Perspectives of Correctional Officers about Older Adults in Prison: A Grounded Theory Study

惩教人员对监狱中老年人的看法：扎根理论研究

基本信息

批准号：
10749275
负责人：
Kristin Marit Brunsell Merss
金额：
$ 3.53万
依托单位：
UNIVERSITY OF WISCONSIN-MADISON
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-01 至 2025-10-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10749275
关键词：
Academia Acceleration Activities of Daily Living Address Adult Aging Area Behavior Behavioral Caring Chronic stress Collaborations Communities Development Diabetes Mellitus Discipline Elderly Environmental Risk Factor Failure Foundations Future Goals Grant HIV Health Healthcare Hypertension Imprisonment Individual Intervention Interview Justice Knowledge Mental Depression Mental Health Mentorship Methodology Modeling National Institute of Nursing Research Nature Nurses Nursing Research Nursing Staff Outcome Patient-Focused Outcomes Persons Physical environment Physiological Play Policies Policy Maker Population Prisons Process Research Research Personnel Research Priority Resources Risk Role Security Strategic Planning System Testing Training Vulnerable Populations Writing age related aged career experience hearing impairment improved improved outcome lens operation physical conditioning skills social social health determinants theories

项目摘要

PROJECT SUMMARY/ABSTRACT The purpose of this application is to provide research and training for the applicant’s long-term goals of addressing incarceration as a social determinant of health (SDOH), and improve the model of care in justice settings for incarcerated older adults and lay the foundations for a career in research. The population of incarcerated older adults is rapidly growing.1–4 The number of incarcerated adults aged 55 and older increased by 400% between 1993 and 2013.3 By 2030 older adults are anticipated to constitute two thirds of the incarcerated population.5 Incarceration is associated with a myriad of physical and mental health risks (e.g. HIV, diabetes, hypertension, depression, chronic stress1,6–10).1,7,11–15 Incarceration is also associated with accelerated aging,16–18 which leads to generally accepting incarcerated adults as geriatric at 50, compared to 65 in the community.2 Incarceration has also been recognized as an SDOH19,20, which is aligned with The National Institute of Nursing Research (NINR) priority research lenses in the 2020-2026 Strategic Plan.21 Correctional health, as a model of care, has unique features which challenge appropriately responding to age related changes in incarcerated older adults, specifically related to functional or behavioral changes.9,22–27 Correctional officers (COs) are integral in the daily operations of prisons and have the most contact with incarcerated people. Beyond maintaining the security of prisons, COs are also liaisons between incarcerated people and correctional nurses, often playing a major role in alerting correctional nurses to changes in a person’s condition, including functional and behavioral changes.28–33 The proposed study would use Grounded Theory, a theory-generating methodology34–37, to explore how COs perceive and respond to age related changes in incarcerated older adults, including when, how and with what consequences COs collaborate with correctional nurses. Currently, no conceptual model describes the care of incarcerated older adults or the role that COs play in their care. Grounded Theory is well-suited to explore this under-studied topic area because conceptual models can be used to inform policy, practice, future research interventions to improve outcomes for this growing vulnerable population.34,36 The training grant will support coursework, directed study, mentorship, and resources to accomplish the short-term goal exploring how COs perceive and respond to age related changes in incarcerated older adults, including when, how and with what consequences COs collaborate with correctional nurses. Supported by content and methodological experts, the applicant’s proposed training plan includes targeted training goals to expand skills in Grounded Theory application, and knowledge of incarceration as an SDOH, aging and the care of incarcerated older adults, collaboration between justice settings and academia, and networking, grant-writing, and dissemination. Informed by the NINR Strategic Plan, the proposed training and research approaches incarceration as an SDOH, as a mechanism to improve the model of care in justice settings and the care of incarcerated older adults.

项目概要/摘要本申请的目的是为申请人的长期目标提供研究和培训将监禁作为健康的社会决定因素 (SDOH) 加以解决，并改善司法护理模式为被监禁的老年人提供环境，并为从事研究工作奠定基础。被监禁的老年人正在迅速增长。1–4 55 岁及以上的被监禁成年人的数量 1993 年至 2013 年间增加了 400%。3 到 2030 年，老年人预计将占人口的三分之二 5 监禁与多种身心健康风险相关（例如， HIV、糖尿病、高血压、抑郁症、慢性压力1,6–10).1,7,11–15 监禁也与加速衰老，16-18 岁，这导致人们普遍认为 50 岁时被监禁的成年人就已经是老年人了，而社区中的 65 人。2 监禁也被认为是 SDOH19,20，这与《国家护理研究所 (NINR) 2020-2026 年战略计划中的优先研究镜头21 惩教健康作为一种护理模式，具有独特的特征，挑战适当的应对与被监禁老年人的年龄相关的变化，特别是与功能或行为相关的变化 9,22–27 惩教人员 (CO) 是监狱日常运作中不可或缺的一部分，并且拥有最多的权力。除了维护监狱的安全外，CO 还负责与被监禁者之间的联络。被监禁者和惩教护士，通常在提醒惩教护士注意方面发挥着重要作用一个人状况的变化，包括功能和行为的变化。28-33 拟议的研究将使用扎根理论（一种理论生成方法34-37）来探索CO如何感知和应对年龄被监禁老年人的相关变化，包括 CO 发生的时间、方式以及后果目前，没有概念模型描述被监禁老年人的护理。成年人或 CO 在他们的护理中所扮演的角色非常适合探讨这个尚未充分研究的主题。因为概念模型可用于为政策、实践、未来的研究干预提供信息改善这一不断增长的弱势群体的成果。34,36 培训补助金将支持课程作业、指导研究、指导和资源，以实现探索 CO 如何感知和探索的短期目标应对被监禁老年人的年龄相关变化，包括何时、如何以及后果如何 CO 与惩教护士合作，并得到内容和方法专家、申请人的支持。拟议的培训计划包括有针对性的培训目标，以扩展扎根理论应用技能，以及作为 SDOH 的监禁知识、老龄化和被监禁老年人的护理、合作司法机构和学术界之间的联系，以及网络、拨款写作和传播。 NINR 战略计划，拟议的培训和研究方法将监禁作为 SDOH，作为改善司法环境中的护理模式和被监禁老年人的护理的机制。