title: Understanding Post-Deployment Reintegration Concerns Among En Route Care Nurses: A Mixed-Methods Approach.
abstract: The objective of this study was to better understand the post-deployment behavior health symptoms and readjustment/reintegration experienced by military nurses who provided en route care while serving in Operation Enduring Freedom/Operation Iraqi Freedom. Employing an exploratory, concurrent, mixed-methods design with an electronic survey consisting of several valid instruments and single, face-to-face interviews; data were gathered from 119 surveys and 22 interviews. Four qualitative themes aligned with the Post-Deployment Readjustment Inventory items. Findings from interviews support and illuminate the outcomes of the Post-Deployment Readjustment Inventory. Behavioral health usage was high in the quantitative sample. Nearly 74% (n = 88) of respondents indicating they had used Military Behavioral Health services following deployment. Statistically significant differences were noted among all subscales except Intimate Relationship Problems. Combined results indicated en route care nurses encountered difficulties when attempting to return to predeployment roles; behavioral health problems mirrored those of combat warriors. Interventions to assist post-deployment reintegration of en route care nurses should be conducted at the peer, leader, and health care provider levels. Embedding military mental health providers into en route care units is needed. It is imperative to gather lessons learned and identify ways to improve preparation for future conflicts and behavioral health of en route care nurses.
authors.affiliation: Center for Nursing Science and Clinical Inquiry, Womack Army Medical Center, 2817 Reilly Road, Fort Bragg, NC 28310.
authors.forename: Felecia M
authors.initials: FM
authors.lastname: Rivers
authors.affiliation: Aeromedical Research Department, U.S. Air Force School of Aerospace Medicine, 2510 5th Street, Building 840, Wright-Patterson AFB, OH 45433-7913.
authors.forename: Susan
authors.initials: S
authors.lastname: Dukes
authors.affiliation: Combat Casualty Care Research Program, U.S. Army Medical Research and Materiel Command, 504 Scott Street, Fort Detrick, MD 21702.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hatzfeld
authors.affiliation: The University of Texas at Austin School of Nursing, 1710 Red River, Austin, TX 78701.
authors.forename: Linda H
authors.initials: LH
authors.lastname: Yoder
authors.affiliation: Carl R. Darnall Army Medical Center, 36000 Darnall Loop, Fort Hood, TX 76544.
authors.forename: Sandra
authors.initials: S
authors.lastname: Gordon
authors.affiliation: Madigan Army Medical Center, 9040 Jackson Avenue, Fort Lewis, WA 98431.
authors.forename: Angela
authors.initials: A
authors.lastname: Simmons
mesh_terms: D000328:Adult; D000337:Aerospace Medicine; D055826:Afghan Campaign 2001-; D003130:Combat Disorders / Q000150:complications / Q000523:psychology*; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D054542:Iraq War, 2003-2011; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008889:Military Personnel / Q000523:psychology*; D009726:Nurses / Q000523:psychology*; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D014857:Warfare; D000078329:Workforce