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Conclusions and Recommendations
Pages 77-94

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From page 77...
... In this emerging reality and era of rapid change, there is a need to develop nursing research that has high payoffs to military nursing practice. To meet this challenge, groups of military nurse researchers and their colleagues are encouraged to band together and, with other disciplines, ask important clinical questions and design and implement studies to answer them.
From page 78...
... , to establish collaborative relationships with other scientists and disciplines, and to initiate a system for the development of novice researchers. TriService Nursing Research Program Operation From the inception of the TSNR Program, guidance was sought from the National Center for Nursing Research (now the National Institute of Nursing Research)
From page 79...
... The committee concludes that the TriService Nursing Research Group, which oversees the program, serves as a useful mechanism to ensure involvement of the individual services in the following areas: developing priorities, overseeing the procedures for the grant review process, approving the recommendations of the Scientific Review Panel, monitoring and reporting on the progress and accomplishments of the program, providing recommendations to the Department of Defense (DOD) principal staff assistant on an annual basis, and communicating activities of the TSNR Program to the triservice corps chief and directors annually, or more often, as necessary.
From page 80...
... . The TriService Nursing Research Program should have a stable, predictable funding base to develop and sustain research programs that have a positive impact on health care and the health status of military populations.
From page 81...
... In maintaining oversight of research ethics, the TSNR Program must continue to provide guidance and monitor the following: 1. procedures for monitoring the use of animal and' human subjects, consent procedures for human research, inclusion of minorities and high-risk groups such as those with posttraumatic stress syndrome, 4.
From page 82...
... · Increase mechanisms to recognize military nursing research and to provide for career advancement. Because of the potential for programs of research to have a positive impact on nursing practice in the military and on health outcomes for service members and their beneficiaries, the committee encourages reconsideration of the mechanisms used to assign nurse scientists.
From page 83...
... The committee suggests that the TSNR Soup or Porn ~o ~nc:~uae a senior tv~ea~ca~ Corps officer who is a research scientist. · A doctorally prepared military nurse researcher should be employed as director of the TriService Nursing Research Program.
From page 84...
... . To achieve this, the chair of the TriService Nursing Research Program Scientific Review Panel should have experience in outside grant reviews, and he or she should show evidence of being a seasoned leader in bringing about consensus and decision making in groups.
From page 85...
... However, because of the small number of doctorally prepared nurses in the military, the committee recommends the slightly different conflict-of-interest guideline described above to facilitate the growth of military nursing research without hampering peer review. The committee further recommends allowing the primary reviewer to be from the same service.
From page 86...
... Recommendations for Areas of Research The research agenda for the TSNR Program was initially established by legislation and has included broad areas of research. The committee agreed that these areas of research should complement those currently receiving priority attention from the National Institute of Nursing Research and the Department of Veterans Affairs.
From page 87...
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From page 88...
... Examples include but are not limited to the following: studies of nursing care measures that will reduce problems when postpartum women return to duty; health promotion measures targeted to staying within body weight limits after smoking cessation; disease prevention measures such as exercise and stress reduction; protection against excessive incidents of violence in the workplace; prevention of spousal and child abuse; military health systems organization and care delivery (e.g., managed care, case management, and home care management)
From page 89...
... They were based upon the committee's review of presentations by members of the military Nurse Corps, examination of results from literature searches, review of past and current research funding, and deliberations concerning the need for further research that addresses the unique needs of military nursing. In seeking proposals, the committee urges the TSNR Program to encourage applicants to build on and further develop strengths to achieve and develop a strong program of research.
From page 90...
... Although two of the award categories remain the same, the committee recommends the use of more stringent requirements for grant applicants, as indicated under each of the categories below. Suggested maximum funding levels are given, but the committee advises that funding decisions and levels be made carefully in light of limited resources and that funding generally not exceed that for comparable work in such other agencies as the National Institute for Nursing Research.
From page 91...
... military nurses with a master s degree who have a co-principal investigator with a doctoral degree, or (3) military nurses in a doctoral degree program who request funding for a dissertation proposal.
From page 92...
... The suggested award level is $40,000 per year for a period of 1 or 2 years, inclusive of a discretionary travel fund to work with a mentor who is an established scientist. After finishing doctoral preparation in a 3-year period, military nurses are at a critical juncture.
From page 93...
... To optimize the career development of military nurse researchers and to enhance the probability of successful completion of grants awarded by this program to active-duty military nurses, it is highly desirable that Centers of Excellence in Military Nursing Research be included in the organizational structure of a significant number of armed services' medical centers or treatment facilities. These centers would be incorporated in the mission of the medical center or hospital and would be appropriately staffed with active-duty nurses who have advanced research training and who have been assigned to nurse researcher validated positions (doctoral or master's level)
From page 94...
... 94 PROGRAM FOR RESEARCH IN MILITARY NURSING NAS (National Academy of Sciences)


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