Caring for prisoners with dementia: a reflexive thematic analysis through a salutogenic lens
摘要
This study explored experiences of correctional nurses’ when caring for prisoners with dementia. While the increasing ageing population worldwide has allowed for advancements in aged and dementia care, correctional settings are yet to incorporate this knowledge in their workforces. Therefore, this has created a disparity in care for marginalised populations in correctional settings.
MethodsThis study employed a qualitative descriptive approach, with reflexive thematic analysis. Additionally, this study was guided by the theoretical framework of salutogenesis, which focuses on promoting health and well-being rather than solely addressing illness or disease. Participants were recruited using purposive sampling targeting senior nurses working in the correctional setting and in-depth, semi-structured interviews were conducted, recorded and transcribed verbatim. Reflexive thematic analysis of the data collected was undertaken following Braun and Clarke’s six step framework.
ResultsThe study identified six overarching themes and sixteen subthemes, highlighting the critical aspects in this setting. The paradigm shift created by applying a salutogenic lens to the pathogenic focused findings associated with managing disease in this study revealed three key elements essential to caring for prisoners with dementia: cognitive, resource-based, and motivational factors. The findings of this study offer a more holistic framework for the unique challenges of dementia care for prisoners by shifting the focus in health care toward promoting wellbeing and resilience in this population.
ConclusionThis research highlights the deep contextual factors that influence dementia care. Correctional settings pose unique challenges to healthcare provision associated with structural limitations, resource shortages, and complex interpersonal dynamics. By adopting a salutogenic perspective, these challenges can be reframed as opportunities for resilience-building and health promotion for prisoners with dementia.
Clinical trial numberNot applicable.