Journal of correctional health care : the official journal of the National Commission on Correctional Health Care最新文献

The aim of this article is to (1) review factors contributing to the nursing workforce crisis that also affect the specialty of correctional nursing and (2) describe an innovative programmatic approach to this crisis that includes translational strategies specific to recruitment and retention. A gap analysis led to a 4-phase framework identifying the career pathway for correctional nurses with a focus on recruitment and retention. The design of a correctional nurse recruitment and retention transition-to-practice program is the focus of the article and targets the preemployment phase of the framework. A correctional nurse expert panel reviewed and contributed to the structure and content of the program. Unique to this program is the content focus on professional identity in correctional nursing, which differs from professionalism.

To properly control dermatomycosis, we investigated the factors associated with dermatomycosis in a Japanese prison. This cross-sectional study was conducted in a Japanese male prison in June 2022. The dependent variable was dermatomycosis diagnosis. The independent variables were safety shoe use, bathroom type, room type, and comorbidities. The results were adjusted for age and the duration of incarceration. Multivariate logistic regression analysis was performed. Among 478 individuals aged 20-89 years, 113 (23.6%) were diagnosed with dermatomycosis. The odds ratios of communal bath use and rash requiring topical steroid treatment were 2.26 and 2.02, respectively. The population-attributable fraction of steroid use was 53.5%. Communal bath and rash requiring topical steroid treatment were factors associated with dermatomycosis.

There is no standardized curriculum that teaches medical residents to navigate the ethical and logistical complexities of bedside care delivery to patients who are incarcerated. In this article, we describe resident physician bedside experiences at a community teaching hospital caring for patients who are incarcerated. From 2022 to 2023, residents in emergency medicine, general surgery, internal medicine, and obstetrics and gynecology were offered an anonymous survey, self-administered via REDCap software, to explore their experiences caring for this patient population. Of 168 resident physicians, 78 (46.4%) completed the survey. The majority were cisgender women (62.3%), 20 to 30 years old (78.2%), and White (70.5%). Of these residents, 98.7% had cared for a patient who was incarcerated or in custody, yet only 15.4% reported receiving formal education regarding caring for this patient population, and only 24.4% were aware of relevant institutional policies. Qualitative analysis revealed themes including barriers to care, permission and authorization, conditional treatment, inconsistency, and conflict. Resident curricula that target knowledge gaps related to procedure and policy and address ethical concerns at the bedside may improve the clinical learning environment and lead to more consistent, equitable care delivery for patients who are incarcerated.

The Texas Christian University Hub of the Justice Community Opioid Innovation Network Project includes a partnership with state criminal justice (CJ) agencies with the goal of impacting state- and local-level policies and practices that will lead to increased access to and retention in community-based substance use treatment services among parole clients. This article outlines how we successfully fostered policy changes and includes a five-step process for how researchers can bridge the gap between research and CJ agencies to implement similar changes. This process included the use of various strategies to support the justice partners in their efforts to implement changes within their organization.

Limited data exist on cancer screening in carceral facilities. This study evaluates the feasibility and outcomes of a population-based lung cancer screening initiative in a carceral setting. This is a retrospective review of a lung cancer screening event at the Rhode Island Department of Corrections. Sentenced individuals meeting U.S. Preventive Services Task Force age criteria for lung cancer screening were mailed a letter asking about their smoking history. Low-dose computed tomography (LDCT) scans were offered to individuals who responded and met the criteria. Retrospective analyses examined patients' LDCT scoring using the American College of Radiology's Lung CT Screening Reporting and Data System (Lung-RADS v1.1). Among more than 2,000 incarcerated individuals, 282 met the age criteria and 117 (41.5%) replied with interest in screening, of whom 57 (48.7%) verified as eligible. All 57 (100%) received LDCT. Most scans (94.4%) were categorized as Lung-RADS 1 or 2, indicating negative or benign findings. Comparisons with general population estimates showed no significant differences in Lung-RADS scores. The screening identified 21 incidental findings, including aortic aneurysms and severe coronary artery calcification. The implementation of lung cancer screening in a carceral setting was shown to be feasible and accepted by the incarcerated population.