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ABSTRACT Objectives: to understand, in light of Anthony Giddens’ Structuring Theory, how military nursing professionals act in tactical pre-hospital care, highlighting training, management, and care practices in risk contexts, and structural challenges that put pressure on their practice. Methods: a qualitative, descriptive study with 15 participants recruited through chain sampling. Data collection took place between March 2023 and January 2024 using semi-structured interviews. The corpus was processed in Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires and analyzed using Descending Hierarchical Classification. Results: four classes emerged, organized into three axes: leadership in training; resource management in hostile environments; challenges related to communication and scarcity of supplies. Conclusions: military nursing demonstrates agency by adapting practices and producing innovation even in the face of rigid hierarchical structures. Tactical pre-hospital care must be institutionalized, investing in training, technologies, and scientific production that consolidate this field as strategic for operational health. RESUMEN Objetivos: comprender, a la luz de la Teoría de Estructuración de Anthony Giddens, cómo actúan los profesionales de enfermería militar en la atención táctica prehospitalaria, destacando las prácticas de formación, gestión y atención en contextos de riesgo y los desafíos estructurales que presionan su práctica. Métodos: estudio cualitativo y descriptivo con 15 participantes reclutados mediante muestreo en cadena. La recopilación de datos se realizó entre marzo de 2023 y enero de 2024 mediante entrevistas semiestructuradas. El corpus se procesó en la Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires y se analizó mediante clasificación jerárquica descendente. Resultados: surgieron cuatro clases, organizadas en tres ejes: liderazgo en el entrenamiento; gestión de recursos en entornos hostiles; desafíos relacionados con la comunicación y la escasez de suministros. Conclusiones: la enfermería militar demuestra capacidad de acción al adaptar prácticas y generar innovación incluso frente a estructuras jerárquicas rígidas. Es necesario institucionalizar la atención prehospitalaria táctica, invirtiendo en formación, tecnologías y producción científica que consoliden este campo como estratégico para la salud operacional. RESUMO Objetivos: compreender, à luz da Teoria da Estruturação de Anthony Giddens, como profissionais de enfermagem militar atuam no atendimento pré-hospitalar tático, evidenciando práticas formativas, gerenciais e assistenciais em contextos de risco, e desafios estruturais que tensionam sua prática. Métodos: estudo qualitativo, descritivo, com 15 participantes recrutados por amostragem em cadeia. Coleta ocorreu entre março/2023 e janeiro/2024 utilizando entrevistas semiestruturadas. O corpus foi processado no Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires e analisado por Classificação Hierárquica Descendente. Resultados: emergiram quatro classes, organizadas em três eixos: protagonismo na formação; gestão de recursos em ambientes hostis; desafios relacionados à comunicação e escassez de insumos. Conclusões: a enfermagem militar demonstra agência ao adaptar práticas e produzir inovação mesmo diante de estruturas hierárquicas rígidas. Há necessidade de institucionalização do atendimento pré-hospitalar tático, investindo em formação, tecnologias e produção científica que consolidem esse campo como estratégico para a saúde operacional.

This Small Army of Women restores a forgotten contingent of nursing volunteers to the historical record, showcasing their dedication amid the carnage of war and their sometimes uneasy relationship with nursing professionals.

\"World War I is widely regarded as the first modern war, driven by fearful new technologies of mechanized combat. The unprecedented carnage rapidly advanced military medicine, transforming the nature of wartime caregiving and paving the way for modern nursing practice. Drawing on firsthand accounts of American nurses, as well as their Canadian and British counterparts, this powerful study describes WWI nurses' encounters with devastating new forms of war-related injury-wounds from high-explosive artillery shells, poison gas burns, \"shell shock,\" the Spanish Flu-and the interventions and technologies they deployed in treating them, including the Carrel-Dakin method of deep wound irrigation, the Balkan frame, and the Ohio Monovalve gas anesthesia machine.\"-- Provided by publisher.

