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Area of Science:

  • Gerontology
  • Public Health
  • Bioethics

Background:

  • Increasing numbers of older adults and individuals nearing end-of-life are incarcerated.
  • This demographic shift highlights an urgent need for specialized palliative care within correctional facilities.
  • Current focus on delivery models overshadows the ethical imperative and root causes.

Purpose of the Study:

  • To develop a comprehensive ethical framework for nursing practice in prison palliative care.
  • To address the 'why' behind the need for prison palliative care, not just the 'how'.
  • To guide ethical decision-making for nurses in correctional settings.

Main Methods:

  • Interweaving four analytical strands: contextual, relational, social, and political.
  • Developing a multi-faceted framework for ethical action.
  • Analysis relevant to practice, research, policy, and education.

Main Results:

  • A proposed framework for ethical action in prison palliative care nursing.
  • Integration of diverse analytical perspectives to inform practice.
  • Identification of key considerations for nurses, researchers, policymakers, and educators.

Conclusions:

  • The framework offers guidance for navigating the ethical complexities of prison palliative care.
  • Addresses the need for a deeper ethical reflection within the nursing profession.
  • Promotes ethical practice, research, policy development, and education in correctional palliative care.