Military Performance Research Articles

RUSSIAN STRATEGIC CULTURE: INSIGHTS FROM THE FULL-SCALE WAR AGAINST UKRAINE

Russia’s full-scale invasion of Ukraine on 24th February 2022 marks a security policy paradigm shift akin to ‘9/11’ for Europe. For the international community of security experts, the invasion represents an anomaly for their rational choice analysis. Their ‘logic of consequence’ must be replaced by the alternative ‘logic of appropriateness’. Hence, the author of this paper employs a broad approach to strategic culture stressing Kremlin regime security as Putin’s operational code. Under this approach, interventionism characterizes the Russian ‘way of war’ as does sheer brutality. The decision to invade Ukraine resulted from Putin’s personal hubris and idiosyncrasies as much as groupthink within the Russian security elite. Putin’s calculus behind invading Ukraine is reconstructed as geopolitical and geo-economic imperialism, along with domestic concerns for pacifying Russia. The first year of war exposed a dysfunctional Russian strategic culture - a collapsing Blitzkrieg effort and a failure to prevail in the subsequent battle for Donbas. The Russian conduct of war reiterated the signature Russian strategic culture of massive destruction and unpunished war crimes. Putin often doubles down and escalates, as seen in the partial mobilization on 21st September 2022. The winter of 2022–2023 brought both systematic Russian attacks on critical Ukrainian energy infrastructure and fierce battles in Vuhledar, Soledar and Bakhmut in which Russia used meatgrinder tactics. The Russian military performance improved during the second year of the war due to the construction of massive fortifications along the frontline. Putin’s strategy has thus turned in favour of a long war of attrition seeking to outlast the combined effect of successive Western upgrading of the weapons supplied to Ukraine and the stamina of the Ukrainians themselves. The Ukrainian counteroffensive shows Ukraine to have the initiative, but progress is painfully slow. This reflects the fact that the war is a war of attrition between two different militaries supported by two dissimilar coalitions of productive power and high-tech innovative capacity.

Visual Pleasures? Wehrmacht Vernacular Trophy Photographs and the Female Other in Nazi-Occupied Europe

ABSTRACT Innumerable historical snapshots from World War II depict German soldiers visually celebrating their victories over an enemy or conquered population. Trophy photographs of German soldiers serve as one valuable heuristic tool to probe German visual cultures and military performances of the self. Indulging in common pictorial tropes that include fixating on female bodies, they have largely been ignored by Holocaust scholars who tend to concentrate on photographs of violence and their evidentiary value. This article places German images of wartime courtship and sexual conquest in dialogue within a broader spectrum of images depicting encounters with women in Nazi-occupied Europe. Photographs of hookups and flirtation with the female vanquished population enable us to embed Nazi warfare and the Holocaust not only in the larger context of conquest and exploitation, but also the cultural and affective mindset of combatants. Delving into the multifaceted histories of these images allows one to deconstruct the violence that lurks beneath the esthetically ‘benign’ visibility and to question the ambivalent affective power of the hyper-violent photographs. In the aggregate, images of violence, humiliation, and non-injurious sexual desire expose a range of behaviors and further shine a light on the ways in which mass violence and genocide are embedded in photographs. The article investigates different motives and ways in which German soldiers visually and physically conquered foreign women and how they ogled and photographically appropriated them. By scrutinizing body language, gestures, facial expressions, and poses the article peels back different layers of the camera’s gaze and of the depicted German soldiers and female subjects, while simultaneously scrutinizing the intersection of sexuality and violence, where desire, spectacle, and esthetics converge into visual pleasure.

What is the dietary intake and nutritional status of defence members: a systematic literature review.

