School of Nursing, The University of Texas at Austin, Austin, Texas, USA.
Public Health Nurs. 2022 May;39(3):545-552. doi: 10.1111/phn.13028. Epub 2021 Dec 8.
Correctional nurses navigate conflict between custody and caring. Balance is needed between healthcare and security priorities. This study explores the unique nature of nursing practice within correctional settings to inform interventions reducing stress, enhancing coping and mitigating cognitive dissonance among these nurses.
Qualitative, semi-structured interviews.
Purposive sampling of nurses practicing in a correctional facility in the Southwestern United States.
Thematic analyses identified six themes describing the experiences of nurses in the correctional facility. The themes, "We have a sense of purpose," "We don't trust each other," "We want respect," "We experience unique stress," "It changes who you are," and "We try to leave it all there," describe the need for interventions providing debriefing opportunities, strengthening of relationships with corrections personnel, reflection and stress reduction to ameliorate the potential for cognitive dissonance.
Correctional nurses in this study perceived a strong sense of purpose and a desire for respect. They are challenged by relationships with both correctional staff and inmates and perceived a change in who they are due to practice in this challenging environment. Measurable, evidence-based stress relief interventions such as mindfulness practices, reflection interventions, physical activity, prayer and meditation are indicated to address these challenges.
惩教护士在监管和护理之间应对冲突。需要在医疗保健和安全重点之间取得平衡。本研究探讨了惩教环境中护理实践的独特性质，以告知干预措施，减轻这些护士的压力、增强应对能力并减轻认知失调。
定性、半结构化访谈。
在美国西南部的惩教机构中从事护理工作的护士的目的性抽样。
主题分析确定了描述惩教设施中护士经历的六个主题。这些主题包括：“我们有使命感”、“我们彼此不信任”、“我们希望得到尊重”、“我们经历独特的压力”、“它改变了你是谁”和“我们试图将其留在那里”，描述了需要进行干预，提供汇报机会，加强与惩教人员的关系，反思和减轻压力，以缓解潜在的认知失调。
本研究中的惩教护士感到有强烈的使命感和对尊重的渴望。他们面临着与惩教人员和囚犯的关系的挑战，并因在这个充满挑战的环境中工作而感到自己的变化。可以采取可衡量的、基于证据的缓解压力干预措施，如正念练习、反思干预、体育活动、祈祷和冥想，以应对这些挑战。
