The objective of this qualitative study is to explore the experiences of wives of deployed soldiers. Semistructured interviews were used to answer the research questions. Meleis' Transitions Theory was used to guide the understanding of the wives' experiences. Phase One: news of deployment, property of awareness, themes of emotional chaos and making preparations. Phase Two: during deployment, property of engagement, themes of taking the reins and placing focus elsewhere, along with the property of change and difference, with themes of emotional and physical turmoil, staying strong, and reaching out. Phase Three: after deployment, property of time span, themes of absence makes the heart grow fonder and reestablishing roles. The study concluded that the wife often feels forgotten during deployment. Nurses can give better care by understanding how the different phases of deployment and separation affect the wife's coping ability and her physical and emotional health. 1. Introduction The family experiences significant stress when a loved one is deployed to combat zones and exposed to dangerous operations. Approximately 1.5 million American troops have been deployed; one-third of these troops served at least two tours in a combat zone, 70,000 were deployed three times, and 20,000 were deployed at least five times. More than 3,240 American troops have died, and over 23,000 have returned home with physical wounds, psychological injuries, and permanent disabilities [1]. There is an abundance of information in the literature describing the human experience of the soldier’s deployment, but little information or attention has been given to the deployment’s effect on the wife. Fifty percent of military personnel are married, and nine out of ten military spouses are female [2]. Dealing with deployment can be an overwhelming process for the wife, as she deals with loneliness, loss of emotional support, pressure of an extensive separation, shifting responsibilities, potential difficulty in dealing with the children, financial constraints, and constant disruption of family roles [1, 3]. In addition to these stressors, her husband is being deployed to a combat zone where his life is threatened. The literature reflects that both wives and husbands of deployed soldiers exhibit different stages of grief and loss, including denial, anger, bargaining, depression, and acceptance [3–5]. Other significant emotional problems, such as anxiety [6, 7] and relationship dysfunction [1, 8], along with related health problems may occur. Returning home is also a particularly stressful
References
[1]
S. J. Johnson, M. D. Sherman, J. S. Hoffman, et al., The Psychological Needs of U.S. Military Service Members and Their Families: A Preliminary Report, American Psychological Association, Presidential Task Force on Military Deployment Services for Youth, Families and Service Members, 2007.
[2]
E. L. Hull, “Military service and marriage: a review of research.,” National Healthy Marriage Resource Center, 2008, http://www.healthymarriageinfo.org/docs/review_mmilitarylife.pdf.
[3]
L. C. Gambardella, “Role-exit theory and marital discord following extended military deployment,” Perspectives in Psychiatric Care, vol. 44, no. 3, pp. 169–174, 2008.
[4]
E. Kubler-Ross, On Grief and Grieving: Finding the Meaning of Grief through the Five Stages of Loss, Simon & Schuster, New York, NY, USA, 2005.
[5]
C. H. Warner, G. N. Appenzeller, C. M. Warner, and T. Grieger, “Psychological effects of deployments on military families,” Psychiatric Annals, vol. 39, no. 2, pp. 56–63, 2009.
[6]
A. J. Mansfield, J. S. Kaufman, S. W. Marshall, B. N. Gaynes, J. P. Morrissey, and C. C. Engel, “Deployment and the use of mental health services among U.S. army wives,” The New England Journal of Medicine, vol. 362, no. 2, pp. 101–109, 2010.
[7]
G. K. SteelFisher, A. M. Zaslavsky, and R. J. Blendon, “Health-related impact of deployment extensions on spouses of active duty army personnel,” Military Medicine, vol. 173, no. 3, pp. 221–229, 2008.
[8]
M. Ghahramanlou-Holloway, D. W. Cox, E. C. Fritz, and B. J. George, “An evidence-informed guide for working with military women and veterans,” Professional Psychology: Research and Practice, vol. 42, no. 1, pp. 1–7, 2011.
