Exploring cognitive dissonance in the correctional nursing experience.

Abstract

Objective: Correctional nurses navigate conflict between custody and caring. Balance is needed between healthcare and security priorities. This study explores the unique nature of nursing practice within correctional settings to inform interventions reducing stress, enhancing coping and mitigating cognitive dissonance among these nurses.

Design: Qualitative, semi-structured interviews.

Sample: Purposive sampling of nurses practicing in a correctional facility in the Southwestern United States.

Results: Thematic analyses identified six themes describing the experiences of nurses in the correctional facility. The themes, "We have a sense of purpose," "We don't trust each other," "We want respect," "We experience unique stress," "It changes who you are," and "We try to leave it all there," describe the need for interventions providing debriefing opportunities, strengthening of relationships with corrections personnel, reflection and stress reduction to ameliorate the potential for cognitive dissonance.

Conclusions: Correctional nurses in this study perceived a strong sense of purpose and a desire for respect. They are challenged by relationships with both correctional staff and inmates and perceived a change in who they are due to practice in this challenging environment. Measurable, evidence-based stress relief interventions such as mindfulness practices, reflection interventions, physical activity, prayer and meditation are indicated to address these challenges.