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2025 Annual Report

The TriService Nursing Research Program (TSNRP) enables the operational readiness, health, and care of warfighters and their families by advancing military nurse scholars, nursing research, and Evidence-Based Practice
across the Military Healthcare System.

 
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14

Research

Awards

Mini EBP Awards

+ 1 EBP Award

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$4,072,182

Total

Awards

63

Posters & Presentations

8

Journals & Books

Research & Dissemination

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Evidence-Based Practice

5 Facilitators

Full Time EBP Experts Who Teach & Mentor

401 Consults

For Military Treatment Facilities (MTFs)

15 Projects

Mentored at 7 MTFs

24 Workshops

Nearly 1,000 Attendees

4 Webinars

Expectant Casualty Care
Corpsmen: Skills & Scope
Joint Professional Practice Model Emergency Burn Care & Fluid Resuscitation

3 Courses

109.57 Contact Hours 

Grant Camp
Writing Workshop
Research & EBP Dissemination Course

33 Resource Requests

Plus, 488 Battlefield & Disaster Nursing Guide, 2nd Ed. distributed

52 Active Duty

Enrolled in TSNRP Leadership & Critical Thought Certificate at eCornell

Resource Center

6 Research Interest Groups

Anesthesia

Biobehavioral Health

Expeditionary Care

Health Systems/Informatics

Military Family

Military Women's Health

17 Early Career

 Investigators

Junior Officers

3 Fellows

Post Doctoral Nursing Research Fellows

11 Mentors

Scientific Research Mentors

Scientific Mentorship

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800+

DHA

Facilities

6

Executive Leadership

Briefings

17

DOW 

Partners

15

Civilian

Universities

Collaborations

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Value to U.S. National Defense

TSNRP is Congressionally authorized to fund scientific research by military nurses (10 U.S.C. § 2116) in support of American warfighters and their families on the battlefield, in recovery, and at home. 
 
It is the only program dedicated to developing and sustaining Gold Standard Military Nursing Science that underpins Force Health Protection, Readiness, and Nursing Clinical Services across the Army, Navy, and Air Force.
Through cutting-edge research and collaboration, TSNRP supports initiatives that enhance battlefield care, accelerate return to duty/reset, and improve health outcomes for all service members. Findings from funded projects expand the scientific foundation of nursing knowledge, benefiting not only the military but also the broader American healthcare system.

Military nursing research and EBP projects result in practice standards to promote military preparedness, performance, and resilience. TSNRP-funded research and EBP projects find solutions for: 
  • Challenging healthcare delivery settings, like austere environments, extreme temperatures, underground warfare, maritime operations, airborne missions, natural disasters, and pandemics.
     
  • Mission operational readiness and prolonged field casualty care of service members, before, during, and after active combat.
     
  • Occupational and environmental hazards that affect the physical readiness and mental health of service members such as chemical, biological or nuclear exposures.
     
  • Illness, stress, and injury resulting from large scale combat operations, humanitarian missions, and high-risk covert deployments.
     
  • Cost-effective delivery of high-quality healthcare and innovations to improve clinical outcomes for military personnel and their families across the military healthcare system worldwide.
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6 Funded Studies

$1,426,933

FY24 Funded Studies By Service

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6 Funded Studies

$2,163,3622

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3 Funded Studies

$425,895

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Funding by Research Priorities
Aligned with U.S. Defense Strategy

Focused on the pursuit of excellence in military nursing, and aligned with the Surgeons General from each military service and the Defense Health Agency, research priorities are approved by the TSNRP Executive Board which is comprised of the Nurse Corps Chiefs from the Army, Navy, and Air Force. Quantitative and qualitative studies are supported on operational and deployment health topics in the following strategic areas:

Force Health Protection
• Fit and ready force
• Deploy with & care for warrior
• Care for all entrusted to our
care

11 Research Projects (74%)

Nursing Competencies & Practice
• Patient outcomes
• Quality and safety
• Translate research into Evidence-Based Practice

• Clinical excellence
• Knowledge management
• Education and training

1 Research Project + 1 EBP Project (13%)​​​

Leadership, Ethics, Mentoring
• Health policy
• Preparing tomorrow’s leaders
• Recruitment & retention Care of the caregiver

2 Research Projects (13%)​​​

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Executive Director Letter

It is my honor to share this Annual Report—my first as Executive Director. Stepping into this role has been both humbling and energizing, and I am deeply grateful for the dedicated community of nurse scholars, leaders, educators, and partners who make our mission possible. Together, we have advanced important work that strengthens both the profession of military nursing and the readiness of the Military Healthcare System (MHS).


Starting this year, funding is now available for TriService Mini EBP awards (up to $15,000) to fund equipment and supplies in support of military nurse-led, operational evidence-based practice (EBP) projects that foster warfighter readiness and military nursing care in operational settings by a joint project team of Army, Air Force, and Navy. Plus, we created a new RAPID High Priority Award which funds 12-month EBP or operational research projects conducted by military nurses focused on operational military nursing projects that can be rapidly deployed on the battlefield, and/or address operational readiness of medical command units.

