Objectives
To provide a brief statement of questions addressed in the proposal regarding the participants, interventions, and study design.
To determine the prevalence and factors contributing to the spread of TB in all-male correctional facilities. Identifying the risk factors and developing universal access to prevention, diagnosis, and treatment of drug-susceptible and DR-TB in all-male correctional facilities.
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To share the knowledge gained regarding the best practices for managing TB in penitentiary systems across the globe. The focus of this objective will be to promote ethical methods to help correctional facility managers attain the ultimate goal of ending the TB epidemic.
The rationale for How Findings Relate to the Topic and Proposed Intervention
A plethora of evidence ascertains that immigrants, refugees, and individuals detained in correctional facilities are at a high prevalence of TB. Homeless individuals, children, and adults, including those who inject drugs, are susceptible to active TB disease (Senn, 2018, p.4). Therefore, medical providers need to identify the best tests to administer for TB patients, accurately interpret the results, and conduct other additional diagnostic tests to ensure that active TB disease does not exist (Senn, 2018, p.4). Again, research proves that there is a dire need to screen prisoners for symptoms upon arrival at the facility to reduce TB prevalence by at least six-fold, particularly if they can identify active TB cases (World Health Organization, 2018, p.14). In this regard, superintendents should reduce the population of inmates to reduce the high prevalence of TB among the prison community. Spacious rooms with adequate nutrition can reduce the stressful conditions among prisoners; hence, minimizing the risk of contracting the airborne disease, including tuberculosis.
The rationale for How Proposed Project and Objectives Advocate for Autonomy and Social Justice for Individuals and Diverse Populations
By identifying a specific inmate population, the first project objective strives to conform to the American Nurse Association (ANA) scope and standards of practice, which advocate the protection, promotion, and provision of optimum care to all patients. Therefore, the objective will prevent the prevalence of TB illness in all-male correctional facilities; hence, improving healing and alleviating suffering (Schoenly, 2019, p.n.p). The goal promotes social justice for communities, families, individuals, and various social groups globally. Additionally, determining the prevalence factors that increase the spread of reduces oppression in the criminal justice system and the correctional settings. Therefore, the second objective ensures the personal and public safety of inmates, which are forerunners to social justice (Schoenly, 2019, p.n.p). Lastly, sharing knowledge about the risk factors for TB in all-male correctional facilities promotes autonomy among correctional nurses, and they make informed decisions to make the criminal justice system safe for inmates.
PICOT Thesis
Males in correctional facilities are at high risk of TB disease (P). There is a need to resort to a clinical protocol to help healthcare professionals make informed TB testing decisions (I). The intervention will ensure that providers use the best TB testing methods to ensure effectiveness, efficiency, and evidence-based practice in their endeavors to identify TB infection (O) at early stages (T).
References
Senn, K. (2018). Evidence-Based Tuberculosis Screening and Testing Clinical Protocol for Public Health and Primary Care Providers. Capstones. 38 . The University of Northern Colorado. https://digscholarship.unco.edu/cgi/viewcontent.cgi?article=1118&context=capstones
Schoenly, L. (August 22, 2019). CorrectionalNurse.Net. Correctional Nursing and the Ethics of Social Justice. Blog. https://correctionalnurse.net/correctional-nursing-and-the-ethic-of-social-justice/
World Health Organization. (2018). Good Practices in the Prevention and Care of Tuberculosis and Drug-resistant Tuberculosis in Correctional Facilities. World Health Organization. https://www.euro.who.int/__data/assets/pdf_file/0003/360543/TB-prisons-9789289052917-eng.PDF?ua=1
