Abstract：
:Severely injured patients have difficulty recalling their intensive care unit (ICU) experience which may contribute to emotional trauma. An ICU patient journal contains a short summary of key events during the ICU stay, and has been shown to improve emotional well-being. This project evaluated the feasibility and perceptions of ICU journals in a combat ICU. A one-page survey was distributed to ICU nursing staff at Craig Joint Theater Hospital before and after the use of ICU journals as a process improvement initiative. 16 preimplementation and 10 postimplementation surveys were collected to determine the perception of the utility and feasibility of ICU journals, as well as changes to nursing job satisfaction. Overall, nurses had positive perceptions of ICU journaling; after implementation they felt it could also benefit nurses (31% vs. 80%, p = 0.002). ICU nurses that used journals were also more likely to feel their work makes a difference (90%, p = 0.012) and they could connect with their patient on a personal level (50%, p = 0.037). Primary barriers were time to journal and legal concerns. This study demonstrates with the right guidance, ICU journals can be incorporated into an ICU in a deployed environment and nursing staff feel they benefit the patient, family, unit, and staff.
journal_name
Mil Medjournal_title
Military medicineauthors
Hester M,Ingalls NK,Hatzfeld JJdoi
10.7205/MILMED-D-15-00210subject
Has Abstractpub_date
2016-08-01 00:00:00pages
895-9issue
8eissn
0026-4075issn
1930-613Xjournal_volume
181pub_type
杂志文章abstract：:Air National Guard (ANG) medical units perform 2 weeks of active duty training each year to develop and maintain essential medical skills. Providing meaningful training is, however, a great challenge to both the Guard unit and its active duty counterpart. Too often, annual training is not a relevant learning experienc...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-11-01 00:00:00
abstract：:Recently, observational studies analyzing prehospital blood product transfusions (PHT) for trauma have become more widespread in both military and civilian communities. Due to these studies' non-random treatment assignment, propensity score (PS) methodologies are often used to determine an intervention's effectiveness...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.1093/milmed/usx137
更新日期：2018-03-01 00:00:00
abstract：:Seasonal aeroallergens commonly cause allergic conjunctivitis, rhinorrhea, sinusitis, and cough in sensitized individuals. These clinical symptoms are the result of IgE-mediated type I hypersensitivity reactions, which trigger the degranulaton of mast cells and basophils. In contrast, aeroallergens are not common prec...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz106
更新日期：2019-12-01 00:00:00
abstract：:Spontaneous pneumomediastinum (SPM) with associated subcutaneous emphysema is an uncommon and generally benign condition. We describe an occurrence of SPM that occurred from yelling in a U.S. Marine Corps Drill Instructor. The patient describes yelling at Marine recruits the day prior when he felt a pop "behind his no...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-12-00243
更新日期：2012-11-01 00:00:00
abstract：:A cluster-randomized trial evaluating the effectiveness of chlorhexidine gluconate-impregnated wipes against skin and soft tissue infections (SSTIs) and colonization with methicillin-resistant Staphylococcus aureus (MRSA) was conducted among military recruits attending Officer Candidate School at Marine Corps Base Qua...
journal_title：Military medicine
pub_type： 杂志文章,随机对照试验
doi：10.7205/milmed-d-12-00145
更新日期：2012-11-01 00:00:00
abstract：:Gingival diseases are the most widely dispersed diseases in the United States. In some patients, periodontal disease appears in a generalized form, but more often it appears in localized areas. Furthermore, after treatment with scaling and root planing in generalized cases, the disease is often reduced to a few local ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：2001-11-01 00:00:00
abstract：:Pseudolymphomas of the breast are extremely rare: the etiology of these lesions is unclear, but some believe they may represent a response to local injury. Although morphologically similar to malignant lymphomas, they are benign. Here we report a case of pseudolymphoma of the breast and present a review of the literat...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：
更新日期：1994-06-01 00:00:00
abstract：:Use of blood products are recommended worldwide as a substitution for whole blood. In the case of war wounds, because of their specificity, this is not possible. We studied prospectively the use of blood and blood products during management of the wounded in a field hospital during the war in Croatia. During a 6-month...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-02-01 00:00:00
abstract：BACKGROUND:Foot friction blisters in military personnel lessen a soldier's mobility, concentration, and critical decision-making skills. OBJECTIVE:To determine the prevalence of and factors associated with friction blisters during deployment in all military personnel who nonurgently presented to the 28th Combat Suppor...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00325
更新日期：2012-02-01 00:00:00
abstract：INTRODUCTION:This study evaluates a large cohort of college students after the 2009-2010 pandemic H1N1 influenza season. The objective was to assess influenza vaccination status, influenzalike illnesses (ILIs), and other characteristics associated with attaining immunizations. METHODS:This study was conducted during t...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz257
更新日期：2020-01-07 00:00:00
abstract：:Aeromedical (AM) evacuation of trauma victims from action is an integral part of trauma care. The Israeli Air Force Rescue and Evacuation Unit is responsible for nearly all AM evacuations in Israel. We present three recent cases, within 1 year of operation, of engagement process failure during evacuations performed by...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.10.1004
更新日期：2008-10-01 00:00:00
abstract：Introduction:In 2013, the U.S. Army Surgeon General implemented the Performance Triad (P3), an educational initiative to improve health-related behaviors of soldiers throughout the U.S. Army. The components of P3 are Sleep, Activity, and Nutrition with tenet behaviors for each component. This study reports the results ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy059
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVE:The present study evaluated the factors that contribute to stress and the psychological difficulties of the Italian military component of the United Nations Mission in Bosnia and Herzegovina. This group was compared with a homogeneous group stationed in Italy. METHODS:A cross-sectional study was performed in...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-12-01 00:00:00
