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2024 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.


 

20

Research

Awards

Mini-EBP Awards

+ 2 EBP Awards

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$7,559,005

Total

Awards

92

Posters & Presentations

17

Journals & Books

Research & Dissemination

Evidence-Based Practice

5 Facilitators

Full Time EBP Experts Who Teach & Mentor

207 Consults

For Military Treatment Facilities (MTFs)

21 Projects

Mentored at 6 MTFs

19 Workshops

397 Attendees

3 Events

Care of the Military Family

Mental Health as Cultural Norm

Nurses Week Science Cafe

4 CE Courses

109.57 Contact Hours 

488 Attendees

$18,739 

For 35 Resource Requests

+ Distributed 705 Battlefield & Disaster Nursing Guides, 2nd Ed 

29 Active Duty

Enrolled in TSNRP Leadership & Critical Thought Certificate at eCornell

Resource Center

6 RIGs

Research Interest Groups:

Anesthesia

Biobehavioral Health

Expeditionary Care

Health Systems/Informatics

Military Family

Military Women's Health

5 Fellows

Post Doctoral Nursing Research Fellows

9 Early Career

 Investigators

Junior Officers & Cadets

11 Mentors

Scientific Research Mentors

Scientific Mentorship

800+

DHA

Facilities

10

Executive Leadership

Briefings

17

DoD 

Partners

15

Civilian

Universities

Collaborations

Value to U.S. National Defense

TSNRP is Congressionally authorized to fund scientific research by military nurses (S.R. 107-732) in support of American warfighters and their families on the battlefield and at home. TSNRP is the only program to fund rigorous military nursing research and evidence-based nursing practice that saves lives, solves complex problems, and improves healthcare in collaboration with the Army, Navy and Air Force. In addition to contributing to the National Defense, findings of funded research contribute to the growing body of scientific nursing evidence that ultimately benefits healthcare outcomes for all Americans. 

Military nursing research generates evidence to solve challenges such as:​

  • Unique operational settings for healthcare delivery, including disasters and operational environments

  • Mission readiness and performance of Service members

  • Patterns of illness, stress, and injury

  • Occupational and environmental hazards that affect health and readiness

  • Cost-effective delivery of high-quality, evidence-based healthcare

  • Innovation to improve medical outcomes

  • Improvement of delivery systems and processes to enhance warfighters’ ability to survive, thrive, and remain fit for duty.
     

As a partner to the Department of Defense, centered at the Uniformed Services University, TSNRP identifies the most innovative and collaborative research that promises significant, positive impact on the lives of military personnel and their families. Plus, the program produces education to advance military nurses’ knowledge, networks, and capacity to provide evidence-based nursing care at home and on the frontline. 

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10 Funded Studies

$3,592,088

FY24 Funded Studies By Service

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5 Funded Study

$1,465,372

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6 Funded Study

$2,168,798

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

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

• Clinical excellence
• Knowledge management
• Education and training

17 FY24 Research Projects (85%)

3 FY24 Research Projects (15%)

Executive Director Letter

Farewell Message - Dear TSNRP Community:

As I prepare to transition from my role as Executive Director, it is with a deep sense of gratitude and pride that I reflect on the incredible journey we have shared. Over the years, we have further developed not just a successful program, but a community of passionate, innovative individuals committed to making a positive difference in nursing. I have been privileged to lead this exceptional team, and I am immensely proud of what we have achieved together.

When I first arrived, our vision was clear: to create value, foster growth, and leave a lasting impact on military nursing and the world around us. Thanks to your dedication, hard work, and unwavering commitment, that vision has been realized in ways I could never have imagined. We have faced challenges, embraced opportunities, and grown stronger with each step. Our success is a testament to the talent, resilience, and passion that each of you brings to this community.

As I move on to the next chapter, I am confident that the future of TSNRP is brighter than ever. We have laid a strong foundation, and with the next executive director in place and the continued support of all our stakeholders, I am excited to see how you will carry the torch forward.

