The Program for Research in Military Nursing Progress and Future Direction (1996) / Chapter Skim
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Military Nursing Research
Military Nursing Research
Pages 31-50
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From page 31... ...
The fundamental purpose of military nursing research is to further the knowledge of military nurses and to enhance their capacity to provide quality nursing care for the armed forces. At the time of this writing, the TriService Nursing Research Program (TSNR Program)
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From page 32... ...
The primary task of nursing research is to advance nursing practice and improve patient care. The nursing profession, and hence the Army Nurse Corps officer, has an obligation to contribute to nursing science by conducting or participating in nursing research as well as research from other disciplines.
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Army Currently, the Army has 54 approved positions that call for doctorally prepared nurses to occupy roles in research, clinical practice, administration, or education; and it has 36 doctorally prepared nurses on active duty. Navy In 1987, the Navy Nurse Corps conducted a review of all billets (approved positions)
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Air Force currently has two billets requiring doctorally prepared nurses: the director of nursing research at the Graduate School of Nursing at the Uniformed Services University of the Health Sciences (Bethesda, Maryland) and the senior health service researcher at the Air Force Surgeon General's Office at Bolling Air Force Base in Washington, D.C.
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Although this support for advanced education has been relatively consistent over the period examined, the net gain in the number of doctorally prepared Nurse Corps officers is low, primarily due to retirement. Facilities for Research Army The Nursing Research Service at Walter Reed Army Medical Center (Walter Reed AMC)
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From page 37... ...
As the inventory of master's and doctorally prepared nurse researchers grows, the Navy plans to assign two doctorally prepared nurses to selected tertiary care facilities, including the National Naval Medical Center, Bethesda, Maryland, and the Naval Medical Centers in San Diego, California, and Portsmouth, Virginia. These billets will provide novice Navy nurse researchers with a supportive environment and facilitate more collegial and collaborative relationships within the Navy and among the services.
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From page 38... ...
Published Military Nursing Research Search Strategy Seven databases served as the source of research citations and abstracts of the published scientific literature directly applicable to military nursing, as shown in Table 3-2. Each database served as a unique source of relevant information, with distinct and discrete emphasis for the study.
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Of the more than 2,000 citations retrieved from the databases MedLINE, CINAHL, M-STAR, and PsycInfo, 161 were identified by the committee as research reports or reviews relevant to military nursing. Many of these did not address military populations.
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In addition to the above sources of research articles, each of the three military services has theses and dissertations on file at selected repositories. For instance, there are 192 Navy Nurse Corps theses and dissertations on file at the Stitt Medical Library in Bethesda, Maryland; their titles appear in the TABLE 3-3 Categorization of Military Nursing Research Articles Retrieved from Database Searches for Journal Articles, Technical Reports, arid Dissertation Abstracts Topic Nurses' career development Military nursing history Patient risk factors Stress and coping Health services planning or health services and resources Nursing care practice/procedures Nurses' cognitive style/learning .
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The committee found no other articles that clearly focused both on the military and on cultural issues. The published literature contains many nonresearch articles relating to the history of military nursing, anecdotal reports of challenging aspects of nursing care, and articles that address recruitment and job satisfaction.
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The search of the database CRISP identified 317 studies being conducted by NINR, most of which could be categorized in the areas described above. None of these has a study focus that is related specifically to military nursing, but management of pain, nursing informatics, and biobehavioral factors related to immunocompetence would have direct applicability to service members and their beneficiaries alike.
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STUDIES FUNDED BY TlIE TRISERVICE NURSING RESEARCH PROGRAM The committee closely examined the content of abstracts of the 77 research proposals that were funded by the TSNR Program during the fiscal year (FY) 1992 through FY 1995.
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FY 1994, by Priority Area, Number of Awards, and Amounts Priority Areaa Application of clinical nursing to a military environment Nursing interventions related to injury, trauma, burns, wound healing, evacuation, and long-term sequelae Evaluation of nursing/women's health programs/deployment issues Nursing interventions for military-related stress/adverse conditions Nontraditional symptom management Ethical/clinical decision making in a military nursing environment Application of nursing interventions to field conditions Technology applications to support nursing care in the field Emergency nursing care for acute illness and trauma Military service or deployment and spousal/child abuse, preventive health care, and wellness promotion Subtotal Other (health adviser program evaluation, history of military nursing, pediatric care program, and military family health) Total Total Grants Total Amount Awarded Awarded ($)
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From page 45... ...
The delivery of military health care is the category that has received most funding from the TSNR Program. This is important in that military health care is going, through a number of transitions based on the need for cost containment in health care, access to health care issues, and a more peacetime health care service.
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Study Characteristics of TSNR Program Grants As a further analysis of funded grants, the committee also categorized the 77 funded TSNR Program projects under six design parameters: (1) target population, (2)
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to coronary heart disease risk factors and behavioral risk reduction strategies for premenopausal African-American women (Giger, 1995~. Other studies funded by the TSNR Program may address cultural issues, but they cannot be identified from review of the abstracts.
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Most of the relevant research reports that actually address military nursing do not appear in scientific journals. The military services have paid close attention to historical lessons related to nursing research, and the TSNR Program has allowed further work in this area.
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From page 50... ...
1992. Promotion Opportunities of Minorities to the Controlled Grades in the Navy Nurse Corps, Master's thesis.
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