Evidence map›Paper›PMID 41968623›Full record

ArticleInternational nursing review2026

Health and Well-Being of Military Nurses in High-Reliability, High-Stress Environments: A Qualitative Study in the Slovenian Armed Forces.

Zlatko Kvržić, Mirko Prosen

Abstract read
In one paragraph

Article in International nursing review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Zlatko KvržićDepartment of Nursing, Slovenian Armed Forces, Military Medical Unit, Šentvid, Ljubljana, Slovenia.ORCID https://orcid.org/0009-0008-0487-3163
Mirko ProsenUniversity of Primorska, Faculty of Health Sciences, Izola, Slovenia.ORCID https://orcid.org/0000-0001-9943-9037

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate how female military nurses experience high-reliability, high-stress environments and how these conditions shape their well-being.

backgroundMilitary nursing involves complex demands that extend beyond clinical care, including dual professional roles, operational unpredictability, and gendered expectations. These pressures can undermine physical, psychological, and social well-being, yet the lived experiences of military nurses, particularly women, remain underexplored.

designA qualitative descriptive design was used.

methodsTen female military nurses were recruited through purposive sampling and interviewed individually in semi-structured online interviews. Data were analysed using qualitative content analysis. Trustworthiness was ensured through reflexive coding, an audit trail, and adherence to COREQ guidelines.

resultsFive overarching categories captured the factors shaping well-being: organisational and structural demands; high-stress operational environments; emotional and psychological burden; coping and resilience; and gendered identity and work-family balance. Participants described constrained autonomy, communication gaps, and role ambiguity within hierarchical structures. Psychological pressures were heightened by moral tensions, responsibility for colleagues, and expectations of emotional control. Coping relied mainly on informal peer support, as formal services were rarely used due to stigma. Gendered norms and family responsibilities further influenced well-being and career decisions.

conclusionMilitary nurse well-being is shaped less by individual resilience and more by organisational culture, operational demands, and gendered expectations. Addressing these systemic factors is essential for sustaining the military nursing workforce. IMPLICATION FOR NURSING: Strengthening leadership support, communication, psychological safety, and professional autonomy may improve working conditions and support nurses' well-being in demanding operational contexts. IMPLICATIONS FOR HEALTH POLICY: Policies should promote supportive organisational cultures, reduce stigma around help-seeking, and facilitate work-family reconciliation to sustain and retain the military nursing workforce.

Indexed as

Military NursingMilitary PersonnelOccupational StressAdaptation, PsychologicalAdultFemaleHumansMiddle AgedPsychological Well-BeingQualitative ResearchSloveniaWorking Conditionsmilitary medicineoccupational healthpsychological stressqualitative researchwork environmentwork–family conflict

Identifiers

PMID41968623
PMCPMC13071344

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.