Thank you for the trust you’ve placed in me, for your collaboration, and for making this journey so rewarding. While I may be stepping away from my official role, I will always remain a champion of military nursing, TSNRP, and its future.

With deepest gratitude, 
 

John

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Young John Yauger

PhD, CRNA, FAANA

COL, AN
Executive Director

The TriService Nursing Research Program (TSNRP) community continues to grow and evolve with a commitment to innovation, evidence-based practices, and support for research investigators and all military nurses who evolve professional nursing practice. In fiscal year 2024 (FY24), TSNRP achieved several milestones, from the inaugural Global Tactical Nursing Research Symposium to the expansion of mentorship programs and the launch of new initiatives that will shape the future of military nursing. Below are highlights of TSNRP activities and achievements in FY24.

1. Global Tactical Nursing Research Symposium

TSNRP hosted its first-ever Global Tactical Nursing Research Symposium, bringing together military nurses from the United States and Allied nations, including Australia, Canada, South Korea, and the United Kingdom. This highly anticipated event allowed military nurses to share evidence-based research on critical topics, including:
 

  • Expectant Casualty Care

  • Prolonged Casualty Care

  • Innovation for Future Battlefields
     

Presenters delivered groundbreaking research findings from the U.S. and Allied countries, demonstrating a collective commitment to improving battlefield care through advanced nursing practices. The overwhelming success of this event led to the decision to host the symposium biennially, making it a key fixture in the advancement of global tactical nursing education.
 

2. Evidence-Based Practice (EBP) Training Tour

In a significant effort to increase awareness and application of evidence-based nursing practices across military nursing, the TSNRP Executive Director hosted a groundbreaking EBP Training Tour. The tour, which spanned Guam, Japan, and Korea, reached more than 130 nurses and nursing leaders, marking the first-ever TSNRP EBP training initiative for military nurses stationed outside the U.S.
 

The tour featured high-profile participants, including Dr. Kristen Atterbury, Chief Nursing Officer of the Defense Health Agency (DHA), and Dr. Laura Brosch, Interim Vice President of Research at the Uniformed Services University (USU). The TSNRP Executive Director met with all local commands to share information and collaborate to support resources and education for military nurses.
 

The team conducted interactive workshops to enhance understanding of how evidence-based practices can improve military nursing care, with sessions tailored for each audience:
 

  • Nursing Leadership: A half-day session focused on leadership’s role in EBP. 

  • Military and Civilian Nurses: A full-day workshop on implementing research into practice. 

  • Healthcare Teams: An overview session for the broader healthcare team to increase overall awareness of the available resources. 
     

This training tour not only raised the profile of TSNRP but also strengthened partnerships with nursing leadership and emphasized the importance of evidence-based practices in military healthcare.
 

3. Early Career Investigator Coaching Program (ECIC)

The TSNRP Early Career Investigator Coaching Program (ECIC) saw remarkable growth in FY24, paving the way for further expansion in FY25. The ECIC is a premiere mentorship program that connects newly commissioned military nurses and nursing cadets with experienced nurse scientists to help them integrate nursing research into their military careers. Key program features include:
 

  • Mentorship: Early career nurses receive direct guidance and mentorship from seasoned military nurse researchers. 

  • Clinical Inquiry and Scholarship: Participants engage in clinical research and the development of evidence-based practices, enhancing their research skills. 

  • Networking/Community Building: Participants join research teams and become members of TSNRP Research Interest Groups, gaining exposure to a wider community of military nursing researchers and leaders. 
     

This program is a cornerstone of TSNRP efforts to nurture the next generation of military nurse scientists.
 

4. Slava Ukraini: Battlefield & Disaster Nursing Pocket Guide, 2nd Ed.

In FY24, TSNRP contributed to the ongoing support for Ukrainian medical military personnel through the translation of the Battlefield & Disaster Nursing Pocket Guide, 2nd Edition into Ukrainian. This resource is designed for use by Ukrainian medics, nurses, and frontline warfighters, with the aim of providing valuable guidance on battlefield and disaster nursing in times of crisis.
 

