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  • Seerup Gregory posted an update 20 hours, 27 minutes ago

    CareLink-Corrections is an evidence-informed self-care management (SCM) program designed to provide nursing and health services students an opportunity to serve a vulnerable justice-involved population while learning to provide clinical care service. Within this program, SCM of health is the clinical focus and is conceptualized as a competency where the individual acquires the knowledge, skills, and attitudes that facilitate health maintenance, health care management, and/or health promotion. Thirty undergraduate nursing students and 47 incarcerated persons participated in this first phase of the program. This article presents the first step in building the program-a feasibility study to test implementation of the program to persons in prison.During a pandemic, basic public health precautions must be taken across settings and populations. However, confinement conditions change what can be done in correctional settings. Correctional nursing (CN) care, like all nursing care, needs to be named and encoded to be recognized and used to generate data that will advance the discipline and maintain standards of care. The Omaha System is a standardized interprofessional terminology that has been used since 1992 to guide and document care. In 2019, a collaboration between the newly formed American Correctional Nurses Association and the Omaha System Community of Practice began a joint effort with other stakeholders aimed at encoding evidence-based pandemic response interventions used in CN. The resulting guidelines are included and illustrated with examples from CN practice.In 1984, Jameton defined moral distress in nursing practice as the negative experience that occurs “…when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue…” (p. 6). Little research has been done about the magnitude and impact of moral distress among nurses working in correctional settings. All correctional nurses (CNs) will experience some form of moral distress during their careers. Consequences include burnout syndrome, blurred professional boundaries, and impaired ethical reasoning. There is a need for strong CN leaders who model professional behavior and provide orientation and mentoring for new CNs. A research agenda is needed to inform strong orientation and continuing education programs to introduce the concept of moral distress and related resources to CNs and to assist them in preventing or mitigating the consequences of moral distress.Numerous studies and research substantiate strong correlations between adverse childhood experience (ACE) scores and corrections. This study assessed the significance of trauma-informed care (TIC) in the recidivism rates of incarcerated women. A retrospective longitudinal survey was conducted. ACE scores were evaluated and documented through a self-reported survey. Seven years of Correctional Offender Management Profiling for Alternative Sanctions registry documentation was assessed. Descriptive statistics were utilized to define patients and evaluate patterns of recidivism after implementation of trauma-informed approaches to care. There is strong evidence associating lower recidivism rates for those who participate in TIC and trauma programs than for those who do not. This evidence supports further evaluation with a serious potential impact of reduction in recidivism and improved trajectories for incarcerated women and their families.The purpose of this study was to evaluate how well a Faculty First-Year Seminar incorporated criminal justice health (CJH) and substance use disorder (SUD) content. Students completed a survey during the first and last classes of the semester, evaluating their level of knowledge, skills, and attitudes regarding SUD in criminal justice (CJ) involved persons. Answers to both open-ended and close-ended questions were evaluated. Dihydroethidium Students reported significantly higher confidence in course content after the semester compared with baseline. Findings indicated students’ increased confidence in knowledge of CJH in individuals with SUD, and of CJ policy and advocacy. Social justice course content can be successfully developed and evaluated for nursing curricula.Many incarcerated individuals have chronic health conditions and mental health issues that have not been addressed by health care providers in years, if not decades. Patients in correctional settings are isolated from society and have reduced access to health care. Prison is a lonely scary place. How then do nurses impact the lives of these patients? It can be challenging given safety concerns, resource issues, and the bias of not only the nurse but also the security staff with whom they are working. Nurses have a responsibility to their patients to beneficence, justice, nonmaleficence, and autonomy. Compassion in corrections, though, is often viewed as naivete or weakness. Should these qualities be left out of corrections? By identifying one’s own bias and asserting firm consistent practices, correctional nurses can set an example of unbiased care. The standards of care are the minimum required, but are they enough?Correctional nurses fulfill many roles in the provision of health care to incarcerated individuals. The role most readily visible is health care provider, but today’s nurses are also expected to fill a variety of different leadership roles. Leadership is recognized as a fundamental characteristic of nursing by the nursing organizations that set professional standards. Possessing leadership skills is thus vital to the professional correctional nurse. The first step in developing leadership skills requires introspection and contemplation. Today’s nursing leaders must understand and express their core values and beliefs if they want to establish and enhance their credibility. This article explores personal inspiration and motivation and guides nurses through the process of articulating their beliefs and values to their constituents in the form of a Personal Professional Philosophy Statement.Traumatic cervical spinal cord injury (cSCI) can lead to damage of bulbospinal pathways to the respiratory motor nuclei and consequent life-threatening respiratory insufficiency due to respiratory muscle paralysis/paresis. Reports of electrical epidural stimulation (EES) of the lumbosacral spinal cord to enable locomotor function after SCI are encouraging, with some evidence of facilitating neural plasticity. Here, we detail the development and success of EES in recovering locomotor function, with consideration of stimulation parameters and safety measures to develop effective EES protocols. EES is just beginning to be applied in other motor, sensory, and autonomic systems; however, there has only been moderate success in preclinical studies aimed at improving breathing function after cSCI. Thus, we explore the rationale for applying EES to the cervical spinal cord, targeting the phrenic motor nucleus for the restoration of breathing. We also suggest cellular/molecular mechanisms by which EES may induce respiratory plasticity, including a brief examination of sex-related differences in these mechanisms.

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