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The criteria nurses use in assessing acute trauma in military emergency care
Swedish Armed Forces, Centre for Defence Medicine, Box 5155, S-426 05 V Frölunda, Göteborg, Sweden.
Linköping University, Faculty of Educational Sciences. Linköping University, Department of Behavioural Sciences and Learning, Studies in Adult, Popular and Higher Education.
Swedish Armed Forces, Centre for Defence Medicine, Box 5155, S-426 05 V Frölunda, Göteborg, Sweden.
Sjöström, B., School of Life Sciences, University of Skövde, Sweden.
2007 (English)In: Accident and Emergency Nursing, ISSN 0965-2302, Vol. 15, no 3, 148-156 p.Article in journal (Refereed) Published
Abstract [en]

Emergency medical care for seriously injured patients in war or warlike situations is highly important when it comes to soldiers' survival and morale. The Swedish Armed Forces sends nurses, who have limited experience of caring for injured personnel in the field, on a variety of international missions. The aim of this investigation was to identify the kind of criteria nurses rely on when assessing acute trauma and what factors are affecting the emergency care of injured soldiers. A phenomenographic research approach based on interviews was used. The database for the study consists of twelve nurses who served in Bosnia in 1994-1996. The criteria nurses rely on, when assessing acute trauma in emergency care, could be described in terms of domain-specific criteria such as a physiological, an anatomical, a causal and a holistic approach as well as contextual criteria such as being able to communicate, having a sense of belonging, the military environment, the conscript medical orderly and familiarity with health-caring activity. The present study shows that the specific contextual factors affecting emergency care in the field must also be practised before the nurse faces military emergency care situations. This calls for realistic exercises and training programs, where experience from civilian emergency care is interwoven with the knowledge specific to military medical care. © 2007 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
2007. Vol. 15, no 3, 148-156 p.
Keyword [en]
International mission, Military emergency care, Military nursing, Qualitative method
National Category
Social Sciences
URN: urn:nbn:se:liu:diva-49199DOI: 10.1016/j.aaen.2007.05.002OAI: diva2:270095
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2014-10-28
In thesis
1. Militär akutsjukvård i fält: när den övade verkligheten blir verklig
Open this publication in new window or tab >>Militär akutsjukvård i fält: när den övade verkligheten blir verklig
2014 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aims: Governing for the Armed Forces health care is respect for human dignity and the view of each individual as irreplaceable. The quality of the military care will be at a level equivalent to that of today's civil peace healthcare, which requires that the training is of high quality. Casualty care in the military environment is a complex, challenging and dangerous task. Today there is a lack of knowledge about how to learn these skills. The purpose of the research was to identify the knowledge area pre-hospital care in the military environment by examining what doctors, nurses, paramedics and officers learn about military health care during preparation and exercise.

Method: A phenomenographic approach was used in all sub-studies, and empirical data were collected by means of semi-structured interviews. Study I‐III are cross-sectional studies and study IV is a longitudinal study. Twelve registered nurses who had served in Bosnia were interviewed for study I, and 24 conscript paramedics were interviewed for study II. Study III included 20 officers in their pre-deployment training for service in Afghanistan and Liberia, and Study IV included 7 doctors and twenty nurses who previously had served in Afghanistan, Bosnia, Kosovo and Liberia.

Results: Learning military health care by training and gaining experience can be seen as different abilities; interaction, action and reflection. In-depth analysis at a meta--‐level revealed that the integration between the military and military medical fields of knowledge was missing. The results indicate that participants' understanding of their respective fields of knowledge is inadequate and needs to be integrated in education in a clearer way.

Implications: To create opportunities for better education and integration in these fields of knowledge are proposed (1) that the findings of the thesis could be utilised to develop the design of the curriculum (2) the inter-professional learning is introduced as a part of creating a safer and more effective pre-hospital care, (3) the clinical competence becomes part of the development of pre-hospital emergency care in the field, and (4) that the training is built according to the principle of "train as you fight" with emphasis on the requirements in the combat zone.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2014. 76 inkl. 3 bilagor p.
Linköping University Medical Dissertations, ISSN 0345-0082 ; 1411
National Category
urn:nbn:se:liu:diva-111670 (URN)10.3384/diss.diva-111670 (DOI)978-91-7519-284-0 (print) (ISBN)
Public defence
2014-11-24, Berzeliussalen, Campus US, Linköpings universitet, Linköping, 13:00 (Swedish)
Available from: 2014-10-28 Created: 2014-10-28 Last updated: 2014-10-31Bibliographically approved

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Dahlgren, Lars-Ove
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