The Lived Experience of Iraqi Nurses in Communities Impacted by War or Terrorist Threat

2.50
Hdl Handle:
http://hdl.handle.net/10755/603162
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
The Lived Experience of Iraqi Nurses in Communities Impacted by War or Terrorist Threat
Other Titles:
Working with Military Backgrounds [Session]
Author(s):
Diener, Elizabeth J.
Lead Author STTI Affiliation:
Beta Delta
Author Details:
Elizabeth J. Diener, RN, CNE, ejdiener@okcu.edu
Abstract:
Session presented on Sunday, November 8, 2015: Background: Over the last two decades Iraq has endured three international wars, 13 years of economic sanctions, dictatorship, foreign occupation, and acts of terrorism.  For professional nurses practicing in Iraq, expectations have been that professional life continues “as usual;” caregivers are to function as if the stress of political unrest and personal insecurity does not have personal impact. Results of an extensive review of the literature review emphasize the lack of published research exploring the lived experiences of nurses living and practicing in communities that experience war and terrorist threat.  These gaps make development of supportive structures, policy, and educational interventions impossible.  Methodology:  Guided by Jean Watson’s Human Caring Science, the purpose of this phenomenological investigation is to describe the lived experiences of Iraqi nurses who have experienced the realities of war as both citizens and practitioners in Iraq.  Hour-long phenomenologic interviews were conducted with 10 male Iraqi nurses who met the inclusion criteria of: Possessing a degree in nursing, lived and practiced nursing in Iraq during a time of war or terrorist threat, and are able to communicate in English or Arabic.  Data analysis was ongoing utilizing Giorgi’s approach. Findings: Two main themes and seven subthemes emerged from data analysis. Main Themes-Living under the Shadow of War and Violence: A Daily Routine and, second, the Shield of Adaptation and Resilience.  The first theme, Living under the Shadow of War and Violence, had five subthemes, Impact on Personal Life, Effects on Physical Well-Being, Influence on Mental Health and Emotional Well-being, Impact on the Delivery of Nursing Care, and Lost Sense of Personal Safety.  The second theme, The Shield of Adaptation and Resilience, yielded two subthemes, Faith- Based Hope and Commitment to a Profession of Care This research highlights a number of outcomes from traumatic experiences faced by Iraqi nurses on a daily basis and their multidimensional effects.  The first theme confirms the heavy responsibility of caring and advocating for citizens of a distressed community while also experiencing this same trauma. Continuous trauma not only affected their physical well-being, but also social integration, nursing practice quality, and psycho-mental health.  Major symptoms of PTSD such as flashbacks, unexplained anxiety, nightmares, and insomnia were evident.  As portrayed by the second theme, even without a secure practice setting Iraqi nurses adapted to their environment using faith-based resilience and professional commitment.  Nonetheless, nurses also needed professional and formal support to continue performance of their professional role while holding the responsibility of caring and advocating for traumatized members of a community to which they were members. Recommendations: Results from this phenomenological study are expected to inform and guide “caregivers of caregivers” in healing the trauma of war and terror.  This study confirms that nurses living and practicing in communities continually impacted by violence lose their sense of security and suffer the consequences of prolonged and constant stress.  Establishing work environments that assure physical safety and provide treatment for stress related disorders are imperative to assure quality, care-centered nursing practice.
Keywords:
Phenomenology; War & Terrorist Threat; Global Nursing
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15B19
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleThe Lived Experience of Iraqi Nurses in Communities Impacted by War or Terrorist Threaten
dc.title.alternativeWorking with Military Backgrounds [Session]en
dc.contributor.authorDiener, Elizabeth J.en
dc.contributor.departmentBeta Deltaen
dc.author.detailsElizabeth J. Diener, RN, CNE, ejdiener@okcu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/603162en
dc.description.abstractSession presented on Sunday, November 8, 2015: Background: Over the last two decades Iraq has endured three international wars, 13 years of economic sanctions, dictatorship, foreign occupation, and acts of terrorism.  For professional nurses practicing in Iraq, expectations have been that professional life continues “as usual;” caregivers are to function as if the stress of political unrest and personal insecurity does not have personal impact. Results of an extensive review of the literature review emphasize the lack of published research exploring the lived experiences of nurses living and practicing in communities that experience war and terrorist threat.  These gaps make development of supportive structures, policy, and educational interventions impossible.  Methodology:  Guided by Jean Watson’s Human Caring Science, the purpose of this phenomenological investigation is to describe the lived experiences of Iraqi nurses who have experienced the realities of war as both citizens and practitioners in Iraq.  Hour-long phenomenologic interviews were conducted with 10 male Iraqi nurses who met the inclusion criteria of: Possessing a degree in nursing, lived and practiced nursing in Iraq during a time of war or terrorist threat, and are able to communicate in English or Arabic.  Data analysis was ongoing utilizing Giorgi’s approach. Findings: Two main themes and seven subthemes emerged from data analysis. Main Themes-Living under the Shadow of War and Violence: A Daily Routine and, second, the Shield of Adaptation and Resilience.  The first theme, Living under the Shadow of War and Violence, had five subthemes, Impact on Personal Life, Effects on Physical Well-Being, Influence on Mental Health and Emotional Well-being, Impact on the Delivery of Nursing Care, and Lost Sense of Personal Safety.  The second theme, The Shield of Adaptation and Resilience, yielded two subthemes, Faith- Based Hope and Commitment to a Profession of Care This research highlights a number of outcomes from traumatic experiences faced by Iraqi nurses on a daily basis and their multidimensional effects.  The first theme confirms the heavy responsibility of caring and advocating for citizens of a distressed community while also experiencing this same trauma. Continuous trauma not only affected their physical well-being, but also social integration, nursing practice quality, and psycho-mental health.  Major symptoms of PTSD such as flashbacks, unexplained anxiety, nightmares, and insomnia were evident.  As portrayed by the second theme, even without a secure practice setting Iraqi nurses adapted to their environment using faith-based resilience and professional commitment.  Nonetheless, nurses also needed professional and formal support to continue performance of their professional role while holding the responsibility of caring and advocating for traumatized members of a community to which they were members. Recommendations: Results from this phenomenological study are expected to inform and guide “caregivers of caregivers” in healing the trauma of war and terror.  This study confirms that nurses living and practicing in communities continually impacted by violence lose their sense of security and suffer the consequences of prolonged and constant stress.  Establishing work environments that assure physical safety and provide treatment for stress related disorders are imperative to assure quality, care-centered nursing practice.en
dc.subjectPhenomenologyen
dc.subjectWar & Terrorist Threaten
dc.subjectGlobal Nursingen
dc.date.available2016-03-21T16:44:38Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:44:38Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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