Nursing Practice Environment in the Armed Forces: Scoping Review.
Background: The nursing practice environment is a critical determinant of healthcare quality, patient safety, and nurse well-being. Military healthcare settings present unique challenges, including rigid hierarchical structures, deployment rotations, and resource constraints, which may significantly...
| Publicado en: | Nursing Reports Vol. 15; no. 11; pp. 394 - 410 |
|---|---|
| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
MDPI
Nov2025
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189677052&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189677052 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Nov2025 vid: 15 iid: 11 pid: 97109 pub: MDPI artinfo: ui: 189677052 189677052 189677052 10.3390/nursrep15110394 189677052 ppf: 394 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Nursing Practice Environment in the Armed Forces: Scoping Review. aug: au: Inácio, Mafalda Carvalho, Maria Paulino, Ana Costa, Patrícia Figueiredo, Ana Rita Nunes, Elisabete Cruchinho, Paulo Lucas, Pedro affil: Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, 1600-190 Lisbon, Portugal sug: subj: Nursing Practice Work Environment Military Health Services Military Nurses Nursing Management Human Scoping Review Primary Health Care Medline CINAHL Database Gray Literature Nursing Administration Research Military Nursing Leadership Burnout, Professional Professional Development Job Satisfaction Outcomes (Health Care) Interprofessional Relations Quality of Nursing Care Checklists ab: Background: The nursing practice environment is a critical determinant of healthcare quality, patient safety, and nurse well-being. Military healthcare settings present unique challenges, including rigid hierarchical structures, deployment rotations, and resource constraints, which may significantly affect the nursing practice. This scoping review mapped the available scientific evidence on the nursing practice environment in military healthcare institutions and identified its influencing factors. Methods: Following JBI methodology, a scoping review was conducted according to the PCC framework: nurses (Population), the nursing practice environment (Concept), and military healthcare settings (Context). Papers in English, Portuguese, or Spanish were included without date restrictions. Searches were performed in 4 databases (September 2025) and data selections were conducted independently by two reviewers. Results: Eleven studies (2010–2025), mainly from the United States, met the inclusion criteria. Thematic analysis revealed three main components influencing the nursing practice environment: structural (leadership, professional development, staffing), relational (collaboration, conflict management), and outcome-related (well-being, retention, patient safety). Favourable environments were associated with higher satisfaction, retention, and reduced burnout. Conversely, unfavorable environments, often influenced by rank hierarchy, deployment rotations, and organizational rigidity, were linked to turnover intention, moral distress, and compromised patient outcomes. Conclusions: Evidence from the included studies indicates that adaptive leadership, interprofessional collaboration, professional development and staffing adequacy are recurrent factors associated with nurses' satisfaction, retention, and perceived quality of care. Hierarchy structures, deployments, and mobility also appear to influence the specific characteristics of military nursing practice environments. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|