The relationship between managerial coaching and role ambiguity among nurses in the military health system.

Managerial coaching may be an effective strategy to reduce role ambiguity among nurses. Although the benefits of coaching relationships have been demonstrated outside of nursing, there is a lack of evidence about this career development relationship in nursing. A cross-sectional design was used to determine the relationship between managerial coaching and role ambiguity among military and civilian nurses who work in the Military Health System (MHS). Nurses who worked at a large academic medical center in San Antonio, Texas were asked to participate by completing a survey to examine the variables of interest. Among the 382 nurses that responded, perceived role ambiguity was low and managerial coaching was seldom perceived from first-line supervisors. However, there was a significant negative relationship between managerial coaching and role ambiguity. This study provides foundational knowledge about the relationship between managerial coaching and role ambiguity for nurses working in the MHS.

Military Nursing Evidence-Based Practice Summit: A Descriptive Analysis of EBP Barriers and Solutions Within the Military Healthcare System.

BACKGROUND: Evidence-based practice (EBP) is an innovative systematic problem-solving methodology that incorporates the best research evidence into clinical practice to improve patient outcomes, job satisfaction, and reduced healthcare costs. Although there are significant advances to implement EBP into military healthcare and operational settings, many barriers and challenges still exist. Civilian healthcare organizations have examined barriers and solutions to integrate EBP into clinical practice, but limited data exists to identify barriers and solutions to integrate EBP into military healthcare settings. Advancing the implementation of EBPs within military healthcare settings has the power to transform the administrative processes of healthcare management and most importantly, the delivery of healthcare for service members and beneficiaries. The purpose of this article is to present findings from a qualitative descriptive research study which analyzed data obtained during an EBP military summit. METHODS: A qualitative descriptive research study was used to examine EBP barriers and solutions to implement EBP in military healthcare settings. Participants attended a virtual 1-day military EBP summit (n = 182). As part of the summit, participants were invited to voluntarily participate in focus groups. Focus groups were conducted to gain an understanding of EBP barriers and solutions from military and civilian nurses and medics with interest and experience conducting EBP within military healthcare settings (n = 42). Focus group discussions were transcribed and analyzed by the study team. RESULTS: The study analysis identified six themes: leadership, command culture, EBP barriers (specific to MTF/operational environments), communication, infrastructure support, and outcome measures. Sub-themes identified additional dimensions military-specific barriers and solutions within the six identified themes. CONCLUSIONS: The results of this research study identify actionable tasks and recommendations to advance EBP within the military healthcare system. EBP is currently underutilized in the military healthcare system, and supportive implementation of EBP can be accomplished through enhanced leadership engagement, changing command culture, addressing EBP barriers, infrastructure, communication planning, and integration of existing national clinical and financial outcome measures. Given the critical need to further transition of military healthcare to evidence-based data driven decisions, the knowledge gained from this study can optimize readiness and advance healthcare delivered to service members and beneficiaries within the military healthcare system.

Perceção dos Enfermeiros militares quanto à sua preparação para atuar em contexto de catástrofe / Military nurses' perception of their preparedness to work in a disaster context

Os enfermeiros militares sempre se apresentaram como relevantes recursos humanos no planeamento e gestão de situações de catástrofe. Assim, foi desenvolvido um estudo com o objetivo de avaliar a perceção dos enfermeiros militares portugueses sobre a sua preparação para atuarem numa situação de catástrofe. O presente estudo é transversal, descritivo, de abordagem quantitativa, com uma amostra de 149 enfermeiros militares na efetividade de serviço. A recolha de dados foi realizada com recurso a um e-questionário estruturado em duas partes: caraterização sociodemográfica e profissional e escala Disaster Preparedness Evaluation Tool, versão Portuguesa (DPET-PT®). Procurando assim, dar resposta a questão de investigação: ?Qual a perceção dos enfermeiros militares quanto à sua preparação para atuarem em contexto de catástrofe?? Como hipóteses tentamos verificar se existia relação entre a perceção da preparação para atuar em catástrofe e as variáveis: sexo, anos de serviço, experiência previa em Forças Nacionais Destacadas e o facto de possuir formação prévia no âmbito da catástrofe. Em termos de resultados, os enfermeiros militares percecionam a sua preparação para atuar em contexto de catástrofe como moderada. Quando comparados entre eles, verificamos que ser do sexo masculino, enfermeiro especialista, ter recebido formação prévia no âmbito da catástrofe e projeções em Forças Nacionais Destacadas, são indicadores de uma perceção de melhor preparação para atuar em contexto de catástrofe. Como maiores lacunas formativas os inquiridos identificam a área da gestão de catástrofes com agentes biológico e químicos e a gestão de situações de Perturbação Pós-Stress Traumático durante e imediatamente após o evento. Este estudo mostrou ainda que os enfermeiros militares não se consideram devidamente preparados, referindo necessidade de formação e treino.

