Behind White Bars: Nurses' Untold Experiences of Care Dimensions for Prisoners With Cardiac Diseases.

IF 0.9

Journal of forensic nursing Pub Date : 2026-06-15 DOI:10.1097/JFN.0000000000000615

Simin Sharafi, Ghazaleh Banayee, Toba Kazemi, Sajjad Salehian

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Abstract

Abstract:

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.

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白栏后面：护士对患有心脏病的囚犯的护理维度的不为人知的经历。

摘要：目的：探讨在高安全环境中为心血管疾病在押人员提供心脏护理的护士所面临的职业挑战。方法：本研究采用Graneheim和Lundman的常规含量分析。我们在2023年11月至2024年5月期间，对伊朗Birjand Razi医院心内科的9名有目的地选择的护士进行了深入的半结构化访谈。采用MAXQDA软件进行分析，Guba和Lincoln的标准保证了数据的可信性和可信赖性。结果：确定了四个主要主题：(1)监护与护理之间的冲突；(2)关系挑战和相互不信任；(3)囚犯特有的护理问题；(4)护士的心理压力和工作量增加。讨论：为患有心血管疾病的囚犯提供专门护理的护士面临许多挑战，因此需要采取多层干预措施，如加强培训、改进组织协议以及卫生保健和教养设施之间的政策合作，以解决看管与护理之间的核心紧张关系，并制定公平护理的有效战略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of forensic nursing

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