Army Analytics Group, Research Facilitation Laboratory (AAG/RFL), Monterey, CA 93940, USA.
Mil Med. 2024 Aug 19;189(Suppl 3):39-46. doi: 10.1093/milmed/usae037.
Providing quality care and maintaining exceptional medical providers are important priorities for military medicine. The present study examines the association between retention sentiments and voluntary separation from army service among Army Medical Corps and Nurse Corps Officers. Retention sentiments are derived from the Department of the Army Career Engagement Survey, a voluntary survey that Active Duty Soldiers complete annually.
The sample included active Army officers in the Medical Corps (n = 1198) and Nurse Corps (n = 1016) who completed the Department of the Army Career Engagement Survey between May 06, 2020 and November 02, 2023, passed the embedded attention check, and said their responses could be used for research purposes. The most frequently cited "Extremely Important" reasons to leave the army were identified within each sample. Binomial logistic regression was used to examine the likelihood of separating from army service based on the top five reasons to leave the Army as identified on the Department of the Army Career Engagement Survey. This study was determined by Exempt Human Subjects Research.
An examination of the factors most frequently endorsed as an "Extremely Important" reason to leave the Army revealed that "Effects of deployments on Family or personal relationships" and "Impact of military service on my Family's well-being" were among the five most cited "Extremely Important" reasons to leave the army within both the Medical Corps and the Nurse Corps samples. When examined together (i.e., summed), the Composite Leave Score was associated with a significantly greater odds of separating from army service in each sample. Specifically, each additional top five "Extremely Important" leave reason identified was associated with a 38% greater odds of separating from army service within the Medical Corps and 50% greater odds of separating from army service within the Nurse Corps.
The current study highlights unique retention concerns among army medical providers in the Medical Corps and Nurse Corps. Additionally, this study ties medical provider sentiments to subsequent voluntary separation from the army. These findings can help army senior leaders evaluate, draft, and revise policy aimed at increasing retention among army medical providers, and increasing access to quality healthcare for service members and their families.
为军人提供高质量的医疗服务和维持卓越的医务人员队伍是军队医学的重要优先事项。本研究考察了陆军医疗团和护理团军官的留任意愿与自愿从军队退役之间的关系。留任意愿是从陆军职业参与度调查中得出的，这是一项现役士兵每年自愿完成的调查。
样本包括在医疗团（n=1198）和护理团（n=1016）中完成陆军职业参与度调查的现役军官，调查时间为 2020 年 5 月 6 日至 2023 年 11 月 2 日，通过了嵌入式关注检查，并表示他们的回答可用于研究目的。在每个样本中都确定了最常被引用的“非常重要”离开军队的原因。二项逻辑回归用于根据陆军职业参与度调查中确定的离开军队的前五个原因，检查离开军队服务的可能性。本研究被确定为豁免人类研究对象。
对最常被认为是离开军队的“非常重要”原因的因素进行检查后发现，“部署对家庭或个人关系的影响”和“兵役对我家庭幸福的影响”是医疗团和护理团样本中离开军队的五个最常被引用的“非常重要”原因之一。当一起检查时（即相加），综合离职得分与每个样本中离开军队服务的可能性显著增加相关。具体而言，在医疗团中，每增加一个前五个“非常重要”的离职原因，与离开军队服务的可能性增加 38%相关，而在护理团中，与离开军队服务的可能性增加 50%相关。
本研究强调了医疗团和护理团中陆军医疗服务提供者的独特留任意愿。此外，本研究将医疗服务提供者的意见与随后自愿离开军队联系起来。这些发现可以帮助陆军高级领导评估、起草和修改旨在提高陆军医疗服务提供者留任率和增加军人及其家属获得高质量医疗保健的政策。
