«Learning to Care for a Wounded World Cover photo: Afghan national army soldiers assist each other with bandages and headgear during a C-130H1 ...»
Journal of Health and
Volume I, Number 2 Veterans Day 2015
Learning to Care for a Wounded World
Cover photo: Afghan national army soldiers assist each other with bandages and headgear during a C-130H1 Hercules
flight May 19, 2014, on Camp Bastion, Afghanistan. The Afghan aircrew successfully loaded human remains, ANA
soldiers and other personnel during the casualty evacuation mission. The aircrew assisted 16 injured patients onto
stretchers and into safe positions during the flight. (U.S. Air Force photo/Staff Sgt. Vernon Young Jr.) Journal of Health and Human Experience The Journal of Health and Human Experience is published by The Semper Vi Foundation.
Journal of Health and Human Experience Volume I, No. 2 Preface of Health and Human Experience Journal General Information The Journal of Health and Human Experience is published by The Semper Vi Foundation.
The Journal is designed to benefit international academic and professional inquiry regarding total holistic health, the arts and sciences, human development, human rights, and social justice.
The Journal promotes unprecedented interdisciplinary scholarship and academic excellence through explorations of classical areas of interest and emerging horizons of multicultural and global significance. ISSN 2377-1577 (online).
Correspondence Manuscripts are to be submitted to the Journal Leadership. Submission of a manuscript is considered to be a representation that it is not copyrighted, previously published, or concurrently under consideration for publishing by any other entity in print or electronic form. Contact the Journal Leadership for specific information for authors, templates, and new material. The preferred communication route is through email at JHHE@sempervifoundation.org.
Subscriptions Beginning in calendar year 2017, the Journal will be available through a standard subscription service. More information will be made available for the purchase of a yearly subscription in calendar year 2016. For editions of the Journal prior to calendar year 2017, online copies will be freely available at: JHHE.sempervifoundation.org. Information regarding subscription services is found at the same website.
Copyright Information As a private sector publication, authors retain copyright for their articles. Authors grant to the Journal an irrevocable, paid-up, worldwide license to use for any purpose, reproduce, distribute, or modify their articles in their entirety or portions thereof. Articles prepared by employees of the US Government as part of their official duties are not copyrighted and are in the public domain. The Journal retains the right to grant permission to third party requestors for the use of individual articles provided that such usage is for educational, non-commercial purposes only. Third party grantees, however, cannot further delegate their approved usage to others etc. Third party usage must give credit to the Journal and the author(s). Opinions expressed in the Journal represent the opinions of the authors and do not reflect official policy of the institutions they may serve. Opinions in the Journal also do not reflect the opinions of the publishers or the institutions served by members of the Journal Editorial Board.
ii Volume I, No. 2 Journal of Health and Human Experience Journal of Health and Human Experience Preface Library of Congress Registration January 27, 2015 ISSN 2377-1577 (online) The Journal of Health and Human Experience is published by The Semper Vi Foundation.
The Journal is an interdisciplinary, academic, peer reviewed international publication. Its mission is to explore the full expanse of holistic and integrated health within the nature and meaning of human experience. Its scholarly and professional explorations richly convene all possible areas within the arts/humanities and the sciences, cultural and social concerns, diverse technologies, ethics, law, civil rights, social justice, and human rights. The Journal invites the reader into the fullness of our human nature, our history, and the expanding futures before us.
The Editorial Leadership enthusiastically welcomes academic and research investigations, reviews, commentaries, creative writing such as poetry/short stories, new and emerging scholar submissions, and other possibilities.
The Journal makes use of a highly innovative four-stage academic mentoring review process that was created by members of the Journal leadership beginning in 2006 with their service for another publication.
A full description of the Journal’s mission, expanse, leadership, author requirements and additional general information can be obtained at: http://JHHE.sempervifoundation.org For direct contact, email Journal leadership via: JHHE@sempervifoundation.org.