GREEK MILITARY NURSING OFFICERS' COMPASSION COMPETENCE AND COMPASSION LEVEL AT WORK AND THEIR PROFESSIONAL QUALITY OF LIFE.

OBJECTIVE: Aim: Of this study was to investigate the level of Military Nursing Officers'(MNOS) compassion competence and their personal level of compassion at work and their correlation with the professional quality of life. PATIENTS AND METHODS: Materials and methods This is a cross-sectional study carried out from December 2019 to May 2020 using the method of convenience sampling. The study involved 235 MNOs serving in Greek Military Hospitals. A single questionnaire containing Compassion at Work index, Compassion competence scale and ProQOL 5 was used for data collection. A total of 400 questionnaires were distributed with a response rate of 58.75%. Data analysis was performed using the statistical package SPSS 22.0. RESULTS: Results: The research showed that there was a significant positive correlation of the Compassion Satisfaction score with the com¬passion at work and compassion competence scales. So, the more compassion participants had, the more satisfaction they received from the care they put into their work. Conversely, the more compassion participants had, the less burnout they felt. Regarding secondary traumatic stress, it was found that the higher the participants' score on the dimensions of compassion in the dimension "Being non-judgmental", "Being tolerant to personal distress" and "Being empathic", the lower the secondary traumatic stress they felt. The position at hospital, the score on the compassion dimension in the dimension "Experiencing the suffering of others" were found to be independently related to the Compassion Satisfaction score. Specifically, Head Nurses had a 3.86 points lower score compared to Nurse managers. Higher values in the "Experiencing the suffering of others" dimension were related to a higher Compassion Satisfaction score. Nursing Officers who scored higher in compassion dimensions such as "Being non-judgmental", "Being tolerant to personal distress" and "Being empathic", they felt lower secondary traumatic stress. CONCLUSION: Conclusions: It is really important for Military nursing Officers to be compassionate in order to get more satisfaction from caring about their work and feel less burnout.

A Ready Force: The U.S. Army Certified Registered Nurse Anesthetist Readiness Model.

The U.S. was at war for nearly two decades, supporting unprecedented survival on the battlefield. As the nation pivots to a relative peace, it is critical that U.S. Army certified registered nurse anesthetist (CRNA) leaders mitigate the loss of lessons learned and prepare future Army CRNAs for war. This article describes the U.S. Army CRNA Readiness Model that incorporates the knowledge, skills, and abilities required to sustain readiness. This model will provide U.S. Army nursing leaders with the framework to implement and evaluate solider readiness to provide anesthesia in operational environments.

The Influence of Time and Place on the Experiences of US Military Nurses in Vietnam.

BACKGROUND: Although the conflict in Vietnam (usually referred to as the Vietnam War) ended almost 50 years ago, few research-based publications of nurses' experiences in Vietnam exist. PURPOSE: The purpose of this study was to expand what is known about the experiences of US military nurses who served in Vietnam. METHODS: This secondary analysis used qualitative description to examine interview data from 15 nurses who served in-country (within Vietnam) and in-theater supporting Vietnam (e.g., Guam, the Philippines) between 1965 and 1972. FINDINGS: We found that nurses' experiences varied based on time deployed and place deployed (land, sea, or air; in-country or in-theater). The influence of time and place on US military nurses' experiences in Vietnam are illustrated through findings pertaining to danger, daily life, and work. The most prominent differences were between nurses assigned in-country and those assigned in-theater. DISCUSSION: The findings illustrate ways research of more recent and future conflicts might be strengthened.

Learning Impact of Armed Forces Medical Background on Military Nursing Students in an Accelerated Bachelor of Science in Nursing Program.