Winner, 2010 Lavinia L. Dock Award, American Association for the History of NursingAn American Journal of Nursing Book of the Year in History and Public Policy \"'I never got a chance to be a girl, ' Kate O'Hare Palmer lamented, thirty-four years after her tour as an army nurse in Vietnam. Although proud of having served, she felt that the war she never understood had robbed her of her innocence and forced her to grow up too quickly. As depicted in a photograph taken late in her tour, long hours in the operating room exhausted her both physically and mentally. Her tired eyes and gaunt face reflected th e weariness she felt after treating countless patients, some dying, some maimed, all, like her, forever changed. Still, she learned to work harder and faster than she thought she could, to trust her nursing skills, and to live independently. She developed a way to balance the dangers and benefits of being a woman in the army and in the war. Only fourteen months long, her tour in Vietnam profoundly affected her life and her beliefs.\" Such vivid personal accounts abound in historian Kara Dixon Vuic's compelling look at the experiences of army nurses in the Vietnam War. Drawing on more than 100 interviews, Vuic allows the nurses to tell their own captivating stories, from their reasons for joining the military to the physical and emotional demands of a horrific war and postwar debates about how to commemorate their service. Vuic also explores the gender issues that arose when a male-dominated army actively recruited and employed the services of 5, 000 nurses in the midst of a growing feminist movement and a changing nursing profession. Women drawn to the army's patriotic promise faced disturbing realities in the virtually all-male hospitals of South Vietnam. Men who joined the nurse corps ran headlong into the army's belief that women should nurse and men should fight. Officer, Nurse, Woman brings to light the nearly forgotten contributions of brave nurses who risked their lives to bring medical care to soldiers during a terrible—and divisive—war.

Evidence on the prevalence and determinants of burnout among military acute and critical care nursing personnel from developing countries is minimal, precluding the development of effective preventive measures for this high-risk occupational group. In this context, we aimed to examine the association between the dimensions of burnout and selected socio-demographic and occupational factors in military acute/critical care nursing personnel from Lima, Peru. We conducted a cross-sectional study in 93 nurses/nurse assistants from the acute and critical care departments of a large, national reference, military hospital in Lima, Peru, using a socio-demographic/occupational questionnaire and a validated Spanish translation of the Maslach Burnout Inventory. Total scores for each of the burnout dimensions were calculated for each participant. Higher emotional exhaustion and depersonalisation scores, and lower personal achievement scores, implied a higher degree of burnout. We used linear regression to evaluate the association between each of the burnout dimensions and selected socio-demographic and occupational characteristics, after adjusting for potential confounders. The associations of the burnout dimensions were heterogeneous for the different socio-demographic and occupational factors. Higher emotional exhaustion scores were independently associated with having children (p<0.05) and inversely associated with the time working in the current department (p<0.05). Higher depersonalization scores were independently associated with being single compared with being divorced, separated or widowed (p<0.01), working in the emergency room/intensive care unit compared with the recovery room (p<0.01), and inversely associated with age (p<0.05). Finally, higher personal achievement scores were independently associated with having children (p<0.05). Among Peruvian military acute and critical care nursing personnel, potential screening and preventive interventions should focus on younger/less experienced nurses/nurse assistants, who are single, have children, or work in the most acute critical care areas (e.g. the emergency room/intensive care unit).

This unique volume presents the experience of 37 U.S. military nurses sent to the Iraq and Afghanistan theaters of war to care for the injured and dying. The personal and professional challenges they faced, the difficulties they endured, the dangers they overcame, and the consequences they grappled with are vividly described from deployment to discharge. In mobile surgical field hospitals and fast-forward teams, detainee care centers, base and city hospitals, medevac aircraft, and aeromedical staging units, these nurses cared for their patients with compassion, acumen, and inventiveness. And when they returned home, they dealt with their experience as they could. The text is divided into thematic chapters on essential issues: how the nurses separated from their families and the uncertainties they faced in doing so; their response to horrific injuries that combatants, civilians and children suffered; working and living in Iraq and Afghanistan for extended periods; personal health issues; and what it meant to care for enemy insurgents and detainees. Also discussed is how the experience enhanced their clinical skills, why their adjustment to civilian life was so difficult, and how the war changed them as nurses, citizens, and people.