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Military Service Member and Veteran Reintegration: A Conceptual Analysis Unified Definition and Key Domains

机译：军人和退伍军人重返社会：概念分析统一定义和关键领域

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Returning military service members and veterans (MSMVs) may experience a variety of stress-related disorders and challenges when reintegrating from the military to the community. Facilitating the reintegration, transition, readjustment and coping, and community integration, of MSMVs is a societal priority. To date, research addressing MSMV reintegration has not identified a comprehensive definition of the term or defined the broader context within which the process of reintegration occurs although both are needed to promote valid and reliable measurement of reintegration and clarify related challenges, processes, and their impact on outcomes. Therefore, this principle-based concept analysis sought to review existing empirical reintegration measurement instruments and identify the problems and needs of MSMV reintegration to provide a unified definition of reintegration to guide future research, clinical practice, and related services. We identified 1,459 articles in the health and social sciences literature, published between 1990 and 2015, by searching multiple electronic databases. Screening of abstracts and full text review based on our inclusion/exclusion criteria, yielded 117 articles for review. Two investigators used constant conceptual comparison to evaluate relevant articles independently. We examined the term reintegration and related terms (i.e., transition, readjustment, community integration) identifying trends in their use over time, analyzed the eight reintegration survey instruments, and synthesized service member and veteran self-reported challenges and needs for reintegration. More reintegration research was published during the last 5 years (n = 373) than in the previous 10 years combined (n = 130). The research suggests coping with life stresses plays an integral role in military service member and veteran post-deployment reintegration. Key domains of reintegration include individual, interpersonal, community organizations, and societal factors that may facilitate or challenge successful reintegration, and results suggest that successful coping with life stressors plays an integral role in post-deployment reintegration. Overall, the literature does not provide a comprehensive representation of reintegration among MSMVs. Although, previous research describes military service member and veteran reintegration challenges, this concept analysis provides a unified definition of the phenomenon and identifies key domains of reintegration that may broaden our understanding and guide reintegration research and practice.
机译：从军队重返社区时，返回的军人和退伍军人（MSMV）可能会遇到与压力有关的各种疾病和挑战。促进MSMV的重新融合，过渡，调整和应对以及社区融合是一项社会优先事项。迄今为止，针对MSMV重返社会的研究尚未确定该术语的全面定义，也未定义重返社会发生的更广泛背景，尽管这两者都需要促进有效和可靠的重返社会衡量并阐明相关挑战，过程及其影响。关于结果。因此，这种基于原理的概念分析试图回顾现有的经验性重新整合测量工具，并确定MSMV重新整合的问题和需求，以提供统一的重新定义，以指导未来的研究，临床实践和相关服务。通过搜索多个电子数据库，我们从1990年至2015年发表的健康和社会科学文献中确定了1,459篇文章。根据我们的纳入/排除标准筛选摘要和全文，获得了117篇文章供审阅。两名研究人员使用持续的概念比较来独立评估相关文章。我们检查了重新融合一词和相关术语（即过渡，调整，社区融合），以识别其随着时间的使用趋势，分析了八种重新融合调查工具，并综合了服务成员和退伍军人自我报告的挑战和重新融合的需求。最近5年（n = 373）发表的重返社会研究多于过去10年（n = 130）的结合研究。研究表明，应对生活压力在军人和老兵部署后的重返社会中起着不可或缺的作用。重返社会的关键领域包括可能促进或挑战成功重返社会的个人，人际交往，社区组织和社会因素，结果表明，成功应对生活压力因素在部署后的重返社会中起着不可或缺的作用。总体而言，文献未提供MSMV之间重新整合的全面描述。尽管先前的研究描述了军人和退伍军人重返社会的挑战，但这种概念分析提供了对这一现象的统一定义，并确定了重返社会的关键领域，可以扩大我们的理解并指导重返社会的研究和实践。

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