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Addressing Psychosocial Care Using an Interactive Web site for Combat-Wounded Patients

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  • Reg Arthur Williams PhD, RN, BC, FAAN,

    Corresponding author
    1. Reg Arthur Williams, PhD, RN, BC, FAAN, is Professor, School of Nursing and Psychiatry, Medical School, University of Michigan, Ann Arbor, MI, USA; Gary Gatien, MA, is Project Manager, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Bonnie M. Hagerty, PhD, RN, is Associate Professor and Associate Dean of Undergraduate Studies, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Michele Kane, PhD, RN, is Commander, NC, USN, Walter Reed National Military Medical Center, Bethesda, MD, USA; Laureen Otto, PhD, RN, is Major, Army Nurse Corps, Brooke Army Medical Center, San Antonio, TX, USA; Candy Wilson, PhD, APRN, is Lieutenant Colonel, Air Force Nurse Corps, Wilford Hall Medical Center, San Antonio, TX, USA; and Meryia Throop, PhD, RN, is MAJ, Army Nurse Corps, Walter Reed National Military Medical Center, Bethesda, MD, USA
      rawill@umich.edu, with a copy to the Editor: gpearson@uchc.edu
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  • Gary Gatien MA,

    1. Reg Arthur Williams, PhD, RN, BC, FAAN, is Professor, School of Nursing and Psychiatry, Medical School, University of Michigan, Ann Arbor, MI, USA; Gary Gatien, MA, is Project Manager, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Bonnie M. Hagerty, PhD, RN, is Associate Professor and Associate Dean of Undergraduate Studies, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Michele Kane, PhD, RN, is Commander, NC, USN, Walter Reed National Military Medical Center, Bethesda, MD, USA; Laureen Otto, PhD, RN, is Major, Army Nurse Corps, Brooke Army Medical Center, San Antonio, TX, USA; Candy Wilson, PhD, APRN, is Lieutenant Colonel, Air Force Nurse Corps, Wilford Hall Medical Center, San Antonio, TX, USA; and Meryia Throop, PhD, RN, is MAJ, Army Nurse Corps, Walter Reed National Military Medical Center, Bethesda, MD, USA
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  • Bonnie M. Hagerty PhD, RN,

    1. Reg Arthur Williams, PhD, RN, BC, FAAN, is Professor, School of Nursing and Psychiatry, Medical School, University of Michigan, Ann Arbor, MI, USA; Gary Gatien, MA, is Project Manager, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Bonnie M. Hagerty, PhD, RN, is Associate Professor and Associate Dean of Undergraduate Studies, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Michele Kane, PhD, RN, is Commander, NC, USN, Walter Reed National Military Medical Center, Bethesda, MD, USA; Laureen Otto, PhD, RN, is Major, Army Nurse Corps, Brooke Army Medical Center, San Antonio, TX, USA; Candy Wilson, PhD, APRN, is Lieutenant Colonel, Air Force Nurse Corps, Wilford Hall Medical Center, San Antonio, TX, USA; and Meryia Throop, PhD, RN, is MAJ, Army Nurse Corps, Walter Reed National Military Medical Center, Bethesda, MD, USA
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  • Michele Kane PhD, RN,

    1. Reg Arthur Williams, PhD, RN, BC, FAAN, is Professor, School of Nursing and Psychiatry, Medical School, University of Michigan, Ann Arbor, MI, USA; Gary Gatien, MA, is Project Manager, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Bonnie M. Hagerty, PhD, RN, is Associate Professor and Associate Dean of Undergraduate Studies, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Michele Kane, PhD, RN, is Commander, NC, USN, Walter Reed National Military Medical Center, Bethesda, MD, USA; Laureen Otto, PhD, RN, is Major, Army Nurse Corps, Brooke Army Medical Center, San Antonio, TX, USA; Candy Wilson, PhD, APRN, is Lieutenant Colonel, Air Force Nurse Corps, Wilford Hall Medical Center, San Antonio, TX, USA; and Meryia Throop, PhD, RN, is MAJ, Army Nurse Corps, Walter Reed National Military Medical Center, Bethesda, MD, USA
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  • Laureen Otto PhD, RN,

