Sadhaan Abdullah, Brown Michael, McLaughlin Derek
School of Nursing and Midwifery, Queen's University Belfast, Belfast BT97BL, UK.
Trauma Department, King Saud Medical City, Riyadh 12746, Saudi Arabia.
Healthcare (Basel). 2022 Oct 29;10(11):2168. doi: 10.3390/healthcare10112168.
Several studies have been undertaken regarding civilian and military nurses' training, deployment, and experiences during missions in war and conflict areas. However, no review study regarding the experiences of nurses in serving in war and conflict areas has been published.
This review aims to identify the views, experiences, and support needs of Registered Nurses when caring for patients in war and conflict areas.
Four electronic databases-MEDLINE, CINAHL, PsycINFO, and general BC PubMed-were searched in this systematic review. Study screening and selection, data extraction, quality appraisal, and narrative synthesis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 checklist.
Twenty-five studies were included in the final review. The findings were categorised based on four main themes: Challenges in nursing practice, Meaning of experience, Scope of practice, and Nursing support pre- and post-conflict.
Registered Nurses play a critical role in prehospital care and have a significant impact on the survival of wounded military personnel and civilians and on their mortality. Registered Nurses play important roles in military deployment, with barriers to their successful implementation experienced due to a lack of information at the decision-making level, and the need for psychological supports and role-appropriate medical readiness training.
Registered Nurses who are military-ready need to be effective in war and conflict areas. Using the experiences of military or civilian Registered Nurses to assess the pre-deployment preparation needs of these nurses will be beneficial to the effectiveness of the nursing workforce. There are elements that demand more attention during the pre-deployment preparation phase of nurses required to serve in war and conflict areas.
已经开展了多项关于民用和军事护士在战争及冲突地区任务期间的培训、部署和经历的研究。然而，尚未发表关于护士在战争及冲突地区服务经历的综述研究。
本综述旨在确定注册护士在战争及冲突地区护理患者时的观点、经历和支持需求。
在本系统综述中检索了四个电子数据库——医学期刊数据库（MEDLINE）、护理学与健康领域数据库（CINAHL）、心理学文摘数据库（PsycINFO）以及不列颠哥伦比亚大学普通医学文献数据库（general BC PubMed）。按照系统评价和荟萃分析的首选报告项目（PRISMA）2020清单进行研究筛选与选择、数据提取、质量评估及叙述性综合分析。
最终综述纳入了25项研究。研究结果基于四个主要主题进行分类：护理实践中的挑战、经历的意义、实践范围以及冲突前后的护理支持。
注册护士在院前护理中发挥着关键作用，对受伤军事人员和平民的生存及死亡率有重大影响。注册护士在军事部署中发挥着重要作用，但由于决策层面缺乏信息、需要心理支持以及进行与角色相适应的医疗准备培训，其成功实施存在障碍。
做好军事准备的注册护士需要在战争及冲突地区发挥有效作用。利用军事或民用注册护士的经历来评估这些护士的部署前准备需求，将有利于护理人员队伍的有效性。在战争及冲突地区服务的护士的部署前准备阶段，有一些因素需要更多关注。
