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Background <p>The number of older prisoners is increasing across Europe, partly due to demographic change. In Germany, 16% of prisoners are over 50 years old. This means that prisoners in custody fall seriously ill, require care and also die. To date, there has been no study on hospice and palliative care for this group of people. This study takes a nursing science and hospice perspective to examine the possibilities for hospice and palliative care in prison that are equivalent to the situation in freedom.</p> Methods <p>As part of this qualitative study, 14 guideline-based expert interviews were conducted with employees and volunteers of outpatient hospice services and with people who are confronted with the topic of dying in a prison in various functions. The evaluation was carried out using content-structuring, qualitative content analysis. The interviewees were recruited via the German Hospice and Palliative Association and via snowball system.</p> Results and discussion <p>The general conditions of the prison system have a significant impact on the possibilities for hospice and palliative care. Nursing professionals have to deal with the different requirements of ensuring security on the one hand and empathic care on the other. Volunteer hospice caregivers are met with ambivalence in the prison system: For one thing, they are perceived as a disruption to the prison routine, then again they are also seen as a relief in everyday prison nursing care. In some prisons, a change in dealing with dying, death and grief is noticeable.</p>

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„Sterben braucht ganz viele Ausnahmen“. Eine qualitative Studie zur hospizlich-palliativen Versorgung im Strafvollzug

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月14日

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  • Susanne Fleckinger,
  • Henning Schmidt-Semisch

摘要

Background

The number of older prisoners is increasing across Europe, partly due to demographic change. In Germany, 16% of prisoners are over 50 years old. This means that prisoners in custody fall seriously ill, require care and also die. To date, there has been no study on hospice and palliative care for this group of people. This study takes a nursing science and hospice perspective to examine the possibilities for hospice and palliative care in prison that are equivalent to the situation in freedom.

Methods

As part of this qualitative study, 14 guideline-based expert interviews were conducted with employees and volunteers of outpatient hospice services and with people who are confronted with the topic of dying in a prison in various functions. The evaluation was carried out using content-structuring, qualitative content analysis. The interviewees were recruited via the German Hospice and Palliative Association and via snowball system.

Results and discussion

The general conditions of the prison system have a significant impact on the possibilities for hospice and palliative care. Nursing professionals have to deal with the different requirements of ensuring security on the one hand and empathic care on the other. Volunteer hospice caregivers are met with ambivalence in the prison system: For one thing, they are perceived as a disruption to the prison routine, then again they are also seen as a relief in everyday prison nursing care. In some prisons, a change in dealing with dying, death and grief is noticeable.