PECULIARITIES OF NURSES’ WORK WITH MILITARY PERSONNEL AND VETERANS WHO HAVE SUFFERED AS A RESULT OF TRAUMATIC EVENTS

Authors

DOI:

https://doi.org/10.11603/2411-1597.2025.2.15435

Keywords:

nurse, war, traumatic events, military personnel, veteran

Abstract

Introduction. Modern nursing practice requires further development, particularly in the areas of systematic training, strengthening human resources, and active participation in policy formation and research related to the medical care of military personnel and veterans.

The aim of the study – to explore the experiences, challenges, and needs of nurses when providing care to military personnel and veterans who have experienced traumatic or combat experiences both in a combat zone and in peacetime.

The main part. The study was based on analyzing scientific sources of information on the specified topic. The analysis of the collected sources confirms that nurses play a crucial role in the care of veterans, providing both physical and psycho-emotional support. In the US healthcare system, nursing in the VA (Department of Veterans Affairs) is developing within a holistic model of care that takes into account the unique military experience of patients. Nurses participate in screening for PTSD, coordinate multidisciplinary care, form trusting relationships with veterans, and create a safe environment for disclosing their needs. Special attention is paid to long-term and rehabilitative care, prevention of social isolation, and support for veterans’ families. However, the data indicate a number of challenges. Veterans often avoid contacting nurses due to distrust and reticence caused by the military culture. Nurses must possess not only clinical knowledge, but also cultural competence: understanding military terminology, service structure, typical psycho-emotional states. Educational programs, despite initiatives, have not yet fully integrated these topics into curricula.

Conclusions. Nurses play a key role in the care of military personnel and veterans, providing both medical and psychosocial support. To enhance their effectiveness, cultural competency and integration of military education into educational programs are essential.

References

Taku, K., Tedeschi, R.G., Shakespeare-Finch, J., & Calhoun, L.G. (2021). Posttraumatic growth (PTG) and posttraumatic depreciation (PTD) across ten countries: Global validation of the PTG–PTD theoretical model. Personality and Individual Differences, 169, 110222. DOI 10.1016/j.paid.2020.110222.

Tedeschi, R.G., & Calhoun, L.G. (2004). Trauma and transformation: Growing in the aftermath of suffering. Thousand Oaks: Sage Publications.

Tedeschi, R.G., Moore, B.A., Falke, K., & Goldberg, J. (2020). Transformed by trauma: Stories of posttraumatic growth.

Tedeschi, R.G., Shakespeare-Finch, J., & Taku, K. (2018). Posttraumatic Growth: Theory, Research, and Applications. Routledge. DOI 10.4324/9781315527451.

Tom-James, L.O. (2020). Bioterrorism: Exploring factors for improving nurse preparedness, policies, and practices (Ph.D. Thesis). Minneapolis: Walden University.

Tschudin, V., & Schmitz, C. (2003). The impact of conflict and war on international nursing and ethics. Nurs. Ethics, 10, 354-367. DOI 10.1191/0969733003ne618oa.

O’Connor, K. (2017). Nursing ethics and the 21st-Century Armed Conflict: The example of Ciudad Juárez. J. Transcult. Nurs., 28, 6-14. DOI 10.1177/1043659615620657.

Labrague, L.J., Hammad, K., Gloe, D.S., McEnroe-Petitte, D.M., Fronda, D.C., Obeidat, A.A., et al. (2018). Disaster preparedness among nurses: A systematic review of literature. Int. Nurs. Rev., 65, 41-53. DOI 10.1111/inr.12369.

Bargagliotti, L.A.T. (2018). The contemporary image of professional nursing. Amsterdam: Elsevier.

Magnusson, C., Herlitz, J., & Axelsson, C. (2020). Patient characteristics, triage utilisation, level of care, and outcomes in an unselected adult patient population seen by the emergency medical services: a prospective observational study. BMC Emerg. Med., 20, 7. DOI 10.1186/s12873-020-0302-x.

Thobaity, A., Plummer, V., Innes, K., & Copnell, B. (2015). Perceptions of knowledge of disaster management among military and civilian nurses in Saudi Arabia. Australas. Emerg. Nurs. J., 18, 156-164. DOI 10.1016/j.aenj.2015.03.001.

Sussman, M.S., Ryon, E.L., Urrechaga, E.M., et al. (2021). The key to combat readiness is a strong military-civilian partnership. Mil. Med., 186, 571-576. DOI 10.1093/milmed/usaa565.

American Nurse. (n.d.). Nurses answer the call to enhance veteran and military health. Retrieved from https://www.myamericannurse.com/nurses-answer-call-enhance-veteran-military-health/.

Mayo Clinic. (2014). Disease and Conditions: Post-Traumatic Stress Disorder (PTSD). Retrieved from https://www.mayoclinic.org/diseases-conditions/post-traumatic-stress-disorder/basics/definition/con-20022540.

Shanker, T., & Cooper, H. (2014). Pentagon Plans to Shrink Army to Pre-World War II Level. The New York Times.

Krause-Parello, C.A., Tychowski, J., Gonzalez, A., et al. (2012). Human-canine interaction: exploring stress indicator response patterns of salivary cortisol and immunoglobulin A. Res. Theory Nurs. Pract., 26(1), 25-40.

Elliott, B. (2018). Civilian nurses’ knowledge, confidence and comfort caring for military veterans: Survey results of a mixed-methods study. Home Healthc. Now, 36(6), 356-361. DOI 10.1097/NHH.0000000000000698.

