Sanders Sara, Stensland Meredith
1 School of Social Work, University of Iowa, Iowa City, IA, USA.
J Correct Health Care. 2018 Jul;24(3):232-242. doi: 10.1177/1078345818780686. Epub 2018 Jun 20.
The prison population is graying as more individuals are receiving longer sentences without opportunities for parole or release for health-related reasons. While research has expanded on end-of-life care in and out of prison settings, to date there has been little research conducted on how inmates experience dying behind bars. Through collecting data during observation of facilitated advance care planning sessions, this qualitative study revealed four main themes: (1) losing a piece of everything, (2) not sure what to feel, (3) where will I die, and (4) finding purpose in the midst of purposelessness. These themes characterize the central issues discussed by inmates as they considered death behind bars. As we seek to improve health care in prison settings, this study provides insight into how inmates view their dying process.
随着越来越多的人被判处更长的刑期，且因健康相关原因没有获得假释或释放的机会，监狱人口正逐渐老龄化。虽然关于监狱内外临终关怀的研究有所增加，但迄今为止，关于囚犯在狱中面临死亡的经历的研究却很少。通过在观察协助性预先护理计划会议期间收集数据，这项定性研究揭示了四个主要主题：（1）失去一切；（2）不知作何感受；（3）我将死在何处；（4）在毫无意义中找到意义。这些主题体现了囚犯在考虑狱中死亡时所讨论的核心问题。当我们试图改善监狱环境中的医疗保健时，这项研究为了解囚犯如何看待他们的死亡过程提供了见解。
