Ethical issues of prison nursing: A qualitative study in Northern Italy

Sasso, Loredana; Delogu, Barbara; Carrozzino, Roberto; Aleo, Giuseppe; Bagnasco, Annamaria

doi:10.1177/0969733016639760

Cited by 59 publications

(35 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, in light of this result, penitentiary training, although statistically it does not seem to be a protective factor, can logically be identified as a potential cofactor able to protect the nurse from the risk of developing moral distress. This result is also confirmed by Sasso et al, 35 which show that in the Italian context specific educational interventions are urgently needed for nurses working in prison.…”

Section: Discussionsupporting

confidence: 78%

“…Item 10, “Perceiving little recognition and/or collaboration from prison staff,” was selected by 227 nurses and highlights a situation of collaborative instability in a context in which nurses and prison staff always work closely together, and if the latter do not take into account the peculiarities and areas of activity of nursing care, the nurse risks feeling neither supported nor autonomous in his daily practice; 40 perceiving a limitation of his autonomy can be associated with a feeling of impotence toward the process of care of his patients, potentially a source of frustration and moral distress. 35…”

Section: Discussionmentioning

confidence: 99%

“…This highlights how, more and more often, nurses are probably forced to work with increasingly precarious resources, both from a material and economic point of view and from a logistical point of view, without neglecting the lack of human resources (item 12), and to the structural and administrative peculiarities typical of the prison environment, with which the nurse must learn to live together, and which can often come into conflict with the care process. 35…”

Section: Discussionmentioning

confidence: 99%

“…Prisons are facilities where nurses need specific skills to ensure that, in a setting designed for the expiation of crime, the inmates receive the same type of care as anyone else; 35 therefore, correctional nursing is particularly complex [35][36][37][38][39][40][41] and can be considered atypical in comparison with other realities 37 due to different factors, ranging from the regulatory and organizational constraints in force, to the clinical and behavioral characteristics of patients whose main health issues are substantially related to communicable diseases, substance abuse, and mental health. 39 The management of correctional nursing therefore involves three closely related domains:…”

Section: Introductionmentioning

confidence: 99%

“…For these reasons the nurse who works in such environments is potentially exposed to ethical issues and high levels of moral distress. 35 Moral distress dimension in this context is still poorly explored in the international literature, especially as regards Italy. A recent study 42 produced a preliminary validation of the MDS for Correctional Nurses (MDS-CN) in Italian.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Moral distress in correctional nurses: A national survey

et al. 2019

View full text Add to dashboard Cite

Background: Moral distress is an increasingly documented problem in nursing and might foster nurses’ intention to leave their workplace. It has been studied in different settings, but no specific research has been conducted in Italian correctional facilities. A recent Italian study produced a preliminary validation of the Moral Distress Scale for Correctional Nurses, which needs to be completed. Objectives: To investigate the level of moral distress of nurses working in the Italian correctional setting, by completing the validation process of the Moral Distress Scale for Correctional Nurses. Methodology: Multicenter questionnaire survey. All correctional nurses (461) affiliated with the Italian Society of Medicine and Penitentiary Health (also called “Simspe-onlus”) were invited to participate and 238 responded. The survey was conducted between April and November 2017 through SurveyMonkey®. Analysis of covariance was conducted to investigate the relationship between moral distress and the other variables under study. Exploratory factor analysis was conducted on the scale to confirm its dimensions. Ethical considerations: The study was approved by the Italian Society of Medicine and Penitentiary Health (Simspe-onlus). The questionnaire included informed consent, pursuant to the law in force. The software could not accept questionnaires without explicit consent. Data were analyzed anonymously. Findings: The median score was 46.5, indicating moderate moral distress. The only variable affecting moral distress was work experience in correctional facilities. Longer experience was correlated to higher levels of moral distress and intention to leave. Incompetent colleagues and short staffing were related to higher levels of moral distress. The scale confirmed the one-dimensional structure suggested by the original authors. Discussion: This is the first study investigating moral distress among Correctional Nurses. The prison context is a high-risk environment for nurses, increasing the intention to leave the workplace. Conclusion: Corrective and protective measures, such as specific education, are needed to prevent moral distress development and to reduce nurses’ shortage in this area.

show abstract

Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Moral distress in correctional nurses: A national survey

et al. 2019

View full text Add to dashboard Cite

show abstract

Nursing students' lived experience of a clinical placement in prison healthcare: A systematic review

Brooke¹,

Rybacka²,

Ojo³

2022

Nurse Education in Practice

View full text Add to dashboard Cite

An Introduction to Community and Primary Health Care

2020

View full text Add to dashboard Cite

Community and primary health care nursing is a rapidly growing field. Founded on the social model of health, the primary health care approach explores how social, environmental, economic and political factors affect the health of the individual and communities, and the role of nurses and other health care practitioners in facilitating an equitable and collaborative health care process. An Introduction to Community and Primary Health Care provides an engaging introduction to the theory, skills and range of professional roles in community settings. This edition has been fully revised to include current research and practice, and includes three new chapters on health informatics, refugee health nursing and developing a career in primary health care. Written by an expert team, this highly readable text is an indispensable resource for any reader undertaking a course in community and primary health care and developing their career in the community.

show abstract

Ethical issues of prison nursing: A qualitative study in Northern Italy

Cited by 59 publications

References 38 publications

Moral distress in correctional nurses: A national survey

Moral distress in correctional nurses: A national survey

Nursing students' lived experience of a clinical placement in prison healthcare: A systematic review

An Introduction to Community and Primary Health Care

Contact Info

Product

Resources

About