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UNDERGRADUATE RESEARCH PROPOSAL FORM
b) Background
Nowadays, health has been defined as the ability of the body to adapt to
new threats and frailty and also defined in the presence or an absence in
disease. World Health Organization (WHO) defined health as “a state of
complete physical, mental and social well-being not merely the absence
of disease and infirmity.” This definition concerns for the individual as the
physical, mental and social functioning. This also shows that healthy
individuals are not suffering from any health related issues such as
diseases, or any hazards. Mental processes determine people’s
relationship with their physical and social surroundings, their attitudes
about life, and their interaction with others. It places health in the context
of environment, their health affected by everything they interact with- not
only environmental influences such as climate and the availability of
nutritious food, comfortable shelter, clean air to breathe, and pure water
to drink, but also other people, including family, loved ones, employers,
co-workers, friends, and associates of various kinds. This definition also
equates health with productive and creative living. It focuses on the living
state rather than on categories of disease that may cause illness or
death. ( Kozier et al., 2004)
“Health is wealth” an old popular saying or phrase that we usually hear
whenever we talk about the meaning of health this fits very well to any
individual. It means that health is the real wealth that gives strength of
our body and mind to cope and able to face any circumstances that
comes to our everyday life. Health is the most important thing for a better
quality of life without health we are unable to enjoy and meet the quality
of life we want to have and suffer from any difficulties.
Quality of life defined as an overall well-being of the person and
societies. It is also one of the most important considerations in every
individual especially in health care. Quality of life is the ability of the
person to enjoy normal life activities. Some medical treatments can
seriously impair quality of life without providing appreciable benefit,
whereas others greatly enhance quality of life.
(https://www.medicinenet.com.2018)
Lucena City District jail Male/female dorm is the jail for both gender
but this study focus only on the health-related quality of life of female
inmates. Based on research of Mark Rod Labayo 2008; In US female
prisons, inmate society is generally made up of informal pseudo families.
Almost all inmates are part of a family and define their relations in
Kinship term. The pseudo family provides a predictable and stable
structure of social relations including homosexuality relation to which a
female inmate can turn for support. It is not uncommon, however, for the
different families to come in to conflicts.
- Theoretical Framework
the first nursing theorist, contains elements that have not changed
since the establishment of the modern nursing profession. Though
this theory was pioneering at the time it was created, the principles it
applies are timeless. (Petiprin, 2016)
because they have no peace of mind caused by the environment
they’re staying.
- Literature Survey
services as part of their personal prison journey, which started on the
day of their imprisonment until their release. For those prisoners who
did not access health services outside the prison, imprisonment
improved their access to both mental and physical health
services.The officials rated the quality healthcare service and
accessibility to healthcare as poor indicating that one’s employment
status is likely to influence her assessment of the quality of
assessable healthcare. Females serving prison sentences gave the
highest rating in health assessment whereas those on remand gave
the lowest. (Sarpong, et al., 2015)
According to the study entitled “Health status and access to health
services of female prisoners in Greece: a cross-sectional survey”
Most of the findings of literature related to this research are
consistent with the international literature. Prisoners has poor health
status compared to their previous health before entering in the cell,
as well as the increasing ratio of mental disorders and poor mental
health has been discussed in various studies. Half of the respondents
reported that they have poor access to healthcare services as well as
the quality of healthcare provided in prison was also poor. Another
study in Italy showed that prisoners with the average age of 40 years
graded their health as poor. Furthermore, the result of the study
regarding Greek female inmates’ point of view on the access to and
quality of health services also seem to be the same with other studies
reporting that inmates are provided a low level of inpatient care
during imprisonment, since they do not have a direct access to
healthcare in the community, as the general population, choose their
health service providers. In the European Union, female inmates are
more likely to suffer from sexually transmitted diseases (STD), due to
their high-risk behavior, such as prostitution, or traumatic
experiences, such as rape or sexual abuse. Despite the fact that
diagnostic tests are compulsory for prisoners according to the Greek
Penal Code, only 40 % of the respondents had been examined for
sexually transmitted diseases during detention. Similar findings have
also been reported in other surveys, highlighting the increased risk of
spreading these diseases to other prisoners and to the community
after release. (Geitona & Milioni, 2016)
Mental Healthcare
Most of the reviews related to this research, reveals that
approximately three (3) out of ten (10) female prisoners evaluated
their general health status as poor compared to their health status
before entering in prisons, while two-thirds (⅔) reported that their
health status are worsened during imprisonment, particularly their
mental health. More specifically, the rate of serious mental illnesses
among prisoners has been reported to be three(3) to five (5) times
higher than that of the general population. it means due to
imprisonment their mental illness got worsened. (Geitona & Milioni,
2016)
Given the inequality needs among women generally for mental health
support and care, very little has been made available in place of
detention for women in the Philippines. due to greater shortage of
psychological staff, it does not meet the care that the inmates needs.
some prisoners referred to the National Centre for Mental Health; this
reportedly tends to require a court order and severe symptoms of
mania. While one woman’s jail benefitted consistently from a staff
member with psychiatric training.(Baker, 2011)
this practice. One possible reason for the lower rate of pregnancy
screening in jails (37.7%), compared with prisons (68.4%), is that women
in jail are sentenced for short periods of time than those in prison (Ferszt
and Clarke 2012). In conclusion, pregnant women who go to jail are less
likely to deliver in the facility than are those who go to prison. However,
given that this group of women is highly transient, for them this is the
only opportunity they have to receive proper prenatal care. Given the low
levels of pregnancy testing, the ratings of pregnant women who are
incarcerated will increasing continually (Clarke and Adashi 2011).
