Correctional Nursing

Correctional Nursing

The objective of this program is to provide immunization to inmates. Since the introduction of prisons, there has been less emphasis on the importance of vaccines. This has caused a lot of deaths among inmates. World Health Organization has raised the alarm on the rising number of deaths. Due to this, the program has focused on ways it will help various prison inmates get vaccines. This will also improve the health of the general country. The target is to cover nearly 10 per cent of the prisons that are in the country (Charuvastra, Stein, JSchwartzapfel, Spaulding, Horowitz, Macalino & Rich, 2016). It will also educate the inmates on the importance of being hygienic

From day one of detention, inmates are exposed to and open to various communicable diseases, many of which can be prevented by vaccines the risk of contracting these diseases in prison is greater than that of the community. This risk can be dispelled for several reasons; some for basic and strategic prison problems and others for permanent or acquired practices during detention. Prison is an opportunity for some detainees to consult a doctor, and in that sense, it is a perfect opportunity to improve adult vaccination plans.

Short Term Outcomes

Reduction in the spread of infectious diseases such as Hepatitis B. In the recent past hepatitis B has been the main disease which has killed many inmates. The government has tried ways of reducing the spread of this disease (Junghans, Heffernan, Valli, & Gibson, 2018). This has forced the program to put its number one agenda or short-term outcome as reduction of communicable diseases.

Decrease the number of deaths in prison. After the program has been initiated, most of the people who are not yet exposed to the communicable diseases would be safe. This means there will be a few cases of deaths. The general public will also see the impact of the program and the families of the inmates might feel that the government is protecting their relatives. After decontamination of water, life expectancy through intercession should be improved. Vaccination is an effective and practical mediation as it can eliminate and even destroy certain irresistible diseases. Therefore, of all possible penitentiary care missions, those associated with diseases that can prevent antibodies should be mandatory. Vaccine access to vaccination has a direct impact on the target group, but also on the wider network.

Long-term outcomes

Expand the boundaries to include international prisons. This will raise awareness across the globe on the importance of vaccination among inmates. It will also help improve the health of inmates since the first day in prison (Palmateer, Goldberg, Munro, Taylor, Yeung, Wallace & Hutchinson, 2018). Currently, the program only focuses on the national prisons, but by the year 2030, a lot of international inmates would benefit from the program.

Educate different system of government on the reasons why inmates should be immunized. Also, this will help in pushing the government to make it a law that each inmate must be immunized to prevent those from complex prisons from refusing to be vaccinated.

Ethical Issues

Some methods used during vaccination have irregularities making it hard for all the inmates to accept. According to HIPP, they recommend different perspectives that must be taken into account to improve the physical and psychological well-being of detainees and to reduce detention risks for the well-being and the public, generally through a global human rights-based methodology (Sequera, Valencia, García-Basteiro, Marco, & Bayas, 2015). The method, like others, has some irregularities and, concerning the social security of prisoners, may not be viable daily, especially to combat vaccine-preventable diseases and proposed vaccination programs.

In other countries their some rights that protect inmates. Most of these countries are countries which have a high economy or high wages. Prison protection programs are being implemented gradually, and the proposals take into account the particularities of the population. Detention conditions in low- and middle-income countries are generally direr, the risk of vaccines is much higher, and the lack of resources requires new vaccines, such as conjugated antibodies, which are becoming more common.

Vaccination cost can also be another implication. The prison population and the reach of older people in the detention centre are increasing worldwide, and the cost of imprisonment is increasing worldwide. The American body is the model of this problem. The US correction structure costs more than $ 74 billion a year, exceeding the GDP of more than 130 countries. These substantial costs are supported by a solid prison model, such as vaccination. If added, Companies would create heavy social security investment funds and positively affect overall well-being. However, there are not very accessible research results on the adequacy of vaccination costs in prisons or on the visualization of their care structure. No research has evaluated the presence of a coordinated prison vaccination program.

QI plan

The value of practising excellence is that one gets a privilege to impact people positively. Each person would be looking forward to the services offered by the program.

References

Charuvastra, A., Stein, J., Schwartzapfel, B., Spaulding, A., Horowitz, E., Macalino, G., & Rich, J. D. (2016). Hepatitis B vaccination practices in state and federal prisons. Public Health Reports.

Junghans, C., Heffernan, C., Valli, A., & Gibson, K. (2018). Mass vaccination response to a measles outbreak is not always possible. Lessons from a London prison. Epidemiology & Infection, 146(13), 1689-1691.

Madeddu, G., Vroling, H., Oordt-Speets, A., Babudieri, S., O’Moore, É., Noordegraaf, M. V., … & Tavoschi, L. (2019). Vaccinations in prison settings: a systematic review to assess the situation in EU/EEA countries and other high income countries. Vaccine.

Palmateer, N. E., Goldberg, D. J., Munro, A., Taylor, A., Yeung, A., Wallace, L. A., … & Hutchinson, S. J. (2018). Association between universal hepatitis B prison vaccination, vaccine uptake and hepatitis B infection among people who inject drugs. Addiction, 113(1), 80-90.

Sequera, V. G., Valencia, S., García-Basteiro, A. L., Marco, A., & Bayas, J. M. (2015). Vaccinations in prisons: A shot in the arm for community health. Human vaccines & immunotherapeutics, 11(11), 2615-2626.