1
|
Costa MC, Mantovani MDF, Miranda FMD, Heidemann ITSB, Peres AM. Generalized Resistance Deficits in inmates with hypertension: missing resources that limit health. Rev Bras Enferm 2024; 77:e20230246. [PMID: 38747810 PMCID: PMC11095910 DOI: 10.1590/0034-7167-2023-0246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 12/09/2023] [Indexed: 05/18/2024] Open
Abstract
OBJECTIVE to understand the Generalized Resistance Deficits of people deprived of liberty with hypertension in a Brazilian prison unit. METHOD qualitative research, anchored in Salutogenesis, carried out with 38 people with hypertension from a Brazilian prison unit, from February to July 2022, with a semi-structured interview with open-ended questions, whose analysis was thematic, explaining the limitations to health in prison. RESULTS 13 Generalized Resistance Deficits were reported, mostly related to the prison environment and, to a lesser extent, to the social group and the individual, respectively. Living in prison for people with hypertension implies living with a high number of Generalized Resistance Deficits, accentuating the movement towards the disease pole. FINAL CONSIDERATIONS knowing Generalized Resistance Deficits allows directing health promotion to support the use of available Generalized Resistance Resources and contributes to the expansion of intersectoral policies.
Collapse
|
2
|
Matthew W, Collier A, McKenna B. Forensic Mental Health Care Staff Experiences of Providing Palliative Care: A Qualitative Descriptive Case Study Approach. JOURNAL OF FORENSIC NURSING 2023; 19:E53-E60. [PMID: 35363653 DOI: 10.1097/jfn.0000000000000384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND There is a steady increase in the number of people dying within the walls of forensic institutions across the world. This escalation is, to a large extent, because of an aging population. There is a need to explore how palliative care can be delivered in these settings where, historically, security has been the main focus. OBJECTIVE The aims of this study were to explore staff experiences of providing palliative care in a forensic mental health unit and to establish the subjective significance of those experiences. METHOD A qualitative, descriptive, case study approach was used. This study examined staff perspectives of provision of palliative care to a long-term service user who had been diagnosed with a life-limiting illness and who subsequently died. Interviews were analyzed using codebook thematic analysis. RESULTS There were nine in-depth interviews with staff who were involved in the service user's care. Analysis resulted in five main themes: intrinsic dignity, "It was out of our depth," "It's just the way these places are," "Hospital was the practical place," and specialist services. CONCLUSION If equitable access to palliative care is a human right, then it is essential that individuals in secure care with mental illness are able to access palliative care services that are responsive to their needs. Forensic mental health services need to be proactively prepared for the inevitability that people will die in their care.
Collapse
Affiliation(s)
- Wendy Matthew
- Author Affiliations: Waitemata District Health Board
| | - Aileen Collier
- Research Centre for Palliative Care Death and Dying, Flinders University of South Australia
| | | |
Collapse
|
3
|
Schaefer I, Heneka N, DiGiacomo M, Panozzo S, Phillips JL. The importance of developing palliative care quality indicators for the prison setting: why now, and next steps. BMC Palliat Care 2023; 22:69. [PMID: 37291537 DOI: 10.1186/s12904-023-01150-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 03/22/2023] [Indexed: 06/10/2023] Open
Abstract
Palliative care is increasingly important in the prison setting, but information about the quality and accessibility of this care is extremely limited. Developing and implementing standardised quality indicators will provide transparency, accountability, and a platform for quality improvement at both local and national levels.
Collapse
Affiliation(s)
| | - Nicole Heneka
- University of Southern Queensland, Toowoomba, QLD, Australia
| | | | | | | |
Collapse
|
4
|
Le Gautier R, Panozzo S, Bryan T, Lethborg C, Philip J. A thematic analysis of hospital medical records of patients with advanced illness experiencing incarceration in the last 3 months of life. Palliat Med 2022; 37:638-645. [PMID: 36476100 DOI: 10.1177/02692163221124033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
BACKGROUND The constraining prison culture is not, for the most part, conducive to the provision of palliative care for people in prison. AIM This study aimed to explore patterns of palliative and end-of-life care provision for hospitalised prison patients. DESIGN A retrospective qualitative review of hospital medical records to explore the quality of end-of-life care provision for patients experiencing incarceration who died within hospital. Qualitative inductive analysis of record extracts of each patients final 3-months of life was undertaken. SETTING/PARTICIPANTS An Australian metropolitan hospital responsible for providing secondary and tertiary health services for people experiencing incarceration. This study included a systematic sample of male patients experiencing incarceration who died in hospital between 2009 and 2019. RESULTS Medical record extracts of 15 male patients revealed two broad themes: (1) barriers to equitable access to palliative care for incarcerated hospitalised patients; and (2) factors that facilitated quality end-of-life care for patients and families. Barriers included: tensions between balancing risk and humanity; and limited agency over place and death. Conversely, early recognition of deterioration and anticipated dying provided patients and families opportunity to focus on end-of-life goals. CONCLUSIONS Institutional influences of security and control challenged the provision of equitable end-of-life care for people experiencing incarceration. Further research is required to inform, and incorporate, best approaches to identifying patient wishes and advance planning into care within, or despite, the constrains of incarceration. Policy reform and a coordinated, best practice approach to the management of end-of-life care for people experiencing incarceration is needed.