    1. Reg Arthur Williams, PhD, RN, BC, FAAN, is Professor, School of Nursing and Psychiatry, Medical School, University of Michigan, Ann Arbor, MI, USA; Gary Gatien, MA, is Project Manager, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Bonnie M. Hagerty, PhD, RN, is Associate Professor and Associate Dean of Undergraduate Studies, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Michele Kane, PhD, RN, is Commander, NC, USN, Walter Reed National Military Medical Center, Bethesda, MD, USA; Laureen Otto, PhD, RN, is Major, Army Nurse Corps, Brooke Army Medical Center, San Antonio, TX, USA; Candy Wilson, PhD, APRN, is Lieutenant Colonel, Air Force Nurse Corps, Wilford Hall Medical Center, San Antonio, TX, USA; and Meryia Throop, PhD, RN, is MAJ, Army Nurse Corps, Walter Reed National Military Medical Center, Bethesda, MD, USA
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  • Candy Wilson PhD, APRN,

    1. Reg Arthur Williams, PhD, RN, BC, FAAN, is Professor, School of Nursing and Psychiatry, Medical School, University of Michigan, Ann Arbor, MI, USA; Gary Gatien, MA, is Project Manager, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Bonnie M. Hagerty, PhD, RN, is Associate Professor and Associate Dean of Undergraduate Studies, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Michele Kane, PhD, RN, is Commander, NC, USN, Walter Reed National Military Medical Center, Bethesda, MD, USA; Laureen Otto, PhD, RN, is Major, Army Nurse Corps, Brooke Army Medical Center, San Antonio, TX, USA; Candy Wilson, PhD, APRN, is Lieutenant Colonel, Air Force Nurse Corps, Wilford Hall Medical Center, San Antonio, TX, USA; and Meryia Throop, PhD, RN, is MAJ, Army Nurse Corps, Walter Reed National Military Medical Center, Bethesda, MD, USA
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  • Meryia Throop PhD, RN

    1. Reg Arthur Williams, PhD, RN, BC, FAAN, is Professor, School of Nursing and Psychiatry, Medical School, University of Michigan, Ann Arbor, MI, USA; Gary Gatien, MA, is Project Manager, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Bonnie M. Hagerty, PhD, RN, is Associate Professor and Associate Dean of Undergraduate Studies, School of Nursing, University of Michigan, Ann Arbor, MI, USA; Michele Kane, PhD, RN, is Commander, NC, USN, Walter Reed National Military Medical Center, Bethesda, MD, USA; Laureen Otto, PhD, RN, is Major, Army Nurse Corps, Brooke Army Medical Center, San Antonio, TX, USA; Candy Wilson, PhD, APRN, is Lieutenant Colonel, Air Force Nurse Corps, Wilford Hall Medical Center, San Antonio, TX, USA; and Meryia Throop, PhD, RN, is MAJ, Army Nurse Corps, Walter Reed National Military Medical Center, Bethesda, MD, USA
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  • Conflict of Interest Statement

  • The authors reported no conflict of interest.

rawill@umich.edu, with a copy to the Editor: gpearson@uchc.edu

Abstract

PURPOSE:  The aims were to examine military nurses and combat-wounded patients’ evaluation of a cognitive behavioral intervention Web site called Stress Gym.

DESIGN AND METHODS:  The use of the intervention was a proof-of-concept design with 129 military nurses and combat-wounded patients in military medical treatment facilities (MTFs). The nurses and patients logged on to Stress Gym, reviewed the nine modules available, and completed a short evaluation of the Web site.

FINDINGS:  The evaluation of the military nurses and patients was high. There were no significant differences in the evaluation based on military services, sex, deployment, and education levels.

PRACTICE IMPLICATIONS:  The strength of Stress Gym is that it enables all military members to learn about and get help with problems such as stress, anxiety, anger, and depressive symptoms anonymously and in private.

CLINICAL RELEVANCE:  Stress Gym is a versatile tool that can help nurses address the psychosocial needs of their patients by encouraging its use and including it in treatment protocols.

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