Related Experiment Video
Updated: Jun 16, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Behind White Bars: Nurses' Untold Experiences of Care Dimensions for Prisoners With Cardiac Diseases
Simin Sharafi1, Ghazaleh Banayee2, Toba Kazemi3
1Department of Nursing, School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran.
Aim:
To examine occupational challenges faced by nurses providing cardiac care to incarcerated individuals with cardiovascular disease in a high-security environment.
Methods:
This study used Graneheim and Lundman's conventional content analysis. We conducted in-depth, semistructured interviews with nine purposively selected nurses from cardiology departments at Razi Hospital, Birjand, Iran (November 2023-May 2024). MAXQDA software was used for analysis, and Guba and Lincoln's criteria ensured the credibility and trustworthiness of the data.
Results:
Four main themes were identified: (1) conflict between custody and care, (2) relational challenges and mutual distrust, (3) prisoner-specific care issues, and (4) psychological pressures and increased workload for nurses.
Discussion:
Nurses providing specialized care to prisoners with cardiovascular disease face numerous challenges, necessitating multilevel interventions such as enhanced training, improved organizational protocols, and policy collaboration between health care and correctional facilities to address the core custody-versus-care tension and develop effective strategies for equitable care.
Related Concept Videos
Cardiac Catheterization IV: Nursing Management
Ethical Issues
Ethical Concerns in Healthcare:
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Ethical Standards II
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy and...
Nurses' Legal Responsibilities II
Communication between nurses and patients...
Nurses' Legal Responsibilities III
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
