Development of a Model of Moral Distress in Military Nursing

2002 ◽  
Vol 9 (4) ◽  
pp. 373-387 ◽  
Author(s):  
Sara T Fry ◽  
Rose M Harvey ◽  
Ann C Hurley ◽  
Barbara Jo Foley
Keyword(s):  
Moral Distress ◽  
Interview Data ◽  
Future Research ◽  
Military Deployments ◽  
Military Nurses ◽  
Us Army ◽  
Army Nurse Corps ◽  
Military Nursing ◽  
Nursing Literature ◽  
The Military

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.

The Politics of Intimate Care

2017 ◽  
Author(s):  
Charissa J. Threat
Keyword(s):  
Nineteenth Century ◽  
Social Relationships ◽  
The United States ◽  
Nurse Training ◽  
Army Nurse Corps ◽  
Military Nursing ◽  
History Of ◽  
The Military ◽  
The Impact ◽  
The Relationship

This chapter traces the early evolution of nursing from the mid-nineteenth century through the early twentieth century, with particular emphasis on how nursing care became both gendered and racialized in civilian society. Focusing on the history of the Army Nurse Corps (ANC), it explores the relationship between the military and civilian populace to illuminate trends in nursing practices, debates about work, and concerns about war taking place in the larger civil society. It also examines how war and military nursing needs shaped the evolution of the modern nursing profession and how nursing became embroiled in the politics of intimate care, along with the implications for gender roles and race relations that permeated social relationships and interactions in civilian society. The chapter points to the Civil War as the transformative moment in the history of nursing in the United States, moving nursing from an unpaid obligation to a paid occupation. Finally, it discusses the impact of the introduction of formal nurse training during the last quarter of the nineteenth century on African American nurses.

Ethical Issues Encountered by Military Nurses During Wartime

2016 ◽  
Vol 34 (1) ◽  
pp. 227-246 ◽  
Author(s):  
Janice Agazio ◽  
Petra Goodman ◽  
Oluwakemi Opanubi ◽  
Patricia McMullen
Keyword(s):  
Decision Making ◽  
Ethical Issues ◽  
Code Of Ethics ◽  
Ethical Dilemmas ◽  
Daily Practice ◽  
Professional Behavior ◽  
Future Research ◽  
Ethical Practice ◽  
Military Nurses ◽  
The Military

Military nurses encounter similar issues as civilian nurses in daily practice situations; however, wartime and humanitarian missions may bring unique and difficult ethical dilemmas. While nursing has the American Nurses Association code of ethics to provide a framework to guide ethical practice decisions, conflicts may arise from the unique aspects of nursing within a wartime environment. Understanding those conflicts occuring within the military wartime scenario can provide nurses with experiential examples from which to derive strategies for personal coping and professional behavior and decision making. This chapter describes the research that has focused upon the identification of these issues, the effects from uresolved issues, and those directions for future research to better prepare miltiary nurses before and during deployment.

scholarly journals Use of High-Fidelity Simulation to Improve Confidence in Military Nurses' Deployment Readiness

2021 ◽  
Author(s):  
James Jeff
Keyword(s):  
Online Education ◽  
Chest Tube ◽  
Military Medicine ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Military Nurses ◽  
Frequent Use ◽  
Military Nursing ◽  
Specific Skill ◽  
The Military

High-fidelity simulation (HFS) has been shown to be a successful means of skill sustainment and improved confidence across many professions in which human lives are a stake to include the fields of aviation and healthcare. More specifically, HFS technology has displayed efficacy with doctors, nurses, and other advanced practice providers. The flexibility of HFS makes for an ideal educational tool in both professional development and academia. Military medicine could benefit from HFS technology due to the dynamic nature which requires readiness at a moment’s notice. The benefit can be significant in the military nursing community due to the frequency of relocation to duty stations and positions that do not allow for frequent use of deployment critical patient care skills. These deployment skills must be carried out by confident military nurses. The functionality of HFS to provide an opportunity to repeat complicated procedures in a safe controlled setting to improve a nurses’ confidence is essential (Boling & Hardin-Pierce, 2016). The purpose of the project was to determine if the use of HFS in addition to traditional online education could improve military nurse confidence with the deployment specific skill of managing a patient with a chest tube. An educational pre-briefing, four simulation scenarios, and a debriefing were implemented and assessed using a modified confidence tool. The project demonstrated improvement in the confidence of all subjects in the assessment, intervention, and evaluation of a simulated patient with a chest tube.

