Los obreros de la administración militar como enfermeros en los hospitales militares durante la guerra de África de 1859 / The workers of the Military Administration as nurses in the military hospitals during the African War of 1859

En octubre 1859 España entró en guerra con Marruecos y se movilizó a todos los efectivos del Ejército, quedando muchas instalaciones militares sin personal. Por ello, el gobierno de O'Donnell creó el Cuerpo de Obreros, formado por tropa de reemplazo, que se encargó de oficios auxiliares y funciones sanitarias en los hospitales militares. Objetivos: Dar a conocer la labor realizada por los enfermeros de la compañía de obreros de la Administración Militar según la Instrucción que regula este oficio. Mostrar las categorías de enfermeros hospitalarios y delimitar sus tareas administrativas y de cuidado a los enfermos. Material y Métodos: Estudio histórico realizado a partir del análisis de la "Instrucción para los obreros de la administración militar como enfermeros en los hospitales militares", documento que regulaba el trabajo de los distintos oficios que había en un hospital militar, centrándonos en las funciones del enfermero mayor, enfermero sirviente y celador de sala. Resultados: La Instrucción se divide en quince capítulos, y en cada uno de ellos se fijan las normas de actuación de los distintos oficios existentes en un hospital militar. En los capítulos I, II y III, referentes a los oficios del enfermero, se establecen sus funciones de supervisión y gestión además de cuidado de los enfermos. Conclusiones: Se trata de una reglamentación del trabajo de los enfermeros, que ejercían las labores asignables a los actuales Jefes de Enfermería y Supervisores, con una formación considerable para el momento en tareas administrativas y con cualidades adecuadas para el cuidado de enfermos y heridos

In October 1859 Spain enters into war with Morocco and mobilizes all the troops of the Army, leaving many military installations without personnel. Therefore, the O'Donnell government creates the Workers' Corps, formed by a replacement troop, which will be responsible for auxiliary duties and sanitary functions in military hospitals. Objectives: To make known the work done by the nurses of the company of workers of the Military Administration according to the Instruction that regulate this trade. Show the categories of hospital nurses and define their administrative tasks and care for the sick. Material and Methods: Historical study conducted from the analysis of the "Instruction for military administration workers as nurses in military hospitals", document regulated the work of the different offices that were in a military hospital, focusing on the functions of the senior nurse, servant nurse and ward warden. Results: The Instruction was divided into fifteen chapters, and in each one of them the norms of performance of the different existing trades in a military hospital were established. In chapters I, II and III, referring to nursing trades, their functions of supervision and management as well as care of the sick are established. Conclusions: This is a regulation of the work of nurses, who exercised the tasks assignable to the current Chiefs of Nursing and Supervisors, with considerable training for the time in administrative tasks and with adequate qualities for the care of the sick and injured

Influencia de la actividad física y los hábitos nutricionales sobre el riesgo de síndrome metabólico / Influence of physical activity and nutritional habits on the risk of metabolic syndrome

La conjunción de varios factores de riesgo originados por la obesidad, el sedentarismo o por diversos factores genéticos, lleva a padecer el llamado «Síndrome Metabólico», que incrementa la posibilidad de desarrollar enfermedades cardiovasculares. Objetivos: Describir el riesgo de padecer enfermedades cardiovasculares que tienen los miembros de la Guardia Civil de un complejo militar de Madrid. Material y método: Estudio descriptivo transversal, realizado mediante encuesta de 30 preguntas, analítica y medidas antropométricas al personal de la Guardia Civil que acudió al servicio médico de su acuartelamiento entre el 1 de septiembre y el 31 de octubre de 2014. Resultados: Muestra de 76 sujetos de entre 20 y 62 años. El 7’89% de los individuos tiene tres o más parámetros para el diagnóstico del Síndrome Metabólico. Conclusiones: El sedentarismo y los malos hábitos nutricionales actúan negativamente en el perfil lipídico, TA y el IMC de los individuos, haciendo que estos tengan más probabilidades de padecer SM y, por tanto, enfermedades cardiovasculares (AU)

The combination of several risk factors caused by obesity, sedentary lifestyle or different genetic factors, leads to suffer «metabolic syndrome», which increases the chance of developing cardiovascular disease. Objectives: Describe the risk of cardiovascular disease in members of Guardia Civil from a military complex in Madrid. Material and method: Descriptive cross-sectional study carried out by a 30 questions-survey, analytics and anthropometric measurements to the Guardia Civil staff who came to the medical service of their quartering between September 1 and October 31, 2014. Results: Sample of 76 subjects aged 20-62. 7’89% of individuals have three or more parameters related with metabolic syndrome diagnosis. Conclusions: Sedentary lifestyle and poor nutritional habits act negatively in lipid profile, blood pressure and BMI, increasing the risk of metabolic syndrome and, therefore, cardiovascular diseases (AU)

Experiences of military nurses in Iraq and Afghanistan.

