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The implementation of correctional nursing practice-Caring behind bars: A grounded theory study.
Kirnvir K Dhaliwal1, Sandra P Hirst1, Kathryn M King-Shier1,2
1Faculty of Nursing, University of Calgary, Calgary, AB, Canada.
Journal of Advanced Nursing
|February 16, 2021
Summary
Registered nurses navigate the tension between custody and care in correctional settings. The "Caring Behind Bars" theory guides their practice, emphasizing adaptability and advocacy for offender health.
Area of Science:
- Nursing Practice
- Correctional Healthcare
- Health Services Research
Background:
- Correctional institutions present unique challenges for healthcare delivery.
- Understanding registered nurse (RN) practice in these settings is crucial for improving offender health outcomes.
- Healthcare governance by health authorities impacts RNs' scope of practice.
Purpose of the Study:
- To explore and understand how registered nurses implement their nursing practice within correctional institutions.
- To develop a theory explaining the process of correctional nursing practice under health authority governance.
Main Methods:
- Straussian grounded theory approach.
- Semi-structured telephone interviews with 13 registered nurses.
- Simultaneous data collection and analysis using theoretical sampling and constant comparison.
Main Results:
- The developed theory, "Caring Behind Bars," describes RNs' implementation of correctional nursing.
- Key subcategories include: tension between custody and caring, adaptability, advocacy, offender population, care provision, and challenging/positive elements.
Conclusions:
- RNs must balance custody and caring through adaptation and advocacy to effectively care for offenders.
- Care provision involves assessment skills and resource utilization for patient-focused care.
- The theory offers insights for RNs to inform practice, improve teamwork, and promote offender health.
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