Religion and the Military

2018 ◽  
pp. 535-552
Author(s):  
Leana A. Bouffard ◽  
Haerim Jin
Keyword(s):  
Criminal Justice ◽  
Military Service ◽  
Criminal Justice Policy ◽  
Future Research ◽  
Period Effects ◽  
Offending Patterns ◽  
Role Of Religion ◽  
The Military ◽  
The Relationship

This chapter provides an overview of the literature examining the role of religion and military service in the desistance process. It also identifies outstanding issues and directions for future research. It first presents an overview of research examining the role of religion in desistance and highlights measurement issues, potential intervening mechanisms, and a consideration of faith-based programs as criminal justice policy. Next, this chapter covers the relationship between military service and offending patterns, including period effects that explain variation in the relationship, selection effects, and the incorporation of military factors in criminal justice policy and programming. The chapter concludes by highlighting general conclusions from these two bodies of research and questions to be considered in future research.

scholarly journals History of the Military Nurse Corps and the 1918 Influenza Pandemic: Lessons for the 2019 Coronavirus Pandemic

2020 ◽  
Author(s):  
Laura A Talbot ◽  
E Jeffrey Metter ◽  
Heather King
Keyword(s):  
World War I ◽  
Patient Outcomes ◽  
Influenza Pandemic ◽  
Treatment Options ◽  
Primary Therapy ◽  
World War ◽  
Military Nursing ◽  
History Of ◽  
1918 Influenza ◽  
The Military

ABSTRACT During World War I, the 1918 influenza pandemic struck the fatigued combat troops serving on the Western Front. Medical treatment options were limited; thus, skilled military nursing care was the primary therapy and the best indicator of patient outcomes. This article examines the military nursing’s role in the care of the soldiers during the 1918 flu pandemic and compares this to the 2019 coronavirus pandemic.

scholarly journals Musculoskeletal Injuries Among Females in the Military: A Scoping Review

2020 ◽  
Author(s):  
Pauline Barbeau ◽  
Alan Michaud ◽  
Candyce Hamel ◽  
Danielle Rice ◽  
Becky Skidmore ◽  
...  
Keyword(s):  
Risk Factors ◽  
Scoping Review ◽  
Stress Fractures ◽  
Musculoskeletal Injuries ◽  
Future Research ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Increased Risk ◽  
Military Members ◽  
The Military

