Document Type : Original Article
Authors
1
Student Research Committee, Nursing Care Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
2
Professor, Nursing Care Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
3
Associate Professor, Nursing Care Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
4
Assistant Professor Trauma Research Center, clinical sciences institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
Abstract
Introduction: Military nurses operating in combat zones confront unparalleled challenges that demand extraordinary adaptability. Understanding how these nurses navigate resource scarcity and expand their professional roles in high-risk conflict environments remains restricted. This study investigates the experiences and coping strategies of Iranian military nurses providing first aid under such conditions.
Method: A qualitative descriptive study was conducted using conventional content analysis. Nineteen military nurses with 6-36 months of experience in combat zones (2015-2021) participated in face-to-face, semi-structured interviews conducted at operational sites. Data collection was accomplished from October 2023 to March 2024, continuing until thematic saturation was achieved.
Result: Data analysis produced 612 initial codes grouped into two central themes: (1) Challenges in Assisting Injured Individuals—including systemic barriers (resource scarcity, policy limitations) and psychosocial factors (emotional strain, post-traumatic growth); (2) Nurses Providing First Aid Beyond Their Professional Responsibilities, including extended responsibilities (role flexibility, patient advocacy) and personal sacrifices (impact on personal and family life, physical and mental health risks). The results showed that participants had excellent adaptability, often expanding their positions beyond standard job descriptions.
Conclusion: The results showed that nurses had good adaptability and resilience in the face of challenges. They expanded their roles to include further formal responsibilities to ensure quality care and patient safety. The findings emphasize the need for policy changes, including resourcing, logistics, legislation, education, and supportive measures to enable nurses to fulfill their critical roles effectively without compromising their well-being.
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