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Encountering offenders in community palliative care settings: challenges for care provision

Encountering offenders in community palliative care settings: challenges for care provision
Encountering offenders in community palliative care settings: challenges for care provision

Background: There is very little research into the way that offender management strategies impinge on the practices and decision-making of palliative care personnel in community settings. Aims: To improve understanding of the challenges that community palliative care service providers encounter when caring for people who have been sentenced to custody and are under the supervision of the prison or probation services. Methods: This paper discusses one part of a larger multidisciplinary study on bereavement, loss and grief in the criminal justice system. It reports the findings from a focus group with 10 health professionals working within specialist community palliative care services. Thematic analysis was undertaken to identify and explicate the most significant themes arising from the transcript data. Results: There were situations where the participants were able to identify that patients were under the jurisdiction of the criminal justice system or had relatives in custody. Three themes emerged that highlighted distinctive aspects of providing care to this patient group. These themes were: patients under prison, probation or police supervision altered the dynamics of care provision; prisoners were restricted from supporting or contacting their dying relatives in the community; and participants (professionals) were obstructed from supporting patients at home because of criminal or antisocial behaviour by relatives of the dying. Conclusions: Health professionals face multiple challenges that curtail them from fully realising the aims of palliative care for patients and relatives under criminal justice supervision, in ways that merit further consideration and research.

Criminal justice system, Disenfranchised grief, Equitable care, Palliative, Prisoner
1357-6321
368-375
Lillie, Kate
0537595c-3c67-4720-9dac-82c2601c1ebe
Corcoran, Mary
4e8e4646-9e5d-45b0-89e3-0b0fd27061f6
Hunt, Katie
2fa1dc88-f772-4db0-b8c6-f79287dbd61f
Wrigley, Anthony
4f343577-11e6-459b-a1fe-1af8b6059762
Read, Sue
51ba4b42-1955-47f5-ac80-85ef0cc40fba
Lillie, Kate
0537595c-3c67-4720-9dac-82c2601c1ebe
Corcoran, Mary
4e8e4646-9e5d-45b0-89e3-0b0fd27061f6
Hunt, Katie
2fa1dc88-f772-4db0-b8c6-f79287dbd61f
Wrigley, Anthony
4f343577-11e6-459b-a1fe-1af8b6059762
Read, Sue
51ba4b42-1955-47f5-ac80-85ef0cc40fba

Lillie, Kate, Corcoran, Mary, Hunt, Katie, Wrigley, Anthony and Read, Sue (2018) Encountering offenders in community palliative care settings: challenges for care provision. International Journal of Palliative Nursing, 24 (8), 368-375. (doi:10.12968/ijpn.2018.24.8.368).

Record type: Article

Abstract

Background: There is very little research into the way that offender management strategies impinge on the practices and decision-making of palliative care personnel in community settings. Aims: To improve understanding of the challenges that community palliative care service providers encounter when caring for people who have been sentenced to custody and are under the supervision of the prison or probation services. Methods: This paper discusses one part of a larger multidisciplinary study on bereavement, loss and grief in the criminal justice system. It reports the findings from a focus group with 10 health professionals working within specialist community palliative care services. Thematic analysis was undertaken to identify and explicate the most significant themes arising from the transcript data. Results: There were situations where the participants were able to identify that patients were under the jurisdiction of the criminal justice system or had relatives in custody. Three themes emerged that highlighted distinctive aspects of providing care to this patient group. These themes were: patients under prison, probation or police supervision altered the dynamics of care provision; prisoners were restricted from supporting or contacting their dying relatives in the community; and participants (professionals) were obstructed from supporting patients at home because of criminal or antisocial behaviour by relatives of the dying. Conclusions: Health professionals face multiple challenges that curtail them from fully realising the aims of palliative care for patients and relatives under criminal justice supervision, in ways that merit further consideration and research.

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Accepted/In Press date: 21 June 2018
e-pub ahead of print date: 24 August 2018
Published date: August 2018
Keywords: Criminal justice system, Disenfranchised grief, Equitable care, Palliative, Prisoner

Identifiers

Local EPrints ID: 426047
URI: http://eprints.soton.ac.uk/id/eprint/426047
ISSN: 1357-6321
PURE UUID: 0c13cca7-d215-4c39-a6c6-9e57cd575629
ORCID for Katie Hunt: ORCID iD orcid.org/0000-0002-7352-0838

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Date deposited: 09 Nov 2018 17:30
Last modified: 20 Jul 2019 00:28

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Contributors

Author: Kate Lillie
Author: Mary Corcoran
Author: Katie Hunt ORCID iD
Author: Anthony Wrigley
Author: Sue Read

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