Problematizing transitions in relation to correctional centres for people living with HIV: Unpacking the taken for granted.




HIV, Correctional facilities, Correctional nursing, Problematization, Transitions


Transitions into and out of correctional facilities for people living with HIV are a pivotal point in the HIV treatment cascade where adherence metrics are significantly affected. In this paper I use Alvesson and Sandberg’s problematization method of literature analysis to critique and understand the taken-for-granted assumptions underpinning how knowledge is generated within the intersecting fields of HIV, transitions, and corrections. Utilizing problematization, two assumptions underpinning knowledge generation are identified: the linearity of the HIV care continuum model and the tendency to create and perpetuate spatially segregating metaphors of transitions inside versus outside correctional facilities for people living with HIV. These assumptions are discussed in the context of how they shape dominant ways of thinking and practicing in the field. An alternative way to understand transitions for people living with HIV is proposed along with recommendations to guide the HIV care practices of nurses and other healthcare providers.


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Author Biography

Morgan Wadams, University of Alberta

Morgan Wadams, RN, BScN, is a PhD Candidate in the Faculty of Nursing, University of Alberta. His doctoral work utilizes a narrative inquiry approach to explore experiences of transition around correctional facilities in Alberta for people living with HIV.



Alvesson, M. (1993). Cultural perspectives on organizations. Cambridge: Cambridge University Press.

Alvesson, M., & Sandberg, J. (2011). Generating research questions through problematization. Academy of Management Review, 36(2), 247-271. DOI:

Befus, D. R., Kumodzi, T., Schminkey, D., & St. Ivany, A. (2019). Advancing health equity and social justice in forensic nursing research, education, practice, and policy: Introducing structural violence and trauma- and violence-informed care. Journal of Forensic Nursing, 15(4), 199–205. DOI:

CATIE. (2018a). Canadian prisoners. Retrieved from

CATIE. (2018b). Criminalization of HIV non-disclosure. Retrieved from

Cheever, L. W. (2007). Engaging HIV-infected patients in care: Their lives depend on it. Clinical Infectious Diseases, 44, 1500-1502. DOI:

Christopoulos, K. A., Das, M., & Colfax, G.N. (2011). Linkage and retention in HIV care among men who have sex with men in the United States. Clinical Infectious Diseases, 52(2), 214-222. DOI:

Clandinin, D. J., Connelly, M. F. (2000). Narrative inquiry: Experience and story in qualitative research. San Francisco, CA: Jossey-Bass Inc.

Clandinin, D. Jean, Steeves, P., & Caine, V. (2013). Composing lives in transition: A narrative inquiry into the experiences of early school leavers. Bingley, UK: Emerald

Dhaliwal, K., & Hirst, S. (2016). Caring in correctional nursing: A systematic search and narrative synthesis. Journal of Forensic Nursing, 12(1), 5–12. DOI:

Doucet, A. (2018). Shorelines, seashells, and seeds: Feminist epistemologies, ecological thinking, and relational ontologies. In Palgrave Handbook of Relational Sociology (pp. 375-391). Springer International Publishing. doi:10.1007/978-3-319-66005-9_19 DOI:

Erickson, M., Pick, N., Ranville, F., Braschel, M., Kestler, M., Kinvig, K., Krüsi, A., Shannon, K., & SHAWNA Project. (2019). Recent incarceration as a primary barrier to virologic suppression among women living with HIV: Results from a longitudinal community-based cohort in a Canadian setting. AIDS and Behavior, 24, 1-9. DOI:

Foucault, M. (1982). Is it really important to think? An interview translated by Thomas Keenan. Philosophy & Social Criticism, 9(1), 30-40. doi:10.1177/019145378200900102 DOI:

Gardner, E.M., McLees, M.P., Steiner, J.F., Rio, C.D., & Burman, W.J. (2011). The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clinical Infectious Diseases, 52(6), 793-800. DOI:

Goddard, D., de Vries, K., McIntosh, T., & Theodosius, C. (2019). Prison nurses’ professional identity. Journal of Forensic Nursing, 15(3), 163–171. DOI:

Goshin, L. S., Colbert, A. M., & Carey, J. F. (2018). An integrative review of nurse-authored research to improve health equity and human rights for criminal-justice-involved people. Journal of Forensic Nursing, 14(2), 53–60. DOI:

Government of Canada. (2018). Surveillance of HIV and AIDS. Retrieved from

Hacking, I. (1983). Representing and intervening: Introductory topics in the philosophy of natural science. Cambridge: Cambridge University Press. DOI:

Hacking, I. (2006). Kinds of people: Moving targets. Proceedings of the British Academy, 151, 285-318.

