title: 'You never come back the same': the challenge of spiritual care in a deployed military nursing context.
abstract: OBJECTIVE
  To explore the experience of spirituality and spiritual care by military nurses on deployed operations.
  
  
  BACKGROUND
  Despite an increasing body of research addressing spirituality in nursing care in a variety of clinical settings, the deployed military nursing context remains poorly understood.
  
  
  METHODS
  A qualitative, philosophical hermeneutic design.
  
  
  METHODS
  Ten Australian military nurses were interviewed about their experiences of spirituality and spiritual care while on deployed operations. Analyses were performed using a phenomenological method informed by philosophical hermeneutics.
  
  
  RESULTS
  The participants perceived that they had an important role in the provision of spiritual care in the absence of family on deployed operations. However, the nurse also needed to care for their own spiritual needs. The results suggested that spirituality and spiritual care may provide positive benefits in protecting against the long-term psychological, emotional and spiritual impacts of military service on deployed operations.
  
  
  CONCLUSIONS
  Military nurses need to understand the factors that influence spiritual care delivery in their practice setting. Nurses need to be cognizant of the importance of spiritual care in the deployed military context, not only for their patients and colleagues, but also for themselves. Spirituality is argued as a protective factor against the challenges and consequences often associated with deployment. Well-developed spiritual resilience may assist in ensuring that military personnel return home emotionally, psychologically and spiritually 'fit'.
  
  
  CONCLUSIONS
  To provide effective spiritual nursing care to deployed military populations, the nurse needs to understand the complex military practice environment, the personal and individual nature of spiritual expressions and their own spiritual care requirements. Meaningful spiritual care aids resilience against the psychological, emotional and spiritual dangers of deployment.
authors.affiliation: 3 Aeromedical Evacuation Squadron, Royal Australian Air Force, RAAF Base Richmond, Richmond, NSW, Australia.
authors.forename: Andrew
authors.initials: A
authors.lastname: Ormsby
authors.affiliation: School of Nursing and Midwifery, Flinders University, Adelaide, SA, Australia.
authors.forename: Ann
authors.initials: A
authors.lastname: Harrington
authors.affiliation: School of Nursing and Midwifery, Flinders University, Adelaide, SA, Australia.
authors.forename: Sally
authors.initials: S
authors.lastname: Borbasi
mesh_terms: D000223:Adaptation, Psychological; D001315:Australia; D006801:Humans; D008888:Military Nursing; D024802:Nurse's Role / Q000523:psychology*; D009723:Nurse-Patient Relations; D009736:Nursing Process; D010687:Philosophy, Nursing; D029181:Spirituality
keywords: Philosophical hermeneutics; family; holistic care; military nursing; nurse; qualitative study; resilience; self-care; spirituality