Abstract:
:This quality improvement project implemented and evaluated an evidence-based practice (EBP) program at two Army outpatient health care facilities. The EBP program consisted of five implementation strategies that aimed to inculcate EBP into organizational culture as well as nursing practice and culture. A conceptual model of the "Diffusion of Innovations" theory was adapted to explain the application of the program. The Institutional Review Boards at Walter Reed National Military Medical Center and Duke University School of Medicine reviewed and exempted this quality improvement project. A pretest-posttest design was used with four instruments at each facility. The EBP program was successful in enhancing organizational culture and readiness for EBP (p < 0.01) and nursing staff's belief about the value of EBP and their ability to implement it (p < 0.05). Another indicator that the EBP program achieved its goals was the significant difference (p = 0.002) in the movement of the outpatient health care facilities toward an EBP culture. These results suggest that this EBP program may be an effective method for empowering outpatient nursing staff with the knowledge and tools necessary to use evidence-based nursing practice.
journal_name
Mil Medjournal_title
Military medicineauthors
Yackel EE,Short NM,Lewis PC,Breckenridge-Sproat ST,Turner BSdoi
10.7205/MILMED-D-13-00191subject
Has Abstractpub_date
2013-09-01 00:00:00pages
1002-9issue
9eissn
0026-4075issn
1930-613Xjournal_volume
178pub_type
临床试验,杂志文章abstract::Data are reported from a sample of 2,991 spouse physical abusers who received Air Force Family Advocacy Program (FAP) services and who volunteered to complete program evaluation measures that were administered before and after treatment and at a 6-month follow-up. As expected, after treatment compared with before trea...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
abstract::The objective of this case report is to present an interesting case of a mixed malaria infection of Plasmodium falciparum and Plasmodium vivax in a U.S. service member deployed in support of Operation Enduring Freedom in Afghanistan and the use of rapid malaria tests with microscopy for the diagnosis of malaria and th...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00034
更新日期:2011-10-01 00:00:00
abstract::This paper describes issues in the psychological assessment of individuals for security clearances, special duty, and sensitive positions. Using assessment for access to sensitive compartmented information as an example, the paper identifies, and explicates problems in criterion validity (the NEXUS issue), practical a...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1993-09-01 00:00:00
abstract:Background:Return to play and risk factors for functional limitations have been widely reported among athletes following anterior cruciate ligament reconstruction (ACLR) but has not been well studied in the military population. Methods:We conducted a retrospective review of all active duty service members who underwen...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx007
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Army vision standards have varied little from Aviation's nominal birth. On the basis of classic Snellen acuity, we simply cannot predict threshold skill levels of any one individual(s). A growing number of Army Flight Surgeons, clinicians, and vision scientists have argued for the inclusion of contrast acuit...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00208
更新日期:2017-03-01 00:00:00
abstract::While on the surface the future of military GME appears uncertain, closer inspection demonstrates opportunities to achieve excellence in education. In many cases, programs will emerge with larger and more diverse faculty and increased collaboration with local institutions. On an individual level, military faculty will...
journal_title:Military medicine
pub_type: 社论
doi:
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVE:Laparoscopic hernioplasty was performed by either transabdominal preperitoneal or totally extraperitoneal approaches, The purpose of this study was to demonstrate that laparoscopic hernioplasty is a way to treat military personnel in the army with less pain and for the patients to return to an active lifestyl...
journal_title:Military medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract::The purpose of this work was to determine the concentration and ratio of uranium isotopes in allied forces Gulf War veterans. The 27 patients had their 24-hour urine samples analyzed for 234U, 235U, 236U, and 238U by mass spectrometry. The urine samples were evaporated and separated into isotopic dilution and concentr...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-08-01 00:00:00
abstract:BACKGROUND:In 2014, the U.S. Public Health Service (USPHS) Commissioned Corps deployed to Monrovia, Liberia, to operate a 25-bed Ebola treatment unit (ETU) constructed by the U.S. Military. The ETU was named the Monrovia Medical Unit (MMU) and was constructed from an U.S. Air Force Expeditionary Medical Support (EMEDS)...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-17-00010
更新日期:2017-09-01 00:00:00
abstract::Several sub-Saharan militaries have large percentages of troops with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome. With the arrival of avian influenza in Africa, the potential exists that some of those soldiers might also become infected with H5N1, the virus responsible for the disease. Two po...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.172.7.753
更新日期:2007-07-01 00:00:00
abstract::The massive Department of Defense deployment in support of Hurricane Andrew relief cast the military medical departments in a new role. Military medical personnel were challenged to apply the traditional principles of combat medicine to a noncombat environment, within the continental United States, within an existing ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::Cigarette smoking disproportionately affects veterans, particularly those with psychiatric diagnoses. Chaplains working within the Department of Veterans Affairs (VA) play key roles in emotional, physical, and spiritual health care of veterans, and veterans often turn to chaplains with mental health concerns. The VA/D...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00380
更新日期:2014-05-01 00:00:00
abstract::Receipt of public support payments is associated with beneficial outcomes for homeless people with mental illness. The purpose of this study was to identify factors associated with receipt of Department of Veterans Affairs (VA) pension and compensation benefits among homeless veterans after their initial contact with ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.5.461
更新日期:2007-05-01 00:00:00