ABSTRACT: The study examined differences between military students enrolled in an accelerated bachelor of science in nursing (BSN) program with and without medical experience and/or a previous bachelor's degree on graduation grade point average (GPA) and NCLEX®-RN first-time pass rates. Significant differences were found between groups with/without military medical experience on NCLEX-RN, but not graduation GPA. Significant differences were found between groups with/without prior degree on GPA, but not on NCLEX-RN. Having both medical experience and a prior degree did not make a difference on GPA or NCLEX-RN. Findings offer guidance on admission criteria to accelerated programs for this unique group of students.

Training of nursing in chemical, biological, radiological and nuclear defense for aeromedical evacuation in the pandemic.

OBJECTIVE: To describe the training of the military nursing team in chemical, biological, radiological, and nuclear defense to perform Aeromedical Evacuation in the coronavirus pandemic. This is an experience report about the training of the military nursing team in the Brazilian repatriation mission in China. Four members made up the aerospace nursing team. The period was from February to March 2020. Data analysis was carried out based on the survey of courses that each member of the nursing team had participated before the Operation. RESULTS: Training proved to be essential to meet the specificities of the mission. CONCLUSIONS: It is extremely important to operationalize protocols to improve the aeromedical service and transport mechanism, increasing the level of proficiency in the execution of missions. The training of the team allows the construction of necessary knowledge and skills during an aeromedical evacuation, guaranteeing the performance excellence required in this type of mission.

Importância do debriefing na prática simulada em saúde para militares / Importance of debriefing in simulated health practice for military personnel

Estima-se que cerca de 90% das mortes em combate ocorrem antes da chegada das vítimas a uma Instalação de apoio Sanitário, sendo que a sobrevivência das vítimas é drasticamente dependente da primeira abordagem no local. Em Teatro de Operações, é muito provável que o elemento mais próximo de eventuais vítimas em combate seja um militar não profissional de saúde. Desta forma, considera-se que a pedra basilar consiste em dotar todos os militares de recursos e competências para a primeira assistência no terreno, seja a si próprio ou aos seus camaradas, pelo que o foco de atenção irá incidir sobre a formação em saúde para os militares, a serem projetados para um Teatro de Operações, com recurso ao debriefing após cenários clínicos simulados. O presente estudo tem como objetivo avaliar a influência do debriefing, após os cenários clínicos simulados, no desenvolvimento do conhecimento e desempenho clínico dos militares. Utilizou-se uma abordagem quantitativa do tipo experimental, antes e após, com um grupo controlo. Cada formação em Tactical Combat Casualty Care teve uma duração média de 8 horas. A amostra do estudo foi constituída por 104 indivíduos, militares a integrar uma Força Nacional Destacada, com uma média de idades de 28,90 anos e desvio padrão=8,035 anos. Como instrumentos de colheita de dados foram utilizados uma grelha de avaliação/observação do desempenho clínico e um teste de avaliação de conhecimentos teóricos. Em termos de resultados, observou-se que o debriefing foi eficaz para melhorar o desempenho prático dos militares, pois houve médias significativamente superiores nas avaliações práticas finais no grupo experimental em comparação com o grupo controlo. Por outro lado, o debriefing não teve influência no desenvolvimento dos conhecimentos teóricos dos militares na abordagem à vítima em ambiente tático/operacional. Este estudo mostrou ainda que o curso ministrado teve um impacto positivo no desenvolvimento da aprendizagem dos militares. Os resultados obtidos justificam a implementação e disseminação do debriefing na simulação realística na instituição militar, permitindo que os formandos reflitam sobre a experiência clínica, maximizando a aprendizagem.

Gerência do cuidado: perspectivas interacionistas a partir dos significados atribuídos pela enfermagem militar / Care management: interactionists perspectives from meanings assigned by military nursing

