An exploration of nursing students' lived experience of clinical placement in adult male prisons: A phenomenological study

Brooke, Joanne and Rybacka, Monika and Sarwan, Shubhangi and Ojo, Omorogieva (2024) An exploration of nursing students' lived experience of clinical placement in adult male prisons: A phenomenological study. Journal of Advanced Nursing. ISSN 0309-2402

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Abstract

Aim
To explore nursing students' lived experience of a clinical placement within healthcare in a prison, to gain an insight into the support provided prior to and during this unique clinical placement.

Design
An inductive phenomenological study.

Methods
Participants included 14 nursing students from three undergraduate nursing programmes in England, Adult (n = 4), Learning Disability (n = 3) and Mental Health (n = 7). Following a clinical placement in a prison, each participant completed a semistructured audio-recorded interview on MS Teams between October and December 2021. Audio recordings were transcribed verbatim and thematic analysis was completed.

Results
Two overarching themes were identified, ‘shock’ due to the (a) reality of prison; (b) overwhelming emotional impact and (c) frequency and severity of self-harm and ‘surprise’ due to (a) the need to work with prison officers; (b) recognizing and addressing preconceptions of people in prison and (c) the development of clinical knowledge, skills and becoming a nurse.

Conclusions
The need remains for a comprehensive strategy of preparation and orientation for nursing students before commencing a clinical placement in prison, which includes the development of knowledge and clinical skills to support the complex health and social care needs of people in prison.
Impact

Our research identified the support provided to nursing students prior to clinical placement in prison varies considerably. The development of a preparation and orientation programme has the potential to reduce pre-placement anxiety, emotional burden and support nursing students in addressing their preconceptions of people in prison. This approach is essential to support future nursing students to embrace the unique opportunity of a clinical placement within a prison, enhance their clinical knowledge and skills, and develop as a nurse.

Reporting Method
Our paper adheres to the consolidated criteria for reporting qualitative research (COREQ).

Patient or Public Contribution to the Development of this Study
None.

Item Type: Article
Identification Number: 10.1111/jan.16355
Dates:
Date
Event
13 July 2024
Accepted
29 July 2024
Published Online
Uncontrolled Keywords: nursing education, prisons, research, nursing students
Subjects: CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-02 - adult nursing
Divisions: Faculty of Health, Education and Life Sciences > College of Nursing and Midwifery
Depositing User: Gemma Tonks
Date Deposited: 17 Oct 2024 14:24
Last Modified: 17 Oct 2024 14:24
URI: https://www.open-access.bcu.ac.uk/id/eprint/15907

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