Iroh, P. A., Mayo, H., & Nijhawan, A. E. (2018). The HIV care cascade before, during, and after incarceration: A systematic review and data synthesis. American Journal of Public Health, 108(3), e5-e16. doi:10.2105/AJPH.2015.302635 DOI:

Jacob, J. D., & Holmes, D. (2011). Working under threat: Fear and nurse-patient interactions in a forensic psychiatric setting. Journal of Forensic Nursing, 7(2), 68–77. DOI:

Kemnitz, R., Kuehl, T.C., Hochstatter, K. R., Barker, E., Corey, A., Jacobs., … Westergaard, R. P. (2017). Manifestations of HIV stigma and their impact on retention in care for people transitioning from prisons to communities. Health & Justice, 5(1), 1-11. DOI:

Kouyoumdjian, F. G., Lamarche, L., McCormack, D., Rowe, J., Kiefer, L., Kroch, A., & Antoniou, T. (2020). 90-90-90 for everyone?: Access to HIV care and treatment for people with HIV who experience imprisonment in Ontario, Canada. AIDS Care, 32(9), 1168–1176. DOI:

Meyer, J. P., Cepeda, J., Wu, J., Trestman, R. L., Altice, F. L., & Springer, S. A. (2014). Optimization of human immunodeficiency virus treatment during incarceration: Viral suppression at the prison gate. JAMA Intern Med, 174, 721–29. DOI:

Muessig, K. E., Rosen, D. L., Farel, C. E., White, B. L., Filene, E. J., & Wohl, D. A. (2016). “Inside these fences is our own little world”: Prison-based HIV testing and HIV-related stigma among incarcerated men and women. AIDS Education & Prevention, 28(2), 103–116. DOI:

Mugavero, M. J., Amico, K. R., Horn, T., & Thompson, M. A. (2013). The state of engagement in HIV care in the United States: From cascade to continuum to control. Clinical Infectious Diseases, 8, 1164-1171. DOI:

Parker, R., & Aggleton, P. (2003). HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action. Social Science & Medicine, 57, 13-24. DOI:

Peternelj-Taylor, C., & Woods, P. (2019). Saskatchewan provincial correctional nurses: Roles, responsibilities, and learning needs. Journal of Correctional Health Care, 25(2), 177–190. DOI:

Pols, J., Willems, D., & Aanestad, M. (2019). Making sense with numbers. Unraveling ethico-psychological subjects in practices of self-quantification. Sociology of Health and Illness. DOI:

Simonsen, K., Shaikh, R., Earley, M., Foxall, M., Boyle, C., Islam, K., … Islam, K. M. (2015). Rapid HIV screening in an urban jail: How testing at exit with linkage to community care can address perceived barriers. Journal of Primary Prevention, 36(6), 427–432. DOI:

Shapin, S. (1994). A social history of truth: Civility and science in seventeenth-century England. Chicago: University of Chicago Press. DOI:

Springer, S. A., Spaulding, A. C., Meyer, J. P. & Altice, F. L. (2011). Public health implications for adequate transitional care for HIV-infected prisoners: Five essential components. Clinical Infectious Diseases, 53(5), 469-479. DOI:

Subramanian, Y., Khan, M.N., Berger, S., Foisy, M., Singh, A., Woods, D., … Ahmed, R. (2016). HIV outcomes at a Canadian remand centre. International Journal of Prisoner Health, 12(3), 145-156. doi:10.1108/IJPH-12-2015-0041 DOI:

Swan, H. A. (2016). Qualitative examination of stigma among formerly incarcerated adults living with HIV. Sage Open, 6(1), 1-9. doi:10.1177/2158244016629524 DOI:

Terblanche, L., & Reimer-Kirkham, S. (2020). Nursing leadership implications for clinical placements in corrections. Nursing Leadership, 33(1), 35–51. DOI:

Weinrath, M. (2016). Behind the walls: Inmates and correctional officers on the state of Canadian prisons. Vancouver, BC: UBC Press.




How to Cite

Wadams, M. (2021). Problematizing transitions in relation to correctional centres for people living with HIV: Unpacking the taken for granted . Witness: The Canadian Journal of Critical Nursing Discourse, 3(2), 47–63.
Received 2021-05-17
Accepted 2021-09-22
Published 2021-12-18