 months during 2015-2016. Data collection involved semi-structured, audio-recorded interviews with 28 female prisoners in England who were pregnant or had recently given birth while imprisoned, 10 members of staff and a period of non-participant observation. Follow-up interviews with 5 women were undertaken as their pregnancies progressed. Computerised qualitative data analysis software was used to generate and analyse pregnancy-related themes.
Favourable ethical opinion was granted by National Offender Management Services through the Health Research Authority Integrated Research Application System and permission to proceed was granted by the University of Hertfordshire, UK.
Thematic analysis enabled the identification of themes associated with the experience of prison pregnancy illuminating how prison life continues with little consideration for their unique physical needs, coping tactics adopted and the way women negotiate entitlements. On researcher departure from the field, the complex feelings of loss and sadness were experienced by both participants and researcher.
To leave the participant with a sense of abandonment following closure of fieldwork, due to the very nature of the closed environment, risks re-enactment of previous emotional pain of separation. Although not an ethical requirement, the researcher sought out psychotherapeutic supervision during the fieldwork phase with 'Janet', a forensic psychotherapist, which helped to highlight the need for careful closure of research/participant relationships with a vulnerable population. This article brings to the consciousness of prison researchers the need to minimise potential harm by carefully negotiating how to exit the field. Reflections of the researcher are interlinked with utterances from some participants to illustrate the types of departure behaviours.
Closure of fieldwork and subsequent researcher departure involving pregnant women in prison requires careful handling to uphold the ethical research principle 'do no harm'.
英国拥有西欧最高的监禁率。众所周知,监狱中的女性是一个弱势女性群体,由于不利和混乱的生活经历,她们面临心理健康风险。英国监狱中关押的孕妇人数没有准确记录,但据估计,有 6%-7%的女性在押人员处于不同的怀孕阶段,每年约有 100 名婴儿在狱中出生。很少有发表的论文记录研究人员在对监狱中的女性进行实地考察结束后的离开情况。本文通过研究人员交织的反思,确定了与监狱实地考察结束相关的困境和挑战。通过与五名女性的闭谈,提出了不同的离开方案,并辅以参与者关于被遗弃和失落、对未来的承诺、自我肯定、访谈结束时的偶然附加内容以及危险信号的反思,这些危险信号提醒研究人员,由于健康问题或自残,女性可能会受到伤害。
该研究的主要目的是通过对英格兰监狱中怀孕女性的采访和对环境的实地观察,观察孕妇在英国监狱系统中的体验。
人种学设计使从事实际助产工作的研究人员能够在 2015 年至 2016 年期间的 10 个月内,在英格兰的三所监狱中与怀孕的或最近在狱中分娩的 28 名女性囚犯进行接触。数据收集包括对英格兰的 28 名怀孕或最近在狱中分娩的女性囚犯进行半结构化、录音采访,10 名工作人员以及一段时间的非参与式观察。随着她们怀孕的进展,对 5 名女性进行了后续采访。使用计算机化的定性数据分析软件生成和分析与怀孕相关的主题。
国家罪犯管理局通过健康研究管理局综合研究应用系统给予了有利的伦理意见,并批准英国赫特福德大学进行研究。
主题分析使我们能够确定与监狱怀孕经历相关的主题,这些主题阐明了监狱生活如何继续进行,而很少考虑到她们独特的身体需求、所采用的应对策略以及女性协商权益的方式。研究人员离开现场时,参与者和研究人员都经历了复杂的失落和悲伤感。
由于封闭环境的性质,在实地考察结束时让参与者感到被遗弃,这可能会重新引发他们之前分离的情感痛苦。虽然这不是伦理要求,但研究人员在实地考察阶段寻求了法医心理治疗师“Janet”的心理治疗监督,这有助于强调需要小心地结束与弱势人群的研究/参与者关系。本文使监狱研究人员意识到需要通过仔细协商如何退出现场,以尽量减少潜在的伤害。研究人员的反思与一些参与者的言论相互交织,说明了各种离开行为。
涉及监狱中孕妇的实地考察结束和随后的研究人员离开需要谨慎处理,以维护“不造成伤害”的伦理研究原则。