Journal of Bioethical Inquiry 11 (3):333-345 (2014)

Health care is provided in many contexts—not just hospitals, clinics, and community health settings. Different institutional settings may significantly influence the design and delivery of health care and the ethical obligations and practices of health care practitioners working within them. This is particularly true in institutions that are established to constrain freedom, ensure security and authority, and restrict movement and choice. We describe the results of a qualitative study of the experiences of doctors and nurses working within two women’s prisons in the state of New South Wales (NSW), Australia. Their accounts make clear how the provision and ethics of health care may be compromised by the physical design of the prison, the institutional policies and practices restricting movement of prisoners and practitioners, the focus on maintaining control and security, and the very purpose of the prison and prison system itself. The results of this study make clear the impact that context has on professional practice and illustrate the importance of sociology and anthropology to bioethics and to the development of a more nuanced account of professional ethics
Keywords Prisoners  Health care  Human rights  Professional practice  Professional ethics  Nursing ethics
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DOI 10.1007/s11673-014-9558-8
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Medical Ethics at Guantanamo Bay and Abu Ghraib: The Problem of Dual Loyalty.Peter A. Clark - 2006 - Journal of Law, Medicine and Ethics 34 (3):570-580.
Doctors of Interrogation.Jonathan H. Marks - 2005 - Hastings Center Report 35 (4):17.
Doctors of Interrogation.Jonathan H. Marks - 2005 - Hastings Center Report 35 (4):17-22.

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