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Correctional nursing in Liguria, Italy: examining the ethical challenges

INTRODUCTION: Correctional nursing can involve significant ethical difficulties. This study examined ethical challenges encountered by correctional nurses in the Italian region of Liguria. Empirical data were analyzed in relation to relevant ethical standards. The former involved a study of 75 nurse...

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Autores principales: CARNEVALE, F., DELOGU, B., BAGNASCO, A., SASSO, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore srl 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319118/
https://www.ncbi.nlm.nih.gov/pubmed/30656235
http://dx.doi.org/10.15167/2421-4248/jpmh2018.59.4.928
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author CARNEVALE, F.
DELOGU, B.
BAGNASCO, A.
SASSO, L.
author_facet CARNEVALE, F.
DELOGU, B.
BAGNASCO, A.
SASSO, L.
author_sort CARNEVALE, F.
collection PubMed
description INTRODUCTION: Correctional nursing can involve significant ethical difficulties. This study examined ethical challenges encountered by correctional nurses in the Italian region of Liguria. Empirical data were analyzed in relation to relevant ethical standards. The former involved a study of 75 nurses and managers in the Ligurian correctional system, while the latter involved an analysis of the Italian Code of Ethics for Nurses and related standards for correctional practice. METHODS: Quantitative and qualitative methods were used for the empirical study. Questionnaires were administered to collect data on participants’ characteristics and care settings. The Measure of Job Satisfaction (MJS) was also administered. Five focus groups were conducted. RESULTS: Quantitative Data: Respondents identified factors that mostly impacted on recruitment and retention. Unfavourable factors included: structural, organizational, and relational factors. Favourable factors included: nursing consultation, continuing education activities, and peer support. MJS results were equal to ‘unsatisfied’. Qualitative Data: five themes were identified through thematic analysis of focus group data: Health needs of incarcerated persons; Negotiation of the boundaries between care and custody; Job satisfaction related to nursing in a correctional setting; Barriers to providing good care; and Security needs. Ten categories of norms were identified in the Code as areas of ethical standards relevant for the empirical data. CONCLUSIONS: Our empirical findings demonstrate that these nursing standards can be systematically compromised in correctional settings. Nurses feel compelled to provide ethically-problematic nursing services, with situations of moral distress. This research informs the development of needed policy, educational, and practice changes for nurses in correctional settings.
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spelling pubmed-63191182019-01-17 Correctional nursing in Liguria, Italy: examining the ethical challenges CARNEVALE, F. DELOGU, B. BAGNASCO, A. SASSO, L. J Prev Med Hyg Original Article INTRODUCTION: Correctional nursing can involve significant ethical difficulties. This study examined ethical challenges encountered by correctional nurses in the Italian region of Liguria. Empirical data were analyzed in relation to relevant ethical standards. The former involved a study of 75 nurses and managers in the Ligurian correctional system, while the latter involved an analysis of the Italian Code of Ethics for Nurses and related standards for correctional practice. METHODS: Quantitative and qualitative methods were used for the empirical study. Questionnaires were administered to collect data on participants’ characteristics and care settings. The Measure of Job Satisfaction (MJS) was also administered. Five focus groups were conducted. RESULTS: Quantitative Data: Respondents identified factors that mostly impacted on recruitment and retention. Unfavourable factors included: structural, organizational, and relational factors. Favourable factors included: nursing consultation, continuing education activities, and peer support. MJS results were equal to ‘unsatisfied’. Qualitative Data: five themes were identified through thematic analysis of focus group data: Health needs of incarcerated persons; Negotiation of the boundaries between care and custody; Job satisfaction related to nursing in a correctional setting; Barriers to providing good care; and Security needs. Ten categories of norms were identified in the Code as areas of ethical standards relevant for the empirical data. CONCLUSIONS: Our empirical findings demonstrate that these nursing standards can be systematically compromised in correctional settings. Nurses feel compelled to provide ethically-problematic nursing services, with situations of moral distress. This research informs the development of needed policy, educational, and practice changes for nurses in correctional settings. Pacini Editore srl 2018-12-15 /pmc/articles/PMC6319118/ /pubmed/30656235 http://dx.doi.org/10.15167/2421-4248/jpmh2018.59.4.928 Text en ©2018 Pacini Editore SRL, Pisa, Italy http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0), which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Original Article
CARNEVALE, F.
DELOGU, B.
BAGNASCO, A.
SASSO, L.
Correctional nursing in Liguria, Italy: examining the ethical challenges
title Correctional nursing in Liguria, Italy: examining the ethical challenges
title_full Correctional nursing in Liguria, Italy: examining the ethical challenges
title_fullStr Correctional nursing in Liguria, Italy: examining the ethical challenges
title_full_unstemmed Correctional nursing in Liguria, Italy: examining the ethical challenges
title_short Correctional nursing in Liguria, Italy: examining the ethical challenges
title_sort correctional nursing in liguria, italy: examining the ethical challenges
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319118/
https://www.ncbi.nlm.nih.gov/pubmed/30656235
http://dx.doi.org/10.15167/2421-4248/jpmh2018.59.4.928
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