{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T22:30:30Z","timestamp":1791844230398,"version":"4.3.4"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T00:00:00Z","timestamp":1638921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative, semi\u2010structured interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>Purposive sampling of nurses practicing in a correctional facility in the Southwestern United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thematic analyses identified six themes describing the experiences of nurses in the correctional facility. The themes, \u201c<jats:italic>We have a sense of purpose<\/jats:italic>,\u201d \u201c<jats:italic>We don't trust each other<\/jats:italic>,\u201d \u201c<jats:italic>We want respect<\/jats:italic>,\u201d \u201c<jats:italic>We experience unique stress<\/jats:italic>,\u201d \u201c<jats:italic>It changes who you are<\/jats:italic>,\u201d and \u201c<jats:italic>We try to leave it all there<\/jats:italic>,\u201d 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>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\u2010based stress relief interventions such as mindfulness practices, reflection interventions, physical activity, prayer and meditation are indicated to address these challenges.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.13028","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T10:32:19Z","timestamp":1638959539000},"page":"545-552","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Exploring cognitive dissonance in the correctional nursing experience"],"prefix":"10.1111","volume":"39","author":[{"given":"Sarah","family":"Cukale\u2010Matos","sequence":"first","affiliation":[{"name":"School of Nursing The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8220-5154","authenticated-orcid":false,"given":"Jane D.","family":"Champion","sequence":"additional","affiliation":[{"name":"School of Nursing The University of Texas at Austin  Austin Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,12,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-009-9540-9"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2009.01476.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12199"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/JFN.0000000000000140"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043659613515276"},{"issue":"1","key":"e_1_2_10_7_1","first-page":"107","article-title":"A qualitative study of factors influencing psychiatric nursing practice in Australian prisons","volume":"62","author":"Doyle J.","year":"1999","journal-title":"Perspectives in Psychiatric Care"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1515\/9781503620766"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.10042"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/13561820.2012.730073"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1466-769X.2003.00133.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078345813505444"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1515\/ijnes-2012-0040"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13031"},{"issue":"2","key":"e_1_2_10_16_1","first-page":"39","article-title":"Validity in qualitative research: Interview and the appearance of truth through dialogue","volume":"18","author":"Kuzmanic M.","year":"2009","journal-title":"Horizons of Psychology"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.7748\/mhp.2017.e1173"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2012.04214.x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05296.x"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078345807309616"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1078345815600257"},{"key":"e_1_2_10_22_1","unstructured":"United States Department of Justice Bureau of Justice Statistics. (2016). Correctional Populations in the United States in 2015 [Data file]. 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