5. Celebrating Nurses Week: Film Short – Origin & Legacy of Military Nurse Scientists

In honor of Nurses Week, TSNRP partnered with the National Museum of Health & Medicine (NMHM) to release a film short titled Origin & Legacy of Military Nurse Scientists. The film explores the history and contributions of military nurse scientists, showcasing their profound impact on healthcare and military operations.

More than 800 people attended the online premiere, and the film continues to be viewed on both the NMHM and TSNRP websites, furthering the recognition of military nurse scientists and highlighting their invaluable contributions to the healthcare field.

Conclusion

In FY24, TSNRP demonstrated its leadership in advancing military nursing through global collaboration, expanded mentorship programs, and impactful educational and outreach initiatives. These efforts reflect the ongoing commitment to improve nursing care on the battlefield, support nursing leadership, foster the growth of future nurse researchers, and expand evidence-based nursing practice across military healthcare. As we look to FY25 and beyond, TSNRP will continue to be at the forefront of military nursing innovation, education, and evidence-based practice.

Research Interest Groups
"Think Tanks" for Innovation

TSNRP Research Interest Groups initiate research, Evidence-Based practice, and education projects that support operational readiness in their areas of expertise. Here is a sampling of RIG projects advanced in FY2024:

Biobehavioral Health RIG

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

     

  • Key Contributors:
    Dr. Joseph Leondike, DNP, APRN, PMHNP,  Lt Col(ret)
    Lt Col Carla Wiese, PhD, MSN, BSN, CCRN
    Maj 
    Michelle Binder, DNP, PMHNP-BC
    CDR Shawna Grover, PhD, ANP-BC, ACNS-BC, AOCNS
    Capt Felicia Katzovitz, USAF, NC
    Capt Lauren Maccoy, USAF, NC
    Maj Talila Peggins

 

  • Project: Fostering Mental Health as a Cultural Norm: Military Mental Health Stigma and Medication & Therapeutic  Management 

    Stigma is associated with negative attitudes about psychological health care and poses a significant barrier to seeking help, engaging in care, and completing psychological health treatment. There are several types of stigma that influence how/if individuals seek help: 1) perceived public stigma, 2) self-stigma (also called internalized stigma), and 3) attitudes toward help seeking.

    Military mental health stigma is linked to an individual’s desire to handle problems on one's own and is strongly grounded in military culture. Interestingly, service members who report mental health concerns are most likely to perceive stigma related to mental health and frequently anticipate negative outcomes for seeking care. It is essential for both healthcare professionals and military leaders to understand this perceived stigma, medication management, and therapeutic strategies for mental health in the military to ensure timely and high quality of care. 

    This educational event discussed the perception of mental health stigma in the military, and described medication management and therapeutic management strategies to support mental health. Approximately 125 nurses attended this highly interactive educational event.


Note: Webinar begins at 05:35 minutes
 

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Military Family Research Interest Group

  • Leaders: 
    Lt Col Kelley Henson, DNP, CPNP-AC, Leader
    LCDR MaryPat Tobola, DNP, MSN, FNP-C, RN, Deputy

     

  • Key Contributors:
    LCDR MaryPat Tobola, DNP, MSN, FNP-C, RN
    Maj Julianne LeGierse, DNP
    Laura Talbot, EdD, PhD, Col(ret)

    Leanne K. Knobloch, PhD
    Andrea Kalvesmaki, PhD
    Muskan Datta
     

  • Project: Care of the Military Family Symposium

    In a world focused on readiness, understanding the dynamic and unique characteristics of the military family is essential to supporting the warfighter. The Military Family RIG developed an educational symposium to discuss and describe the initial findings from their Military Family Scoping Review. Speakers identified best practices for the care of military families based on the latest evidence, and contracted current research with previously known knowledge.

 

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