{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T21:42:32Z","timestamp":1790545352711,"version":"4.1.0"},"reference-count":58,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2016,4,12]],"date-time":"2016-04-12T00:00:00Z","timestamp":1460419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nurs Ethics"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Prisons are contexts where nurses are required to have specific skills to ensure that, in a setting designed for the expiation of crime, prisoners receive the same type of care as anyone else. But this is not always the case, giving rise to ethical issues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Research questions:<\/jats:title>\n                    <jats:p>\u2018How do correctional nurses describe their working experience in prisons? What issues emerged?\u2019<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>This is a qualitative descriptive study. Following purposive sampling, we conducted five focus groups. Thematic analysis was used to analyse the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants and research context:<\/jats:title>\n                    <jats:p>Our sample included 31 correctional nurses in seven prisons in Northern Italy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethical considerations:<\/jats:title>\n                    <jats:p>The scientific merit of this study was recognized by the Academic Board of the University of Genoa. Approval to conduct the study was obtained from the Liguria Regional Government that funded this study and from the Local Health Authority that was the prison nurses\u2019 employer. Formal consent was obtained from all the nurses who volunteered to participate in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>Five themes emerged from the focus groups: (1) prisoners\u2019 healthcare needs, (2) negotiation between custody and care, (3) satisfaction of working in prisons, (4) obstacles to quality care and (5) safety. \u2018Manipulation\u2019 was a transversal theme that emerged from all the focus groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The problems generated by the clash between prison security and nursing care priorities did not enable nurses to practice autonomously and provide the best possible to care prisoners, giving rise to ethical issues and moral distress. This in turn causes high nursing turnover rates that negatively impact continuum of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In Italy, correctional nurses urgently require specific education interventions with the participation of all those who work in prisons. Interventions based on the post-modern concept of restorative nursing could offer prison nurses the opportunity to both resolve ethical issues and reduce moral distress.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0969733016639760","type":"journal-article","created":{"date-parts":[[2016,4,12]],"date-time":"2016-04-12T22:00:34Z","timestamp":1460498434000},"page":"393-409","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Ethical issues of prison nursing: A qualitative study in Northern Italy"],"prefix":"10.1177","volume":"25","author":[{"given":"Loredana","family":"Sasso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Delogu","sequence":"additional","affiliation":[{"name":"University of Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Carrozzino","sequence":"additional","affiliation":[{"name":"Local Health Agency, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Aleo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamaria","family":"Bagnasco","sequence":"additional","affiliation":[{"name":"University of Genoa, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,4,12]]},"reference":[{"key":"bibr1-0969733016639760","first-page":"7","volume-title":"Health in prisons: a WHO guide to the essentials in prison health","author":"Coyle A.","year":"2007"},{"key":"bibr2-0969733016639760","volume-title":"Health in prisons: a WHO guide to the essentials in prison health","author":"M\u00f8ller L","year":"2007"},{"key":"bibr3-0969733016639760","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05296.x"},{"key":"bibr4-0969733016639760","unstructured":"Annual European Prison Statistics Report, http:\/\/www.humanrightseurope.org\/2015\/02\/report-annual-european-prison-statistics\/ (2015, accessed 9 December 2015)."},{"key":"bibr5-0969733016639760","unstructured":"Italian Ministry of Justice, Department of Penitentiary Administration Statistics, https:\/\/www.giustizia.it\/giustizia\/it\/mg_1_14.wp?selectedNode=0_2 (accessed 9 December 2015)."},{"key":"bibr6-0969733016639760","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7489(03)00128-7"},{"key":"bibr7-0969733016639760","unstructured":"WHO Regional Office for Europe. 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