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At least 19 recordsLinked to original sources

The nursing shortage. Implications for military nurses.

Trends relative to nursing vacancies are expected to exist into the next decade. Unlike the cyclical shortages of the past, this shortage may not resolve itself. The authors present five major factors in nursing that have led to the shortage and that contribute to its continuation. Because military nurses provide much manpower in the healthcare industry, shortages in their ranks will affect the entire healthcare system. The five factors were applied to the military nursing force to demonstrate that the military also feels the pinch of the current nursing shortage.

Age Factors↗

Factors influencing burnout and job stress among military nurses.

Burnout among military nurses has been found to lead to job absenteeism, staff conflicts, and a high turnover of personnel. Factors influencing nurses working in smaller and often isolated military installations of the South African National Defence Force were investigated using a job-stress and burnout questionnaire and a semi-structured interview. Investigation focused on registration categories, geographic location, and age. It was found that the senior registration categories experienced more burnout, and nurses in isolated areas reported almost double the number of cases of burnout than nurses in larger centers. Age played a role in the very young (19-25 years) and older (40-50 years) nurses. The lack of support from supervisors, high responsibility, long working hours, and task overload were the four most common stressors reported. Some suggestions are forwarded to manage the risk of burnout among military nurses in similar situations.

Adult↗

Images and sensations of war: a common theme in the history of military nursing.

We analyzed interviews with 22 military nurses who had served in wars or conflicts since World War II, up to and including Operation Desert Storm. Using a method of hermeneutic phenomenology, we found several common themes in the interviews. In this article, we report on the theme Images and Sensations of War. Within that theme, the subcategories sights, sounds, and other sensations (climate and weather, taste, smell, and comfort) were discovered. We categorized the images and sensations as pleasant, unpleasant, and horrible. The findings from this analysis may be useful to professionals who recruit military nurses, provide ongoing military training, help military nurses return to civilian life, and treat posttraumatic stress syndrome. Furthermore, the findings could be used as a basis for future quantitative studies to determine how widespread this theme is in larger groups of military nurses.

Female↗

Development of a model of moral distress in military nursing.

The purpose of this article is to describe the development of a model of moral distress in military nursing. The model evolved through an analysis of the moral distress and military nursing literature, and the analysis of interview data obtained from US Army Nurse Corps officers (n = 13). Stories of moral distress (n = 10) given by the interview participants identified the process of the moral distress experience among military nurses and the dimensions of the military nursing moral distress phenomenon. Models of both the process of military nursing moral distress and the phenomenon itself are proposed. Recommendations are made for the use of the military nursing moral distress models in future research studies and in interventions to ameliorate the experience of moral distress in crisis military deployments.

Adaptation, Psychological↗

The coming of age of military nursing research.

An Institute of Medicine (IOM) committee recently reviewed the TriService Nursing Research Program. In its report, The Program for Research in Military Nursing: Progress and Future Direction, the IOM committee ' supported the continuation of the program and made recommendations for improving it. The committee emphasized the importance of developing and supporting programs of research, establishing an environment of scientific excellence, determining areas for future research funding, and allocating resources for program infrastructure, management, and functions. This article expands that theme. It begins with an historical perspective; addresses challenges facing military nurse researchers and the role of programs of military nursing research; and offers a series of conclusions for leadership necessary to establish an environment of scientific excellence.

Education, Nursing, Graduate↗

The spiritual dimensions of care in military nursing practice.

Spirituality has been the subject of numerous journal articles and books in recent years. Research into this topic has been conducted in many spheres of nursing practice with the notable exception of military nursing. This article goes a small way to addressing the apparent lack of research into spirituality in a military nursing setting by summarizing the findings of one study into this significant area of nursing care. The findings are derived from a mixed method quantitative/qualitative study of registered nurses in the Royal Australian Air Force. The major finding indicated that two distinct concepts of "family" define the way in which this small group of nurses perceive, assess and implement care for the spiritual needs of their patients. These concepts comprise a traditional family structure and an extended military family structure that includes the person's unit and comrades-in-arms.

