title: Prison staff and the health promoting prison.
abstract: OBJECTIVE
  This paper aims to discuss some of the obstacles to implementing policy and strategy related to health promoting prisons. It focuses on the role of prison officers and raises issues concerning their conditions of service, training and organisational culture in a situation where the prison system faces security issues, overcrowding and high levels of ill health among prisoners.
  
  
  METHODS
  This paper emerged as a result of significant overlapping themes between two separate studies conducted by the authors. The paper draws on the authors' qualitative data from these studies.
  
  
  RESULTS
  The findings demonstrate the ambiguities and tensions in changing organisational cultures and among prison staff. Alongside the qualitative data, the paper draws on theory regarding policy implementation at the micro-level to show how staff can block or speed up that implementation.
  
  
  CONCLUSIONS
  Prison officers are an essential part of health promoting prisons, but have been relatively ignored in the discussion of how to create healthier prisons.
  
  
  CONCLUSIONS
  The contribution that prison staff make to creating health promoting prisons has been under-explored, yet pertinent theory can show how they can be more effectively involved in making changes in organisational culture.
authors.affiliation: Professor of Health Promotion, School of Health and Wellbeing, Leeds Metropolitan University, Leeds, UK.
authors.forename: Rachael
authors.initials: R
authors.lastname: Dixey
authors.forename: James
authors.initials: J
authors.lastname: Woodall
mesh_terms: D000288:Administrative Personnel; D003299:Cooperative Behavior; D006293:Health Promotion; D006801:Humans; D016134:Organizational Policy; D011330:Prisons; D016730:Program Development
keywords: Health in prison; Health promoting prison; Health promotion; Policy; Policy process; Prison; Prison officers; Prison service; Prison staff; Settings approach; “Street level bureaucrats”