Caring for prisoners their professional, educational and occupational needs

Journal of Forensic Nursing

2016

Registered nurses are the primary healthcare providers for offenders in correctional facilities. The way in which correctional nurses care for offenders can be difficult in this context. Following a systematic review and narrative synthesis of literature regarding how correctional nurses show caring for offenders three themes emerged: the struggle of custody and caring (conflicting ethical and philosophical ideologies, correctional priorities that override nursing priorities, safety and security), the need to be nonjudgmental (judgmental attitudes can impact care; focus on health not the crime), and the importance of boundaries. Implications for practice focus on recommendations to promote caring in correctional nursing; the outcome of which will potentially enhance quality of care for offenders and improve working environments for nurses.

Section: Safety and Securitymentioning

confidence: 97%

Section: Correctional Priorities Override Nursing Prioritiesmentioning

confidence: 99%

Caring in Correctional Nursing

Journal of Forensic Nursing

2016

“…Multiple authors have discussed the opposition of custody and caring constructs (Brodie, 2001; Dale & Woods, 2002; Dhaliwal & Hirst, 2016; Doyle, 2003; Maeve & Vaughn, 2001; Maroney, 2005; Office of the Correctional Investigator, 2013; Peternelj‐Taylor, 1999; Peternelj‐Taylor & Johnson, 1995, 1996; Pont et al., 2012, 2018; Schoenly, 2015; Walsh et al., 2012; Weiskopf, 2005; World Health Organization, 2007, 2013). Healthcare professionals experience conflict between custody and caring such as the duty to follow correctional services authorities' rules while upholding the duty to care (Pont et al., 2018; World Health Organization, 2007).…”

Section: Introductionmentioning

confidence: 99%

The implementation of correctional nursing practice—Caring behind bars: A grounded theory study

Journal of Advanced Nursing

King‐Shier

et al. 2021

Aim To understand how registered nurses implement their nursing practice in correctional institutions with healthcare governance by a health authority (e.g. Ministry of Health). Design Straussian grounded theory. Methods Simultaneous data collection and analysis were undertaken using theoretical sampling, constant comparison and memo writing. Thirteen registered nurses engaged in semi‐structured telephone interviews about implementing their correctional nursing practice including, providing direct care to adult offenders. Data were collected (December 2018 to October 2019) until saturation occurred. Analytic coding (open, axial and final theoretical integration) was performed to identify the core category and subcategories around which the substantive theory was developed. Results The theory of Caring Behind Bars refers to the process of how registered nurses implemented their correctional nursing practice to care for offenders. The core category of Caring Behind Bars is comprised of five subcategories: tension between custody and caring, adaptability and advocacy, offender population, provision of care, and challenging and positive elements. Conclusion Caring Behind Bars required registered nurses to address tension between custody and caring by adapting and advocating to access offenders. The provision of care required registered nurses to use assessment skills and numerous resources to provide a variety of patient focused care to offenders. The consequences of Caring Behind Bars had challenging and positive elements. Impact The tension provides purposeful space to continue improving teamwork among correctional officers and registered nurses. More research is required about the impact of correctional healthcare governance models on professional practice and health outcomes. Frontline registered nurses can use the theory to make informed choices when providing care. Registered nurses practising in other domains of correctional nursing (i.e. administration, education and research) can also use this theory to advance and inform practice with the goal of promoting offender health.

“…For example, respecting offender autonomy in environments that are designed to restrict daily life privileges and addressing the institutional demands of control, coercion, and security while providing care . Correctional health care is dominated by prison architecture and “the artifice of surveillance and control” (p. 308), focused on the “control of masses through the application of strict regulations.” The safety and security procedures of correctional institutions dominate health care delivery . For example, correctional officers may place offenders in segregation because of disruptive behavior that is compromising the safety of staff and other offenders.…”

Section: Introductionmentioning

confidence: 99%

Correctional nursing and transformational leadership

2018

Nurs Forum

Transformational leadership (TL) is a highly discussed approach in the literature for many professions. Likewise, the TL approach continues to be explored in a myriad of nursing contexts to demonstrate its advantages for practice and client health. The tension between custody and care is particular to correctional nursing practice, such as the correctional priorities of safety and security that often override caring-focused nursing practice. Presented herein, is information relating to correctional nursing leadership as found in the minimal, available literature; and hypothetical examples of how correctional nursing leaders can use TL are provided. Measuring the influence of TL on practice and offender health can assist in determining if this approach is an appropriate "fit" for the correctional nursing context. The dearth of literature regarding correctional nursing leadership must be addressed to advance this subspecialty of nursing and promote offender health. The intent is not to argue that TL is the only applicable leadership approach for this subspecialty of nursing.Rather, introductory insight is offered regarding the suitability of TL in correctional nursing practice. K E Y W O R D S correctional nursing, forensic nursing, management, transformational leadership AUTHOR'S BIOGRAPHIES Kirnvir K. Dhaliwal, RN, MN, is a Graduate student at