Elliott Brenda, Patterson Barbara
Assistant Professor of Nursing, Wilson College, Chambersburg, PA..
Professor, Widener University, 1 University Place, Chester, PA 19013..
J Prof Nurs. 2017 Mar-Apr;33(2):145-152. doi: 10.1016/j.profnurs.2016.06.006. Epub 2016 Jun 18.
According to the Department of Veterans Affairs, there are approximately 23 million veterans living in the United States. In 2012, the Joining Forces initiative highlighted the need to enhance nursing education for the military and veteran population. With the drawdown of 2 long, large-scale conflicts, a young cohort of veterans presented new challenges in health care. Although not necessarily a traditional vulnerable population, given their emergent health care needs, they are vulnerable. Purnell's Model for Cultural Competence provided a framework for this exploratory descriptive study. A national on-line survey of 123 nursing programs that pledged to support Joining Forces responded as to how they addressed the initiatives, curricular content, and facilitators and barriers to the process. The findings suggest that some schools/colleges of nursing have exceeded the initiative goals, some who have implemented little, whereas most are in the process. Respondents shared approaches used to enhance courses and curricula. Faculty who were veterans were a strength to program enhancement. The majority felt that incorporating this content was important, although lack of time and a content-laden curriculum were common barriers. Nurse educators have an ethical obligation to teach culturally sensitive care. Making the pledge was only the first step.
根据美国退伍军人事务部的数据，美国约有2300万退伍军人。2012年，“携手合作”倡议强调了加强针对军人和退伍军人的护理教育的必要性。随着两场长期大规模冲突的结束，一批年轻的退伍军人给医疗保健带来了新的挑战。尽管他们不一定是传统意义上的弱势群体，但鉴于他们紧急的医疗保健需求，他们是易受伤害的。普内尔文化能力模型为这项探索性描述性研究提供了一个框架。一项针对123个承诺支持“携手合作”倡议的护理项目的全国在线调查，询问了它们如何应对该倡议、课程内容以及该过程的促进因素和障碍。研究结果表明，一些护理学院/学校已经超出了倡议目标，一些实施得很少，而大多数仍在实施过程中。受访者分享了用于加强课程的方法。退伍军人教员是项目改进的优势。大多数人认为纳入这些内容很重要，尽管时间不足和课程内容繁重是常见的障碍。护士教育工作者有道德义务教授具有文化敏感性的护理。做出承诺只是第一步。