Collapse
Affiliation(s)
- Roslyn Le Gautier
- Department of Medicine, University of Melbourne, Melbourne, VIC, Australia.,Palliative Nexus, St Vincent's Hospital Melbourne, Melbourne, VIC, Australia
| | - Stacey Panozzo
- Department of Medicine, University of Melbourne, Melbourne, VIC, Australia.,Palliative Nexus, St Vincent's Hospital Melbourne, Melbourne, VIC, Australia
| | - Tamsin Bryan
- Palliative Care Services, St Vincent's Hospital Melbourne, Melbourne, VIC, Australia
| | - Carrie Lethborg
- Social Work, St Vincent's Health Australia, Melbourne, VIC, Australia.,College of Health & Medicine, University of Tasmania, Hobart, TAS, Australia
| | - Jennifer Philip
- Department of Medicine, University of Melbourne, Melbourne, VIC, Australia.,Palliative Nexus, St Vincent's Hospital Melbourne, Melbourne, VIC, Australia
| |
Collapse
|
5
|
Clifton J, Maruca AT, Loeb SJ, Zucker DM, Muse M, Shelton D. Nurse academic-practice partnerships in justice systems: Building upon the evidence. J Prof Nurs 2022; 40:20-27. [PMID: 35568454 PMCID: PMC9107593 DOI: 10.1016/j.profnurs.2022.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Revised: 02/05/2022] [Accepted: 02/06/2022] [Indexed: 11/22/2022]
Affiliation(s)
- Jennifer Clifton
- University of Utah, College of Nursing, 10 South 2000 East, Salt Lake City, UT, United States of America.
| | - Annette T Maruca
- University of Connecticut, School of Nursing, 231 Glenbrook Road, Storrs, CT 06269, United States of America
| | - Susan J Loeb
- Ross and Carol Nese College of Nursing, 201 Nursing Sciences Building, The Pennsylvania State University, University Park, PA 16802, United States of America
| | - Donna M Zucker
- University of Massachusetts Amherst, College of Nursing, 650 No. Pleasant St., Amherst, MA 01003, United States of America.
| | - Mary Muse
- Wisconsin Department of Corrections, 3099 East Washington Ave., Madison, WI 53704, United States of America.
| | - Deborah Shelton
- Shelton Consulting Services, LLC, 624, Hendersonville, NC 28739, United States of America
| |
Collapse
|
6
|
Myers VH, Loeb S, Kitt-Lewis E, Jerrod T. Large-scale evaluation of a computer-based learning program to increase prison staff knowledge on geriatric and end-of-life care. Int J Prison Health 2022; ahead-of-print:10.1108/IJPH-08-2021-0078. [PMID: 35333012 PMCID: PMC9707343 DOI: 10.1108/ijph-08-2021-0078] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this study is to continue research and development of the ECAD-P learning system with an emphasis on developing a scalable unit for testing in a larger number of more diverse correctional settings. There are almost 2.3 million US persons incarcerated. Geriatric and end-of-life (EOL) care in corrections is not as equitable as care in the free world. Technological delivery of geriatric training to staff through computer-based learning (CBL) offers a novel approach to improve care and reduce disparities among those who are most vulnerable during confinement. DESIGN/METHODOLOGY/APPROACH This mixed methods study built an interactive CBL for multidisciplinary staff to address EOL and geriatric issues in prisons. The CBL was iteratively built and tested prior to launching a full-scale evaluation using a pre/post-intervention design. FINDINGS Evaluation of the CBL occurred at 7 sites (i.e. 6 state prisons and 1 prison health-care vendor). A total of 241 staff were recruited with 173 completing post-tests. Outcomes were knowledge acquisition regarding care for aging and dying incarcerated persons (i.e. cognitive measure) and attitudes, motivations and values for providing care (i.e. affective measure). Cognitive and affective post-tests were significantly better than at pre-test (all ps < 0.01). ANCOVAs revealed no significant differences for sex or ethnicity. ORIGINALITY/VALUE Outcomes reveal that the CBL is acceptable, feasible and usable in corrections. Staff improved their knowledge after receiving the training. Correctional settings face increasing pressures to better address the health care and management needs of aged, chronically ill and dying incarcerated persons. This e-learning holds promise to contribute to better preparation of corrections staff to effectively care for these populations.
