Faculty of Nursing, University of New Brunswick, Fredericton, Canada.
Wellness Within, Halifax, Canada.
J Clin Nurs. 2023 Jul;32(13-14):3277-3294. doi: 10.1111/jocn.16464. Epub 2022 Aug 8.
To illustrate the scope of different types of transitional, community-based health interventions for formerly incarcerated women, trans and nonbinary people, the eligibility criteria for these interventions, and associated health outcomes.
Meeting the health needs of formerly incarcerated people in community, rather than through the criminal justice system, may prevent further experiences of criminalization. Research is needed to understand what community-based health interventions have been implemented internationally to inform the design of an intervention in Canada.
Scoping review using the Joanna Briggs Institute scoping review methodology.
In consultation with a medical research librarian, key databases and journals were searched for English language articles, from any country, with no specified date range. Three authors independently screened titles and abstracts to identify articles for full-text review. The study adheres to PRISMA-EQUATOR guidelines.
Thirty-six studies met the present criteria and were reviewed in full text. Method, setting, participants, sample, relevant outcomes and relevant findings were extracted from each study for synthesis. Included studies had varied methods and were published from 1999 to 2020. Thirty-one studies were based in the United States, one in Puerto Rico and two each in Canada and the United Kingdom. The most common health issue focus was human immunodeficiency virus and/or hepatitis c virus. The most common outcome was uptake of offered services, such as a transitional clinic.
Gaps in the research pertain to a lack of attention to clinical outcomes and patient experience, and a lack of consideration of sexual and reproductive health concerns. Women were the minority population in all studies that included both men and women; transgender participants were mentioned in only four of thirty-six studies. The specific needs of women, trans and nonbinary people must be taken into consideration.
Nurses must be conscious of the elevated health risks associated with exposure to correctional institutions and the risks associated with the period of transition.
A member of the research team brings lived experience expertise with respect to the criminal justice system.
说明不同类型的过渡性、基于社区的健康干预措施的范围,这些干预措施适用于以前被监禁的妇女、跨性别和非二元性别者,以及这些干预措施相关的健康结果。
满足以前被监禁者的社区健康需求,而不是通过刑事司法系统,可能会防止他们进一步受到刑事化。需要研究了解国际上已经实施了哪些基于社区的健康干预措施,以为加拿大的干预措施设计提供信息。
使用乔安娜·布里格斯研究所(Joanna Briggs Institute)的范围审查方法进行范围审查。
与医学研究图书馆员协商,在不指定日期范围的情况下,从任何国家搜索英语文章的主要数据库和期刊。三名作者独立筛选标题和摘要,以确定全文审查的文章。该研究遵守 PRISMA-EQUATOR 指南。
符合目前标准的 36 项研究进行了全文审查。从每项研究中提取方法、设置、参与者、样本、相关结果和相关发现,以进行综合分析。纳入的研究方法各异,发表时间从 1999 年至 2020 年不等。31 项研究在美国进行,1 项在波多黎各进行,2 项分别在加拿大和英国进行。最常见的健康问题重点是人类免疫缺陷病毒和/或丙型肝炎病毒。最常见的结果是提供的服务的采用,例如过渡诊所。
研究中的差距在于缺乏对临床结果和患者体验的关注,以及对性和生殖健康问题的考虑不足。在所有纳入男性和女性的研究中,女性都是少数群体;在 36 项研究中,只有四项提到了跨性别参与者。必须考虑到妇女、跨性别和非二元性别者的特殊需求。
护士必须意识到与接触惩教机构相关的健康风险增加,以及过渡期间的风险增加。
研究团队的一名成员具有与刑事司法系统相关的生活经验专业知识。