{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:16:34Z","timestamp":1792509394812,"version":"4.5.0"},"reference-count":75,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T00:00:00Z","timestamp":1676419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Among the noninstitutionalized population, health care is increasingly shifting from a paternalistic model toward promoting patients' involvement in decision\u2010making and in managing their condition. This paradigm shift toward health self\u2010management is less applicable to individuals in prison whose health management choices are limited. The aim of this study was to explore prisoners' health self\u2010management needs and the strategies used to maintain health self\u2010management in a highly restrictive prison environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative phenomenological study design was selected for this research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An interpretive phenomenological analysis was chosen to present the narratives of prisoners regarding their health self\u2010management. Semi\u2010structured interviews were conducted with 15 male prisoners followed by content analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The analysis of the participants' narratives revealed four major themes: (1) \u201cI thrive on the anger so I can turn it into some more sit\u2010ups:\u201d Initiating sporting activities (2) \u201cFood shouldn't be that white\u2026:\u201d Prisoners' quest for healthier eating (3) \u201cI felt I want more out of life\u2026:\u201d Avoiding an unhealthy lifestyle (4) \u201cI want to be taken care of:\u201d The struggle for better health care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings suggest that prisoners can overcome the challenges of maintaining health in prison and become committed to better health management. Prisoners who serve as health resources may help reduce the load on correctional facilities' health care systems and the public.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jnu.12881","type":"journal-article","created":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T11:44:55Z","timestamp":1676461495000},"page":"926-935","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Prisoners' experience of health self\u2010management: A qualitative study"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0341-6058","authenticated-orcid":false,"given":"Hila","family":"Avieli","sequence":"first","affiliation":[{"name":"Department of Criminology Ariel University  Ariel Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"issue":"3","key":"e_1_2_9_2_1","first-page":"100","article-title":"Physicians in US prisons in the era of mass incarceration","volume":"6","author":"Allen S. 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