Background: Decreases in size, capability, clinical volumes, case mixes, and complex care opportunities in military treatment facilities contribute to the atrophy of clinical skills among medical professionals in these facilities.
Local Problem: The COVID-19 pandemic resulted in a 39% decline in admissions to a military critical care unit. The decrease in patient census contributed to skill sustainment challenges.
Methods: To identify methods to combat skill atrophy, the CINAHL and PubMed databases were searched using the terms peacetime effect, military-civilian partnership, and skill sustainment. Active-duty critical care nurses stationed at a military treatment facility implemented a military-civilian partnership with a civilian medical facility for clinical skill sustainment.
Results: One year after implementation, 39 critical care nurses had completed 511 shifts, gaining clinical experiences seldom achieved at the military facility. A survey of these nurses demonstrated that 8 of 17 (47%) gained experience treating patients requiring intra-aortic balloon pumps or continuous renal replacement therapy, 6 of 17 (36%) gained experience with patients requiring a ventricular assist device, 12 of 17 (71%) acquired hands-on experience with intracranial pressure monitoring, and 14 of 17 (82%) reported vasoactive intravenous infusion manipulation.
Conclusions: This article highlights the importance of evaluating clinical practice within the military health system, developing military-civilian partnerships, and removing military-civilian partnership barriers for nurses and other health care professionals. Failure to implement military-civilian partnerships may adversely affect the clinical competency of the military nurse force.
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http://dx.doi.org/10.4037/ccn2024428 | DOI Listing |
Am J Nurs
February 2025
Joseph R. Danford is a medical student at the Tulane University School of Medicine in New Orleans, LA. Kayla Hearn is a military-civilian partner at Vanderbilt University Medical Center (VUMC) in Nashville, TN, where Elisa Bickett is the military-civilian program manager and Bradley M. Dennis is director of military-civilian partnerships. Cynthia Barrigan is director of military-civilian partnerships in the Office of the Army Surgeon General in Falls Church, VA. Daniel J. Stinner is a military-civilian partner at VUMC and Blanchfield Army Community Hospital in Fort Campbell, KY. Contact author: Joseph R. Danford, The authors have disclosed no potential conflicts of interest, financial or otherwise.
Background: In 2018, the U.S. Army Surgeon General created the Army Medical Department Military-Civilian Trauma Team Training (AMCT3) program to enhance the clinical proficiency of medical personnel serving on Army trauma teams called forward resuscitative surgical detachments (FRSDs).
View Article and Find Full Text PDFAm J Nurs
February 2025
Carl A. Kirton is Editor-In-Chief of AJN. Email:
Building the clinical competency of military personnel during peacetime.
View Article and Find Full Text PDFBr J Hist Sci
December 2024
Department of Civil Engineering, Atilim University, Ankara, Turkey.
With the economic and political support of the United States, in July 1947, Turkey signed contracts with the Westinghouse Electric International Company and J.G. White Engineering Corporation to construct its first international civilian airport, Istanbul's Yeşilköy Airport.
View Article and Find Full Text PDFClin Orthop Relat Res
October 2024
Orthopaedic Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA
Background: Fellowship-trained orthopaedic oncologists in the US military provide routine clinical care and also must maintain readiness to provide combat casualty care. However, low oncologic procedure volume may hinder the ability of these surgeons to maintain relevant surgical expertise. Other low-volume specialties within the Military Health System (MHS) have established partnerships with neighboring civilian centers to increase procedure volume, but the need for similar partnerships for orthopaedic oncologists has not been examined.
View Article and Find Full Text PDFCrit Care Nurse
October 2024
Capt Roman Aguon Salas, USAF, NC, is pursuing a second master's degree at San Diego State University, California.
Background: Decreases in size, capability, clinical volumes, case mixes, and complex care opportunities in military treatment facilities contribute to the atrophy of clinical skills among medical professionals in these facilities.
Local Problem: The COVID-19 pandemic resulted in a 39% decline in admissions to a military critical care unit. The decrease in patient census contributed to skill sustainment challenges.
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