ABSTRACT Introduction Musculoskeletal injuries (MSKi) are a common challenge for those in military careers. Compared to their male peers, reports indicate that female military members and recruits are at greater risk of suffering MSKi during training and deployment. The objectives of this study were to identify the types and causes of MSKi among female military personnel and to explore the various risk factors associated with MSKi. Materials and Methods A scoping review was conducted over a 4-month time frame of English language, peer-reviewed studies published from 1946 to 2019. Search strategies for major biomedical databases (e.g., MEDLINE; Embase Classic + Embase; and the following EBM Reviews—Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, Health Technology Assessment, and the NHS Economic Evaluation Database) were developed by a senior medical information specialist and included 2,891 titles/abstracts. Study selection and data collection were designed according to the Population, Concept, and Context framework. Studies were included if the study population provided stratified data for females in a military context. Results From a total of 2,287 citations captured from the literature searches, 168 peer-reviewed publications (144 unique studies) were eligible for inclusion. Studies were identified from across 10 countries and published between 1977 and 2019. Study designs were primarily prospective and retrospective cohorts. Most studies assessed both prevalence/incidence and risk factors for MSKi (62.50%), with few studies assessing cause (13.69%). For MSKi of female recruits compared to active female members, the prevalence was higher (19.7%-58.3% vs. 5.5%-56.6%), but the incidence (0.02%-57.7% vs. 13.5%-71.9%) was lower. The incidence of stress fractures was found to be much higher in female recruits than in active members (1.6%-23.9% vs. 2.7%). For anthropometric risk factors, increased body fat was a predictor of MSKi, but not stress fractures. For physiological risk factors for both female military groups, being less physically fit, later menarche, and having no/irregular menses were predictors of MSKi and stress fractures. For biomechanical risk factors, among female recruits, longer tibial length and femoral neck diameter increased the risk of stress fractures, and low foot arch increased risk of an ankle sprain. For female active military members, differences in shoulder rotation and bone strength were associated with risk of MSKi. For biological sex, being female compared to male was associated with an increased risk of MSKi, stress fractures, and general injuries. The consequences of experiencing MSKi for active military included limited duties, time off, and discharge. For recruits, these included missed training days, limited duty days, and release. Conclusions This scoping review provides insight into the current state of the evidence regarding the types and causes of MSKi, as well as the factors that influence MSKi among females in the military. Future research endeavors should focus on randomized controlled trials examining training paradigms to see if women are more susceptible. The data presented in the scoping review could potentially be used to develop training strategies to mitigate some of the identified barriers that negatively impact women from pursuing careers in the military.

scholarly journals The Impostor Phenomenon Among Black Doctoral and Postdoctoral Scholars in STEM

10.28945/4613 ◽  
2020 ◽  
Vol 15 ◽  
pp. 433-460
Author(s):  
Devasmita Chakraverty
Keyword(s):  
Culturally Relevant ◽  
Research Policy ◽  
Comparative Method ◽  
Critical Mass ◽  
Structured Interview ◽  
Interview Data ◽  
Future Research ◽  
Impostor Phenomenon ◽  
Time Data ◽  
Underrepresented Groups

Aim/Purpose: This study examined experiences related to the impostor phenomenon among Black doctoral and postdoctoral scholars in science, technology, engineering, and mathematics (STEM). Background: Research on the impostor phenomenon is usually focused on undergraduates, especially for Blacks, with sparse research on Black doctoral and postdoctoral scholars. This phenomenon was originally investigated among Whites. Due to fewer studies on Blacks, culturally-relevant understanding of the impostor phenomenon is limited. Methodology: This study used surveys and interviews (convergent mixed-methods) to examine the impostor phenomenon among U.S.-based doctoral and postdoctoral scholars (together referred to as “trainees”) in STEM. Participants took a survey (that used the Clance Impostor Phenomenon Scale or CIPS to individually compute impostor phenomenon scores) and a one-on-one, semi-structured interview. Survey (with CIPS scores) and interview data were converged from the same participants, who were recruited from a national conference focused on minorities in STEM (convenience sampling). Using constant comparative method and analytic induction, interview-data were categorized into themes. Contribution: Findings documented race-based impostor-experiences, possibly culturally relevant to other groups of underrepresented minorities (URMs). Findings have implications for research, policy, and practice. These include future initiatives to broaden participation in STEM careers among the underrepresented groups, support those who might experience this phenomenon and transition challenges in academia, and create greater awareness of the challenges trainees face based on their background and life experiences. Findings: Surveys indicated moderate to intense impostor phenomenon among 15 participants at the time data were collected. Interviews with the same participants found six themes linked to the impostor phenomenon: 1) Being the only-one, 2) Lack of belonging, 3) Stereotyping, micro-aggression and judgment, 4) External appearances, 5) Feeling like the “diversity enhancers,” and 6) Complications of intersecting identities. Recommendations for Practitioners: Practitioners should consider the tensions and complications of Black identity and how it ties to training experiences in STEM as well as how race-based impostor phenomenon could shape an individual’s interaction with faculty, mentors, and peers. This knowledge could be helpful in designing professional development programs for Blacks. Recommendation for Researchers: Study findings could have research implications on the way doctoral and postdoctoral training is reimagined to be more inclusive and welcoming of diversity across multiple axes of gender, race/ethnicity, class, first-generation status, ability, sexual orientation, and country of origin, among others. Impact on Society: Black trainees could be vulnerable to leaving STEM fields due to their underrepresentation, lack of critical mass, racial discrimination, and other unpleasant experiences. Conversations around training, development, and means to address psychological distress could focus on culturally-relevant experiences of the impostor phenomenon. Future Research: Future research could look at the experiences of other underrepresented groups in STEM such as Native Americans and Hispanics as well as among faculty of color and individuals from other fields beyond STEM.