Concerted efforts to increase identification in jails throughout the United
States, especially in central and western regions, where testing rates are
lower, could greatly improve the health and welfare of both mothers and
children. Some surveyed facilities gave the pregnant women an options
as such adoption or termination. because there is only limited time to
care for their child because prison does not provide facilities for
breastfeeding and prisoners are not allowed to care for their child due to
lack of budget to provide the needs of the baby. Across correctional
facilities there were inequality in medical services provided due to lack of
budget in each inmates that why medical services does not give so
much attention. Almost one-third of the facilities did not have onsite
OB/GYN care. Instead, these facilities transported women outside of the
jail for medical care. If women are shackled during transportation to the
outside medical facility, they may be discourage them from going to the
medical appointment. Using restraints of any kind during daily routine at
the jail puts the mother and developing child at risk by increasing
susceptibility to falling and also increasing the risk for any complications
such preterm labor and hemorrhaging during delivery (D eAngelis. 2016)
Given the health risks posed and increased attention to the issue, it is
surprising that the rates of shackling in jail facilities are still so
high.(Kelsey, et al., 2017)
Marital status influenced the mean health provision assessment ratings
of inmates,single female inmates rating are about 5.7 percent while
married female inmates rates is about 4.9 percent according to research
entitled “An Assessment of Female Prisoners’ Perception of the
Accessibility of Quality Healthcare: A Survey in the Kumasi Central
Prisons, Ghana” (Sarpong, et al., 2015)
multicenter study is ongoing to expand the sample and include the
female population in the study. Further research approaches could
include the some interventions with the organization of physical training
and exercise in prisons and qualitative analysis to identify other
determinants of inmates HRQoL. If physical activity will be confirmed to
highly affect the inmates HRQoL practical implications have to be
considered. The realization of training programs for female inmates
could be simple, effective, and cost effective way to improve the Quality
of Life of prisoners and to contribute to the re-educational aim of the
prison detention. According with the Italian Constitution Document
“punishments must aim at rehabilitating the condemned” for the
restitution of healthy and renewed persons to the community (A.
MAnnocci et Al. 2015)
Physical health
Female prisoners in US who participating in the focus group reported
that limited physical activity affect their physical health. The related study
reveals that both the physical and mental components of the Health
related quality of life (HRQoL) in the inmates population are affected by
physical activity. According with Meek et al. we can state that physical
activity can contribute to achieving “healthy prison” objectives in practice.
Physical activity is effective tool to challenge chronic diseases in general
population. Physical activity programs in prisoners could contribute to
accomplish this target that seems to be the main determinant, joint with
the BMI variation and smoking attitude, of inmates’ quality of life...
Programs promoting physical activity will help in order to improve the
quality of life (QoL) of the inmates and allow a better social integration at
the end of detention.(A. MAnnocci et Al. 2015)
- Significance of the Research
- Definition of Terms
High blood pressure - Is a common condition in which the long-term
force of the blood against your artery walls is high enough that it may
eventually cause health problems, such as heart disease
(https://www.mayoclinic.org. 2018).
Jail - a place where criminals are kept as a punishment for their crimes
or while waiting for trial. (https://dictionary.cambridge.org. 2019)
Limitations of this study are related with the setting, designs, data
collection and inexperience of the researchers. Research interview
will be conducted only within Lucena City District Jail with selected
respondents of approximately ten (10) persons. The duration of the
conduct of this study will be approximately one (1) year.
be described and analyzed thoroughly. After the data has been
gathered, we will organize them into specified themes that embody
the purpose of this research.
The chapter includes the discussion of the research design and methodology to be used
by the researchers in the entire study
Research design
his study will utilize a qualitative approach to assess the quality of life of female
T
prisoners. Qualitative research is a type of social science research that collects and
works with non-numerical data and that seeks to interpret meaning from these data that
help us understand social life through the study of targeted populations or places.
People often frame it in oppositions to quantitative research, which uses numerical data
to identify large-scale trends and employs statistical operations to determine causal and
correlative relationships between variables. (Crossman, 2019). As a result of this study
is to assess the health status of the female inmates, understanding their quality of life
inside the jail and how to cope with daily living.
Research Participants
This study is to determine the quality of life of selected female inmates in Lucena,
City District Jail. The respondent for this study will be ten (10) inmates. The researcher
will explain the purpose of the study to the selected female inmates and understanding
the quality of life inside the jail, and how they cope with the daily living.
Research Instruments
There will be no research instrument that will use in this study. The researchers will use
the structured interview. A structured interview is when all questions are prepared in
advance. There are many ways in which you can conduct structured interviews. For
example you can conduct them over the phone, face-to-face, over the internet, using
computer programs such as skype, or using videophone (study.com 2019). The
researcher will record the interview using cellphone recorder.
This study is to determine the quality of life of selected female inmates in Lucena,
City District Jail. The respondent for this study will be ten (10) inmates. The researchers
will explain the purpose of the study to the selected female inmates and understanding
the quality of life inside the jail, and how they cope with the daily living.
Interview will be employ a selected inmates in Lucena City District Jail. this structured
interview will base on the health related quality of life of female prisoners.
The target population of this study is the selected female inmates of Lucena, City
District Jail. They were the right respondent for this study specifically to the purpose of
the study.
Ten (10) female inmates were selected to this study. The researchers will explain to the
selected female inmates the purpose of the study is understanding the quality of life
inside the jail, and how to cope with the daily living.
As shown in the paradigm, the common problems that may encountered by the inmates
of Lucena, City District Jail. May include the insufficient medical care, quality of foods,
environment, overcrowding, and communicable disease.
Afterwards, female inmates should lessen the effects of these common problems in
their rehabilitation
Appendices
A. Curriculum Vitae of the Researcher
B. Research Instruments