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Introduction and Background
Pages 11-24

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From page 11...
... In requesting this Institute of Medicine study, the TSNR Group seeks more formal mechanisms for assessing the state of the science that undergirds military nursing, for sustaining the research effort necessary to improve that science, and for actively translating these results into military nursing practice. This military nursing initiative fosters acceptance of responsibility for rapid translation of fundamental research findings into clinical applications and for directing a reasonable portion of Department of Defense (DOD)
From page 12...
... During Operation Desert Shield/Desert Storm, 2,265 Army Nurse Corps officers were deployed to Southwest Asia. In Somalia, AImy nurses served in a humanitarian mission executed under hostile conditions.
From page 13...
... Air Force nurses also provide care at mobile aeromedical staging facilities located away from the front line, where military aircraft swoop in to load the wounded and off-load "beans and bullets" for the fighting troops. Unique Aspects of Military Nursing The functions and processes of military work involve force projection and mission readiness.
From page 14...
... Mission readiness involves interdisciplinary coordination; it requires the ability to devise novel but safe approaches to nursing care delivery in austere conditions with potentially large groups of patients. New nurse officers may need to learn about the use of old equipment, how to cope with sand or mud, and other aspects of care not covered in the usual education of nurses.
From page 15...
... by planning and delivering health care services to return ill or injured service members to their units or to stabilize and remove them from the field of operations as soon as possible; (2) by applying preventive and therapeutic interventions and evaluating health outcomes of military personnel, their beneficiaries, and others requiring humanitarian assistance or disaster relief in the context of worldwide military operations; and (3)
From page 16...
... Moreover, military nurses have responsibilities for maintaining patient care standards; supporting functioning of the installation or community; safety; and unit cohesion, morale, and discipline. In meeting these responsibilities, they assume practice, management, and leadership roles
From page 17...
... Modest investment in military nursing research has already yielded valuable results and expanded the foundation for further study. HISTORY OF MILITARY NURSING RESEARCH Army The Army Nurse Corps initiated nursing research in the military and has been a major contributor to the evolution of both military and civilian nursing research.
From page 18...
... Since the 1980s, the Army Nurse Corps has decentralized its nursing research structure and implemented a regional approach. The nursing research consultant coordinates the regional nursing research coordinators on a daily basis, with the Nursing Research Advisory Board providing periodic global oversight (see Chapter 3 for further information)
From page 19...
... to discuss issues relevant to how the NCNR could assist the military services with developing a coordinated strategy of nursing research activities within the military milieu. The meeting concluded with informal recognition of the TSNR Group by the corps chief and directors, and the commitment of the NCNR to assist and consult with the services on matters relevant to military nursing research.
From page 20...
... Major areas of research emphasis for DOD Medical RDT&E include medical defense against chemical warfare agents, medical defense against biological warfare agents, combat casualty care, infectious diseases, and military health hazards. Few, if any, doctorally prepared nurse researchers participate as investigators in the DOD Medical RDT&E programs.
From page 21...
... Subsequent chapters in this report describe the methods used by the Institute of Medicine committee to accomplish its task; information about past and current research relevant to military nursing; a description of the TSAR Pro;,ram and its execution, including program evaluation; and the committee's conclusions and recommendations. REFERENCES Bray, RM, LA Kroutil, JW Luckey, SA Wheeless, VG Iannacchione, DW Anderson, ME Marsden, and GH Dunteman.
From page 22...
... 1994. The evolution of nursing research in the Army Nurse Corps.
From page 23...
... Air Force, 1980-89: an epidemiological and serological study. Aviat.


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