Journal Editorial Board
From the Editor-In-Chief Learning to Care for a Wounded World
Edward F. Gabriele New Horizons On Justice
Bruce R. Boynton, Editor Articles Psychotherapy and the Story of the Wounded Body in War
Gordon E. MacKinnon Integrated Behavioral Health: Tactics & Techniques
Ralph B. Mora The Experience of Service Members Living with Mild Traumatic Brain Injury
Terri L. Yost, Ann Gill Taylor, Richard H. Steeves Implementation of Advanced Airway Management Course Using High Fidelity Human Patient Simulation in a Nurse Anesthesia Program............79 Arnel J. Barba, Jennifer McPherson, Felecia Wood Sources and Levels of Occupational Stress, Burnout, and Distress among United States Air Force Aeromedical Evacuation and Critical Care Air Transport Teams
Susan Dukes, Genny Maupin, Wayne Chappelle, Emily Skinner, Tanya Goodman, Sara Cowper, William Thompson, Lillian Prince
Impact of Stigma on Tuberculosis Service Delivery in India:
A Systematic Review of the Literature
Rachel Janik, Clydette Powell Moral Injury and Moral Healing: A Practical Theologian’s Perspective......127 Lorenzo C. York Gaudium et spes at 50: An Old Document for a New Time
The Critic’s Choice Film Review: Terra Firma: A Film About Women, War and Healing.
A Documentary Film by Christine Anthony and Owen Masterson.............175 Laura Mateczun, Kelley Cressman Book Review: Being Mortal: Medicine and What Matters in the End.
Written by Atul Gawande, MD, MPH
Deborah J. Kenny Under City Lights Short Story: Running in the Rain
“From Victim to Survivor to Victor” Mission: The Semper Vi Foundation is a 501(c)(3) tax exempt public charity dedicated to the design, development, implementation, and promotion of social justice and human rights resources, programs, and diverse opportunities in education, publishing, research, and services that help the suffering find healing and meaning in their lives. Of particular interest for the Foundation’s mission is Wounded Warrior Care and, equally, the care of all those who suffer in our wounded world.
Vision: Semper Vi reaches out to all who have known the many forms of life’s suffering and tragedy. Semper Vi activities and opportunities seek to help all those who suffer, not only to survive, but also to become victorious so that their wounds become sources of healing for others. Semper Vi assists those who have benefited from our programs and activities to help others in need. Some of those who benefit from Semper Vi’s humanitarian and relief commitments include our Wounded Warriors and their families, as well as individuals and communities who have experienced violence and terrorism, victims of assault and destruction, those who have suffered discrimination and the loss of their human or civil rights due to religion and values systems, race, gender, sexual orientation, socio-economic status, national origin and ethnicity.
Values: Those who become involved with Semper Vi programs practice the Foundation’s three core values: Learning, Healing, and Serving. Foundation participants seek to show those who have suffered that healing can be theirs especially when their stories and experiences become sources of comfort and care for others Programs: Semper Vi Foundation activities are organized into four programs.
Education: The Semper Vi Foundation convenes a community of international, interdisciplinary scholars and professionals who develop and promote a wide range of educational programs and resources for enrichment in the humanities, health and healthcare, the physical and social sciences, human development and human rights
De Fischler Herman, BS, RP, SD Bruce Steinert, PhD, CCRA Healthcare Chaplaincy, Spiritual Direction Pathology, Biochemistry, Clinical Trials Capital Caring Hospice of Washington, DC Cancer Treatment Centers of America
Arnel J. Barba, DNP, CRNA is Director at Naval Medical Center San Diego Phase II Clinical Site for the Uniformed Services University for the Health Sciences, Daniel K. Inouye Graduate School of Nursing, Nurse Anesthesia Program. Dr. Barba is an Assistant Professor and has held a distinguished record of teaching and research in his academic field. His areas of interests include simulation in education and anesthesia outcomes.
Tecia Breen-Bond, PhD was a health consultant. At Oxford University, Dr. Bond studied Bioethics and Medical Anthropology. She served a clinical preceptorship at the Arizona Heart Institute. Dr. Bond’s 1990 book, “It’s Not Your Fault: for women who Have tried and Tried and TRIED,” has stood the test of time. She has published articles on “Female Patients and the Medical Profession” and “Menopause and the Medical Profession.” Dr. Bond passed away in August of 2015, shortly after the finalization of her creative authorship for this edition of the Journal of Health and Human Experience.