A enfermagem possui múltiplos contextos de atuação profissional, dentre eles a área militar, com especificidades para o cenário hospitalar. Nessa conjuntura, tais profissionais desenvolvem suas atividades para oferecer um cuidado de qualidade aos usuários em uma constante troca de interações humanas, que também são simbólicas. No conjunto de interações para o processo de trabalho da enfermagem está a gerência do cuidado, conformada mediante articulação entre as dimensões assistencial e gerencial da enfermagem. Ademais, tem-se que às ações da gerência do cuidado relacionam-se o planejamento, utilização de ferramentas e instrumentos, organização, habilidades relacionais, dentre outras atividades que surgem e se fortalecem a partir das interações humanas. Estas, por sua vez, em virtude de seu campo simbólico, podem imprimir especificidades para a própria gerência do cuidado. Sendo assim, a pesquisa em tela teve como objeto os significados atribuídos pela enfermagem militar à gerência do cuidado. Para tanto, utilizou-se o Interacionismo Simbólico para interpretá-los. Foram, portanto, objetivos da pesquisa: desvelar os significados de gerência do cuidado de enfermagem atribuídos por profissionais de enfermagem militares, no contexto hospitalar; identificar os fatores que influenciam a construção e/ou o desenvolvimento desses significados e; compreender as relações simbólicas entre os significados e a prática da gerência do cuidado, na perspectiva da enfermagem militar, no contexto hospitalar. Trata-se de uma pesquisa exploratória, qualitativa, que teve como referencial metodológico a Teoria Fundamentada nos Dados. O projeto de pesquisa obteve sua aprovação em dois comitês de ética em pesquisa. O estudo foi realizado em um hospital militar do Rio de Janeiro/RJ, com 20 profissionais de enfermagem, militares, que trabalham em unidades de internação de adultos, em clínica médica e cirúrgica, delimitando três grupos amostrais: oito (08) enfermeiras encarregadas (oficiais), oito (08) enfermeiras assistentes (oficiais) e quatro (04) técnicos de enfermagem (sargentos). A coleta de dados foi realizada no período de setembro de 2021 a fevereiro de 2022, a partir de entrevistas semiestruturadas. O processo de análise dos dados, seguindo o referencial metodológico, ocorreu simultaneamente a coleta de dados, a partir de três níveis analíticos: codificação aberta, codificação axial e integração, para em seguida formar a matriz teórica. Como resultados, emergiram as seguintes categorias: Processo de trabalho da enfermagem militar no contexto hospitalar; Ações e interações simbólicas para o desenvolvimento da gerência do cuidado de enfermagem no contexto militar e; Construção e fortalecimento de uma identidade profissional: fortalezas para a enfermagem e para o contexto de trabalho. O conjunto dessas categorias conformam o modelo paradigmático, vislumbrando a seguinte matriz teórica: O processo de trabalho e de militarização influenciando e determinando a gerência do cuidado na enfermagem militar. Os resultados revelaram que a gerência do cuidado de enfermagem para a enfermagem militar envolve interações humanas que qualificam o processo de trabalho diante de especificidades e heterogeneidade das profissões inseridas nos cenários de saúde e de cuidados. Realizar uma pesquisa em uma instituição militar possibilitou encontrar resultados em um contexto particularizado, onde emergiram dados sobre o processo de trabalho de enfermagem e a influência da cultura organizacional na execução de suas atividades, destacando conexões entre gerência do cuidado e necessidades dos pacientes, bem como suas interações que emergiram assuntos como liderança, empatia e comunicação no ambiente de trabalho. Portanto, os significados sobre gerência do cuidado de enfermagem permeiam uma série de atribuições, habilidades e condutas da equipe de enfermagem relacionadas às suas interações e interpretações que influenciam suas ações no ambiente de trabalho. O estudo tem como limitação ter sido realizado em apenas uma Organização Militar do Sistema de Saúde, no âmbito hospitalar. O estudo torna-se relevante e inovador por ser uma problemática pouco explorada no campo da ciência da enfermagem, além de contribuir com evidências sobre a assistência de enfermagem militar para além do campo operativo e suas implicações para a qualidade da assistência prestada a clientes hospitalizados.

