How do ED patients with criminal justice contact compare with other ED users? A retrospective analysis of ED visits in California

McConville, Shannon; Mooney, Alyssa; Williams, Brie; Hsia, Renee Y.

doi:10.1136/bmjopen-2017-020897

Cited by 9 publications

(7 citation statements)

References 31 publications

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“…About 80-90% of criminal perpetrators need medical treatment under health problems such as mental problems, surgery, chronic disease, and drug abuse record. However, the growing concern about this deal with the occurring gaps and discrimination in administering health services (3)(4)(5). Nurses in a hospital have important roles in delivering health services for the criminals, started when they access the health facility until the referral process.…”

Section: Introductionmentioning

confidence: 99%

The Nurses' Experience in Providing Health Care for Criminals in General Hospital

Wirmando

Astari

Yuliatun

2021

JKB

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<p>Providing health care for criminals is very complex, stressful, and challenging for the general hospital nurses who are usually not habituated to treat them. The nurses are required to keep their caring and professional work. Providing health care for criminals puts the nurses into a risky working environment. They are susceptible to physical and psychological aggressions that can influence their practices and their applied nursing care quality. The objective of this research is to explore the general hospital nurses' experience in providing health care for the criminals. This is qualitative method research with a phenomenological approach. The data collection was done by a deep interview for 10 nurses. The applied data analysis is the Interpretative Analysis Phenomenology (IPA). The six themes found in the research are: 1) feeling discomfort in working, 2) experiencing emotional conflict, 3) working in an unsafe environment, 4) having difficulties in creating a therapeutic relationship, 5) unnatural caring emergence, and 6) not wanting the police officers to get involved in treating the patients. The security and emotional feeling factors of the nurses become the greatest challenges. They make the nurses difficult to create a therapeutic relationship and lead to unnatural caring committed by the nurses. Therefore, it is important for the nurses to internalize and reflect sincere caring as the essential principles in the nursing profession. Thus, it can reach the objectives of nursing, service equality, and patient recovery.<br /><br /></p>

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Section: Introductionmentioning

confidence: 99%

The Nurses' Experience in Providing Health Care for Criminals in General Hospital

Wirmando

Astari

Yuliatun

2021

JKB

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“…However, developing apprehension deals with the gap in administering health services in that population. Criminals usually are attached to stigma and discrimination from society, including the nurses (Dhaliwal & Hirst, 2016;McConville et al, 2018;Melillo, 2009;Redgewell, 2010).…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Experience of Caring for Criminals at Emergency Department

Wirmando¹,

Astari²,

Yuliatun³

2020

MJN

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Introduction: Nurses have important roles in treating criminals. To treat the criminals is complex and it has different challenges. Nurses feel uncomfortable in treating an individual who have injured, raped, and murdered other individuals. They have difficulties to carry out caring principles in such an unsafe and dangerous situation with the risk of physical-attack that could influence their nursing practice and quality. Objective: To explore the nurses' experiences in caring for criminals at the emergency department. Methodology: It is qualitative research with a phenomenological approach. This research was conducted by carrying out in-depth interview of 10 nurses in the emergency department. The applied data analysis technique is the Interpretative Phenomenological Analysis (IPA). Results: The emerging themes in this research are awareness toward the obligation and responsibility as nurses, implementation of caring principle in treating the criminals, and having no intention for the police officers to get involved in the patients' treatment processes. Conclusion: Nurses need to internalize and reflect caring as the philosophy of nursing. It is also important to realize without care, the recovery process and the purpose of giving treatment will not be achieved.

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“…8 Another California study found that most ED utilization for people who experienced imprisonment was for mental health conditions, and this population had a higher proportion of frequent ED use than the general population. 9 Research on ED use in people who experience imprisonment is limited, however, by a focus on subpopulations, [7][8][9] examination of only the post-release period, 5,8 and having been conducted only in the United States, in which there is a lack of universal health insurance. 5,[7][8][9] Population-based data on ED utilization could offer valuable insights regarding the health status, healthcare needs, and access to care for this structurally vulnerable population.…”

Section: Introductionmentioning

confidence: 99%

“…9 Research on ED use in people who experience imprisonment is limited, however, by a focus on subpopulations, [7][8][9] examination of only the post-release period, 5,8 and having been conducted only in the United States, in which there is a lack of universal health insurance. 5,[7][8][9] Population-based data on ED utilization could offer valuable insights regarding the health status, healthcare needs, and access to care for this structurally vulnerable population. Building on initial research on healthcare utilization for this population across settings, 10 our objective was to describe the ED utilization of men and women in prison and after release, and to compare these data with data for the general population in Ontario, Canada.…”

Section: Introductionmentioning

confidence: 99%

Emergency department use in people who experience imprisonment in Ontario, Canada

Tuinema

Orkin

Cheng

et al. 2019

CJEM

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ObjectivesThe aims of this study were to describe emergency department (ED) utilization by people in provincial prison and on release, and to compare with ED utilization for the general population.MethodsWe linked correctional and health administrative data for people released from provincial prison in Ontario in 2010. We matched each person by age and sex with four people in the general population. We compared ED utilization rates using generalized estimating equations, by sex and for high urgency and ambulatory care sensitive conditions.ResultsPeople who experienced imprisonment (N = 48,861) had higher ED utilization rates compared with the general population (N = 195,444), with rate ratios of 3.2 (95% CI 3.0–4.4) for men and 6.5 (95% CI 5.6–7.5) for women in prison and a range of rate ratios between 3.1 and 7.7 for men and 4.2 and 8.8 for women over the 2 years after release. Most ED visits were high urgency, and between 1.0% and 5.1% of visits were for ambulatory care sensitive conditions. ED utilization rates increased on release from prison.ConclusionsPeople experiencing imprisonment in Ontario have higher ED utilization compared with matched people in the general population, primarily for urgent issues, and particularly in women and in the week after release. Providing high-quality ED care and implementing prison- and ED-based interventions could improve health for this population and prevent the need for ED use.

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How do ED patients with criminal justice contact compare with other ED users? A retrospective analysis of ED visits in California

Cited by 9 publications

References 31 publications

The Nurses' Experience in Providing Health Care for Criminals in General Hospital

The Nurses' Experience in Providing Health Care for Criminals in General Hospital

Nurses’ Experience of Caring for Criminals at Emergency Department

Emergency department use in people who experience imprisonment in Ontario, Canada

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