蓝色水域护理：美国海军战舰上海军护士的角色。

McLarnon Colleen O, Wise Jamie H

Surface Warfare Medicine Institute, 50 Rosecrans St, Bldg 500, Naval Submarine Base, San Diego, CA 92106-4408, USA.

Crit Care Nurs Clin North Am. 2003 Jun;15(2):233-43. doi: 10.1016/s0899-5885(02)00085-0.

The independent and autonomous nature of blue water nursing makes its practice exceptionally demanding, exciting, and rewarding for Navy nurses assigned to US Navy combatant ships. Whether serving on board an aircraft carrier or an amphibious assault ship, the lone critical care nurse is responsible for a diverse mix of nursing care ranging from community health to critical care. Delivering this care in an austere shipboard environment at sea, often in isolated locations without regular available support from shore-based medical facilities, defines the blue water aspect of this nursing practice. Due to this type of setting and the limited critical care nursing presence on board, the greatest professional challenge at sea is care of the critically ill and injured. Leadership and teamwork are essential. Navy Corpsmen play an integral role in the delivery of nursing care, and the nurse relies heavily on them. Because the nurse cannot do it all alone, taking the lead on providing training and clinical guidance to the Corpsmen is a key responsibility of the shipboard nurse. In this assignment, the critical care nurse also has a unique opportunity to make an impact the health and welfare of the ship's entire crew through wellness and prevention programs. Considering the personal and professional challenges and rewards of blue water nursing, most Navy nurses describe their tour of duty on board a combatant ship as the best assignment of their Navy career.

海上护理工作的独立性和自主性，使得分配到美国海军战舰上的护士们在开展这项工作时面临着极高的要求，但同时也充满刺激与回报。无论是在航空母舰还是两栖攻击舰上服役，唯一的重症护理护士都要负责从社区健康护理到重症护理等各种各样的护理工作。在海上艰苦的舰上环境中提供护理服务，而且常常处于孤立无援的位置，无法得到岸上医疗设施的定期支持，这就是这种护理工作的海上特点。由于这种工作环境以及舰上重症护理人员数量有限，海上最大的专业挑战就是对重症伤病员的护理。领导力和团队合作至关重要。海军医护兵在提供护理服务中发挥着不可或缺的作用，护士也严重依赖他们。因为护士无法独自完成所有工作，所以对医护兵进行培训并提供临床指导是舰上护士的一项关键职责。在这项任务中，重症护理护士还有一个独特的机会，通过健康与预防计划对舰上全体船员的健康和福祉产生影响。考虑到海上护理工作所面临的个人和专业方面的挑战与回报，大多数海军护士都将在战舰上的服役经历描述为其海军生涯中最出色的任务。