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关爱退伍军人、军人及其家属的护理能力:将相关内容融入护理学校课程的策略。

Caring for the Veteran, military and family member nursing competencies: Strategies for integrating content into nursing school curricula.

作者信息

McMillan Libba Reed, Crumbley David, Freeman Julie, Rhodes Marilyn, Kane Michele, Napper Joy

机构信息

Auburn University School of Nursing, Auburn University, 221 Miller Hall, AL 36849, United States.

Auburn University School of Nursing, United States.

出版信息

J Prof Nurs. 2017 Sep-Oct;33(5):378-386. doi: 10.1016/j.profnurs.2017.06.002. Epub 2017 Jun 3.

Abstract

In the United States, one in every 15 persons is a Veteran (U. S. Department of Veterans Affairs, 2016; U. S. News & World Report, 2017). An estimated 27% of these Veterans receive healthcare through the Veteran's Health Administration (VHA), leaving 73% to seek care in civilian hospitals (Bagalman, 2014). Realistically, most nurses in the United States will care for military members, Veterans or family members in a variety of healthcare systems and settings. Nurse educators are positioned to lead efforts in providing nursing students with the knowledge necessary to provide competent care and serve as advocates for our nation's heroes. Recent military deployments and news about the VHA have increased awareness of this population. This article describes competency development resulting from an academic-practice partnership experience between two baccalaureate programs and a national military medical center. Project SERVE, Students' Education Related to the Veteran Experience, utilizes a didactic-experiential model consisting of activities designed to teach students core concepts, including understanding military culture, poly-trauma, traumatic brain injury (TBI), post-traumatic stress disorder (PTSD), and issues facing families and care-givers. This article includes competencies, delineating the Knowledge, Skills, Attitudes, and resources for the provision of care to the Veteran population. The authors offer strategies to integrate care of Veterans, and military/family members content into nursing programs and replicate similar experiences. Opportunities for future development, challenges, faculty resources for curricular inclusion, and student reflections of the experience are presented.

摘要

在美国,每15人中就有1人是退伍军人(美国退伍军人事务部,2016年;《美国新闻与世界报道》,2017年)。据估计,这些退伍军人中有27%通过退伍军人健康管理局(VHA)获得医疗保健服务,其余73%则在民用医院寻求治疗(巴格曼,2014年)。实际上,美国的大多数护士都会在各种医疗保健系统和环境中照顾军人、退伍军人或其家庭成员。护士教育工作者有能力引领相关工作,为护理专业学生提供必要的知识,使其能够提供称职的护理服务,并成为我们国家英雄们的倡导者。近期的军事部署以及有关退伍军人健康管理局的新闻提高了人们对这一群体的认识。本文描述了两个学士学位项目与一家国家军事医疗中心之间的学术-实践合作经历所带来的能力发展情况。“服务项目”(与退伍军人经历相关的学生教育)采用了一种理论-实践模式,该模式由一系列活动组成,旨在教授学生核心概念,包括理解军事文化、多重创伤、创伤性脑损伤(TBI)、创伤后应激障碍(PTSD)以及家庭和护理人员所面临的问题。本文包含了各项能力要求,阐述了为退伍军人提供护理服务所需的知识、技能、态度和资源。作者提供了将退伍军人以及军人/家庭成员护理内容融入护理项目并复制类似经历的策略。文中还介绍了未来发展的机会、挑战、课程纳入所需的教师资源以及学生对这段经历的反思。

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