Since 2001 military nurses have successfully supported military operations in deployed field hospitals in both Iraq and Afghanistan. These deployments have presented unique challenges for military nurses. This article reviews the literature on the experience of nurses during these deployments and, using a thematic analysis approach, aims to understand their experience. The results provide an insight into the lives of military nurses who served in Iraq and Afghanistan and highlight some of the coping strategies adopted by nurses in conflict situations. The discussion outlines the key themes and, using excerpts from the literature, explores the challenges and coping strategies used.

British nurses form part of military's latest west African Ebola mission.

Military nurses are part of the British military personnel travelling to west Africa this week to care for healthcare workers with suspected Ebola.

Go down to suffering and raise it up.

In a partial reprint of a January 1919 editorial from The Public Health Nurse, readers will find an Editor's attempt to find meaning in the long, bitter, and highly destructive Great War, known in contemporarily as World War I. The Editor expresses hope that something constructive can emerge from so much devastation. Parallels to contemporary conflicts are readily apparent. Veterans, specifically nurses returning from the battlefields of Europe in this excerpt, deserve acknowledgement and through the knowledge of suffering gained in war, use the skills they possess to advance health and human happiness in times of peace.

Sobre: Análisis de la situación de la Sanidad Militar. Propuestas ante la crisis / About: «Analysis of the situation of the Medical Service. Proposals for the crisis»

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Nurses serving on the front line.

For the first time since World War II (WWII) the nation is being faced with the consequences of warfare upon previously healthy people in the armed forces. It is not only the soldiers and others engaged in combat who will bear the long-term sequelae but also those engaged in the medical rescues in the field.

Análisis de las Asistencias de Enfermería en una Base / Analysis of the Assistances of Nursing in a Base

Objetivo: Se muestra un análisis descriptivo, retrospectivo y longitudinal de los registros obtenidos durante cuatro años (2003 a 2006, a. i.) de las asistencias y cuidados de enfermería en la Base Militar «El Empecinado», teniendo en cuenta la fuerza en revista media, el rango de edades y el porcentaje de personal por sexos. Instrumentos: Se utiliza un libro de registros de las asistencias diarias y se tratan los datos mediante el programa Excel de Microsoft Office. Resultados: Se tienen en cuenta tanto los datos demográficos como los puramente asistenciales, observando que la unidad que aporta mayor número de personal tiene una edad media de 27,53 años, el porcentaje de mujeres es del 15 %, el número de asistencias de enfermería medio diario en el cuatrienio es de 3,07 dedicándose fundamentalmente a las variables vacunas, toma de constantes y PAEF. Conclusión: A la vista de que la mayor parte del tiempo de trabajo asistencial del personal de enfermería está dedicado a labores de prevención y promoción de la salud más que al específico de urgencias y emergencias, sería importante tener estos datos en cuenta a la hora de desplegar a este personal a ZO (Zona de Operaciones) o para prestar apoyo a unidades con diferentes cargas de trabajo (AU)

Objective: This work presents a descriptive, retrospective and longitudinal analysis of assistance and nursing cares records obtained during four years (2003 to 2006) in the Base «El Empecinado», taking into account the monthly count of people, the ages rank, and the percentage of sexes. Instruments: The records book of diary assistance is used and data are treated with the program Microsoft Excel. Results: Both demographic and nursing assistance data are taken into account, observing that the unit which contributes with a major number of people has a mean age of 27,53 years, the percentage of women is 15 %, the daily average number of assistance during the four years period is 3,07 and they are fundamentally dedicated to vaccination, vital constants surveillance and PAEF. Conclusion: In view of the major part of nursing staff assistance work is dedicated to prevention and promotion of health more than urgencies and emergencies, it would be important to take this data into account in the moment of nursing staff deployment in operation zones or as a support for other units (AU)

