Propuesta de un diseño de carrera profesional para la enfermería militar / A proposal for military nursing career design

Introducción: En ausencia, en la actualidad, de un modelo de carrera profesional para enfermería militar se propone un diseño que, buscando la excelencia profesional, dé respuesta a las necesidades de la organización. Objetivo: Diseñar una propuesta de carrera profesional para la enfermería militar. Material y Métodos: Se diseñó un modelo de carrera profesional basado en tres variables, contempladas por la Ley de Carrera Militar: capacitación para asumir puestos de mayor responsabilidad, ascenso a sucesivos empleos militares y ocupación de destinos. Población y muestra: Personal en activo en la Escala de Oficiales Enfermeros (E.O.E.). Recogida de datos: Se obtuvieron datos, a través de la Dirección General de Personal, de la situación actual de la E.O.E. (años de servicio, empleos, efectivos/empleo, años/empleo). Se realizó una búsqueda de información en relación con todos los modelos propuestos en España por las Comunidades Autónomas (CC.AA.), así como, la legislación militar y civil de aplicación en este ámbito. Resultados: Se propone un modelo de carrera profesional en base a cinco grados correspondiendo con otros tantos empleos militares. Se describen las funciones y tipo de destino a ocupar de acuerdo al nivel de desempeño profesional. Conclusiones: Es preciso desarrollar un modelo de carrera profesional para la enfermería militar que oriente la trayectoria individual de sus componentes, la catalogación de puestos, los sistemas de evaluación y la formación precisa para alcanzar diversos niveles competenciales en base a las necesidades de las Fuerzas Armadas

Introduction: Due to the current inexistence of a specific professional career for the military nurses, this paper aims to propose a design that both stresses professional excelence and meets the needs of the organisation. Objectives: To design a proposal for the military nursing career. Materials and Methods: This new model for professional career was based on the three dimensions considered by the "Ley de Carrera Militar" (Military Career Law): abiltation to assume positions of higher responsibility, promotion to successive military positions and destination occupation. Population and Sample: Serving staff in the Official Military Nurse Scale (OMNS). Data gathering: Data were obtained through the "Dirección General de Personal" concerning current situations (service years, positions, effectives/ position, years/position). An information search was conducted through all the models proposed in Spain by the Autonomous Communities, and the relevant legislation, both military and civil. Results: The proposed model of nursing professional career is based on five degrees corresponding to the same number of military positions. The functions and type of destination are described according to the level of professional performance. Conclusions: It seems necessary to introduce a new model of professional career useful to guide the individual trajectory of the military nurses, the position lists, the evaluation systems and the required training to reach the different performance levels according to the needs of the Armed Forces

Type 2 diabetes: New anti-diabetics and therapeutic strategy for military pilots and planes, combat vehicles and warship crews

The training of combat, transport or helicopter pilots and flight, combat vehicles and warship crews imply a big effort in terms of economic resources, time and logistics for our Armed Forces (FAS). Therefore, it is the responsibility of the Military Health Service to maintain the aptitudes and the skills of our personnel in the best possible conditions for the longest period of time, thus procuring the maximum operating capacity required for the accomplishment of their missions. In this paper it is reviewed and proposed anti-diabetic drugs that may be safely used by pilots, flight, combat vehicles and warship crews, appreciating those that do not produce hypoglycemia neither cause side effects that can compromise the operating capacity. It is recommended and encouraged personnel with pre-diabetic condition to modify their life style and to initiate treatment with metformin, in order to delay or to avoid the onset of diabetes and extend their operating life. It is also encouraged the use of those anti-diabetic agents that best preserve the function of the pancreatic beta cell, therefore delaying the need for insulin based therapy

la formación de un piloto de combate, transporte o helicóptero, tripulaciones de vuelo y vehículos de combate y dotaciones de buques de guerra, supone un gran esfuerzo en cuestión de recursos económicos, de tiempo y medios logísticos para nuestras Fuerzas Armadas (FAS). Por tanto, es responsabilidad de la Sanidad Militar velar por mantener en las mejores condiciones y durante el mayor tiempo posible las aptitudes y capacidades de nuestro personal de vuelo, vehículos de combate y embarcado, procurando así la máxima operatividad para el cumplimiento de las misiones que el mando pudiera requerir. En este artículo se hace una revisión y propuesta de aquellos fármacos antidiabéticos susceptibles de ser utilizados con seguridad por pilotos, tripulaciones de aeronaves y vehículos de combate y dotaciones de buques de guerra, valorando que no produzcan hipoglucemias ni causen efectos secundarios que comprometan la operatividad. Se recomienda y estimula a aquellos que presenten un estado prediabético a modificar su estilo de vida y tratamiento con metformina para retrasar o evitar la aparición de una diabetes prolongando su vida operativa. Se estimula a quienes presenten una diabetes tipo 2 la utilización de aquellos antidiabéticos que mejor preserven la función de la célula beta para retrasar la necesidad de tratamiento insulínico

The satisfaction of doing national work, the delight of change and a good salary: the health of British colonial nurses going to work in the concentration camps of the Anglo-Boer War (1899-1902).

During the South African/Anglo-Boer War(1899-1902), the British established concentration camps in retaliation to Boer guerilla fighters. Thousands of Boer women and children and thousands of blacks and "coloured" people were interned within these camps. The conditions in the camps were unsanitary and led to the death by disease,mostly respiratory illnesses, of many of the inmates. There were outcries in Britain over the camps among Liberal members of Parliament and social reformers such as Emily Hobhouse. In response to this, the Secretary of War sent an all ladies commission to South Africa. Their final report cited unsanitary conditions and insufficient camp administration as contributing factors to the high death rates.Among their recommendations was to increase the nursing staff. The Colonial Nursing Association provided nurses for these jobs. This article uses a previously unused archival source, the case notes of the medical advisor to the Colonial Office. In 1901-1902, he examined a group of nurses going out to work in the concentration camps of South Africa. This article presents the results of the examinations of 89 nurses, three of whom were rejected, and places them in the context of medical concerns at the time.

How legislation has historically helped nursing when in crisis point.

Health is a political issue. Healthcare is political because it is integral to development. Health-related services must be a part of socioeconomic plans developed at the national level. Nurses are directly influenced by these matters. Recruitment, retention, education and practice of nurses are affected by the demand for services, reimbursement systems, prevalent healthcare problems, and research findings.

Código de ética de la enfermera militar: deontología para la enfermera / A proposal for the ethic code of the military nurses: deontology of naurses

Los autores enfatizan la necesidad de tener en todas las instituciones, un código de Etica y en particular resalta esta necesidad, para las enfermeras. proponen que se fundamente, en aspectos de la antropología filosófica, los derechos humanos y principios jurídicos. Definen que es un código, una norma deontológica y ética. Proponen un código de ética para la enfermera Militar, y hacen significancia del juramento de la Escuela Militar de Enfermeras