Collapse
Affiliation(s)
| | - Susan Loeb
- Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA
| | - Erin Kitt-Lewis
- Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA
| | | |
Collapse
|
7
|
Schaefer I, DiGiacomo M, Heneka N, Panozzo S, Luckett T, Phillips JL. Palliative care needs and experiences of people in prison: A systematic review and meta-synthesis. Palliat Med 2022; 36:443-461. [PMID: 34965778 DOI: 10.1177/02692163211068278] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Globally, the prison population is growing and ageing, as is the need for palliative care. Yet, little is known about how people in prison perceive palliative care provision in this setting. AIMS To identify the: (i) perceptions of palliative care provision and dying in custody by people in prison; and (ii) perceived barriers and facilitators of person-centred palliative care provision in prison. DESIGN A systematic review and meta-synthesis was registered and undertaken in accordance with the reporting guidelines. DATA SOURCES Keywords and MeSH headings encompassing (i) palliative care, end-of-life care, death; and (ii) prison; were used to search Pubmed, Medline, CINAHL, PsycINFO, Web of Science, CINCH and ProQuest Central. Articles published in English, from high income countries, and containing qualitative data exploring perceptions of people in prison of palliative care in custody were included. Findings were reporting using the ENTREQ guidelines. FINDINGS Of the 2193 articles identified, 12 were included. Experiences of people in prison regarding palliative care related to two themes: (1) expectations versus experiences of palliative care; and (2) prison context complicates access to and provision of palliative care. People in prison with palliative care needs want to feel safe, cared for, and acknowledged as they face an expected death. The prison environment can severely restrict access to palliative care, leaving people in prison feeling isolated and powerless. CONCLUSIONS People in prison expect to receive high-quality palliative care, but their experiences often do not match their expectations. Numerous structural and organisational challenges complicate the provision of palliative care in prisons, limiting accessibility of care.
Collapse
Affiliation(s)
| | | | - Nicole Heneka
- University of Technology Sydney, Sydney, NSW, Australia
| | | | - Tim Luckett
- University of Technology Sydney, Sydney, NSW, Australia
| | - Jane L Phillips
- Queensland University of Technology, Brisbane, QLD, Australia
| |
Collapse
|
8
|
Johns L, Weightman S, Blackburn P, McAuliffe D. A systematic literature review exploring the psychosocial aspects of palliative care provision for incarcerated persons: a human rights perspective. Int J Prison Health 2021; 18:443-457. [PMID: 34902234 DOI: 10.1108/ijph-02-2021-0017] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this study is to explore the psychosocial aspects of palliative care provision for incarcerated persons drawing on a human rights perspective. DESIGN/METHODOLOGY/APPROACH Seven databases were searched to identify empirical studies published from 2010 to 2020. Articles included were qualitative, quantitative, mixed methods, written in English and with westernised health/prison settings, with a key focus on the psychosocial aspects of palliative care provision and human rights. The quality of the articles was appraised using the Mixed Methods Assessment Tool (2018). FINDINGS The results from 26 articles revealed multiple models of care, with the US prison hospice program depicted as optimal, because of the use of trained incarcerated caregivers, working as aides to the interprofessional team. The bereavement needs of caregivers were highlighted. The barriers to adequate psychosocial care were negative public discourse, prison processes and resources, provider attitudes and the incarcerated person's level of knowledge and trust. Identified facilitators were related to incarcerated persons' caregiving programs, a sense of purpose and visitation leniency. Human rights principles were identified in studies that featured compassionate release and advance care planning. RESEARCH LIMITATIONS/IMPLICATIONS There is inconsistency in the literature regarding what constitutes psychosocial care, which meant that the authors needed to draw on multiple literature sources to formulate a definition. Additionally, the review only included studies written in English, meaning some high-quality studies could have been missed. The articles that conducted interviews with incarcerated individuals were undertaken in male prisons only and not female prisons. PRACTICAL IMPLICATIONS Understanding the importance of psychosocial care for incarcerated persons with a life-limiting illness requires a shift in negative public discourse and the need for a stronger human rights focus. Some countries, such as the USA and UK, are achieving effective outcomes; however, countries such as Australia are yet to contribute to this knowledge base. ORIGINALITY/VALUE If palliative care is a human right, then its philosophy should be considered in its entirety, with the inclusion of psychosocial care.