Nursing has multiple contexts of professional performance, including the military area, with specificities for the hospital setting. In this context, these professionals develop their activities to offer quality care to users in a constant exchange of human interactions, which are also symbolic. In the set of interactions for the nursing work process is the management of care, formed through the articulation between the care and managerial dimensions of nursing. Furthermore, care management actions are related to planning, use of tools and instruments, organization, relational skills, among other activities that arise and are strengthened from human interactions. These, in turn, by virtue of their symbolic field, can imprint specificities for the care management itself. Therefore, the research on screen had as its object the meanings attributed by military nursing to care management. Therefore, Symbolic Interactionism was used to interpret them. Therefore, the research objectives were: to reveal the meanings of nursing care management attributed by military nursing professionals in the hospital context; identify the factors that influence the construction and/or development of these meanings and; understand the symbolic relationships between the meanings and practice of care management, from the perspective of military nursing, in the hospital context. This is an exploratory, qualitative research, which had the Grounded Theory as a methodological framework. The research project was approved by two research ethics committees. The study was carried out in a military hospital in Rio de Janeiro/RJ, with 20 nursing professionals, military, who work in adult hospitalization units, in medical and surgical clinic, delimiting three sample groups: eight (08) nurses in charge (officers), eight (08) assistant nurses (officials) and four (04) nursing technicians (sergeants). Data collection was carried out from September 2021 to February 2022, based on semi-structured interviews. The data analysis process, following the methodological framework, occurred simultaneously with data collection, from three analytical levels: open coding, axial coding and integration, to then form the theoretical matrix. As a result, the following categories emerged: Military nursing work process in the hospital context; Symbolic actions and interactions for the development of nursing care management in the military context and; Construction and strengthening of a professional identity: strengths for nursing and the work context. The set of these categories make up the paradigmatic model, envisioning the following theoretical matrix: The work and militarization process influencing and determining the management of care in military nursing. The results revealed that the management of nursing care for military nursing involves human interactions that qualify the work process in view of the specificities and heterogeneity of the professions inserted in the health and care settings. Conducting research in a military institution made it possible to find results in a particular context, where data on the nursing work process and the influence of organizational culture on the execution of its activities emerged, highlighting connections between care management and patients' needs, as well as their interactions that emerged issues such as leadership, empathy and communication in the work environment. Therefore, the meanings about nursing care management permeate a series of attributions, skills and behaviors of the nursing team related to their interactions and interpretations that influence their actions in the work environment. The study has the limitation of having been carried out in only one Military Organization of the Health System, in the hospital environment. The study becomes relevant and innovative because it is a problem little explored in the field of nursing science, in addition to contributing with evidence on military nursing care beyond the operative field and its implications for the quality of care provided to hospitalized clients.

La enfermería tiene múltiples contextos de actuación profesional, incluyendo el área militar, con especificidades para el ámbito hospitalario. En ese contexto, estos profesionales desarrollan sus actividades para ofrecer una atención de calidad a los usuarios en un constante intercambio de interacciones humanas, que también son simbólicas. En el conjunto de interacciones para el proceso de trabajo de enfermería está la gestión del cuidado, formada a través de la articulación entre las dimensiones asistencial y gerencial de enfermería. Además, las acciones de gestión del cuidado están relacionadas con la planificación, el uso de herramientas e instrumentos, la organización, las habilidades relacionales, entre otras actividades que surgen y se fortalecen a partir de las interacciones humanas. Estos, a su vez, en virtud de su campo simbólico, pueden imprimir especificidades para la propia gestión del cuidado. Así, la investigación en pantalla tuvo como objeto los significados atribuidos por la enfermería militar a la gestión del cuidado. Por lo tanto, se utilizó el Interaccionismo Simbólico para interpretarlos. Por lo tanto, los objetivos de la investigación fueron: revelar los significados de la gestión del cuidado de enfermería atribuidos por los profesionales de enfermería militar en el contexto hospitalario; identificar los factores que influyen en la construcción y/o desarrollo de estos significados y; comprender las relaciones simbólicas entre los significados y la práctica de la gestión del cuidado, en la perspectiva de la enfermería militar, en el contexto hospitalario. Se trata de una investigación cualitativa, exploratoria, que tuvo como marco metodológico la Grounded Theory. El proyecto de investigación fue aprobado por dos comités de ética de la investigación. El estudio fue realizado en un hospital militar de Rio de Janeiro/RJ, con 20 profesionales de enfermería, militares, que actúan en unidades de hospitalización de adultos, en clínica médica y quirúrgica, delimitando tres grupos muestrales: ocho (08) enfermeros responsables (oficiales ), ocho (08) auxiliares de enfermería (oficiales) y cuatro (04) técnicos de enfermería (sargentos). La recolección de datos se realizó de septiembre de 2021 a febrero de 2022, a partir de entrevistas semiestructuradas. El proceso de análisis de datos, siguiendo el marco metodológico, ocurrió simultáneamente con la recolección de datos, a partir de tres niveles analíticos: codificación abierta, codificación axial e integración, para luego formar la matriz teórica. Como resultado, surgieron las siguientes categorías: Proceso de trabajo de la enfermería militar en el contexto hospitalario; Acciones e interacciones simbólicas para el desarrollo de la gestión del cuidado de enfermería en el contexto militar y; Construcción y fortalecimiento de una identidad profesional: fortalezas para la enfermería y el contexto de trabajo. El conjunto de estas categorías componen el modelo paradigmático, vislumbrando la siguiente matriz teórica: El trabajo y el proceso de militarización influenciando y determinando la gestión del cuidado en la enfermería militar. Los resultados revelaron que la gestión del cuidado de enfermería para la enfermería militar involucra interacciones humanas que califican el proceso de trabajo frente a las especificidades y heterogeneidad de las profesiones insertas en los escenarios de salud y cuidado. La realización de una investigación en una institución militar permitió encontrar resultados en un contexto particular, donde surgieron datos sobre el proceso de trabajo de enfermería y la influencia de la cultura organizacional en la ejecución de sus actividades, destacando conexiones entre la gestión del cuidado y las necesidades de los pacientes, así como así como de sus interacciones surgieron temas como el liderazgo, la empatía y la comunicación en el ambiente laboral. Por lo tanto, los significados sobre la gestión del cuidado de enfermería permean una serie de atribuciones, habilidades y comportamientos del equipo de enfermería relacionados con sus interacciones e interpretaciones que influyen en sus acciones en el ambiente de trabajo. El estudio tiene la limitación de haber sido realizado en un solo Organismo Militar del Sistema de Salud, en el ámbito hospitalario. El estudio se vuelve relevante e innovador por tratarse de un problema poco explorado en el campo de la ciencia de enfermería, además de contribuir con evidencias sobre el cuidado de enfermería militar más allá del campo operatorio y sus implicaciones en la calidad de la atención brindada a los clientes hospitalizados.

