Correctional nursing: a study protocol to develop an educational intervention to optimize nursing practice in a unique context

Implementation Science

Mae Squires⁴  Don N Rose¹  Crystal Miller³  Linda Ogilvie⁵  Diane Doran⁶  Wendy A Gifford²  Joan Almost⁷ 

[1] Daphne Cockwell School of Nursing, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada;Saint Elizabeth, 90 Allstate Parkway, Suite 300, Markham, ON L3R 6H3, Canada;Toronto South Detention Center, Transition Unit, Etobicoke, ON M8Z 4X8, Canada;Kingston General Hospital, 76 Stuart Street, Kingston, ON K7L 2V6, Canada;Ministry of Community Safety and Correctional Services, Government of Ontario, 25 Grosvenor Street, 16th Floor, Toronto, ON M7A 1Y6, Canada;Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 155 College Street, Toronto, ON M5S 3H4, Canada;School of Nursing, Queen's University, 92 Barrie Street, Kingston, ON K7L 3N6, Canada

关键词: Work environments;    Learning needs;    Education intervention;    Evidence-informed care;    Prisons;    Corrections;    Nursing;    Nurses;   

Others  :  813537
DOI  :  10.1186/1748-5908-8-71

 received in 2013-04-03, accepted in 2013-06-18,  发布年份 2013

【 摘 要 】

Background

Nurses are the primary healthcare providers in correctional facilities. A solid knowledge and expertise that includes the use of research evidence in clinical decision making is needed to optimize nursing practice and promote positive health outcomes within these settings. The institutional emphasis on custodial care within a heavily secured, regulated, and punitive environment presents unique contextual challenges for nursing practice. Subsequently, correctional nurses are not always able to obtain training or ongoing education that is required for broad scopes of practice. The purpose of the proposed study is to develop an educational intervention for correctional nurses to support the provision of evidence-informed care.

Methods

A two-phase mixed methods research design will be used. The setting will be three provincial correctional facilities. Phase one will focus on identifying nurses’ scope of practice and practice needs, describing work environment characteristics that support evidence-informed practice and developing the intervention. Semi-structured interviews will be completed with nurses and nurse managers. To facilitate priorities for the intervention, a Delphi process will be used to rank the learning needs identified by participants. Based on findings, an online intervention will be developed. Phase two will involve evaluating the acceptability and feasibility of the intervention to inform a future experimental design.

Discussion

The context of provincial correctional facilities presents unique challenges for nurses’ provision of care. This study will generate information to address practice and learning needs specific to correctional nurses. Interventions tailored to barriers and supports within specific contexts are important to enable nurses to provide evidence-informed care.

【 授权许可】

   
2013 Almost et al.; licensee BioMed Central Ltd.

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