¿Dónde queda reflejada la actividad enfermera desarrollada en los hospitales? / Where the nursing activity is reflected

Antecedentes y Objetivos: El Conjunto Mínimo Básico de Datos recoge información sobre la actividad hospitalaria. A través de la codificación se traduce la información del episodio clínico a un lenguaje numérico que clasifica cada paciente en un Grupo Relacionado por el Diagnóstico o GRD. En la codificación se emplea el Manual de la Clasificación Internacional de Enfermedades que recoge entre sus procedimientos algunas actividades propias del trabajo independiente que realiza enfermería. Nos propusimos describir el impacto del trabajo de enfermería en el Informe de Alta Médico, a través de los GRDs de episodios codificados, averiguar qué servicios registran mejor la actividad que realizan los profesionales de enfermería y analizar cómo influyen sobre el registro de actividades de enfermería variables como la entidad de afiliación y el motivo del alta. Material y Métodos: Procedimos a la extracción de las actividades de enfermería incluidas en el Manual de Codificación de la Clasificación Internacional de Enfermedades, encontrando 192 actividades propias de enfermería. Se empleó la Base de Datos de la actividad hospitalaria del año 2006 que se remite a la Consejería de Sanidad de la Comunidad Autónoma de Madrid, con 13.544 episodios codificados. Mediante el programa «Estación Clínica» de 3M®, se incluyeron las actividades de enfermería obtenidas, para conocer los GRDs en los que aparecía al menos una de las actividades de enfermería. Resultados y Discusión: Se analizaron y relacionaron los informes que describían al menos una actividad de enfermería con el total de episodios codificados. Se comparó la descripción de actividades de enfermería entre informes de servicios médicos y quirúrgicos. Se analizó la información en función de la entidad de afiliación y del motivo de alta. Se exponen las limitaciones del trabajo y se discuten los resultados obtenidos. Conclusiones: El Informe de Alta Médico es un documento que apenas refleja el trabajo del personal de enfermería en los hospitales. Los Servicios Médicos reflejan en mayor medida que los Servicios Quirúrgicos la actividad que realizan los profesionales de enfermería. La Clasificación Internacional de Enfermedades describe vagamente las actividades propias de enfermería, siendo necesarios estudios de contabilidad analítica que ponderen el peso que aportan las intervenciones de enfermería a los Grupos Relacionados por el Diagnóstico (AU)

Antecedents and Objectives: The Minimum Basic Data Set compiles information on hospital activity. Through its codification the clinical information is translated into a numerical language that classifies each patient into a Diagnosis-Related Group (DRG). This codification is based on the Manual of the International Classification of Diseases (ICD) that includes among its procedures some activities from the independent work carried out by nurses. Our purpose was to describe the impact of the nursing work on the medical discharge report through the DRG,s of codified clinical episodes, find out what departments have a better control of the work performed by the nursing professionals and analyze how variablessuch as health insurance entity and discharge reason influence the logging of nursing activities. Material and Methods: we proceeded to extract the nursing activities included in the Manual of the International Classification of Diseases, finding 192 nursing activities. The database of the hospital activity of 2006 that is sent to the Health Regional Ministry of the Autonomous Community of Madrid, including 13.544 codified episodes, was utilized. The nursing activities so obtained were included in the 3M“ software “Estación Clínica” in order to determine the DRG,s in which at least one nursing activity was identified. Results and Discussion: the reports that described at least one nursing activity were analyzed and correlated to the total of codified reports. The description of nursing activities in medical reports was compared in medical and surgical departments. The information was analyzed in accordance with the health insurance entity and the discharge reason. The limitations of this article are presented and the results discussed. Conclusions: the Medical Discharge Report is a document that hardly reflects the nursing personnel work in the hospitals. The medical departments tend to reflect to a greater extent than the surgical departments the activity of the nursing personnel. The International Classification of Diseases barely describes the nursing activities making necessary analytical accountancy methods in order to have a measure of the share of the nursing activities in the DRG,s (AU)

Navy Nurse Corps manpower management model.