A identidade profissional da enfermagem militar: uma revisão integrativa / La identidad profesional de la enfermería militar: una revisión integradora / The professional identity of military nursing: an integrative review

RESUMO Objetivo: analisar o tema da identidade profissional da enfermagem militar contido nas produções científicas mundiais. Método: trata-se de uma revisão integrativa da literatura de publicações compreendidas entre 2010 e 2021 nas bases indexadoras Medical Literature and Retrivial System on Line, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Embase e Scopus. Aplicou-se a estratégia PICo para estabelecer a questão de pesquisa "Como a Enfermagem Militar vem sendo retratada nos artigos nacionais e internacionais publicados?" e o gerenciador de referências Rayyan QCRI - (Qatar Computing Research Institute) para a seleção das publicações, o que resultou em quatro artigos submetidos à análise de conteúdo, segundo Bardin. Resultados: a enfermagem militar teve sua identidade profissional retratada pelos temas: competências na enfermagem militar, papéis das enfermeiras militares e relações de gênero. Conclusão: a identidade profissional da enfermagem militar ainda é pouco discutida na literatura, porém verifica-se um movimento para apontar o empoderamento dessas enfermeiras assim como a forte subordinação ao regime militar e ao profissional médico. Militares do gênero feminino sofrem de modo mais contundente, considerando que são minoria, sem possibilidades de ascender na carreira militar como aqueles do gênero masculino, e também devido ao tipo de organização da qual fazem parte.

RESUMEN Objetivo: analizar el tema de la identidad profesional de la enfermería militar contenido en las producciones científicas mundiales. Método: se trata de una revisión integradora de la literatura de publicaciones comprendidas entre 2010 y 2021 en las bases indexadoras Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Embase y Scopus. Se aplicó la estrategia PICO para establecer la cuestión de investigación "¿Cómo la Enfermería Militar viene siendo retratada en los artículos nacionales e internacionales publicados?" y el gestor de referencias Rayyan QCRI - (Qatar Computing Research Institute) para la selección de las publicaciones, lo que resultó en cuatro artículos sometidos al análisis de contenido, según Bardin. Resultados: la enfermería militar tuvo su identidad profesional retratada por los temas: competencias en enfermería militar, roles de las enfermeras militares y relaciones de género. Conclusión: la identidad profesional de la enfermería militar aún es poco discutida en la literatura, pero se verifica un movimiento para señalar el empoderamiento de estas enfermeras, así como la fuerte subordinación al régimen militar y al profesional médico. Militares del género femenino sufren de manera más contundente, considerando que son minoría, sin posibilidades de ascender en la carrera militar como aquellos del género masculino, y también debido al tipo de organización que forman parte.

