Perceptions and experiences of clinicians and correctional officers facilitating palliative care for people in prison: A systematic review and meta-synthesis

Article

Schaefer, Isabelle, Panozzo, Stacey, DiGiacomo, Michelle, Heneka, Nicole and Phillips, Jane L.. 2024. "Perceptions and experiences of clinicians and correctional officers facilitating palliative care for people in prison: A systematic review and meta-synthesis." Palliative Medicine. 38 (9), pp. 951-967. https://doi.org/10.1177/02692163241262614
Article Title

Perceptions and experiences of clinicians and correctional officers facilitating palliative care for people in prison: A systematic review and meta-synthesis

ERA Journal ID13744
Article CategoryArticle
AuthorsSchaefer, Isabelle, Panozzo, Stacey, DiGiacomo, Michelle, Heneka, Nicole and Phillips, Jane L.
Journal TitlePalliative Medicine
Journal Citation38 (9), pp. 951-967
Number of Pages17
Year2024
PublisherSAGE Publications India
Place of PublicationUnited Kingdom
ISSN0269-2163
1477-030X
Digital Object Identifier (DOI)https://doi.org/10.1177/02692163241262614
Web Address (URL)https://journals.sagepub.com/doi/10.1177/02692163241262614
Abstract

Background:
As the number of people ageing in prison with complex healthcare needs continues to increase, so does the need for palliative care in the restrictive prison context. Palliative care for people in prison is facilitated by correctional officers, and prison- and hospital-based clinicians. A collective analysis of existing research to identify common experiences of these stakeholders globally has not been completed.
Aim:
To explore the perceptions and experiences of correctional officers and prison- and hospital-based clinicians who facilitate palliative care for people in prison.
Design:
A systematic review and meta-synthesis.
Data sources:
Keywords and subject headings related to palliative care and prisons were used to search seven databases with no time limitations. Peer-reviewed research in English, containing qualitative data from stakeholders facilitating palliative care for people in prison were included, and appraised using the CASP tool.
Results:
Two analytical themes emerged: (i) a prison lens on a palliative approach and (ii) coping complexities. Palliative care is ‘translated’ into the prison setting according to security and environmental constraints. Stakeholders experienced ethical, personal and professional difficulties, because prison-based palliative care did not align with community norms. Ambiguous policy and expectations regarding prioritising care needs and balancing custodial rules led to role stress.
Conclusions:
Providing palliative care for people in prison is complex and impacts stakeholders and people in prison with palliative care needs. Supporting person-centred care through a multi-service approach, stakeholder education and standards will improve the quality and accessibility of care.

Keywordsend-of-life; Prison; palliative care; quality of care; health equity
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020321199. Oncology and carcinogenesis not elsewhere classified
Byline AffiliationsUniversity of Technology Sydney
St Vincent’s Health Australia, Melbourne, Australia
University of Melbourne
University of Southern Queensland
Queensland University of Technology
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