Optimal diet and nutrition is vital for military readiness, performance and recovery. Previous research on military diets has primarily focused on the nutritional composition of field/combat rations and dietary intake during deployment. There is accumulating research exploring the usual free-living dietary intake and nutritional status of defence members in garrison (i.e. military bases on which personnel are stationed). However, no comprehensive review has been conducted to assess the overall dietary quality of defence members internationally. Therefore, this review assessed the diets of military populations against national nutritional guidelines and Military Dietary Reference Intakes (MDRI). A systematic literature review of original research was conducted. CINAHL, Medline (EBSCO), Scopus (Elsevier), PubMed and AMED databases were searched up to the 20/02/2023. A total of thirty-six studies met the inclusion criteria. The overall quality of included studies was high, with a low risk of bias. The diet quality scores indicate poor to fair diet quality among defence members. Defence members display low intakes of fruits, vegetables, wholegrains, seafood, plant protein and nuts and high intakes of added sugars, trans fat and processed meat. Results also indicated suboptimal intake of fibre, essential fatty acids, vitamin A, vitamin E, folate, Mg, Zn and iodine. This may lead to reduced performance, increased risk of chronic diseases and mental health disorders. More research is needed to assess the long-term consequences of poor diet quality in defence members. These results require the attention of policymakers to ensure that military education and food environment is supportive of healthy eating.

Observational study of the effects of maximal oxygen uptake on cognitive function and performance during prolonged military exercise

IntroductionMilitary operations place high demands on many cognitive functions, and stressful events characterise the military work environment. The study aimed to examine the relationship between cardiorespiratory fitness, stress response, cognitive...

Why are we doing this Staff? Justification and implications of aerobic fitness testing in the military.

Physical fitness is a key tenet of military organisations worldwide. Specifically, many consider aerobic fitness (AF) an essential physical attribute for ensuring optimal military performance and readiness. However, the intricate relationship between AF and various facets of military job performance necessitates comprehensive review to ascertain the appropriateness and effectiveness of its assessment. This narrative review aims to describe the relationship between AF and factors influencing individual military performance and readiness, and explores the implications of the enforcement of in-service, generic AF test standards in military populations. Databases (PubMed and Google Scholar) were searched for all relevant published peer-reviewed literature as at August 2023. Inconsistent associations were found between AF and outcomes influencing individual military performance (physical capabilities, cognitive capabilities, presenteeism and productivity, resilience, and technical/tactical capabilities) and readiness (mental health and wellbeing and physical health). Consequently, the level of AF needed for acceptable or optimal military performance remains uncertain. AF is a cornerstone of health and performance, yet linking generic AF test standards to job performance is complex, with multiple factors interacting to influence outcomes. From existing literatures, there does not appear to be a specific level of AF at, and/or above, which acceptable military performance is achieved. As such, the enforcement of and emphasis on in-service, pass/fail, generic AF test standards in military populations is questionable and requires thoughtful re-evaluation. Role/task-specific AF should be assessed through evidence-based PES and the use of generic AF tests limited to the monitoring and benchmarking of health-related fitness.

Inflammatory and Oxidant Responses to Arduous Military Training: Associations with Stress, Sleep, and Performance.

Arduous military training frequently consists of prolonged physical activity, sleep disturbance, and stress that increases musculoskeletal injury risk and performance decrements. Inflammatory and oxidative stress responses have been reported in response to arduous training, but with inconsistencies across markers and with under-representation of women. The purpose of the current report was to measure circulating inflammation and oxidative stress responses to military training and to correlate biomarkers with subjective measures of stress and sleep quality as well as military fitness test performance. Candidates undergoing the 10-week Marine Corps Officer Candidate School (OCS; 101 men; 62 women) were monitored, with demographic and questionnaire data collected, and blood drawn before and after OCS. Blood was analyzed for six markers of inflammation and three markers of oxidative stress. Associations between biomarkers and questionnaire and fitness test performance were tested. All measured inflammatory markers as well as plasma antioxidant capacity were elevated following OCS. The inflammatory increase was higher in women for several markers. Sleep disturbance and stress perception were associated with IL-6, IL-10 and CRP concentrations, suggesting that low sleep disturbance and stress perception were associated with low inflammatory load. Additionally, those with the highest inflammation at each time point performed worse on fitness tests than those with low inflammation. Following arduous military training, the circulating environment in a significant portion of officer candidates resembled chronic low-grade inflammation. This circulating inflammatory environment appeared worse with poor sleep, high stress perception, and poor fitness test performance, with utility observed for CRP, IL-6, and IL-10 as biomarkers of these responses. Since inflammation may contribute to musculoskeletal injury and performance decrements, minimizing chronic inflammation during military training should be explored.

Utilizing Augmented Reality to Evaluate Service Member Team Performance.