ABSTRACT Objective: to analyze the professional identity of military nursing comprised of worldwide scientific literature. Method: an integrative literature review of publications from 2010 to 2021 in the Medical Literature and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Embase, and Scopus indexing databases. The PICo strategy was applied to establish the research question "How has Military Nursing been described in published national and international articles?" and the reference manager Rayyan QCRI - (Qatar Computing Research Institute) for the selection of publications, which resulted in four articles submitted to content analysis, according to Bardin. Results: military nursing had its professional identity described by the themes: skills in military nursing, roles of military nurses, and gender relations. Conclusion: the professional identity of military nursing is still little discussed in the literature, but there is an effort to point out the empowerment of these nurses, as well as the strong subordination to the military rule and the medical professional. Female soldiers are under greater struggle, considering that they are a minority, with no possibilities to upgrade in the military career like those of the male gender, and due to the type of organization to which they belong.

Facilitators and challenges to military undergraduate nursing student success.

BACKGROUND: Understanding the broader community of educators and programs involved in the education of military nursing students (MNSs) is needed to develop best practices that support their academic success. PURPOSE: The purpose of this study was to 1) identify factors nursing faculty perceived would facilitate and/or challenge the success of MNSs when transitioning to and progressing through baccalaureate nursing programs, and 2) ascertain successful strategies used in teaching and working with these students. METHODS: A descriptive survey research design was used to collect data from faculty at 26 schools of nursing that received federal funding to support the transition of veterans to a career in nursing. Quantitative and qualitative data were collected, analyzed, and integrated via descriptive statistics and content analysis. RESULTS: The survey was completed by 88 faculty from 19 of the 26 schools. The top four categories for both the facilitators and challenges, based on Jeffreys' (2015) NURS Model, were student affective characteristics, student profile characteristics, professional integration factors, and environmental factors. Programmatic factors were the most commonly cited success strategies, including having culturally competent, knowledgeable, and designated faculty and staff for MNSs. CONCLUSION: Developing evidence-based strategies to use in teaching and advising MNSs ideally will ensure their academic success.

COVID-19: Military Nurses Leading Innovation Through Research, Clinical Care, Education, and Collaboration.

Military nurses have been placed in the forefront of clinical and leadership roles during the COVID-19 pandemic. Serving in critical roles, military nurses have spearheaded innovations in clinical practice, conducted research, and implemented evidence-based practice projects that have advanced the capabilities of the Armed Forces Nurse Corps. This collection captures and highlights many of these military nursing contributions combating the COVID-19 pandemic.

A Tool Adaptation Workshop for Moral Distress in Military Critical Care Nurses.

PURPOSE: The US military healthcare services provide the highest level of trusted medical care to its members and to the world population during catastrophic events. These services can be difficult, making moral and ethical situations commonplace. Moral distress results when actions are inconsistent with personal or professional beliefs, resulting in a loss of moral integrity. Moral distress research is well established in the civilian literature and results in poor outcomes and increased expenses. There is little research studying moral distress in military providers. DESCRIPTION OF THE PROJECT: A clinical nurse specialist-led workshop was conducted with military and civilian experts. The expert panel reviewed the literature, examined instruments, and reviewed tool items for applicability to military healthcare providers. OUTCOME: The team determined the existing civilian moral distress tool was applicable to military providers. Twelve additional items were added to the modified tool. A tool testing plan was developed to test the tool in military critical care nurses on the last day of the workshop for the next phase of this project. CONCLUSION: The civilian moral distress tool was adapted for a military version and will be tested in the next phase of the project.

