In an increasingly uncertain world, the military nursing profession faces unprecedented challenges to the delivery of quality care to its primary dependencies. Global nursing workforce shortages have created pressures in the recruitment and retention of highly skilled military nurses. This shortage causes further impact at a time when a modern military operating environment demands the support of those readily able to adapt to the increasingly technical and governance-driven capabilities. Military nurses are regularly deploying or being seconded into Joint or Coalition practice settings where there is a variable baseline of skills, qualification, experience, governance and even culture.