Decision-making is a complex process that relies on situational awareness and experience to create a potential list of actions while weighing the risks and benefits of each action. There is a paucity of data evaluating decision-making for individual service members (SM) during the performance of team-based military-relevant activities. Understanding individual performance and decision-making within the context of a team-based activity has potential to aid in the detection and management of mild traumatic brain injuries and assist with safe and timely return-to-duty decision making. The aim of this project was to evaluate cognitive and motor performance in healthy SM during an augmented reality military specific, team-based activity. Data from 110 SMs from Fort Moore Georgia were analyzed for this project. Service members completed 3 augmented reality room breaching and clearing scenarios (Empty Room, Civilian/Combatant, and Incorrect Position of a unit member) with 3 avatar team members. Participants wore a Microsoft HoloLens 2 (HL2) device and used a replica M4 weapon (Haptech Defense Systems) during scenarios. Three-dimensional position data from the HL2 headset was used to compute temporal measures of room breaching and clearing events while the number and timing of weapon discharge was monitored by the M4. Temporal outcomes included time to enter room, time to fire first shot, time in fatal funnel, and total trial time while motor outcomes were distance traveled and average movement velocity. Pairwise comparisons between the Incorrect Position scenario and the Civilian/Combatant scenario demonstrated no difference in time to enter the room (2.36 seconds in both scenarios). Time to fire the first shot in the Civilian/Combatant scenario was longer (0.97 seconds to 0.58 seconds) while time in fatal funnel (2.58 seconds to 3.31 seconds) and time to trial completion (7.46 seconds to 8.41 seconds) were significantly longer in the Incorrect Position scenario. Reaction time to fire the first shot, time in the fatal funnel, and total trial time reflect a change in information-processing and decision-making capabilities during military specific, ecological, team-based scenarios when altering the environment inside of the room and modifying avatar movements. Future studies are planned to evaluate the effects of mild traumatic brain injury on specific aspects of military team performance.

Characterization of Mild Traumatic Brain Injury Cohort With Photophobia From the Defense and Veterans Eye Injury and Vision Registry.

Photophobia is a common visual symptom following mild traumatic brain injury (mTBI), which can adversely affect the military readiness and performance of service members (SMs). We employed the Defense and Veterans Eye Injury and Vision Registry (DVEIVR) to identify and describe a cohort of SMs diagnosed with photophobia post-mTBI. The objective of this study was to characterize comorbid conditions and symptoms in an mTBI cohort with photophobia, to assess their co-occurrence, to describe the persistence of photophobia, and to assess the effectiveness of utilization of currently available International Statistical Classification of Diseases and Related Health Problems (ICD) codes in reporting photophobia in this cohort. The DVEIVR database was searched to identify a cohort of SMs experiencing photophobia after mTBI. Photophobia and other potentially related conditions and symptoms, both coded and descriptive, which were abstracted directly from the medical records of SMs, were found within DVEIVR. The presence of the conditions and symptoms comorbid with photophobia was characterized on both patient and encounter levels. Analysis of co-occurrence of photophobia with these conditions or symptoms was performed on the encounter level using co-occur package in the statistical program R. Persistence of photophobia up to 1 year since the injury was assessed. The utilization of currently available ICD codes for photophobia was analyzed. A total of 639 SMs exhibiting photophobia after mTBI were identified in DVEIVR. Headaches, including migraines, were the most frequently experienced comorbidity affecting 92% of the SMs in the cohort. The second most frequent complaint was dizziness and/or vertigo (53%) followed by nausea (42%), blurry vision (31%), and irritation and discomfort in the eye (17%). In all, 20% of encounters with photophobia had a complaint of headaches, followed by 8.3% of photophobia encounters co-occurring with dizziness and vertigo, 5.7%-with nausea, 4.5%-with blurred vision, and 2.1%-with subjective sensations in the eye. All comorbidities co-occurred with photophobia at probabilities higher than by chance alone. The percentage of mTBI SMs experiencing photophobia declined to 20% at 30 days after the injury, 17% at 3 months, 12% at 6 months, and 7% at 12 months post-injury, respectively. The use of currently available ICD codes for photophobia was very low-only 27.1% of the cohort had at least 1 ICD code recorded in their medical records. The results of this study support the idea that there is a strong relationship between photophobia and headache after an mTBI. Additional research is warranted to better understand this relationship and its causes so that clinical management improves. The results of this study show a precipitous decline in the numbers of cases of photophobia after mTBI over the first 30 days and a longer-term persistence up to a year in a minority of cases, which is consistent with other research in this field. Various ICD codes, which are currently used to code for photophobia, along with other vision conditions, were not widely used to document photophobia symptoms. It is important to adopt a dedicated ICD code for photophobia to improve the surveillance, data collection, and analysis of this condition.