Enfermeiros militares na força auxiliar do estado do Rio de Janeiro: um estudo histórico / Military nurses in the auxiliary force of the state of Rio de Janeiro: a historical study / Enfermeros militares en la fuerza auxiliar del estado de Rio de Janeiro: un estudio histórico

OBJETIVO: Analisar o processo de seleção da primeira turma de Oficiais Enfermeiros do Corpo de Bombeiros do Estado do Rio de Janeiro, realizado no período de 1992 a 1993. MÉTODO: Trata-se de uma pesquisa histórica, do tipo documental, cujas fontes históricas diretas foram documentos escritos relativos ao tema. RESULTADOS: Foram oito vagas para oficiais enfermeiros, que se submeteram a um processo seletivo rigoroso, sendo selecionados cinco homens e três mulheres, após aprovação nas quatro etapas do concurso. DISCUSSÃO: Integrar o Corpo de Bombeiros significava submeter-se às regras que o estruturavam, e para lograr êxito era necessária a atualização do habitus dos postulantes à patente de oficiais na Corporação. CONCLUSÃO: Enfermeiros foram selecionados dentro do rigor exigido pela Instituição, cujo domínio do conhecimento na área de enfermagem deveria caminhar pari passu com boas condições de saúde e condicionamento físico, atributos fundamentais no desempenho de um bombeiro militar.

OBJECTIVE: To analyze the selective process of the first class of Nursing Officers of the Fire Department of the State of Rio de Janeiro, carried out from 1992 to 1993. METHOD: This is a historical research, a documental one, which used as direct historical sources written documents concerning the theme. OUTCOMES: There were eight vacancies for nursing officers, who were submitted to a rigorous selective process that approved five men and three women after four stages along the contest. DISCUSSION: Making part of the Fire Department meant to accept being submitted to its structural rules, and succeeding required updating the habitus of the candidates according to the ranking of the Corporation's officers. CONCLUSION: Nurses were selected under the rigorous criteria as required by the Institution. Their knowledge abilities in the nursing area should come at equal pace as good health conditions and physical fitness, fundamental performance attributes of a military officer of the Fire Department.

OBJETIVO: Analizar el proceso de selección del primer grupo de Oficiales Enfermeros del Cuerpo de Bomberos del estado de Rio de Janeiro, realizado en el período de 1992 a 1993. MÉTODO: Se trata de una investigación histórica, del tipo documental, cuyas fuentes históricas directas han sido los documentos escritos relativos al tema. RESULTADOS: Fueron ocho vacantes para oficiales enfermeros, que se sometieron a un riguroso proceso de selección. Tras aprobar en las cuatro etapas del concurso, se seleccionaron a cinco hombres y a tres mujeres. DISCUSIÓN: Formar parte del Cuerpo de Bomberos significaba someterse a las reglas que lo estructuraban, y para lograr éxito se hacía necesaria una actualización del habitus de los postulantes al rango de oficiales en la Corporación. CONCLUSIÓN: Los enfermeros se seleccionaron dentro del rigor exigido por la Institución, y su dominio del conocimiento en el área de enfermería debería caminar pari passu con las buenas condiciones de salud y acondicionamiento físico, atributos fundamentales en el desempeño de un bombero militar.

[Military nurse: providing care to soldiers on the frontline]. / Infirmier militaire : soigner au plus près des combattants.

Armed forces nurses are selected and trained to intervene on the frontline in the minutes following an injury. Their training and their experience enable them to perform all emergency technical procedures as well as specific procedures performed in war situations. They are prepared to work with personnel from all backgrounds and to integrate pluriprofessional teams with whom they have never previously worked.

Social network analysis: Exploring connections to advance military nursing science.

BACKGROUND: Military nurse scientists are embedded in service-affiliated branches (Army, Navy, Air Force) with different missions, but with the singular purpose of generating and disseminating research impacting the health and well-being of DoD beneficiaries. PURPOSE: This project examines collaboration among TriService Nursing Research Program (TSNRP) members, seeking opportunities to strengthen, diversify, and expand research collaboration. METHOD: Social network analysis (SNA) is the empirical inquiry of relations among social actors at different levels of analysis. An electronic SNA assessment and total enumerative sampling were used to explore current collaborations among PhD-prepared military nurse scientists (N = 136). FINDINGS: The TSNRP collaboration network has a complex service-driven structure with high status actors whose advice, knowledge, or skills are sought by others, and who function as connectors or bridges across service branches. DISCUSSION: For military scientists, SNA is instrumental in identifying influential individuals, visualizing opportunities for intraservice mentoring, designing responsive policy, and directing career opportunities for novice scientists.

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

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.