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Tytuł pozycji:

Female warfighters' perceptions of urogenital health in operational settings.

Tytuł:
Female warfighters' perceptions of urogenital health in operational settings.
Autorzy:
Kostas-Polston EA; Daniel K. Inouye Graduate School of Nursing, Robert Wood Johnson Foundation Nurse Faculty Scholar Alumna, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Braun LA; Assistant Department Head-Health Sciences Research, Nursing Research Department, Naval Medical Center, Portsmouth, Virginia.
Miedema J; Henry M. Jackson Foundation, Bethesda, Maryland.
Źródło:
Journal of the American Association of Nurse Practitioners [J Am Assoc Nurse Pract] 2020 Nov; Vol. 32 (11), pp. 729-737.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: 2018- : Netherlands : Wolters Kluwer
Original Publication: Malden : Wiley
MeSH Terms:
Perception*
Urogenital System*
Warfare*
Military Personnel/*psychology
Adult ; Candidiasis, Vulvovaginal/diagnosis ; Candidiasis, Vulvovaginal/epidemiology ; Candidiasis, Vulvovaginal/psychology ; Cross-Sectional Studies ; Female ; Humans ; Hygiene/standards ; Incidence ; Military Personnel/statistics & numerical data ; Narration ; Nurse's Role ; Qualitative Research ; Self-Testing ; United States/epidemiology ; Urinary Tract Infections/diagnosis ; Urinary Tract Infections/epidemiology ; Urinary Tract Infections/psychology ; Vaginosis, Bacterial/diagnosis ; Vaginosis, Bacterial/epidemiology ; Vaginosis, Bacterial/psychology
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Entry Date(s):
Date Created: 20201112 Date Completed: 20210629 Latest Revision: 20210629
Update Code:
20240105
DOI:
10.1097/JXX.0000000000000534
PMID:
33177334
Czasopismo naukowe
Background: An increased incidence in hygiene-related urogenital infections (bacterial vaginitis, vulvovaginal candidiasis, and urinary tract) has been reported in female warfighters serving in austere environments with decreased availability of water and sanitation resources, and when personal safety outweighs concerns for hygiene. Knowledge and access to an innovative kit designed for the female warfighter to self-test, self-identify, and self-treat common urogenital symptoms is critical to force health.
Purpose: The purpose of this descriptive, cross-sectional, exploratory qualitative study was to explore female warfighters': 1) confidence in seeking sex-specific health care in field and deployment environments and 2) acceptance and willingness to self-test, self-identify, and self-treat urogenital symptoms and infections.
Methodological Orientation: Qualitative data for this thematic analysis were collected during administration of the Military Women's Readiness Urogenital Health Questionnaire. Participants provided open-ended comments associated with three survey questions. Braun and Clarke's inductive thematic analysis method guided the narrative analysis.
Sample: Our sample included a diverse group of US Army women (USAW; n = 152) from a large, military installation.
Results: Narratives and themes demonstrate USAW's desire and need for the availability of a self-test and self-treatment kit. Access, time, mission, and prevention of self-harm by quicker resolve of symptoms are cited as key reasons in support of such a kit.
Conclusions and Practice Implications: Nurse practitioners (NPs) are ideally positioned to provide sex-specific educational interventions and anticipatory guidance that supports physical health, to include urogenital conditions. As urogenital self-testing becomes available for female warfighters, NPs are the model healthcare provider for educating women on their use.

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