abstract：INTRODUCTION:Anxiety toward dental treatment can lead to preventable morbidity, most notably oral pain and infection. This is of concern to the UK Armed Forces (UK AF), as dental care may not be immediately accessible during deployments and exercises, necessitating aeromedical evacuation. Current Defence Policy states ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz451
更新日期：2020-08-14 00:00:00
abstract：:Several international legal instruments and ethical guidelines bestow rights and impose duties on detainees and military physicians, respectively. Ideological totalism, moral disengagement, and victim blame can facilitate the abuse of detainees, and this mindset must be avoided by military physicians. Physicians shoul...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.supplement_2.15
更新日期：2007-12-01 00:00:00
abstract：:The proper treatment of younger patients who have suffered ischemic stroke and who have no stroke risk factors other than antiphospholipid antibodies is unsettled. We propose a rationale to support adding dietary supplementation with calcium and vitamin D to the present standard regimen of anticoagulant therapy for th...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-06-01 00:00:00
abstract：:A 36-year-old man with chronic severe exertional myalgias had a normal serum lactate elevation and diminished serum ammonia elevation on an ischemic forearm exercise test (IFET). The IFET is commonly performed in the evaluation of patients with complaints of exertional myalgias, cramps, and rhabdomyolysis. The finding...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
abstract：:American women are increasingly becoming involved in combat-related roles. Inevitably, our country will have several killed and taken prisoner. No National Academy of Science/National Research Council or VA study has ever been undertaken to examine the chronic sequelae of the experiences undergone by these captured wo...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：:Successful rehabilitation of female service members suffering traumatic injuries to the maxillofacial region is both a physiological and a psychological issue. A clinical evaluation to determine if an association exists between sex hormone levels and dental implant success was undertaken. Endosseous dental implants we...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：INTRODUCTION:Having a mentor is associated with higher job satisfaction among U.S. physicians. The objective of this study was to assess satisfaction among military medical officers and to assess if mentorship and job satisfaction are associated with intention to continue military service. MATERIALS AND METHODS:This i...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz327
更新日期：2020-03-02 00:00:00
abstract：:The United States Army is committed to providing quality health care for active-duty service members, their dependents, and retired service members. Historically, the Army has never had enough active-duty physicians to provide care for all its beneficiaries. Alternatives utilizing civilian health care providers have b...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
abstract：OBJECTIVES:The U.S. Army emplaces physician assistants (PAs) in its maneuver battalions. When contingencies arise, clinic-based physicians join them to augment capability. Because both entities operate similarly, the policy permits a comparison of perceptions of optimal skill sets for the battalion medical mission. ME...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00246
更新日期：2011-12-01 00:00:00
abstract：INTRODUCTION:With more than 370,000 military and civilian personnel stationed across Pacific Command (PACOM), medical evacuation in this largest command presents unique challenges. The authors describe medical evacuations analyzed from the U.S. Air Force Transportation Command Regulating and Command & Control Evacuatio...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa289
更新日期：2020-11-21 00:00:00
abstract：:Despite two decades of concerted federal government effort and the expenditure of billions of dollars, the war on cancer, as judged by mortality, is not going well. However, the mortality yardstick by which progress against cancer is often measured should be reassessed based upon current concepts of carcinogenesis. Th...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：:This study evaluated the noise attenuation of earplugs and earmuffs or their combined use against heavy weapon noise in field conditions for military personnel. The noise attenuation was measured with a miniature microphone inserted into the ear canal. The subjects (13) were tested against pink noise and against the n...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
abstract：:This study evaluated the efficacy of a brief cognitive-behavioral program in modifying causal attributions, expectancy of control, coping strategies, and psychological adjustment in a sample of Australian Army soldiers undergoing a 45-day recruit training program. Participants (N = 174) were randomly allocated within ...
journal_title：Military medicine
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.7205/milmed.173.12.1151
更新日期：2008-12-01 00:00:00
abstract：OBJECTIVE:We investigated the mental health of deployed and nondeployed veterans compared with civilians, exploring gender differences. METHODS:We sampled 41,903 respondents from the Behavioral Risk Factor Surveillance System survey. Respondents self-reported how many of the previous 30 days mental health was not good...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-13-00235
更新日期：2014-01-01 00:00:00
abstract：:Running-related musculoskeletal injuries among U.S. military recruits negatively impact military readiness. Low aerobic fitness, prior injury, and weekly running distance are known risk factors. Physical fitness screening and remedial physical training (or discharging the most poorly fit recruits) before entry-level m...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-15-00143
更新日期：2016-06-01 00:00:00
abstract：:Military free fall or HALO (high altitude-low opening) is a distinct form of tactical parachuting used by the elite forces of the U.S. military. This study was undertaken to examine the type, location, and mechanism of injuries sustained by the military HALO parachutist during training. A retrospective study identifie...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：:Tuberculosis (TB) is a common disease worldwide affecting more than 2 billion people, including latent, pulmonary, and extrapulmonary TB. The presentation of disseminated TB is variable and dependent on the organs affected. Therefore, making the diagnosis and providing appropriate treatment can be delayed. We present ...
journal_title：Military medicine
pub_type： 杂志文章,评审
doi：10.7205/MILMED-D-15-00232
更新日期：2016-03-01 00:00:00