TSNRP provides experts to support your team in achieving Nurse Corps and MHS goals and priorities using evidence-based education, practices, and clinical policies that foster optimal outcomes and readiness. Consultations by TSNRP EBP Facilitators reached 200+–more than ever before–plus 14 workshops which, so far, resulted in 24 new EBP projects by military nurses. TSNRP will continue to expand our impact throughout the MHS.​​

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CUBBY L. GARDNER

PhD, FNP-C, FAAN

Colonel, NC, USAF

Executive Director


Another achievement was the launch of the On-Demand Learning Center (ODLC), a robust digital platform designed to meet the evolving educational needs of nurse scholars. The Learning Center brings together a suite of instructional video channels and expert-led guidance on topics our community has identified as essential, including writing, Evidence-Based Practice, grants management, and more. This resource not only expands access to high-quality professional development and continuing education credits, but also ensures military nurses can learn, grow, and innovate on their own schedules—whenever and wherever duty calls.


TSNRP successfully enrolled 52 nurses in the eCornell  Graduate Certificate in Leadership & Critical Thought, bringing total participants to 91.The program links leadership science to operational outcomes—arming military nurses with current, research-based tools (including digital/AI competencies) and immediate practice projects that strengthen patient care and mission readiness. Metrics show a Net Promoter Score of 72, placing it in the top echelon of educational and professional development experiences. Participant feedback highlights a consistent theme of practical, immediately applicable learning that directly enhances confidence and performance in real-world settings. This learning experience creates promoters — individuals eager to recommend, re-enroll, and champion  the program. 


During Nurses Week, we proudly released the new film short, Military Nurses on the Frontlines of Military Readiness: 
The Joint Professional Practice Model for Military Nursing.
The JPPM originated as a TSNRP-funded EBP project. The 
film short was produced in partnership with the Defense Health Agency plus the National Museum of Health & Medicine and reflects our commitment to promoting the indispensable role of military nurses in operational readiness. The film offers access 
to practical strategies, clear standards, measurable objectives, and customizable tools for implementing the Joint Professional Practice Model within MTFs. Early feedback confirms this resource is already helping nursing leaders and clinicians strengthen interdisciplinary collaboration, elevate care delivery, and align practice with mission.


As I reflect on these accomplishments, I am inspired by the collective dedication that made them possible. Our work continues—and so does our commitment to excellence, innovation, and service. Thank you for placing your trust in TSNRP and for the vital contributions each of you makes to the nursing profession and to the nation.

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Research Interest Groups
Think Tanks for Innovation

TSNRP Research Interest Groups (RIGs) initiate research, Evidence-Based Practice and education projects that support operational readiness in their areas of expertise. Currently the TSNRP community offers six RIGs for military nurse scientists to network and collaborate: Anesthesia, Biobehavioral Care, Expeditionary Care, Health Systems/Informatics, Military Family, Military Women’s Health.

Biobehavioral Health RIG

 

 

 

Expectant Casualty Care in Large-Scale Combat Operations
Future large-scale combat operations will increase expectant casualty care (ECC) that nurses, medics, and physicians face on the battlefield. Currently no detailed guidelines or standardized training programs address this anticipated rise. It is essential to U.S. mission success to thoroughly understand what medics, nurses, and physicians require when encountering these scenarios, and what gaps exist in current training how current training to develop an effective training platform for the coming era of ECC. This webinar clearly defined ECC in operational settings, clarified ECC in role 1 and in role 2 environments, and identified training needs for future battlefields.

  • Leaders: 
    CDR Shawna Grover, PhD, ANP-BC, ACNS-BC, AOCNS
    Leader
    Lt Col Carla Wiese, PhD, MSN, BSN, CCRN, Deputy

     

  • Key Contributor:
    CDR Stuart E. Hitchcock,  PhD, JM, RN, CNOR

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Expeditionary Care RIG

 

 

 

​Emergency Burn Care & Burn Fluid Resuscitation
To be extensively burned is to suffer one of the most devastating and dehumanizing injuries a human being can experience. A burn patient is forever changed and must accept a new normal. The job of military nurses is to stabilize the patient and provide compassionate care that instills hope — even when supplies and equipment are short. Burn patients are actively trying to die and it is the healthcare team’s job to prevent death.
 

This in-depth educational event offered guidance and resources from the U.S. Army Burn Center and the Joint Trauma System for nurses managing critically burned patients. Topics included burn wound management as outlined in CPG ID57: Burn Wound Mangement in Prolonged Field Care; stabilization and management basics; triage based on burn severity; chemical burns and treatment; adult and pediatric burn fluid resuscitation; and more. More than 400 military nurses registered for this event.

  • Leaders: 
    CAPT Tony Torres,PhD, RN, ANP, CNS, CEN, EXRIG Navy Leader

    Maj Tyler Relph, DNP, RN, NEA-BC, CCRN, EXRIG Air Force Leader
    MAJ Anela Samorsorn, PhD, AN, EXRIG Army Leader​​​

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