The Program for Research in Military Nursing Progress and Future Direction (1996) / Chapter Skim
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Program Execution
Program Execution
Pages 51-76
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From page 51... ...
In 1996, the chief of the Army Nurse Corps and the directors of the Navy and Air Force Nurse Corps agreed on the following goals for the TSNR Program (TriService Nursing Brief to the Institute of Medicine Committee on Military Nursing Research, January 27, 1996~: · continue its growth and improvement; · identify, reduce, and eliminate barriers to research process and progress; · strengthen existing bonds and create new bonds with civilian universities; · maximize collaboration with triservice nurses who have research, doctoral backgrounds; and 51
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From page 52... ...
To serve as chair, an individual must have served on the TSNR Group for at least 1 year prior to assuming leadership. The TSNR Program currently fulfills its mandate to expand the body of knowledge upon which military nursing practice is based in two ways: first, by funding research proposals of active, reserve, and National Guard Nurse Corps officers, and second, by sponsoring grants-writing workshops for military nurse researchers.
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From page 53... ...
Space and certain other indirect costs were contributed by USUHS. The director of the Office of Research Administration handles overall administration of the program, directs and oversees all grant actions, acts as executive secretary at meetings and teleconferences of the Scientific Review Panel, and prepares and disseminates executive summaries.
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From page 54... ...
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From page 55... ...
In FY 1996, the TSNR Program issued its call for proposals in December ~ 995, with the caveat: "It is anticipated that five million dollars will be available for military nursing research in FY 96." The Institute of Medicine (IOM) committee commends the TSNR Program for making the announcement well before funds were made available.
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From page 56... ...
56 Cal _4 1 Cal at cat A: ._ ce .~ ._ ._ ._ ._ ce o cat ct a)
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From page 58... ...
In level 2, the TSNR Group reviews recommendations of the Scientific Review Panel and considers programmatic issues, and in level 3, the corps chief and directors approve or disapprove recommendations from the TSNR Group based on service-specific priorities and relevance to military nursing. More specific information about each level follows.
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From page 59... ...
Selection of Scientific Review Panel Meml~ers Each TSNR Group member identifies 6 candidates for the Scientific Review Panel from his or her respective service and component to form a pool of 36 triservice candidates. To be eligible for consideration, the individual must be an active member of the service and component represented by the TSNR Group member, have research knowledge demonstrated by an earned doctorate and research experience, and be available to review grant applications in advance and at the time of the deliberations.
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From page 60... ...
Deliberations and Priority Scoring System In 1995, the stated purpose of the TSNR Program Scientific Review Panel was to review new and competitive renewal applications requesting funding. Under the direction of the chair, the Scientific Review Panel is expected to judge scientific merit in a manner whereby the integrity of individuals is preserved, proposals are rated, and summary statements cover the assessment of each proposal's scientific and technical merit.
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From page 61... ...
After the Scientific Review Panel meeting, the executive secretary prepares a summary statement of each application by combining written comments, minority critiques, and general Scientific Review Panel discussion notes. These statements become the official documents describing the deliberations of the panel.
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From page 62... ...
In 1995, the TSNR Group reviewed each grant individually for the study's purpose, value to military nursing, preliminary Scientific Review Panel summary statement, and budget. The group sometimes overrode budgetary recommendations made by the Scientific Review Panel most often changing funding for computers and travel.
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From page 63... ...
. Appoint a Scientific Review Panel chair who has experience in outside grant reviews and who shows evidence of being a seasoned leader in bringing about consensus and decision making in groups.
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From page 64... ...
. Conduct Scientific Review Panel meetings privately, with attendance only by the panel, ad hoc members, and the executive secretary.
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From page 65... ...