Study of the Replacement Rate of Military Job Performance Ability According to Science and Technological Innovation

The Republic of Korea (ROK) is making efforts to switch to a technology-intensive military that introduces advanced technology to prevent a security vacuum caused by a shortage of troops due to population decline. This study analyzed the replacement rate of military job performance ability by branch according to the development of science and technology (S&T). In addition, the following conclusions could be derived. First, S&T will significantly replace the human personnel’s job performance by 2040. Second, the degree of replacement by S&T will be high for the troop-intensive branches. Third, low-skilled and standardized jobs are easy to replace by S&T, and high-skilled atypical jobs are difficult to replace. Therefore, the ROK military’s aim of a military with advanced technology needs a customized policy that identifies low-skilled, standardized jobs, replaces them with S&T first, and gradually introduces super-technical skills that fit the attributes of the branches to which those jobs belong.

Developing a quality and safety assessment framework for Iran’s military hospitals

BackgroundThe first crucial step towards military hospitals performance improvement is to develop a local and scientific tool to assess quality and safety based on the context and aims of military hospitals. This study introduces a Quality and Safety Assessment Framework (Q&SAF) for Iran’s military hospitals.MethodsThis is a literature review which continued with a qualitative study. The Q&SAF for Iran’s military hospitals was developed initially, through a review of the WHO’s framework for hospital performance, literature review (other related framework), review of military hospital-related local documents, consultations with a national and sub-national expert. Finally, the Delphi technique used to finalize the framework.ResultsBased on the literature review results; 13 hospital Q&SAF were identified. After reviewing literature review results and expert opinions; Iran’s military hospitals Q&SAF was developed with 58 indictors in five dimensions including clinical effectiveness, safety, efficiency, patient-centeredness, and Responsive Management (Command and Control). The efficiency dimension had the highest number of indictors (19 indictors), whereas the patient-centered dimension had the lowest number of indices (4 indictors).ConclusionRegarding the comprehensiveness of the developed assessment framework due to its focus on the majority of quality dimensions and important components of the hospital’s performance, it can be used as a useful tool for assessing and continuously improving the quality of hospitals, particularly military hospitals.

Russia’s thinking on new wars and its full-scale invasion of Ukraine

ABSTRACT Russia’s poor military performance in the early stages of the full-scale war in Ukraine (2022-) has been attributed to various causes. This article considers its possible intellectual causes. Reviewing public Russian military and security discussions on new wars in the years prior to Russia’s full-scale invasion, it argues that Russian operational planning on Ukraine aligned with key assumptions in Russian thinking about new wars. In particular, the Russian leadership's failure to acknowledge Ukrainian agency, its misguided emphasis on non-kinetic means and its mistaken assumption that Western states would be unwilling to respond forcefully to Russian aggression followed key tenets of Russian new war thinking. This raises questions about the relationship between Russian military theorizing and Russian military action, and how a prevailing intellectual paradigm shaped Russian perceptions about the reasonability of the invasion plan.

An Assessment of the Nigerian Military Performance in Combating Armed Banditry: A Sociological Review of the Scenario in Birnin Gwari Local Government of Kaduna State (2015-2023)

