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

• 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
• 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

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.

项目摘要/摘要 本申请的目的是为申请者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)，并改进司法护理模式 为被监禁的老年人提供环境，并为从事研究工作奠定基础。中国的人口 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 从1993年到2030年增长了400%，到2030年，老年人预计将占到 被监禁的人口。5监禁与无数的身体和精神健康风险有关(例如 艾滋病毒、糖尿病、高血压、抑郁症、慢性压力1、7、11、15监禁也与 加速老龄化，16-18岁，导致人们普遍接受50岁的被监禁成年人为老年人，而 2监禁也被确认为SDOH19，20，这与 2020-2026年战略计划中的国家护理研究所(NINR)优先研究镜片21 惩教卫生作为一种护理模式，具有独特的特点，挑战着适当的应对 对被监禁的老年人的年龄相关变化，特别是与功能或行为有关的变化 9、22-27惩教干事(COS)是监狱日常运作中不可或缺的一部分，拥有最多 与被监禁的人接触。除了维护监狱的安全，狱警也是 被监禁的人和惩教护士，通常在提醒惩教护士注意 人的状况的变化，包括功能和行为的变化。28-33拟议的研究将 使用扎根理论，这是一种理论生成方法34-37，来探索Cos如何感知和应对年龄 被监禁老年人的相关变化，包括何时、如何和产生什么后果 与惩教护士合作。目前，没有概念性模型描述被监禁老年人的护理 或者CoS在他们的护理中扮演的角色。扎根理论非常适合探索这个研究不足的话题 这是因为概念模型可用于为政策、实践和未来的研究干预提供信息 改善这一日益增长的弱势群体的成果。34、36培训补助金将用于支持课程工作， 有针对性的研究、指导和资源，以实现短期目标，探索CoS如何感知和 应对被监禁老年人的与年龄有关的变化，包括何时、如何和产生什么后果 COS与惩教护士合作。在内容和方法专家的支持下，申请人的 拟议的培训计划包括有针对性的培训目标，以扩大扎根理论应用的技能，以及 关于监禁作为SDOH的知识、老龄化和对被监禁老年人的照顾，合作 在司法环境和学术界之间，以及在网络、拨款和传播之间。由 NINR战略计划，拟议的培训和研究方法作为SDOH被监禁，作为 建立机制，改进司法环境中的护理模式和对被监禁老年人的护理。