Abstract:
INTRODUCTION:The purpose of this evaluation was to determine the effectiveness of the clinical nurse transition program (CNTP) for newly commissioned Army nurses. This is one of the first evaluations conducted to document the outcomes of the Army Nurse Corps (ANC) transition-to practice residency program. MATERIALS AND METHODS:This project was a prospective pre-test/post-test design evaluation of newly licensed registered nurses (RNs) entering the military health system from Fall 2017 to Fall 2018 using Casey-Fink Readiness for Practice Survey and the New Graduate RN Transition Program Competency Assessment Tool. Data were analyzed using SAS 9.4. All tests were two-tailed as applicable and p-values less than 0.05 were considered significant. Missing data were treated as missing for individual items; their values were not imputed. No participant was excluded due to missing items. This evaluation was determined to be exempt from human subject protection regulations by the Human Protections Administrator at Womack Army Medical Center. RESULTS:A total of 92 pre-test surveys were sent to the nine CNTP training sites which actively trained RNs during the study timeframe. Due to a shipping error, 6 of the 92 completed pre-test surveys from one CNTP site were not received, for an overall response rate of 93.4% (86/92), from eight CNTP sites. Of the 86 participants from whom pre-tests were received, all 86 successfully returned their post-test survey, for a 100% response rate pre- to post- survey. The participants were predominately white (73.3%) and female (70.9%) with a median age of 23 years (IQR: 22-24 years) and an undergraduate GPA of 3.5 (IQR: 3.4-3.7, Table II). Quantitative data analysis revealed that after the training, all participants reported a significant improvement in providing safe (p < 0.0001) and quality care (p < 0.0001) for an average workload of in-patient patients. It also showed a significant improvement in team leading (p < 0.0001), effective decision making (p < 0.0001), incorporating evidence into practice (p < 0.0001), and demonstrated professionalism (p < 0.0001). The overall clinical competence and readiness to practice (p < 0.0001) also improved. Data shows that participants perceive significant improvement in all the objectives set by the ANC for the transition program. CONCLUSION:The results of this program evaluation provide evidence that the CNTP has been a success in meeting the intended objectives. Participants showed a significant improvement in their perceived readiness and level of competency in clinical, technical, and leadership skills performance at the end of the program, as well as improved communication and teamwork. The CNTP experience provides an effective means to facilitate the development of newly licensed Army nurses' clinical competence and confidence in practice. The study limitation includes the Casey-Fink Readiness for Practice Survey had relatively low reliability, but it was chosen as it was better aligned to the specified CNTP objectives. And also, with any self-reported evaluation, there is potential bias regarding the accuracy of participants' self-perception. Follow-up study may include examining the demographics of the incoming nurses, such as their source of commission. To determine if and how the comfort and confidence self-reported by the new graduate nurses is reflective of actual ability, nurse preceptors may be asked to complete skills assessments or simulations with objective measurements may be used.
journal_name
Mil Medjournal_title
Military medicineauthors
Oblea PN,Berry-Caban CS,Dumayas JY,Adams AR,Beltran TAdoi
10.1093/milmed/usz108subject
Has Abstractpub_date
2019-12-01 00:00:00pages
914-921issue
11-12eissn
0026-4075issn
1930-613Xpii
5487153journal_volume
184pub_type
杂志文章abstract:BACKGROUND:It was recently noted that a shortened activated partial thromboplastin time (aPTT) is associated with increased venous thromboembolic events. The prevalence of aPTT shortening remains unknown. METHODS:We conducted a retrospective analysis of aPTT results over a 2-month period. These results were not associ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00165
更新日期:2011-08-01 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::This article describes the postinjury cognitive functioning of a sample of active duty, retired, and military beneficiaries who received traumatic brain injuries. Patients were seen in the neuropsychology clinic at Brooke Army Medical Center for a detailed cognitive and personality assessment. The scores on a major co...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-12-01 00:00:00
abstract::We report on two patients with head and neck injuries, who remained asymptomatic after the earthquake for 1 and 2 years, respectively. They developed late transient ischemic neurological signs and eventually presented with complete occlusion of the internal carotid artery. They made a good recovery with medical treatm...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.7.556
更新日期:2004-07-01 00:00:00