The widespread occurrence of armed banditry and the resulting risks to human security have become a matter of national security concern. The Nigerian military has been sent for domestic operations in the majority of localities, and they are being aided by international endeavours. They have greatly reduced the ability of the armed criminals. The objective of this study was to assess the Nigerian military's capacity to effectively address the issue of armed banditry in the Birnin Gwari Local Government Area, located in the Central Senatorial District of Kaduna state. The paper's theoretical framework is Situational Choice Theory (Situational Crime Prevention). The research used a survey design for data collecting and employed qualitative methods for analysis. The Nigerian military has established a military operation called "Operation Whirl Punch" in Birnin Gwari to address the issues of murders, abduction of farmers and travellers, obstruction of local trade routes and theft of animals and crops. Ultimately, it is essential to establish a well-organised system of community policing and civil-military collaboration. Therefore, this article proposes the implementation of a novel security framework, along with the formulation of employment generation strategies. Additionally, it is suggested that the military should transition from their present defensive approach in combating criminals to an offensive one by integrating elements of Stealth, Surprise and Speed into all of their operations. The military should be equipped with state-of-the-art technology and essential logistical support, while also having access to reliable and useful information. Keywords: Assessment, Banditry, Combating, Military, and Performance.

Beyond change scores: Employing an improved statistical approach to analyze the impact of entry fitness on physical performance during British Army basic training in men and women.

The aim was to use a robust statistical approach to examine whether physical fitness at entry influences performance changes between men and women undertaking British Army basic training (BT). Performance of 2 km run, seated medicine ball throw (MBT) and isometric mid-thigh pull (MTP) were assessed at entry and completion of Standard Entry (SE), Junior Entry-Short (JE-Short), and Junior Entry-Long (JE-Long) training for 2350 (272 women) recruits. Performance change was analyzed with entry performance as a covariate (ANCOVA), with an additional interaction term allowing different slopes for courses and genders (p < 0.05). Overall, BT courses saw average improvements in 2 km run performance (SE: -6.8% [-0.62 min], JE-Short: -4.6% [-0.43 min], JE-Long: -7.7% [-0.70 min]; all p < 0.001) and MBT (1.0-8.8% [0.04-0.34 m]; all p < 0.05) and MTP (4.5-26.9% [6.5-28.8 kg]; all p < 0.001). Regression models indicate an expected form of "regression to the mean" whereby test performance change was negatively associated with entry fitness in each course (those with low baseline fitness exhibit larger training improvements; all interaction effects: p < 0.001, > 0.006), particularly for women. However, when matched for entry fitness, men displayed considerable improvements in all tests, relative to women. Training courses were effective in developing recruit physical fitness, whereby the level of improvement is, in large part, dependent on entry fitness. Factors including age, physical maturity, course length, and physical training, could also contribute to the variability in training response between genders and should be considered when analyzing and/or developing physical fitness in these cohorts for future success of military job-task performance.

Sleep duration and perceptions of sleep quality in British Army recruits during basic training - an observational analysis.

Sleep is critical to the health, wellbeing and performance of military personnel during basic training. This two-part study evaluated sleep-wake patterns and sleep disturbances in junior soldiers (JS) and infantry recruits in Autumn 2021 (study 1), and non-infantry recruits in spring 2022 (study 2). During studies 1 and 2, validated wearable technology combined with a sleep diary was used to quantify sleep-wake indices, sleep disturbances and perceptions of sleep quality. Sleep diary data was analysed descriptively. A series of repeated-measures ANOVAs examined differences in objective sleep-wake indices. Correlation analysis determined associations between time in bed (TIB) and total sleep time (TST). Significant (p < 0.05) differences in most sleep-wake indices were observed between weeks of basic training for all cohorts. Strong positive correlations between TIB and TST were observed for each cohort across basic training (r = 0.681 - 0.970, p < 0.001), with longer TST associated with greater TIB. The mean±SD sleep duration (hours and mins [hm]) for JS (06:22 ± 00:27hm), non-infantry (05:41 ± 00:47hm) and infantry (05:46 ± 00:34hm) recruits across basic training was consistently below national recommendations. The mean±SD bed and wake times for JS (bedtime: 23:01 ± 00:32hm; awake: 05:34 ± 00:10hm), non-infantry (bedtime: 23:38 ± 01:09hm; awake: 04:47 ± 00:58hm), and infantry (bedtime: 23:13 ± 00:29hm; awake: 05:38 ± 00:26hm) recruits varied across weeks of basic training, with over 80% reporting "fairly bad" or "very bad" sleep quality and frequent periods of "dozing off" during daytime activity. The most commonly reported sleep disturbing factors identified during basic training involved: late-night military admin (e.g., ironing, boot cleaning, kit set up etc), early morning wake times, extraneous noise, light and hot room temperatures within the primary sleeping environment, bed/mattress discomfort, muscle soreness and feelings of stress and anxiety. Our findings contribute to the existing evidence that long-term sleep loss is pervasive during initial military training programmes. The average sleep durations indicate chronic and unrecoverable sleep loss which would be expected to significantly impair physical and cognitive military performance, and increase the risk of injury, illness and attrition rates during basic training. Changes in the design and scheduling of basic training programmes to enable, at the least, minimum sleep recommendations to be met, and to improve sleep hygiene in the primary sleeping environment are warranted.

