Kathleen Leask Capitulo is a professor at the Icahn School of Medicine at Mount Sinai and NYU Rory Myers College of Nursing in NYC, N.Y.; professor at Zhengzhou University in Zhengzhou, China; and executive director of the Transcultural Nursing Leadership Institute. She was chief nurse executive at James J. Peters VA, Bronx, N.Y. during this study. Lynda Olender is a distinguished faculty lecturer at Hunter-Bellevue School of Nursing at Hunter College in New York, N.Y. She served as a research and executive consultant at James J. Peters VA Medical Center.
Nursing. 2023 May 1;53(5):55-60. doi: 10.1097/01.NURSE.0000923660.93831.c4.
To explore women veterans' experiences by writing short stories of their lives as part of a program, My Life, My Story (MLMS), and qualitatively analyzing the aggregate stories to identify themes, risks, and opportunities for changes in care.
We interviewed women veterans receiving care and/or working at the James J. Peters VA Medical Center in the Bronx, N.Y. Women researchers experienced in the narrative storytelling model, MLMS, wrote participants' short stories. Twenty-two stories were written, aggregated, coded, and reviewed multiple times until saturation; no new themes emerged. The researchers established trustworthiness, consistency, and credibility.
Themes from data from the stories of women veterans included reasons for choosing a military career, military and postmilitary experiences, psychological and military sexual trauma (MST), access to mental health care and support, antiwomen/misogynistic perceptions, relationships, life after military service, experiences with VA care and services, and future goals.
Women veterans have very different military and postmilitary experiences from men. Given the increasing number of women veterans who experience homelessness, MST, and posttraumatic stress disorder, providers, the healthcare community, and the public need to hear the voices of women veterans, learn about their military experiences, and redesign women veterans' healthcare to better meet their unique needs by improving supportive mental and physical health care services.
通过撰写女性退伍军人生活的短篇小说,作为“我的生活,我的故事”(MLMS)计划的一部分,探索女性退伍军人的经历,并对汇总的故事进行定性分析,以确定护理方面的变化的主题、风险和机会。
我们采访了在纽约布朗克斯的詹姆斯 J. 彼得斯退伍军人事务医疗中心接受护理和/或工作的女性退伍军人。具有叙事故事讲述模式(MLMS)经验的女性研究人员撰写了参与者的短篇小说。共撰写了 22 个故事,然后对其进行汇总、编码和多次审查,直到达到饱和状态,没有出现新的主题。研究人员建立了可信度、一致性和可靠性。
女性退伍军人故事数据的主题包括选择军旅生涯的原因、军旅和退伍后的经历、心理和军事性创伤(MST)、获得心理健康护理和支持、反女性/厌恶女性的观念、人际关系、退伍后的生活、退伍军人事务处护理和服务的经历以及未来目标。
女性退伍军人的军旅和退伍后的经历与男性非常不同。鉴于越来越多的女性退伍军人经历无家可归、MST 和创伤后应激障碍,提供者、医疗保健界和公众需要倾听女性退伍军人的声音,了解她们的军旅经历,并通过改善支持性的身心保健服务来重新设计女性退伍军人的医疗保健,以更好地满足她们的独特需求。