Collapse
Affiliation(s)
- Lise Johns
- School of Health Sciences and Social Work, Logan Campus, Meadowbrook, Australia
| | - Stacey Weightman
- School of Health Sciences and Social Work, Logan Campus, Meadowbrook, Australia
| | - Pippa Blackburn
- Illawarra Shoalhaven Local Health District, Wollongong, Australia
| | - Donna McAuliffe
- School of Health Sciences and Social Work, Logan Campus, Meadowbrook, Australia
| |
Collapse
|
9
|
Komalasari R, Wilson S, Haw S. A social ecological model (SEM) to exploring barriers of and facilitators to the implementation of opioid agonist treatment (OAT) programmes in prisons. Int J Prison Health 2021. [DOI: 10.1108/ijph-04-2020-0020] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
Opioid agonist treatment (OAT) programmes in prisons play a significant role in preventing the human immunodeficiency virus (HIV). Despite its proven effectiveness, both the availability and coverage of prison OAT programmes remain low. This Indonesian study explores facilitators of, and barriers to, the delivery of methadone programmes in prisons using the social ecological model (SEM).
Design/methodology/approach
The study used a qualitative case study approach comprising two prisons with, and one prison without, methadone programmes. Purposive and snowball sampling was used to recruit study participants. In total, 57 in-depth interviews were conducted with prison governors, health-care staff, prison officers and prisoners. Data was analysed thematically.
Findings
The study findings identified facilitators of and barriers to the delivery of prison OAT programmes at all three levels of the SEM as follows: intrapersonal barriers including misperceptions relating to HIV transmission, the harm reduction role of OAT programmes, methadone dependency and withdrawal symptoms; interpersonal barriers such as inflexible OAT treatment processes and the wide availability of illicit drugs in prisons and; social-structural barriers, notably the general lack of resources.
Research limitations/implications
The findings highlight the importance of and overlap between, organisational and inter-personal, as well as intrapersonal factors. Such an approach is particularly important in the context of the implementation and delivery of methadone programmes in low/middle income countries, where the lack of resources is so significant.
Practical implications
Three main strategies for improvement were suggested as follows: the development of comprehensive education and training programmes for prisoners and all prison staff; the re-assessment of practices relating to the delivery of methadone, and a comprehensive review of harm reduction strategy in prisons, that should consider the role of prisoners’ families to increase support for prisoner participation; the re-assessment of prison policies to support the delivery of methadone programmes in prisons.
Social implications
The author suggests that ongoing international support and national drug policies are vital to the continuation and sustainability of methadone programmes in prisons.
Originality/value
This study contributes to the overall evidence base for OAT programmes in middle-income prison contexts.
Collapse
|
10
|
Palliative and Hospice Care in Correctional Facilities: Integrating a Family Nursing Approach to Address Relational Barriers. Cancer Nurs 2021; 44:29-36. [PMID: 31651464 DOI: 10.1097/ncc.0000000000000754] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND The need for palliative and hospice care for persons with life-limiting conditions who are incarcerated is increasingly common in correctional facilities worldwide. OBJECTIVE Through a family nursing lens, we critically analyze the unique challenges experienced by those requiring palliative care while incarcerated. Key concerns and implications for nursing are illustrated through the discussion of a representative case scenario. METHODS The case scenario was developed based on the findings of a scoping review of academic and gray literature (such as policy documents and editorials) about palliative, hospice, and end-of-life care in corrections. RESULTS The case scenario highlights multilevel barriers that were identified, including the individual, relational, institutional, and sociocultural contexts of palliative care in correctional facilities. Evidence is presented of how integration of a family nursing perspective can enhance specialized palliative and hospice care services in correctional settings. CONCLUSIONS By applying a family nursing approach, nurses practicing with correctional populations can ensure persons with life-limiting illnesses are not denied their right to appropriate end-of-life care by playing a key role in addressing barriers to palliative and hospice care access in corrections. Specific attention to relational issues and holistic care can contribute to enhanced palliative and hospice care, greater dignity in dying, and improved family and peer outcomes, which have benefits for individuals, families, communities, and society. IMPLICATIONS FOR PRACTICE Through the case scenario, we illustrate real issues emerging in correctional contexts and offer evidence of how family nursing relational principles can be applied to promote adequate palliative and hospice care.
