School of Nursing & Midwifery, Queen's University Belfast, Belfast, UK.
South Eastern Health & Social Care Trust, Lisburn, UK.
J Clin Nurs. 2020 Jul;29(13-14):2285-2292. doi: 10.1111/jocn.15237. Epub 2020 Apr 1.
The study aim was to develop and evaluate a nurse-led sexual health service and health promotion intervention for men in prison.
Men in prison are particularly marginalised members of our society, negatively impacting on their ability to making healthy choices. In relation to sexual health, prison provides an opportunity for curative and preventive care, for an otherwise often hard-to-reach, priority population.
Practice development, audit and evaluation.
Employing a practice development and participatory methodology, we empowered prison nursing staff to provide robust asymptomatic testing for sexually transmitted infections, including the management of chlamydia, with appropriate treatment and partner notification. Collaboratively with young men and nursing staff, a short animation video to promote the service was developed. A case note audit of 172 patients seen in the service during the 6-month period 1 July 2018-31 December 2018 was undertaken. The Standards for Quality Improvement Reporting Excellence (SQUIRE, see Supplementary Material) checklist was followed.
National outcome measures were exceeded for some clinical outcomes. During the 6-month period, there were 12 chlamydia-positive (7% positivity rate) and 3 gonorrhoea-positive results. In addition, two new cases of syphilis were detected and a further two cases of known HIV were highlighted. There were seven cases of hepatitis C (3 previously diagnosed) and three cases of hepatitis B. A short animation Dick Loves Doot was developed.
Successful partnerships between sexual health and prison healthcare services, in partnership with service users, can achieve well-coordinated services and health promotion interventions.
This nurse-led model of care increased detection and early treatment of asymptomatic STIs among men in prison, impacting positively the men, their partner (s) and the public health of the society to which they return.
本研究旨在为监狱中的男性开发和评估一种护士主导的性健康服务和健康促进干预措施。
监狱中的男性是我们社会中特别边缘化的群体，这对他们做出健康选择的能力产生了负面影响。就性健康而言，监狱为治疗和预防提供了机会，因为否则很难接触到这一优先群体。
实践发展、审计和评估。
采用实践发展和参与性方法，我们赋予监狱护理人员提供强有力的无症状性传播感染检测的能力，包括对衣原体的管理，同时提供适当的治疗和性伴侣通知。与年轻男性和护理人员合作，开发了一个宣传服务的短视频。对 2018 年 7 月 1 日至 12 月 31 日期间服务期间的 172 名患者进行了病历审核。遵循了质量改进报告卓越标准（SQUIRE，见补充材料）清单。
一些临床结果超过了国家指标。在 6 个月期间，有 12 例衣原体阳性（7%的阳性率）和 3 例淋病阳性。此外，还发现了两例新的梅毒病例，另外两例已知的 HIV 病例也被突出显示。有 7 例丙型肝炎（3 例先前诊断）和 3 例乙型肝炎。开发了一个短视频《Dick Loves Doot》。
性健康和监狱医疗保健服务之间的成功合作关系，与服务使用者合作，可以实现协调良好的服务和健康促进干预措施。
这种护士主导的护理模式增加了监狱中男性无症状性传播感染的检测和早期治疗，对男性、他们的伴侣和他们返回的社会公共卫生产生了积极影响。
