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drills. Operation preparedness was partly done onboard the   no activities except workout or training as the only outlet for
          vessel (e.g., by fire drills or battle drills), which helped partici­  feelings of stress from having too little to do. Not being able
          pants to feel safe and be prepared to act, even the dark.  to act after months of preparation can be similar to being a
                                                             well­trained, skilled soccer player always on the substitutes’
          In the period before overseas duty, this model of readiness    bench, which leads to frustration. Not being able to act is also
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          may be integrated in knowledge of different theoretical sub­  stressful, and it is important to know how to handle this. The
          jects to help prepare boarding element members in a better   ability to relax seems to be difficult onboard ship. During the
          way. This is in line with other studies that indicated the need   operation, the participants were well trained but did not seem
          for strategies to better prepare, identify, and treat those who   to be psychologically prepared; thus, they did not know how
          are exposed to stressors during deployment, in war­like and in   to relax. Questions arose whether the everyday fitness training
          peace­keeping operations. 33                       was an outlet for feelings of stress as part of a coping strategy.

          Being assigned for international hostile duty means being pre­  Maslow  proposed a hierarchy of needs in 1943, which still
                                                                   36
          pared for all possible events the duty may involve. The tasks   is of great immediate interest because, in our study, the re­
          for HMS Carlskrona were partly to deter and disrupt piracy   spondents had trouble sleeping and thus experienced a lack of
          in the Gulf of Aden. For the participants to act and do what   recovery; sleep is one of the basic physiological needs.
          they had been trained for was demonstrated by the personnel
          knowing how to handle their military profession, but being   The results of this study can be used to improve preparations
          prepared for the nonaction or the drudgery onboard the ship   before international hostile duty, informing personnel of what
          was more difficult.                                to expect, thereby benefitting the boarding element and crews
                                                             on the merchant fleet. Research is needed to verify if the par­
          Different categories emerged in the results, indicating that the   ticipants’ everyday fitness training during the 4­month duty
          participants must be able to adapt to the naval environment   overseas was part of a coping strategy; interviews with the
          and to real situations. They need to be well prepared to act, if   respondents can be used to identify that.
          necessary. Choosing a crew for different kinds of duty at sea
          involves a selection process and perhaps this has to be done in   We used conventional content analysis in this study, 28,29  an
          a way that the naval environment is tested by the crew before   accepted and commonly used qualitative method in which
          participation. This seems to be important; Bandahur  stated   quotations are used to increase the trustworthiness of the re­
                                                    10
          that, most likely, piracy will be increasingly well organized and   search. 26,28,37  An important strength of this study was that it
          more violent in the future. The question of how the boarding   was accomplished during international naval hostile duty; it
          element members can be better prepared before participating   may open the door to better individual coping strategies for
          in national or international duty at sea still remains.  naval servicemembers serving overseas for a long period.

          The findings of our study support previous research showing   This study also has some limitations. To make transferabil­
          that people in maritime environments are exposed to stress for   ity possible, we used VAS to estimate effects, because it is a
          various reasons (e.g., lack of integrity or sleeping problems).    validated instrument,  but the number of notes was insuffi­
                                                         2,3
                                                                              27
          No balance was found between working and resting on the   cient to make any firm conclusions. The individual notes of
          ship. Being in the naval environment for 4 months implies one   events were generally too superficial, and it was difficult to get
          is living with other people in a confined area with little or no   a deeper meaning or understanding of actions taken onboard.
          room for solitary hours; it can be interpreted as “voluntary   With the current method, it was difficult to determine if cop­
          captivity,” during which one lives 1 hour at a time or being   ing strategies were used. Despite these limitations, the study
          “goal oriented.” The threat levels and hazardous situations   provides important information.
          vary, and it is important that each person onboard is prepared
          for and ready to master sometimes dangerous situations. They   Conclusion
          have to learn to assess risks and act on these assessments. If
          they are prepared, then the chances of survival increase. In   Experiences of everyday life onboard ship can be described
          their study, Mustillo et al.  found that servicemembers in the   as the ability to cope with various situations, sometimes with
                              34
          Navy had higher rates of depression or alcohol abuse; these   the risks to one’s life. Using coping strategies, individually or
          may have been because some Navy personnel served with the   in a group, can be one way of dealing with the naval context
          Army and received only 3 weeks of training in Army proce­  during long­term duty. This research recommends that oppor­
          dures, weapons, survival training, and communications before   tunities for coping (e.g., by making studying possible) should
          deployment, which left them with a low level of readiness.   be created for the armed forces as well as the merchant fleet
          Research indicates that servicemembers may benefit from psy­  while on long­term operations.
          chological skills training with specific coping strategies instead
          of only doing stressful training exercises and/or combat. 35  Acknowledgments
                                                             We thank the Swedish naval specialized boarding element
          In our study, the participants either adapted to the sleeping   members who took the time to participate in this study and
          conditions and managed to handle the environment on the   share their experiences. This study would not have been pos­
          ship, in particular the drudgery, or not. Some of them seemed   sible without them.
          to find comfort in the routines, such as daily cleaning, meet­
          ings, or meal times. Life onboard can be understimulating;   Disclosures
          stress can be constantly present as both threat levels and levels   This study has been carried out as an integrated part of the
          of readiness change. Many days passed with no friendly ap­  authors’ regular work. No other funding was involved in pre­
          proaches, no special duty except for the ordinary routines, and   paring the manuscript.


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