Collapse
|
11
|
Petreca VG. Death and Dying in Prison: An Integrative Review of the Literature. JOURNAL OF FORENSIC NURSING 2021; 17:115-125. [PMID: 33843810 DOI: 10.1097/jfn.0000000000000318] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
OBJECTIVE The purpose of this integrative review was to synthesize and explore the qualitative research literature that describes the experience of being terminally ill while incarcerated, in order to inform future inquiry when it comes to the end-of-life (EOL) needs of incarcerated persons. BACKGROUND Mass incarceration has been a major issue in the United States, with rates sharply increasing since the 1970s. In the past two decades, the number of older incarcerated persons has grown by 500%, highlighting the importance of EOL care and decisions among this demographic. METHODS The search terms included prison OR incarceration AND "death and dying" OR "end of life." Primary research articles were considered in the search parameters. The Joanna Briggs Institute critical appraisal checklist for qualitative research was coupled with ConQual to score the quality of the selected qualitative studies. RESULTS Searches yielded 233 articles published after 2000. Following screening, 29 full-text articles were assessed for eligibility, and 7 qualitative studies met criteria and were included in the review. The ConQual scores of the synthesized findings were determined to be either "low" or "moderate." DISCUSSION Five main categories were observed across the themes elicited by the studies: EOL services in prison, social contact and human interactions, thoughts of death and fear of dying, wishes and decision-making, and guilt and coping. Many of these themes may be considered by correctional nurses who provide supportive "good death" care for incarcerated persons who are dying.
Collapse
Affiliation(s)
- Victor G Petreca
- Author Affiliation: Boston College William F. Connell, School of Nursing
| |
Collapse
|
12
|
McParland C, Johnston BM. Palliative and end of life care in prisons: a mixed-methods rapid review of the literature from 2014-2018. BMJ Open 2019; 9:e033905. [PMID: 31874895 PMCID: PMC7008433 DOI: 10.1136/bmjopen-2019-033905] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 11/12/2019] [Accepted: 11/28/2019] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To explore current practice in relation to palliative and end of life care in prisons, and to make recommendations for its future provision. DESIGN A rapid literature review of studies using qualitative, quantitative and mixed-methods, with a narrative synthesis of results. DATA SOURCES Six databases searched between January 2014 to December 2018: ASSIA, CINAHL, Embase, MEDLINE, National Criminal Justice Reference Service Abstracts and Scopus. ELIGIBILITY CRITERIA Primary research articles reporting qualitative or quantitative findings about palliative and end of life care in prisons, published in peer-reviewed, English language journals between January 2014 to December 2018. PARTICIPANTS Prisoners, prisoners' families, prison healthcare staff and other prison staff. DATA EXTRACTION/SYNTHESIS Data extracted included: citation, design, aim, setting, sample/population, methods and key findings. Data were analysed thematically then subject to a narrative synthesis in order to answer the research questions. QUALITY APPRAISAL Two researchers independently appraised articles using the Qualsyst tool, by Kmet et al (2004). Aggregate summary quality scores are included with findings. Articles were not excluded based on quality appraisal. RESULTS 23 articles were included (16 qualitative, 6 quantitative, 1 mixed methods). Top three findings (by prevalence) were: fostering relationships with people both inside and outside of prison is important to prisoners with palliative and end of life care needs, inmate hospice volunteers are able to build and maintain close relationships with the prisoners they care for and the conflicting priorities of care and custody can have a negative impact on the delivery of palliative and end of life care in prisons. CONCLUSIONS The key findings are: relationships are important to prisoners at the end of life, inmate hospice volunteers can build close bonds with the prisoners in their care and the prison environment and regime conflicts with best practices in palliative and end of life care. Directions for future research are also identified. PROSPERO REGISTRATION NUMBER PROSPERO ID: CRD42019118737. Registered January 2019.
Collapse
Affiliation(s)
- Chris McParland
- School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK
| | - Bridget Margaret Johnston
- School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK
- NHS Greater Glasgow and Clyde, Glasgow, Glasgow, UK
| |
Collapse
|
13
|
Lee C, Treacy S, Haggith A, Wickramasinghe ND, Cater F, Kuhn I, Van Bortel T. A systematic integrative review of programmes addressing the social care needs of older prisoners. HEALTH & JUSTICE 2019; 7:9. [PMID: 31134392 PMCID: PMC6717991 DOI: 10.1186/s40352-019-0090-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Accepted: 04/30/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND The number of older prisoners has risen exponentially over the last two decades, especially in high-income countries. Due to the increased and somewhat inadequately met health and social care needs of this group of prisoners, coupled with their vulnerability arising from higher levels of isolation, poverty and exploitation, financial costs have spiralled and human rights concerns have grown. This review aimed to present an overview of programmes that addressed older prisoners' social care needs, a particularly underdeveloped area, with a view to assessing the extent to which they could inform policy and practice. METHODS Following Whittemore and Knafl's (J Adv Nurs 52:546-553, 2005) integrative review approach, a comprehensive search - including 16 electronic databases and hand searching - was undertaken up to May 2017 using search terms related to context, function and disability. The quality of included papers was assessed, data were extracted using a review-specific form based on the PICO formula, and research questions addressed using a narrative synthesis approach. Additionally, reporting followed PRISMA guidelines. RESULTS A total of 29 papers were selected for inclusion, the majority of which focused on hospice programmes, with the remainder describing personal care-focused services, structured day programmes, and adaptations to prison operations (regime) and accommodation in support of prisoners' social care needs. Whilst the programmes were reported to have some positive impacts on prisoners and the prison overall, and programmes were perceived to be cost-effective or cost-neutral, outcomes regarding staff were more mixed. Findings were tempered by the methodological shortcomings of the included papers, with many assessed as low quality, with a lack of prisoner participation, and an absence of experimental studies. CONCLUSIONS The evidence base for programmes addressing older prisoners' social care needs appears to be at an embryonic stage. Further robust studies evaluating the effectiveness and cost-effectiveness of programmes addressing older prisoners' social care needs are imperative in better informing policy and practice in support of this highly vulnerable group.