Attitude of Health Personnel↗

Shared experiences and meanings of military nurse veterans.

OBJECTIVE: To determine the shared perceptions, feelings, and experiences of U.S. military nurse veterans. DESIGN: Phenomenological based on Heideggerian philosophy. POPULATION, SAMPLE, SETTING: The population was of military nurse veterans in the U.S.A. from World War II, Korea, Vietnam, and Operation Desert Storm. The convenience sample was 22 nurses recruited from local and national veterans' groups who volunteered to be interviewed. METHODS: Transcribed interviews with team members producing written interpretations; the team produced consensus about themes. Each interview was summarized and validation from the research team and respondents was sought. CONCLUSIONS: Five common themes or shared meanings emerged: reacting personally to the war experience, living in the military, the meaning of nursing in the military, the social context of war, and images and sensations of war. CLINICAL IMPLICATIONS: A coherent review of wartime nursing.

Adaptation, Psychological↗

Shared meanings for military nurse veterans: follow up survey of nurse veterans from WWII, Korea, Vietnam, and Operation Desert Storm.

This study is an extension of a qualitative study involving military nurses in World War II, Korea, Vietnam and Operation Desert Storm. Common themes and shared meanings identified in the previous qualitative study were investigated using a broad sample of military nurses who had served at various times and different branches of the service. The present investigation used a survey to gather data, and results tended to validate results of the earlier study that the experiences of military nurses in times of war tend to transcend many factors including time and branch of service.

Adult↗

The military nurse experiment in Vietnam: stress and impact.

Demographic, health, and psychosocial data from two studies are presented on military nurses assigned to Vietnam. Army nurse subjects in the first study were grouped for comparison on three major variables: assignment to Vietnam before versus after the 1968 TET Offensive, type of nursing duties performed, and years of experience as a registered nurse (RN) prior to assignment in Vietnam. The second study compared another group of Army nurses with a group of Air Force and Navy nurses also assigned to Vietnam. Army nurses with less than two years RN experience prior to their assignment were found to be more at risk for such negative outcomes as difficulty establishing personal relationships and difficulty coping with stressful situations. Stress experiences, career dissatisfaction data, and health problems of military nurses and their children are reported. Also described are positive experiences of nurses in developing personal relationships in a rewarding professional environment.

Adaptation, Psychological↗

The culture of war: a study of women military nurses in Vietnam.

Many books and studies have described the male Vietnam War culture, whereas similar literature about women is almost nonexistent. This study describes the culture of war nursing as experienced by 24 U.S. women military nurses. Data were generated using a core question and in-depth interviews. Phenomenology served as the research method, incorporating data analysis procedures of Colaizzi and Lincoln and Guba. Nine theme categories were identified to describe the culture of war nursing. Core values of the military culture were threaded throughout descriptions, and activities to make their environment more homelike embodied the positive values of their culture.

Adult↗

What does a military nursing shortage mean to us?

The current nursing shortage makes U.S. military medical readiness questionable. Legislative initiatives for attracting nurses to the military and reserves are being employed. In spite of these efforts, plans are underway to draft nurses during a military emergency.

Humans↗

The lived experience of women military nurses in Vietnam during the Vietnam War.

The lived experience of 24 military nurses during the Vietnam war is described in addition to common elements of their lives after returning from Vietnam. In-depth interviews generated data about personal and professional aspects of the lives of women nurses in the war zone. Data analysis incorporated the qualitative methods of Colaizzi, Lincoln and Guba, and Van Manen. Findings revealed that the nurses struggled with moral and ethical dilemmas of wartime nursing, felt out-of-place, and lacked privacy. The nurses described a deep and special bonding, and many found serving in Vietnam to be the most rewarding experience in their careers. The Vietnam War continues to have an effect on the lives of the nurses who served there. They balance their personal and professional growth gleaned from this experience with the physical and emotional stresses experienced during the war and since the war. The findings of this study have implications for further research about nurses in Vietnam and nurses who have served in other wars.

Adaptation, Psychological↗