Medizinische Fakultät, University of Basel, Basel, Switzerland.
Institute for Biomedical Ethics, University of Basel, Basel, Switzerland.
BMC Psychol. 2023 May 20;11(1):167. doi: 10.1186/s40359-023-01076-8.
Health care in prison is a challenging task. The conditions of imprisonment create distinct difficulties for those providing health care in this setting. These particular circumstances have led to a shortage of quality professionals, working for the health of imprisoned people. The aim of this study is to elaborate reasons for healthcare professionals to work in a prison environment. The main research question is: why do healthcare workers choose to work in prisons? Furthermore, our study identifies training needs in various fields. Interview data that comes from a national project carried out in Switzerland and three other relatively wealthy countries were analyzed using content analysis. One-on-one, semi structured interviews were designed and conducted with professionals working in prison context. A total of 105 interviews were carried out and for this work 83 of them were analyzed and coded into themes responding to the study aim. Most participants chose to work in prison either because of practical reasons, as many reported various forms of contact with the studied prison environment at a younger age, or because of intrinsic reasons, including among others, having the wish to change the system of healthcare in prisons. Even though the education of the participants varied greatly, a lack of specialist training was expressed by many health care professions as an important factor. This study points out the need for more specific training programs for healthcare workers in prison and provides suggestions to ameliorate the recruitment and education for future prison health care workers.
监狱中的医疗保健是一项具有挑战性的任务。监禁条件给在这种环境中提供医疗保健的人带来了明显的困难。这些特殊情况导致监狱中缺乏优质的专业人员，以维护被监禁者的健康。本研究旨在阐述医疗保健专业人员在监狱环境中工作的原因。主要研究问题是：为什么医疗保健工作者选择在监狱工作？此外，我们的研究还确定了各个领域的培训需求。使用内容分析对来自瑞士和其他三个相对富裕国家的全国性项目的数据进行了分析。我们设计并进行了一对一的半结构化访谈，受访者是在监狱环境中工作的专业人员。共进行了 105 次访谈，其中 83 次被分析并编码为主题，以回应研究目的。大多数参与者选择在监狱工作，要么是因为实际原因，因为许多人在年轻时就有过各种形式的接触，要么是因为内在原因，包括希望改变监狱医疗保健系统。尽管参与者的教育背景差异很大，但许多医疗保健专业人员都表示，缺乏专业培训是一个重要因素。这项研究指出了监狱中医疗保健工作者需要更多特定培训计划的必要性，并提出了一些建议，以改善未来监狱医疗保健工作者的招聘和教育。