Drone Proliferation and the Challenge of Regulating Dual-Use Technologies

2018 ◽  
Vol 21 (3) ◽  
pp. 497-517
Author(s):  
Marcus Schulzke
Keyword(s):  
Future Research ◽  
Regulatory Regime ◽  
International Governance ◽  
Institutional Pressures ◽  
Dual Use ◽  
Regulatory Guidance ◽  
Domestic Security ◽  
Drone Warfare ◽  
The Military ◽  
Military Drones

AbstractThe controversy surrounding military drones has generated many proposals for restricting or prohibiting existing drones, additional autonomous variants that may be created in the future, and the sale of drones to certain markets. Moreover, there is broad interest in regulating military drones, with proposals coming not only from academics but also from NGOs and policymakers. I argue that these proposals generally fail to consider the dual-use character of drones and that they therefore provide inadequate regulatory guidance. Drones are not confined to the military but rather spread across international and domestic security roles, humanitarian relief efforts, and dozens of civilian applications. Drones, their component technologies, the control infrastructure, and the relevant technical expertise would continue to develop under a military-focused regulatory regime as civilian technologies that have the potential to be militarized. I evaluate the prospects of drone regulation with the help of research on other dual-use technologies, while also showing what the study of drones can contribute to that literature. Drones’ ubiquity in nonmilitary roles presents special regulatory challenges beyond those associated with WMDs and missiles, which indicates that strict regulatory controls or international governance frameworks are unlikely to succeed. With this in mind, I further argue that future research should acknowledge that drone proliferation across military and civilian spheres is unavoidable and shift focus to considering how drone warfare may be moderated by countermeasures and institutional pressures.

A enfermagem militar no enfrentamento à COVID-19 em comunidades indígenas

2021 ◽  
Vol 11 (34) ◽  
pp. 318-323
Author(s):  
Jessica Bernardes Almeida Borges da Silva dos Reis ◽  
Camila Bento Silva ◽  
Bianca Rafaela Correia ◽  
Vanessa De Almeida Ferreira Corrêa ◽  
Renata Flavia Abreu da Silva
Keyword(s):  
Health Care ◽  
Indigenous Health ◽  
Armed Forces ◽  
Military Nurses ◽  
Professional Performance ◽  
Immunological Tests ◽  
The World ◽  
Host Health ◽  
Military Nursing

