"在如此紧张的环境中工作会使人变硬":美国劳教所护士分享其工作的溢出效应。

Journal of forensic nursing Pub Date : 2024-07-01 Epub Date: 2024-03-15 DOI:10.1097/JFN.0000000000000479
Elizabeth Keller, Samantha Boch, Kermit G Davis, Gordon L Gillespie, Beverly M Hittle
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引用次数: 0

摘要

背景:美国人口占世界总人口的 4.4%,但监禁人口却占世界总人口的近四分之一。尽管要照顾近 200 万被监禁者并管理他们的独特需求,但人们对这项工作如何影响到在惩教机构工作的护士却知之甚少:这项描述性研究旨在:(a) 研究劳教护士对其工作如何影响其健康和家庭生活的看法的书面答案;(b) 探讨劳教护士对如何改善工作环境以更好地支持其福祉的回应:研究人员汇编并分析了一项横断面研究中的定性数据,在这项研究中,美国劳教护士(N = 270)完成了一项在线调查。结果:大约 41%(n=111)的研究人员认为他们的工作环境对他们的幸福感有影响:约 41% 的参与者(n = 111)回答了定性问题。参与者主要为白人(77.3%)、非西班牙裔或拉丁裔(88.7%),在监狱工作(65.8%),受雇于州政府(63.8%),注册护士(70%)。出现了三大主题:(a)"个人影响":压力和倦怠感增加、工作时间过长、情绪和身体受到影响;(b)"社会关系和家庭影响":孤僻、家庭生活紧张、不确定性;以及(c)"变革需求":改善人员配置、减少强制加班、管理层提供更好的支持:惩教机构可以考虑通过充足的人员配备、灵活的时间安排、减少强制加班以及聘用有效的护士管理者作为惩教团队的关键成员来支持护士的福利。
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[It] Does Harden a Person Working in Such a Stressful Environment: U.S. Correctional Nurses Share Spillover Effects of Their Work.

Background: The United States makes up 4.4% of the world's population but nearly a quarter of the world's incarcerated population. Despite caring for nearly 2 million incarcerated persons and managing their unique needs, little is known about how this work spills over and affects the nurses who work in correctional settings.

Study objective: This descriptive study aimed to (a) examine write-in answers regarding correctional nurse perceptions of how their work impacts their health and their home lives and (b) explore correctional nurse responses for how to improve the work environment to better support their well-being.

Method: The researchers compiled and analyzed qualitative data from a cross-sectional study where U.S. correctional nurses ( N = 270) completed an online survey. Manifest content analysis was used to analyze optional write-in data.

Results: Approximately 41% ( n = 111) of participants answered qualitative questions. Participants were primarily White (77.3%) and non-Hispanic or Latino (88.7%), working in prisons (65.8%), and employed by the state (63.8%) as registered nurses (70%). Three major themes emerged: (a) "personal impact": increased stress and burnout, overwhelming work hours, and emotional and physical effects; (b) "social relationships and family impacts": withdrawn, strained homelife, and uncertainty; and (c) "need for change": improved staffing, reduced mandatory overtime, and better support from management.

Conclusions: Correctional organizations may consider ways to support the well-being of their nurses through adequate staffing, flexible scheduling, decreased mandatory overtime, and hiring effective nurse managers as key members of the correctional team.

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