[9]
T. Burton, D. Farley, and A. Rhea, “Stress-induced somatization in spouses of deployed and nondeployed servicemen,” Journal of the American Academy of Nurse Practitioners, vol. 21, no. 6, pp. 332–339, 2009.
[10]
D. L. Padden, R. A. Connors, and J. G. Agaxio, “Stress, coping, and well-being in military spouses during deployment separation,” Western Journal of Nursing Research, vol. 33, no. 2, pp. 247–267, 2010, http://wjn.sagepub.com/content/early/2010/07/15/0193945910371319.
[11]
A. I. Meleis, Transitions Theory: Middle-Range and Situation Specific Theories in Nursing Research and Practice, Spring Publishing, New York, NY, USA, 2010.
[12]
E. O. Im and A. I. Meleis, “Meanings of menopause: low-income Korean immigrant women,” Western Journal of Nursing Research, vol. 22, no. 1, pp. 84–102, 2000.
[13]
P. Collazzi, “Psychological research as the phenomenologist views it,” in Existential-Phenomenological Alternatives for Psychology, R. Vale and M. King, Eds., Oxford University Press, New York, NY, USA, 1978.
[14]
D. F. Polit, C. T. Beck, and B. P. Hungle, Essentials of Nursing Research: Methods, Appraisal, and Utilization, Lippincott, Philadelphia, Pa, USA, 5th edition, 2001.
[15]
Office of Reserve Affairs, “Personal & family readiness toolkit. 1–63,” 2007, http://www.defenselink.mil/ra/documents/Family%20Readiness%20Toolkit%20061307.pdf.
[16]
National Military Family Association, “Report on the cycles of deployment: an analysis of survey responses from April through September, 1–17,” 2005.
[17]
K. Moakler, “Take charge of your own family support,” National Military Family Association. Retrieved June 6, 2008, http://www.nmfa.org/site/PageServer?pagename=reus_familysupportarticle.
[18]
T. T. Tollefson, “Supporting spouses during a military deployment,” Family and Community Health, vol. 31, no. 4, pp. 281–286, 2008.
[19]
C. A. Lapp, L. B. Taft, T. Tollefson, A. Hoepner, K. Moore, and K. Divyak, “Stress and coping on the home front: guard and reserve spouses searching for a new normal,” Journal of Family Nursing, vol. 16, no. 1, pp. 45–67, 2010.
[20]
P. A. F. McNulty, “Reported stressors and health care needs of active duty Navy personnel during three phases of deployment in support of the war in Iraq,” Military Medicine, vol. 170, no. 2, pp. 530–535, 2005.
[21]
Department of Defense, “Coming home: a guide for service members returning from mobilization/deployment,” 2008, http://www.nmfa.org/site/DocServer?docID=161.
[22]
Department of Defense, “A guide for spouses of service members returning from mobilization/deployment,” 2008, http://www.nmfa.org/site/DocServer?docID=161.
[23]
A. H. Gewirtz, C. R. Erbes, M. A. Polusny, M. S. Forgatch, and D. S. DeGarmo, “Helping military families through the deployment process: strategies to support parenting,” Professional Psychology: Research and Practice, vol. 42, no. 1, pp. 56–62, 2011.
[24]
P. Lester, K. Peterson, J. Reeves et al., “The long war and parental combat deployment: effects on military children and at-home spouses,” Journal of the American Academy of Child & Adolescent Psychiatry, vol. 49, no. 4, pp. 310–320, 2010.
[25]
Uniformed Services University of Health Sciences, Fact Sheet for Providers, Courage to Care: Advancing the Health of the Family Left Behind, Author, Bethesda, Md, USA.
[26]
K. Makin-Byrd, E. Gifford, S. McCutcheon, and S. Glynn, “Family and couples treatment for newly returning veterans,” Professional Psychology: Research and Practice, vol. 42, no. 1, pp. 47–55, 2011.