Analysis and Recommendations for Improving Research Training The workshops probably present too much material to absorb over 3 days and, if the participants are relatively inexperienced, not enough attention to firsttime grants-writing, preparation of proposals and manuscripts, administration of funded projects, research counseling, and all the maze of details that can easily overwhelm the researcher. Nor is it apparent that there is attention to theoretical orientation, lifelong commitment to the development of knowledge in military nursing by programs of research, or the universal bases for making evaluative judgments about scholarly productivity (publication record, continuing research identity, etc.)
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From page 66... ...
The purpose of these workshops would be to help refine the various research skills of junior nurse researchers. PROGRAM MONITORING AND EVALUATION Adequate and useful evaluation of programs allows those administering them to know the status of all activities at any point in time and to forecast the program's accomplishments and needs over reasonable time periods.
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From page 67... ...
Records indicate that many of the recommendations from 1994 and earlier were implemented in 1995. Additional recommendations were made after the 1995 review, but procedures for the 1996 Scientific Review Panel have not yet been announced.
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From page 68... ...
The remainder was allocated for conduct of the Scientific Review Panels, grants-writing workshops, and associated travel; subcontracted administrative support (see Box 4-1~; this Institute of Medicine study; equipment and supplies; and civilian personnel (<1 percent)
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From page 69... ...
PROGRAM EXECUTION 69 TABLE 4-2 Number of Proposals Funded by and Submitted to the TriService Nursing Research Program, FY 1992-1995, by Service and Component Number 1992 1993 1994 1995 Total Service Component F S F S F S F S F S Army Active 4 19 11 20 13 19 9 36 37 94 Reserve 1 9 1 3 5 6 3 15 10 33 Guard 0 1 1 2 1 2 0 0 2 5 Subtotal 5 29 13 25 19 27 12 51 49 132 Navy Active 2 15 3 8 3 8 2 4 10 35 Reserve 0 2 1 8 0 2 5 11 6 23 Subtotal 2 17 4 16 3 10 7 15 16 58 Air Force Active 0 14 3 12 0 0 1 6 4 32 Reserve 1 6 2 6 2 3 3 6 8 21 Guard 0 0 0 0 0 0 0 0 0 0 Subtotal 1 20 5 18 2 3 4 12 12 53 Total 8 66 22 59 24 40 23 78 77 243 Percentage funded 12 37 60 29 32 NOTE: F = funded; S = submitted. TABLE 4-3 Proposals Submitted and Awarded, and Funding Requested and Awarded for the TriService Nursing Research Program, FY 1992-1995 Proposals Funds ($ million)
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From page 70... ...
TABLE 4-4 Academic Achievement of Grant Recipients in the TriService Nursing Research Program, FY 1992-1995a Doctoral Degree Master's Degree 1 8 6 Bachelor's/Other Ph.D.
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From page 71... ...
Transfers and deployment are factors that may hamper study completion by military nurse TABLE 4-5 Summary of Key Parameters of Grant Recipients and Their Studies for the TriService Nursing Research Groupa PIn Transferred No-Cost Interim Report During Study Extension Filed Study Completed Year Yes No Yes No YesNo YesC Nod Unknowne 1992 0 8 1 7 80 8 0 0 1993 3 18 17 5 1111 6 5 11 1994 3 21 25 9 195 1 13 10 aAt the time of this writing, 1995 data are not yet available. The total number of grant recipients for FY 1992-1994 was 54.
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From page 72... ...
. Value of Past Efforts in Mentoring New Investigators Since the only information available about the mentoring of new investigators was provided in anecdotal form by grantees and by the chief of the Army Nurse Corps, the committee concludes that additional efforts are needed to develop relationships between new investigators and experienced investigators in nursing research and related disciplines.
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From page 73... ...
The committee believes that military nursing research would be best served if the TSNR
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From page 74... ...
With regard to the delayed completion of many of the funded studies, the committee makes the following observations: 1. Negotiated assignments for active-duty funded researchers would be a positive step toward supporting a productive military nursing research effort.
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From page 75... ...
USUHS (Uniformed Services University of the Health Sciences)
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