according to age, gender, ethnicity, religion and values. CP6. Designing and implementing individual and group health education programs according to the health condition of inmates-patients, their level of knowledge and the duration of their sentence. CP7. Being familiar with the specific language (prison slang) used by inmates as a tool to establish an improved communication between nursing professionals and inmates. CP8. Identifying the range of health demands of inmates-patients as a purpose of health, regimental or personal welfare. CP9. Being aware of extreme situations that entail very specific nursing care. CP10. Knowing the role of nurses in emergency and vital situations in correctional facilities. CP11. Knowing external reference health resources that support prison healthcare. CP12. SKills to identify physical and/or mental burnout symptoms among correctional nurses to prevent stress and de-motivation. CP13. The ability to discuss, to assess, interpret and critically review the range of information and data sources that enable the provision of care to inmates-patients. CP14. The ability to work within a ethical professional context with legal regulatory codes, being aware of and responding to ethical or moral dilemmas in everyday practice. CP 15. Leadership and nursing management skills to lead interprofesional cooperation with other members of healthcare, security and treatment teams. Source: Nursing Department. General Directorate of Prison Health and Rehabilitation1 . Rev Esp Sanid Penit 2016; 18: 110-118 47 M Sánchez-Roig, A Coll-Cámara Prison nursing and its training — 114 — of providing appropriate and quality care to mental patients. It is simply ineffective to implement action guidelines if providers lack the appropriate training in a series of areas28. Moreover, it is necessary to grant the training of professionals with regard to warning signs and management of risk factors to reduce suicide rates47. It is also worth noting the importance of health providers preparing and supervising the administration of psychiatric drugs since it enables the adherence to treatment, the early detection of interruption of treatment and it avoids the manipulation by inmates48. Another specific feature of correctional health implies healthcare actions aimed at preventing, promoting and caring for patients with infectious diseases (HIV, hepatits B and C, tuberculosis, sexually transmitted diseases, etc.) The prevalence of theses diseases is the basis for the guidelines that healthcare programs should take into account in the correctional setting. The provision of healthcare in prison is carried out by public health professionals. These professionals count upon a high level of specialization in a series of pathologies which are more prevalent within prisons and which have to be treated in a specific setting. These health problems lead to rehabilitation programs for drug users, their integration in society, or the prevention of communicable diseases such as HIV49. There are different strategies to improve adherence to antiretroviral treatment, including actions based on recall techniques, counselling, psychological support and/ or cognitive-behavioral therapies50. The adherence of inmates to treatment must take into account certain features mainly based with the particularities of the correctional setting and the population hosted within: injecting drug users (IDUs) with a high prevalence of mental disorders and social uprooting51-53. As for the skills necessary for the control of tuberculosis in prison, these are mainly based on activities of a formative or educational nature carried out by nurses as well as cooperating in the diagnosis of suspicious cases, controling adherence to treatment and carrying out research and control activities regarding the study of potential contacts54. Inmates are particularly vulnerable to tuberculosis, a fact which highlights the need for early detection of cases and appropriate measures to control this disease21, 55-60. Hepatitis B management requires that nurses acquire and keep updated knowledges on the indicated therapies and its correct management regarding education, counselling, treatment adherence and identification of secondary effects61. Nursing professionals are key elements in the treatment and management of diseases such as Hepatitis C. Counselling and educational skills as well as an ability to serve as a liason between patients and healthcare providers are necessary to improve the communication on monitoring and the treatment of this disease62. Therapeutic education provided by expert nurses increase the response of patients in the treatment of hepatitis C63. In order to ensure these assistance performances nurses need continuing education on the disease to improve their knowledge and limit the doubts concerning the management and control of the infection64. Another particular situation that correctional nurses face is the causes of aggressive episodes, which are widespread and due to varied reasons concerning the prison regimen, legal, clinical and/or social factors26. These are the so called borderline situations: “The final state a person encounters at a certain point of impulsivity, mental disorder and/or demand that should not be met since doing so would endanger his/her life or that of others”1 . These include the following: selfharm, hunger thirst or medication strike, body-