Collapse
Affiliation(s)
- Caroline Lee
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Samantha Treacy
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Anna Haggith
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Nuwan Darshana Wickramasinghe
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
- Department of Community Medicine, Faculty of Medicine and Allied Science, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Frances Cater
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Isla Kuhn
- Medical Library, University of Cambridge, Cambridge, UK
| | - Tine Van Bortel
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| |
Collapse
|
14
|
Sanders S, Stensland M. Preparing to Die Behind Bars: The Journey of Male Inmates With Terminal Health Conditions. JOURNAL OF CORRECTIONAL HEALTH CARE 2018; 24:232-242. [DOI: 10.1177/1078345818780686] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Sara Sanders
- School of Social Work, University of Iowa, Iowa City, IA, USA
| | | |
Collapse
|
15
|
Sanders S, Stensland M, Juraco K. Agency behind bars: Advance care planning with aging and dying offenders. DEATH STUDIES 2018; 42:45-51. [PMID: 28273002 DOI: 10.1080/07481187.2017.1303552] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Aging and terminally ill individuals in U.S. prisons are increasing, making critical the need for appropriate end-of-life (EOL) care and advance care planning (ACP). Applying Bandura's agentic perspective, the authors examined 20 aging/dying offenders' EOL preferences and ACP. Findings include 6 themes: decisions in the shadow of the past, what works best for me, feeling blessed, what is really going on, can anyone be trusted, and turning agency over to someone else. This study provides critical information that will assist professionals who work with dying offenders, as it presents a vivid illustration of their dying process.
Collapse
Affiliation(s)
- Sara Sanders
- a School of Social Work , University of Iowa , Iowa City , Iowa , USA
| | | | - Kim Juraco
- b Iowa Medical and Classification Center , Coralville , Iowa , USA
| |
Collapse
|
16
|
Hirsch K. Dying Behind Bars. J Gerontol Nurs 2018; 44:2-3. [DOI: 10.3928/00989134-20171213-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- Kelsey Hirsch
- School of Nursing, University of Washington, Seattle, Washington
| |
Collapse
|
17
|
Loeb SJ, Wion RK, Penrod J, McGhan G, Kitt-Lewis E, Hollenbeak CS. A Toolkit for Enhancing End-of-Life Care: An Examination of Implementation and Impact. THE PRISON JOURNAL 2018; 98:104-118. [PMID: 34248211 PMCID: PMC8269981 DOI: 10.1177/0032885517743933] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
The purpose of this study was to examine the infusion of a Toolkit for Enhancing End-of-Life Care in prisons, as well as the outcome and impact on the quality of prison end-of-life care. A total of 74 front-line staff and administrators were in attendance across two post-Toolkit-infusion evaluation visits. Applying qualitative analysis, co-researcher outcome findings were related to activities, community outreach and relations, multidisciplinary team, quality improvement approach, and participatory action research team effects. Organizational outcomes included barriers and challenges, cost, organizational features, sphere of influence, readiness (for change), and sustainability.