PURPOSE: The Navy Nurse Corps is part of a team of professionals that provides high quality, economical health care to approximately 700,000 active duty Navy and Marine Corps members, as well as 2.6 million retired and family members. Navy Nurse Corps manpower management efficiency is critical to providing this care. This paper aims to focus on manpower planning in the Navy Nurse Corps. DESIGN/METHODOLOGY/APPROACH: The Nurse Corps manages personnel primarily through the recruitment process, drawing on multiple hiring sources. Promotion rates at the lowest two ranks are mandated, but not at the higher ranks. Retention rates vary across pay grades. Using these promotion and attrition rates, a Markov model was constructed to model the personnel flow of junior nurse corps officers. FINDINGS: Hiring sources were shown to have a statistically significant effect on promotion and retention rates. However, these effects were not found to be practically significant in the Markov model. Only small improvements in rank imbalances are possible given current recruiting guidelines. Allowing greater flexibility in recruiting practices, fewer recruits would generate a 25 percent reduction in rank imbalances, but result in understaffing. Recruiting different ranks at entry would generate a 65 percent reduction in rank imbalances without understaffing issues. PRACTICAL IMPLICATIONS: Policies adjusting promotion and retention rates are more powerful in controlling personnel flows than adjusting hiring sources. These policies are the only means for addressing the fundamental sources of rank imbalances in the Navy Nurse Corps arising from current manpower guidelines. ORIGINALITY/VALUE: The paper shows that modeling to improve manpower management may enable the Navy Nurse Corps to more efficiently fulfill its mandate for high-quality healthcare.

Unidade integrada de saúde mental da Marinha do Brasil: um espaço de luta da enfermagem militar (1982-1989) / Nurse's symbolic struggle to occupy powerful position in psychiatric nursing space in Brazilian Navy (1982-1989)

Trata-se de um estudo de cunho histórico social com abordagem qualitativa, fundamentado nos conceitos de habitus, poder luta e violência simbólica, capital simbólico, campo e dominação masculina de Pierre Bourdieu. Tem como objeto de estudo a luta simbólica das enfermeiras para ocupar posições de poder no campo da enfermagem psiquiátrica na Marinha do Brasil, a partir da implantação da Unidade Integrada de Saúde Mental (UISM), no período de 1982 a 1989. Os objetivos desta pesquisa são: Descrever as circunstâncias de implantação de uma Unidade de Saúde Mental na Marinha do Brasil; Analisar a inserção da enfermagem na Unidade Integrada de Saúde Mental da Marinha do Brasil e discutir os ganhos simbólicos para a enfermagem militar, advindos com a inserção da enfermagem psiquiátrica no campo da Marinha do Brasil...

Developing military nursing research priorities.

Congress established the TriService Nursing Research Program (TSNRP) in 1992 to serve the nursing research needs of the military. The TSNRP advances the science of military nursing to support mission readiness and deployment, improves the health and quality of life of military personnel, and provides optimal nursing care in settings worldwide. In 1995, the TSNRP Advisory Council commissioned the Institute of Medicine to make recommendations on management, research funding areas, resource allocation, and objectives. In 1996, the committee issued its report, The Program for Research in Military Nursing: Progress and Future Direction. A principal recommendation was that the TSNRP hold regular research priority-setting conferences. In response, since 2000, the TSNRP has held three conferences. This article follows up the Institute of Medicine report and summarizes the results of those conferences. The article describes conference processes, constituents, and conclusions and outlines future TSNRP research directions.

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.

[Reduced but better health care for armed forces]. / Försvarsmaktens sjukvård bantas, men blir bättre.

The Swedish Armed Forces are presently undergoing the most extensive reorganization and downscaling in their history. In a new set of objectives for the Swedish Armed Forces Medical Service laid down by the Surgeon General, the aim is to provide combat casualty care with a quality on par with that of the civilian, peace-time health care system. This will be achieved by establishing advanced trauma care by specialist physicians and nurses closer to the point of injury, using armoured medical evacuation vehicles, and by introducing new treatment modalities such as intraosseous infusion using hyperoncotic solutions.

Managing the challenges of role diversification in an interdisciplinary environment.

Advanced practice nurses are increasing in number. Such nurses include the nurse practitioner, clinical nurse specialist, nurse anesthetist, and nurse midwife. The roles of nurse practitioners and clinical nurse specialists have been recommended by the American Nurses Association to merge. The frustrations related to this merger are identified, and strategies are proposed to resolve them. Examples of military, civilian, and international models are provided.