Descrever a experiência de enfermeiras militares na Operação Xavante no enfrentamento ao novo Coronavírus. Trata-se de um relato de experiência sobre a atuação de enfermeiras militares na Operação Xavante. Como parte de uma equipe multidisciplinar, a enfermagem militar na Operação Xavante foi primordial em várias frentes de atuação, as quais permitiram, dentro do contexto proposto, o adequado cumprimento da missão e o sucesso das ações de saúde planejadas, destacando-se nos seguintes aspectos: recepção e triagem; acolhimento; educação em saúde e realização de testes imunológicos para a COVID-19. Enfatiza-se que estas ações fazem parte da atuação profissional das enfermeiras integrantes das Forças Armadas, atuando em diferentes situações e contextos, possibilitando reafirmar as práticas de enfermagem na atenção à saúde indígena, em meio a um momento de extremo desafio vivenciado pela população mundial.Descritores: Enfermagem Militar, Infecções por Coronavirus, Saúde de Populações Indígenas, Grupos Populacionais. Military nursing in the fight against COVID-19 in indigenous communitiesAbstract: To describe the experience of military nurses in Operation Xavante in coping to the new Coronavirus. This is an experience report on the role of military nurses in Operation Xavante. As part of a multidisciplinary team, military nursing in Operation Xavante was primordial on several fronts of action, which allowed, within the proposed context, the proper fulfillment of the mission and the success of the planned health actions, standing out in the following aspects: reception and screening; host; health education and immunological tests for COVID-19. It ends by emphasizing that these actions are part of the professional performance of nurses who are members of the Armed Forces, working in different situations and contexts, making it possible to reaffirm nursing practices in indigenous health care, amid a moment of extreme challenge experienced by the world population.Descriptors: Military Nursing, Coronavirus Infections, Health of Indigenous People, Population Groups. La enfermería militar en la lucha contra el COVID-19 en comunidades indígenasResumen: Describir la experiencia de las enfermeras militares en la Operación Xavante frente al nuevo Coronavirus. Este es un informe de experiencia sobre el papel de las enfermeras militares en la Operación Xavante. Como parte de un equipo multidisciplinario, la enfermería militar en la Operación Xavante fue primordial en varios frentes de acción, lo que permitió, dentro del contexto propuesto, el adecuado cumplimiento de la misión y el éxito de las acciones de salud planificadas, destacándose en los siguientes aspectos: recepción y selección; acogida; educación en salud y realización de pruebas inmunológicas para COVID-19. Finalizase enfatizando que estas acciones son parte del desempeño profesional de las enfermeras integrantes de las Fuerzas Armadas, actuando en diferentes situaciones y contextos, posibilitando reafirmar las prácticas de enfermería en la atención a la salud indígena, en un momento de desafío extremo que vive la población mundial.Descriptores: Enfermería Militar, Infecciones por Coronavirus, Salud de Poblaciones Indígenas, Grupos Poblacionales.

Occupational Stress in U.S. Audiologists

2021 ◽  
pp. 1-13
Author(s):  
Diana C. Emanuel
Keyword(s):  
Personality Traits ◽  
Lived Experience ◽  
Occupational Stress ◽  
The United States ◽  
Interview Data ◽  
Future Research ◽  
Work Setting ◽  
Years Of Experience ◽  
Workplace Stressors ◽  
Study Participants

Purpose The goal of this study was to explore interview data related to occupational stress in U.S. audiologists. This study is part of a larger project: The Lived Experience of the Audiologist, which seeks to develop a richer understanding of audiologists' lived experience via interview and survey research. Method Demographic and interview data related to occupational stress were examined from 28 virtual interviews of clinical audiologists in the United States. Qualitative data relative to workplace stressors were subjected to thematic analysis. Stress ratings were examined via descriptive statistics, correlation, and comparison with demographics. Results Self-ratings of average-day and worst-day stress were not related to work setting, years of experience, or U.S. region. Participant descriptions of workplace stressors yielded seven main themes: time, patients, administration, financial, lack of support, colleagues, and work–life balance. Some participants attributed stress response to personality traits. Conclusions Audiologists' quotes illustrate the human impact of stressors in the workplace. The most commonly reported workplace stressors were lack of time, patient-related issues, administration, and financial issues. Time and administration as common causes of stress were consistent with prior studies conducted in other countries; however, patient-related and financial stressors were more prominent stressors for U.S. audiologists. Stress ratings were not related to work setting, location, or years of experience in the current study. Participants often linked their perception of stress to personality traits, a phenomenon that has been explored as a factor in the exploration of occupational stress in other fields, but not in audiology. Future research in stress and burnout should examine personality traits in addition to extensive demographics.

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