Collapse
Affiliation(s)
- Susan J. Loeb
- Penn State College of Nursing, University Park, PA, USA
| | | | - Janice Penrod
- Penn State College of Nursing, University Park, PA, USA
| | | | | | - Christopher S. Hollenbeak
- Penn State College of Medicine, Hershey, PA, USA
- Penn State Department of Health Policy & Administration, University Park, PA, USA
| |
Collapse
|
18
|
Peacock S, Hodson A, MacRae R, Peternelj-Taylor C. Living With Dementia in Correctional Settings: A Case Report. JOURNAL OF FORENSIC NURSING 2018; 14:180-184. [PMID: 29697522 DOI: 10.1097/jfn.0000000000000194] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
The prison population is aging at an alarming rate and many older persons have the potential to develop dementia while in prison. This case report aims to explore the needs of older people living with dementia in prison and discusses the interventions that exist to address these needs. As the condition progresses, persons with dementia become increasingly reliant on the support of others for their health and well-being because of the increasing complexity of physical healthcare and psychosocial needs. Very few interventions are cited in the research literature regarding the use, acceptability, and/or effectiveness of programming for people living with dementia in prison. To support the unique and complex needs of these persons, research is needed to guide the development of evidence-informed dementia programs and services as well as consideration of interdisciplinary collaboration with community organizations.
Collapse
Affiliation(s)
| | | | - Rhoda MacRae
- School of Health, Nursing and Midwifery, University of the West of Scotland
| | | |
Collapse
|
19
|
Galli S, Bretschneider W, Elger BS, Handtke V, Shaw D. Aging Prisoners' Views on Healthcare Services in Swiss Prisons. J Appl Gerontol 2016; 38:365-385. [PMID: 27903880 DOI: 10.1177/0733464816681150] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE Due to the higher morbidity prevalent in the increasing older population, prisons are facing new challenges on a structural, ethical, and financial level. This study's goal was to explore older prisoners' views and experiences regarding the quality of medical services. METHOD In this qualitative study, 35 semi-structured interviews were conducted with older inmates aged 50 years and above in 12 different prisons in the German-speaking (23 interviews) and the French-speaking parts (12 interviews) of Switzerland. RESULTS The majority of older prisoners in this sample expressed concerns about quality of treatment throughout incarceration. Topics addressed reached from quality of the entrance to routine examinations, quality of the treatment received, and delays in care and services provided. CONCLUSION This study's findings suggest that healthcare in prison is often perceived as insufficient and inadequate by older inmates.
Collapse
|
20
|
Hand MW, Mitchell S, DeGregory C. Advance directives in the provision of care for incarcerated adults: a scoping review protocol. ACTA ACUST UNITED AC 2016; 14:91-5. [PMID: 27532653 DOI: 10.11124/jbisrir-2016-002685] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
SCOPING REVIEW QUESTION/OBJECTIVE The objective of this review is to map the available evidence around advance directives in the care of incarcerated adults in terms of what has been undertaken, what outcomes have been reported, and what research gaps exist.The specific areas of investigation will include:Practices, policies or interventions used with incarcerated adults concerning advanced directives.Prisoners' experiences with advanced directives when receiving care.Barriers to establishing and implementing advanced directives.Healthcare providers' experiences with implementing advanced directives while providing care.The specific questions for this scoping review are:What types of research related to advanced directives in the provision of care for incarcerated adults have been conducted and reported?What research gaps exist in this area? CENTER CONDUCTING THE REVIEW The Indiana Centre for Evidence-Based Nursing Practice: a Collaborating Centre of the Joanna Briggs Institute.
Collapse
Affiliation(s)
- Mikel W Hand
- 1College of Nursing and Health Professions, University of Southern Indiana, Evansville, Indiana 2College of Nursing, University of South Carolina, Columbia, South Carolina, USA
| | | | | |
Collapse
|
21
|
Community-Based Participatory Research on Issues Around Palliative and End-of-Life Care. J Hosp Palliat Nurs 2016. [DOI: 10.1097/njh.0000000000000243] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
22
|
Penrod J, Loeb SJ, Ladonne RA, Martin LM. Empowering Change Agents in Hierarchical Organizations: Participatory Action Research in Prisons. Res Nurs Health 2016; 39:142-53. [PMID: 27028096 DOI: 10.1002/nur.21716] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/04/2016] [Indexed: 11/09/2022]
Abstract
Participatory action research (PAR) approaches harness collaborative partnerships to stimulate change in defined communities. The purpose of this article is to illustrate key methodological strategies used in the application of PAR methods in the particularly challenging environment of a hierarchical organization. A study designed to promote sustainable, insider-generated system-level changes in the provision of end-of-life (EOL) care in the restrictive setting of six state prisons is used as an exemplar of the application of three cardinal principles of PAR. First, development of a collaborative network with active partnership between outsider academic researchers and insider co-researchers began with careful attention to understanding the culture and processes of prisons and gaining the support of organizational leadership, using qualitative data gathering and trust-building. During the implementation phase, promoting co-ownership of change in EOL care through the co-construction of knowledge and systems to enhance sustainable change required carefully-orchestrated strategies to maximize the collaborative spirit of the project. Co-researchers were empowered to examine their worlds and capture opportunities for change using new leadership skills role-modeled by the research team. Third, their local knowledge of the barriers inherent in the contextual reality of prisons was translated into achievable system change by production of a toolkit of formalized and well-rehearsed change strategies that collaborative teams were empowered to enact within their hierarchical prison environment. © 2016 Wiley Periodicals, Inc.