Bruce R. Boynton, MD, MPH, FAAP is Editor of the Journal of Health and Human Experience. Dr. Boynton has had a distinguished career as a Naval Officer, pediatrician, researcher, educator, and hospital administrator. He was formerly the Executive Officer of Naval Hospital Sigonella, Italy; Commanding Officer, Naval Medical Research Unit - 3 in Cairo, Egypt; and Commanding Officer of the Medical Treatment Facility aboard USNS Comfort, a 1,000 bed hospital ship.
Wayne Chappelle, PsyD is an aeromedical clinical psychologist at the USAF School of Aerospace Medicine. He provides aeromedical evaluations, consultations, and training with regard to aircrew of manned/unmanned airframes and special duty personnel. He serves as a consultant to the USAF Surgeon General regarding complex aeromedical psychological issues affecting diagnoses, treatment, performance, and readiness for adapting to (and recovering from) the rigors of military flying and special duty operations.
Sara Cowper, MA is a Research Analyst from Raleigh, NC. As a Statistical Analyst/IndustrialOrganizational Research Psychologist with NeuroStat Analytical Solutions, she co-authored numerous technical reports and journal articles, as well as provided statistical support to official military briefings on occupational health and stress research.
Kelley Cressman, MA holds her master’s in Global Environmental Policy from the School of International Service at American University. She analyzed agricultural policy as a student researcher with the Rural Coalition and National Family Farm Coalition, conducting original research on Farm Bill policy and agricultural conservation methods traditional to Hopi American Indians. Her research interests include political ecology, agroecology, agrobiodiversity, and cooperative production models.
Susan Dukes, PhD, CCNS is a Lieutenant Colonel and member of the Aeromedical Research Department within the USAF School of Aerospace Medicine. She deployed in support of OPERATION ENDURING FREEDOM as the Deputy Director of the Joint Combat Casualty Research Team and currently is the Military Consultant to the Surgeon General for Nursing Research. She is a prolific researcher with more than 25 military en route care research studies to her credit.
Journal of Health and Human Experience Volume I, No. 2 11 Preface Edward F. Gabriele, DMin is Distinguished Professor, Graduate School of Nursing, Uniformed Services University. He is President & Chief Executive Officer of the Semper Vi Foundation and the Journal’s Editor-in-Chief. An educator for over four decades in the humanities, he has held several senior executive positions in ethics, including service as Special Assistant to the Navy Surgeon General for Ethics and Professional Integrity. Dr. Gabriele is extensively published and is an international visiting scholar.
Tanya Goodman, MS is a Statistical Analyst and Industrial Organizational Research Psychologist. She has published in both peer-reviewed journals and Department of Defense (DoD) technical reports on occupational health behaviors, occupational burnout, psychological distress, and posttraumatic stress symptoms among USAF aircrew.
Jan Herman, MA holds the Master’s in History from the University of New Hampshire where he also held a Ford Foundation Teaching Fellowship. He is the retired Special Assistant to the Navy Surgeon General for Medical History and Archivist. He has produced innumerable Navy Medicine historical documentaries including “The Lucky Few” premiered at the Smithsonian in 2010. He is the 2015 recipient of the lifetime achievement Forrest C. Pogue Award for Excellence in Oral History.
Rachel Janik, MPH is a Program Associate at WI-HER LLC (Women Influencing Health, Education, and Rule of Law), located in Washington DC. She obtained her MPH with a focus in global health program design, monitoring and evaluation; and has a specific interest in applying this to maternal and child health and reproductive health in the Middle East. Ms. Janik has previously worked in Nepal and Haiti and has experience in tuberculosis and HIV research.
Deborah J. Kenny, PhD, RN, FAAN is Associate Dean for Academics and Associate Dean for Research at the Helen and Arthur E. Johnson Beth-El College of Nursing and Health Sciences at the University of Colorado Colorado Springs, CO, USA. Dr. Kenny holds the inaugural Carole Schoffstall endowed professorship. She is an accomplished qualitative researcher and has widely published in the area of knowledge utilization. She serves as Chair of the UCCS Institutional Review Board.