abstract:INTRODUCTION:Youth with autism spectrum disorder (ASD) face high rates of unemployment, with unique challenges for military-dependent and -connected youth with ASD. This paper reports preliminary findings from Year One of a randomized waitlist controlled trial investigating the efficacy of the Project SEARCH + ASD Supp...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/milmed/usz224
更新日期:2020-01-07 00:00:00
abstract::Our purpose was to demonstrate the consistency of radiologists' three-dimensional measurements of simulated blast fragment locations in vitro in an effort to objectively localize retained fragments and wound paths. We designed a phantom consisting of 10 nail heads (simulating blast fragments) glued to wooden pegs that...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00058
更新日期:2011-11-01 00:00:00
abstract::This cross-sectional telephone survey study assessed prevalence rates of current chemical sensitivity, frequency of chemical odor intolerance, and self-reported Persian Gulf chemical exposures among 41 randomly sampled Department of Veterans Affairs outpatients who were Persian Gulf War (PGW) and PGW-era veterans. The...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1998-11-01 00:00:00
abstract::State-of-the-art three-dimensional motion analysis systems, which are utilized to predict, diagnose, and treat many musculoskeletal and neurological disorders, are expensive and space consuming. These systems have only been widely used in large research facilities because of their lack of this transportability. Since ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy312
更新日期:2019-03-01 00:00:00
abstract::Military graduate medical education has come under increasing scrutiny in recent years as the size of the military medical force declines. To document the outcomes of military graduate medical education in internal medicine, a cohort of Air Force internal medicine residency graduates from Wright-Patterson Medical Cent...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract:INTRODUCTION:The purpose of this study is to introduce a virtual radiology rotation curriculum that is being used to safely maintain medical student and intern education and engagement with the Department of Radiology at Walter Reed National Military Medical Center during coronavirus disease 2019 (COVID-19) mitigation....
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa293
更新日期:2020-10-03 00:00:00
abstract::In June 1988, the armed forces of the United States began testing prospective candidates for military service for alcohol, marijuana metabolite (THC-COOH), and cocaine metabolite (benzoylecgonine) through the Military Entrance Processing Station (MEPS) program. Comparison of the confirmed positive drug rates for pre-i...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::The modern military battlefields are characterized by the use of nonconventional weapons such as encountered in the conflicts of the Gulf War I and Gulf War II. Recent warfare in Iraq, Afghanistan, and the Balkans has introduced radioactive weapons to the modern war zone scenarios. This presents the military medicine ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00256
更新日期:2017-03-01 00:00:00
abstract::One hundred six astronaut applicants who had passed initial screening were evaluated for Axis I and Axis II DSM-III-R diagnoses using a structured psychiatric interview. Nine of 106 candidates (8.5%) met diagnostic criteria for six Axis I (including V-code), or Axis II disorders. The use of the NASA structured intervi...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:INTRODUCTION:Military personnel during training and military operations are exposed to a large number of repeated exposures to low-level blast overpressure from a variety of sources. These exposures rarely produce a concussion, but anecdotal evidence from soldiers indicates that it can still cause transient neurologica...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa423
更新日期:2021-01-25 00:00:00
abstract::This article provides a synopsis of the limited investigations examining the impact of external load (EL) on performance of high-intensity tasks under load (HITL), EL training intervention effects on HITL performance, and injuries from EL training. Repetitive lifting tasks and initiation of locomotion, such as rapidly...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-14-00079
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to report the device lessons learned from an emergency tourniquet program and, in particular, to emphasize analysis of discarded devices recovered after clinical use. METHODS:Discarded tourniquet devices were analyzed after use in emergency care of war casualties to determine wea...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00114
更新日期:2011-10-01 00:00:00
abstract:INTRODUCTION:The military dietary reference intakes (MDRIs), outlined in Army Regulation 40-25, OPNAVINST 10110.1/MCO10110.49, AFI 44-141, establish standards intended to meet the nutrient requirements of Warfighters. Therefore, the purpose of this study was to comprehensively compare the revised MDRIs, published in 20...
journal_title:Military medicine
pub_type: 杂志文章,多中心研究
doi:10.1093/milmed/usy153
更新日期:2019-03-01 00:00:00
abstract::The challenges of managing military medicine over the last three decades have been complicated by rapidly changing priorities and redirections. Inspired by Kuhn's theory of "paradigm shifts," we can identify five distinct paradigms and four paradigm shifts that have dominated military medicine over the last 25 years. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1994-09-01 00:00:00
abstract::Tibial nonunions are a challenging situation for both healing and reconstruction when infection is added. In this retrospective study, we discuss the cases in which we had managed to obtain union by aggressive debridement, circular external fixature, and internal bone transport. Fourteen cases had been treated between...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:INTRODUCTION:We assessed potential racial or ethnic differences in the degree to which veterans with pharmaceutically treated hypertension report experiences with their primary care system that are consistent with optimal chronic illness care as suggested by Wagner's Chronic Care Model (CCM). MATERIALS AND METHODS:A c...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usx111
更新日期:2018-09-01 00:00:00
abstract::Since 1997, the absence of a global, DoD public health laboratory system has been identified as a vulnerability in the U.S. military's effort to identify and quickly respond to emerging infections. The AFHSC Division of GEIS Operations has attempted to mitigate this vulnerability by supporting initiatives such as the ...
journal_title:Military medicine
pub_type: 社论
doi:10.7205/milmed-d-11-00356
更新日期:2012-03-01 00:00:00