Collapse
Affiliation(s)
- Janice Penrod
- Professor, College of Nursing, The Pennsylvania State University, 201 Nursing Sciences Building, University Park, PA 16802
| | - Susan J Loeb
- Associate Professor, College of Nursing, The Pennsylvania State University, University Park, PA
| | - Robert A Ladonne
- Community Partner, College of Nursing, The Pennsylvania State University, University Park, PA
| | - Lea M Martin
- Community Partner, College of Nursing, The Pennsylvania State University, University Park, PA
| |
Collapse
|
23
|
Burles MC, Peternelj-Taylor CA, Holtslander L. A ‘good death’ for all?: examining issues for palliative care in correctional settings. ACTA ACUST UNITED AC 2015. [DOI: 10.1080/13576275.2015.1098602] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
24
|
Hollenbeak CS, Schaefer EW, Penrod J, Loeb SJ, Smith CA. Efficiency of health care in state correctional institutions. Health Serv Insights 2015; 8:9-15. [PMID: 25987845 PMCID: PMC4426940 DOI: 10.4137/hsi.s25174] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2015] [Revised: 04/06/2015] [Accepted: 04/08/2015] [Indexed: 11/08/2022] Open
Abstract
Little is known about the efficiency of health care in correction settings. This article reports an efficiency analysis of health care in state correctional institutions (SCIs) in a single, mid-Atlantic state from 2003 to 2006. A two-stage data envelopment analysis was used to estimate the technical efficiency of prison health care and determine inmate and institutional characteristics that were associated with efficiency. Our output variable was the number of infirmary inpatient days for each year of study. The input variable for the first stage was the sum of personnel medical staff costs and other medical operating costs. SCIs with more white prisoners, older prisoners, and higher proportions of inmates with parole violations were significantly less efficient in their provision of health care than other SCIs. There were no SCI characteristics that were predictive of efficiency. These results suggest that healthcare efficiency in corrections may decline as the prison population continues to age.
Collapse
Affiliation(s)
- Christopher S Hollenbeak
- Department of Surgery, College of Medicine, The Pennsylvania State University, Hershey, PA, USA. ; Department of Public Health Sciences, College of Medicine, The Pennsylvania State University, Hershey, PA, USA
| | - Eric W Schaefer
- Department of Public Health Sciences, College of Medicine, The Pennsylvania State University, Hershey, PA, USA
| | - Janice Penrod
- School of Nursing, The Pennsylvania State University, University Park, PA, USA
| | - Susan J Loeb
- School of Nursing, The Pennsylvania State University, University Park, PA, USA
| | - Carol A Smith
- School of Nursing, The Pennsylvania State University, University Park, PA, USA
| |
Collapse
|
25
|
Cloyes KG, Rosenkranz SJ, Berry PH, Supiano KP, Routt M, Shannon-Dorcy K, Llanque SM. Essential Elements of an Effective Prison Hospice Program. Am J Hosp Palliat Care 2015; 33:390-402. [PMID: 25735806 DOI: 10.1177/1049909115574491] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
As the number of prison inmates facing end-stage chronic illness grows, more prisons across the U.S. must address the need for end-of-life care. Many will likely need to develop a plan with potentially limited resources and external support. This case study presents one long-running model of care, the Louisiana State Penitentiary Prison Hospice Program. Based on field observations and in-depth interviews with hospice staff, inmate volunteers and corrections officers, we identify five essential elements that have contributed to the long-term operation of this program: patient-centered care, an inmate volunteer model, safety and security, shared values, and teamwork. We describe key characteristics of each of these elements, discuss how they align with earlier recommendations and research, and show how their integration supports a sustained model of prison end-of-life care.
Collapse
Affiliation(s)
| | - Susan J Rosenkranz
- Oregon Health & Science University, School of Nursing, Portland, OR, USA
| | - Patricia H Berry
- Oregon Health & Science University, School of Nursing, Portland, OR, USA
| | | | - Meghan Routt
- University of Utah, College of Nursing, Salt Lake City, UT, USA
| | | | - Sarah M Llanque
- University of Utah, College of Nursing, Salt Lake City, UT, USA
| |
Collapse
|
26
|
Nicholson C. Research roundup. Int J Palliat Nurs 2014. [DOI: 10.12968/ijpn.2014.20.5.254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Brief synopses of a selection of recently published research articles of relevance to palliative care.
Collapse
|