Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Int J Prison Health. 2023 May 10;19(2):181-198. doi: 10.1108/IJPH-09-2021-0091. Epub 2022 Feb 24.
The rate of female committals to prison has grown rapidly in recent years. Women in prison are likely to have trauma histories and difficulties with their mental health. This paper aims to synthesise the findings of qualitative literature to gain a deeper understanding of the experiences of women in the context of prison-based mental health care.
DESIGN/METHODOLOGY/APPROACH: A systematic search of five academic databases, Cumulative Index to Nursing and Allied Health Literature, Applied Social Sciences Index and Abstracts, Psychological Information Database (PsycINFO), Excerpta Medica DataBASE (EMBASE) and Medline, was completed in December 2020. This study's search strategy identified 4,615 citations, and seven studies were included for review. Thomas and Harden's (2008) framework for thematic synthesis was used to analyse data. Quality appraisal was conducted using the Joanna Briggs Institute Checklist for Qualitative Research (Lockwood , 2015).
Four analytic themes were identified that detail women's experiences of prison-based mental health care: the type of services accessed and challenges encountered; a reduction in capacity to self-manage mental well-being; the erosion of privacy and dignity; and strained relationships with prison staff. There is a paucity of research conducted with women in the context of prison-based mental health care. The findings suggest there is a need for greater mental health support, including the need to enhance relationships between women and prison staff to promote positive mental health.
ORIGINALITY/VALUE: To the best of the authors' knowledge, this is the first systematic review conducted on the experiences of women in the context of prison-based mental health care.
近年来，女性入狱率迅速上升。监狱中的女性很可能有创伤史和心理健康问题。本文旨在综合定性文献的研究结果，深入了解女性在监狱心理健康护理环境中的经历。
设计/方法/方法：2020 年 12 月，对五个学术数据库（护理和相关健康文献累积索引、应用社会科学索引和摘要、心理信息数据库（PsycINFO）、医学文摘数据库（EMBASE）和 Medline）进行了系统搜索。本研究的搜索策略确定了 4615 条引文，并纳入了 7 项研究进行审查。托马斯和哈登（2008）的主题综合框架用于分析数据。使用乔安娜·布里格斯研究所（Joanna Briggs Institute）的定性研究检查表（Lockwood，2015）对质量进行评估。
确定了四个分析主题，详细描述了女性在监狱心理健康护理方面的经历：所获得的服务类型和遇到的挑战；自我管理心理健康能力的下降；隐私和尊严的侵蚀；与监狱工作人员的紧张关系。在监狱心理健康护理方面对女性进行的研究很少。研究结果表明，需要提供更多的心理健康支持，包括需要加强女性与监狱工作人员之间的关系，以促进积极的心理健康。
原创性/价值：据作者所知，这是首次对监狱心理健康护理环境中女性的经历进行的系统审查。
