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部署的积极一面:在伊拉克和阿富汗战争中服役的美国军队护士的替代性创伤后成长。

A Positive Side of Deployment: Vicarious Posttraumatic Growth in U.S. Military Nurses Who Served in the Iraq and Afghanistan Wars.

机构信息

Mu Epsilon, Alpha Tau, Kappa Alpha, Professor, Department of Nursing, Western Connecticut State University, Danbury, CT, USA.

Mu Epsilon, Xi, Eta Mu, Professor & Associate Dean (retired), Rutgers University-Camden, School of Nursing, Camden, NJ, USA.

出版信息

J Nurs Scholarsh. 2020 May;52(3):233-241. doi: 10.1111/jnu.12547. Epub 2020 Mar 26.

Abstract

PURPOSE

To describe vicarious posttraumatic growth in U.S. military nurses who served in the Iraq and Afghanistan wars.

DESIGN

A cross-sectional descriptive design was used.

METHODS

Respondents were asked to complete the Posttraumatic Growth Inventory (PTGI), Core Beliefs Inventory (CBI), and six open-ended write-in questions as an electronic survey.

FINDINGS

Appreciation of life and Personal strength were the strongest dimensions on the PTGI. This was also evident in participant responses to the open-ended questions. The five dimensions of the PTGI were significantly correlated, indicating as growth increased in one dimension, growth increased in all dimensions. The CBI showed moderate to strong positive correlations with all items. Thus, the relationship between the total PTGI scores and the total CBI scores showed a strong, positive correlation, which indicated higher overall core belief scores associated with more growth in total PTGI scores.

CONCLUSIONS

This study provided initial evidence that some nurses who served in the Iraq and Afghanistan wars experienced posttraumatic growth. While healthcare providers need to be educated about their vulnerability when exposed to trauma, they also need to be aware of potential growth when caring for casualties.

CLINICAL RELEVANCE

Nurses preparing to serve in war, as well as those returning, need to pay attention to their physical, psychological, emotional, and spiritual health. Following return from war deployment, the military services need to take deliberate and careful measures to ensure that no returning personnel "fall through the cracks" in getting the help they need.

摘要

目的

描述在美国伊拉克和阿富汗战争中服役的军事护士的替代性创伤后成长。

设计

使用了横断面描述性设计。

方法

要求受访者通过电子调查完成创伤后成长量表(PTGI)、核心信念量表(CBI)和六个开放式问答题。

发现

对生活的欣赏和个人力量是 PTGI 中最强的维度。这在参与者对开放式问题的回答中也很明显。PTGI 的五个维度呈显著相关,表明一个维度的成长增加,所有维度的成长也增加。CBI 与所有项目呈中度至强正相关。因此,PTGI 总分与 CBI 总分之间的关系呈强正相关,这表明核心信念总分较高与 PTGI 总分的更多成长相关。

结论

这项研究初步表明,一些在伊拉克和阿富汗战争中服役的护士经历了创伤后成长。虽然医疗保健提供者在接触创伤时需要接受有关自身脆弱性的教育,但他们也需要意识到在照顾伤员时可能会出现成长。

临床意义

准备在战争中服役的护士以及返回的护士需要关注自己的身体、心理、情感和精神健康。从战争部署返回后,军队需要采取深思熟虑和谨慎的措施,以确保没有返回的人员在获得所需帮助时“被忽视”。

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