The revenge of ‘democratic peace’

The Russo-Ukrainian war may have given democratic peace a new lease of (research) life. The stronger-than-expected reaction of liberal democracies coupled with the poorer-than-expected battlefield performance of the Russian military, invites us to re-apply the logic of democratic peace. To understand the strong reactions of liberal democracies, I apply a militant interpretation of Kant’s perpetual peace and reexamine the role of trade interdependence in capitalist peace. To understand the battlefield performance of Ukraine, I examine theories of war-fighting with an emphasis on the legitimacy mechanism. To understand the battlefield performance of Russia, I examine the deleterious impact of corruption and preference falsification ( vranyo). To the extent that the field is still generating novel research that advances our understanding of the impact of regime type on international conflict, democratic peace remains a progressive research programme.

Military Health Care Team Cohesion and Performance During Simulation Training.

Military health care team cohesion has been linked to improved performance during simulation training. However, there is a gap in current research regarding the processes by which teams become cohesive within simulation training. The purpose of this study was to explore how health care teams evolve during high-fidelity simulation training and the ways in which team cohesion impacts their performance. The participants in our study were fourth-year military medical students participating in a 5-day high-fidelity military medical simulation during Fall 2022.Twenty-three students volunteered to participate in our study. We interviewed each participant twice during the simulation and then transcribed each interview using an automated transcription service. Guided by the grounded theory tradition of qualitative data analysis, we used open, axial, and selective coding to analyze the interview data. Our data analysis revealed that teams went through a process of (1) struggle, (2) adaptation, (3) perceived improvement, (4) gained confidence, and (5) perceived team cohesion. Teams struggled through the various barriers to group cohesion (i.e., power dynamics, role designation and competency, and task failures and low team confidence) in order to understand their weaknesses. As teams adjusted and noticed improvement, they adapted new patterns, protocols, and standards of practice based on previous failures, improving their overall confidence. The participants perceived their teams as successful once they had progressed through these phases and ended the simulation as a cohesive unit. Our qualitative data analysis provided insight into team cohesion as it was forged by participants in real time as the simulation progressed. The results of our study can be used to promote team cohesion not only during simulation training but also within military health care professional teams in order to enhance their performance in the field.

Body composition as a marker of performance and health in military personnel.

Body composition standards are set to ensure operational readiness in active-duty military personnel. To meet body composition standards, some individuals, however, may engage in unhealthy weight control behaviors (i.e., weight cycling and disordered eating). The objectives of this review are to: (1) evaluate the evidence regarding body composition and the associations to physical and military specific performance; (2) discuss body composition and potential health consequences; and (3) examine the evidence of weight cycling and disordered eating behaviors in military personnel for weight control. A systematic search to identify peer-reviewed research articles was conducted in PubMed on 2/20/2023 using Medical Subject Headings (MeSH) including but not limited to "Military Personnel", "Tactical Athlete", "Weight Loss", "Body Composition", and "Weight Cycling". A total of 225 research articles were identified. The list was narrowed down to articles from the last 20 years (2003-2023) in military personnel. Only studies in which percent body fat was directly measured were included resulting in 17 research articles for this review. Evidence-based research is limited on the relationship between body composition and operational readiness. Weight cycling and disordered eating behaviors also has been reported for weight control, yet additional research is needed. Specifically, future research should focus on female service members, racial and ethnic differences, age, and postpartum status and include other service branches (i.e., Air Force and Navy). A comprehensive survey on weight cycling, disordered eating, and weight management would be valuable to determine the prevalence and extent of this issue. This information along with performance data would guide policy makers on the relevance and appropriateness of existing body composition standards.

