Beruflich Dokumente
Kultur Dokumente
Critique
Military Nursing Care of Iraqi Patients
Introduction
Godman, P., Edge, B., Agazio, J., & Prue-Owens, K.
(2013).
Military
Nursing Care of Iraqi
Patients. Military Medicine, 178(9), 10105
Credential of researchers.
All are current or former Army nurses.
Two of the researchers were deployed to Iraq
during the time frame of the study.
Three had experience in conducting focus groups
and evaluate findings.
One of the researchers had extensive experience
in qualitative methodology and had training in
phenomenology
Problem statement
The purpose of the study was to
understand the concept of nursing care
of Iraqi patients
for military nurses who served in Iraq
from 2008 to 2009.
Problem: There is limited literature that
discuses military nursing care of host nation
patients.
Problem: Care of Iraqi patients has been
based on mostly trial-error based and
unscientific in nature to this time.
Literature Review
None provided in the study
scant literature describing military nursing
care of host nation patients.
Frame of Reference
Phenomenological Inquiry
Phenomenological inquiry is focused on what human
experiences during a particular event (phenomenon) were
the authors are asking human participants to describe this
experience. (Burns, 2011).
Research Tradition
Natural objects, for example, must be experienced
before any theorizing about them can occur.
Edmund Husserl (n.d.)
Data Collection
4 Focus groups with 5 participants each
Lasting up to 2 hrs.
Data generating open ended question guided the process.
generate richer descriptions of experiences because of the interaction effects of
a group discussion
(Goodman, Edge, Agazio, & Prue-Owens, 2013, p.1011).
One interview, no indication that additional information could be
provided later
Protection of Human
Participants
Interviewers removed rank before entering the
room.
Confidently
Able to speak freely
Will not get in trouble for participating in this
study.
No need for any counselors and there was no
indications of any of the interviewees had PTSD.
Findings
Did address purpose
First study that focus on host nation patients
Foundation for larger studies
3 themes
expanding practice
ethical dilemmas
cultural divide
No tracking or study data was provided.
One graph-nurses education level, experience.
Discussion
The initial issue the participant pointed out:
how ill prepared the nurses felt about treating patient with multiple, complex,
and traumatic health problems (Goodman, Edge, Agazio, & Prue-Owens, 2013,
p.1013).
Evaluation Summary
The data collected and was presented in a format that it was easy form
the reader to place themselves in the nurses position.
Expanding PracticeNurses stated that they were not ready to manage the
complex patients initially; however they were thankful for the opportunity to
expand their practice.
Ethical Dilemmasbiases against the provision of care for Iraqi patients,
lack of trust in interpreters, and distress regarding the inability to ensure
continuity of care [for Iraqi patients] (Goodman, Edge, Agazio, & PrueOwens, 2013, p.1012).
Cultural DivideThe difference between nurses and host nation patients
were very different such a simple item as diet to more complex as values.
Values, especially gender. The last and most problematic, language.
translator would not tell the patient that it doesnt look like he will have a
good life and he wouldnt be able to talk. The interpreter believed since it is what
Allah thinks or it is Gods will; it is going to happen anyway, so the patient does
not need to know
(Goodman, Edge, Agazio, & Prue-Owens, 2013, p.1013).
Conclusion
A value study that should be recommended
reading for all deploying nurses, also should be on
the reading list for nurses that wants to work with
different cultures or planning to work oversees.
Granted small sample, larger study would be
beneficial to obtain a better foundation to develop
evidence based practice recommendation that
would work with host nation patients in the
different parts of the world.
References