Finnegan, A.P., Di Lemma, L., Moorhouse, I., et al. (2020). Educating nurses to deliver optimum care to military veterans and their families. Nurse Educ. Pract., 42, 102654. DOI 10.1016/j.nepr.2019.102654.

Finnegan, A., & Randles, R. (2022). Nursing care for the military veteran and their family. J. Clin. Nurs., 31(17-18), e29-e31. DOI 10.1111/jocn.16345.

Finnegan, A.P., & Randles, R. (2022). Prevalence of common mental health disorders in military veterans: using primary healthcare data. BMJ Mil. Health, e002045. DOI 10.1136/bmjmilitary-2021-002045.

Randles, R., & Finnegan, A. P. (2022). Veteran health-seeking behaviour for mental health issues: a systematic review. BMJ Mil. Health, 168(1), 99-104. DOI 10.1136/bmjmilitary-2021-001903.

Turback, L., Brémault-Phillips, S., Nijdam, M. J., et al. (2024). Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review. Curr. Neuropharmacol., 22(4), 557-635. DOI 10.2174/1570159X21666230428091433.

Paat, Y.F., Dorado, A.V., Myers, N.W., et al. (2025). Mental Health Challenges and Barriers to Veterans’ Adjustment to Civilian Life on the U.S.-Mexico Border. Healthcare (Basel), 13(3), 220. DOI 10.3390/healthcare13030220.

Britch, R., Richards, K., Williams, K., & Wolfe, H.L. (2024). Prioritizing Veteran Social Well-Being: A Call to Action. Med. Care, 62(12 Suppl 1), S15-S17. DOI 10.1097/MLR.0000000000002058.

Moss, J.A., Moore, R.L., & Selleck, C.S. (2015). Veteran competencies for undergraduate nursing education. Adv. Nurs. Sci., 38, 306-316. DOI 10.1097/ANS.0000000000000092.

Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. Int. J. Nurs. Stud., 99, 103386. DOI 10.1016/j.ijnurstu.2019.103386.

American Geriatrics Society. (2023). Nurse-led supportive Coordinated Transitional Care (CTraC) program improves care for veterans with serious illness. J. Am. Geriatr. Soc., 71(2). DOI 10.1111/jgs.18501.

Madrigal, C., Radlicz, C., Hayes, B., et al. (2023). Coordinated veteran care in modern nursing systems. Crit. Care Nurs. DOI 10.1016/j.cnc.2023.01.004.

American Medical Staffing. (n.d.). Registered Nurse Specialty Overview. Retrieved from https://americanmedicalstaffing.com/professionals/specialties/registered-nurse/.

Leadership and Generations at Work: A Critical Review. (2017). Leadership Q., 29(1). DOI 10.1016/j.leaqua.2017.09.004.

Rudolph, C.W., Rauvola, R.S., & Zacher, H. (2023). Continuity and strategy in veteran nursing care. U.S. Department of Veterans Affairs Annual Report. URL: https://www.va.gov/HEALTH/docs/annual-reports/ONS_AR_2023_508c_12_22_23.pdf.

U.S. Department of Veterans Affairs. (n.d.). VA Healthcare Innovation Learning Network. URL: https://www.innovation.va.gov/hil/home.html.

Greenberg, G.A., & Rosenheck, R.A. (2005). Continuity of care and clinical outcomes in a national health system. Psychiatr. Serv., 56(4), 427-433. DOI 10.1176/appi.ps.56.4.427.

D’Aoust, R.F., & Rossiter, M.L. (2023). Strengthening veteran health through education.

Rossiter, A.G., [et al.]. (2016). Advancing veteran-focused nursing practice.

American Academy of Nursing. (2024). Military and Veterans Health expert panel initiatives.

Carlson, J. (2016). Baccalaureate nursing faculty competencies and teaching strategies to enhance the care of the veteran population. J. Prof. Nurs., 32, 314-323. DOI 10.1016/j.profnurs.2016.01.006.

Nguyen, T., & Smith, L. (2023). Enhancing veteran-centered care in nursing education. J. Mil. Nurs. Educ., 12(1), 45-59.

Chargualaf, K.A. (2019). Actualizing veteran-centered nursing practice in the medical-surgical setting. MEDSURG Nurs., 28, 8-9.

Patterson, B., [et al.]. (2019a, 2019b). Veteran-centered approaches in nursing pedagogy.

Lee, S., & Johnson, P. (2024). Veteran students in nursing: adapting pedagogy for trauma-informed learning. Nurse Educ. Rev., 30(2), 102-110.

Springer Publishing. (n.d.). Veteran nursing education models. Retrieved from https://connect.springerpub.com/content/book/978-0-8261-3597-1/part/part01/chapter/ch01.

McMillan, L.R., Crumbley, D., Freeman, J., et al. (2017). Caring for the veteran, military, and family member nursing competencies: Strategies for integrating content into nursing school curricula. J. Prof. Nurs., 33, 378-386. DOI 10.1016/j.profnurs.2017.06.002.

Published

2025-08-26

How to Cite

Chopyk, M. I., Marushchak, M. I., Dovhalets, O. M., & Mialiuk, O. P. (2025). PECULIARITIES OF NURSES’ WORK WITH MILITARY PERSONNEL AND VETERANS WHO HAVE SUFFERED AS A RESULT OF TRAUMATIC EVENTS. Nursing, (2), 4–10. https://doi.org/10.11603/2411-1597.2025.2.15435

Issue

Section

Articles