Searching for Organizational Knowledge Creation Pattern in Military Nursing Education in Iran with the Use of Meta-synthesis

INTRODUCTION: Due to the limited current knowledge about the appropriate trainings for the improvement of competence in military nurses, it seems necessary to use the processes of creating and sharing knowledge to fill the gap between the current knowledge and the required one. Therefore, this research has searched for the pattern of organizational knowledge creation in military nursing education using a meta-synthesis method. METHODS: The research was conducted using the meta-synthesis method (thematic analysis), and the findings were systematically reviewed based on the seven-step pattern of Sandelowski, Barroso and Voils (2007). For this purpose, 348 articles were reviewed, and finally, 33 articles were confirmed by referring to valid and accessible documents of the sites. FINDINGS: The network of extracted themes was identified as an eight-component pattern including team-oriented approach, individual factors, managerial factors, technological factors, communication factors, organizational policy-making, implementation of knowledge creation process, and organizational culture. CONCLUSION: The implementation of knowledge creation leads to the promotion of military nursing education and, as a result, to the improvement of military nurses performance. To this end, factors such as culture building, using the knowledge of experienced nurses, past successful experiences and updating systems with new information technology tools are effective in creating knowledge. This approach can be an influential factor in advancing the scientific and practical goals of the commanders regarding the creation of knowledge and reducing the waste of time and financial resources.

Development of the Troop Readiness Evaluation With Augmented Reality Return-to-Duty (Troop READY) Platform to Aid in the Detection and Treatment of Military Mild Traumatic Brain Injury.

Mild traumatic brain injury (mTBI) is prevalent in service members (SMs); however, there is a lack of consensus on the appropriate approach to return to duty (RTD). Head-mounted augmented reality technology, such as the HoloLens 2, can create immersive, salient environments to more effectively evaluate relevant military task performance. The Troop Readiness Evaluation with Augmented Reality Return-to-Duty (READY) platform was developed to objectively quantify cognitive and motor performance during military-specific activities to create a comprehensive approach to aid in mTBI detection and facilitate appropriate RTD. The aim of this project was to detail the technical development of the Troop READY platform, the outcomes, and its potential role in the aiding detection and RTD decision-making post mTBI. The secondary aim included evaluating the safety, feasibility, and SM usability of the Troop READY platform. The Troop READY platform comprises three assessment modules of progressing complexity: (1) Static and Dynamic Mobility, (2) Rifle Qualification Test, and (3) Small Unit Operations Capacity-Room Breach/Clearing Exercise. The modules were completed by 137 active duty SMs. Safety was assessed through monitoring of adverse events. Feasibility was assessed using the self-directed module completion rate. Usability was measured using the Systems Usability Scale. No adverse events occurred. Completion rates of the three modules ranged from 98 to 100%. In terms of usability, the mean Systems Usability Scale score of all participants was 83.92 (13.95), placing the Troop READY platform in the good-to-excellent category. Objective motor and cognitive outcomes were generated for each module. The Troop READY platform delivers self-directed, salient assessment modules to quantify single-task, dual-task, and unit-based performance in SMs. The resultant data provide insight into SM performance through objective outcomes and identify specific areas of executive or motor function that may be slow to recover following mTBI.

Legitimacy of Using Force as a Fundamental Ingredient for Military Motivation in Robust Peacekeeping Operations

ABSTRACT The notion of legitimacy is essential to motivate soldiers to fight in wars. However, the value of this factor to motivate in operations that do not involve the state’s vital interests – such as peacekeeping – is little explored. Drawing upon theories of the legitimate use of force and combat motivation, I argue that the UN legitimacy of using force to advance peacekeeping mandates is fundamental for the motivation of the blue helmets to carry out risky tasks and fight, as necessary, in robust PKOs. The article begins by proposing an operational definition of legitimacy to use force to advance peacekeeping mandates, a necessary step for effective communication with interviewees in subsequent empirical investigations. Then, it explores the connection between legitimacy and soldiers’ motivation to fight. Lastly, a case study based on interviews with dozens of blue helmets investigates perceptions of the legitimacy to use force and its motivational role in robust PKOs. The results reveal that positive perceptions of the mission legitimacy to use force increase the blue helmets’ motivation to accomplish risky tasks. Consequently, the article points to increasing awareness about the conditions that render the use of force legitimate as a way to improve military performances in robust PKOs.