abstract::Laser in situ keratomileusis (LASIK) has become the community standard in corneal refractive surgery and is being performed by surgeons in the Army, Navy, and Air Force. LASIK differs from photorefractive keratectomy (PRK) in that a partial-thickness corneal flap is created in the LASIK procedure before removing a mic...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.4.334
更新日期:2004-04-01 00:00:00
abstract::This retrospective study examined spinal-related hospitalizations of U.S. Army soldiers deployed to Afghanistan and Iraq. Spinal cord injuries (SCI) and vertebral column injuries (VCI) were identified using International Classification of Disease, 9th Revision, Clinical Modification diagnosis codes. In our study, spin...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00061
更新日期:2015-02-01 00:00:00
abstract::Orthopedic trauma remains one of the most survivable battlefield injuries seen in modern conflicts. Translating research into practice is a critical bridge that permits surgeons to further optimize medical outcomes. Orthopedic surgeons serving in the military may treat little to no trauma in their stateside practice. ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00296
更新日期:2015-04-01 00:00:00
abstract::The federal government is the largest single employer of clinically active physician assistants (PAs) in the United States, with > 3,000 PAs in 2008. PAs are present within the Departments of Defense, Veterans Affairs, Health and Human Services, Justice, and Homeland Security. Most are civil servants or hold a commiss...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/milmed.173.9.895
更新日期:2008-09-01 00:00:00
abstract:INTRODUCTION:The role of the Emergency Medicine (EM) physician in the U.S. military continues to expand, and current Accreditation Council for Graduate Medical Education general training requirements do not optimally prepare military EM graduates to be successful in postresidency operational assignments. To address thi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usz209
更新日期:2020-01-07 00:00:00
abstract::A 22-year-old male U.S. Navy airman with new nontender subcutaneous, 4-cm mass inferior to the right anterior costal margin was sent for routine biopsy. Sudden appearance of axillary lymph nodes prompted immediate excisional biopsy of the primary mass. Pathological evaluation was initially read as Onchocerca volvulus,...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00400
更新日期:2011-09-01 00:00:00
abstract::Adherence to the Maximal Allowable Weight (MAW) standards established by regulation can be difficult for many active duty personnel. We have discovered some members of this group utilizing the potentially dangerous rapid weight loss methods that are commonly seen in patients with bulimia and anorexia nervosa. Two case...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1989-12-01 00:00:00
abstract:INTRODUCTION:The aims of this study were as follows: first to quantify and review the types of surgical procedures performed by military surgeons assigned to a Forward Surgical Team (FST) providing medical support to the population (MSP) in the Ivory Coast (IC), and second to analyze how this MSP was achieved. METHODS...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00688
更新日期:2015-10-01 00:00:00
abstract::Brief structured clinical interviews are a key component of the Department of Defense postdeployment health reassessment program. Such interviews are critical for recommending individuals for follow-up assessment and care. To standardize the interview process, U.S. Army Medical Research Unit-Europe developed a structu...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.5.411
更新日期:2008-05-01 00:00:00
abstract::Many preventable diseases affecting troop strength are directly attributed to disease-carrying insects. The first line of defense against arthropod vectors is the use of personal protective measures. The concurrent application of DEET (N,N-diethyl-m-toluamide) repellent on the skin and permethrin [(3-phenoxy-phenyl)me...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:1998-05-01 00:00:00
abstract::Limited conflicts and the war against terrorism, in particular, have changed the emphasis in the present trend from preparing to cope with full-scale wars to the need to combat in limited conflicts. This shift has affected significantly medical units' preparations. Law enforcement organizations have come together with...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-11-00245
更新日期:2012-01-01 00:00:00
abstract::Civilian emergency response personnel who assist at chemical or biological disaster scenes are likely to be novices at functioning in chemical-biological (C-B) protective clothing (CBC) meant for use on contaminated battlefields. Such teams must be aware that CBC imposes numerous physiological, psychophysiological, an...
journal_title:Military medicine
pub_type:
doi:
更新日期:2001-12-01 00:00:00
abstract::A cluster-randomized trial evaluating the effectiveness of chlorhexidine gluconate-impregnated wipes against skin and soft tissue infections (SSTIs) and colonization with methicillin-resistant Staphylococcus aureus (MRSA) was conducted among military recruits attending Officer Candidate School at Marine Corps Base Qua...
journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/milmed-d-12-00145
更新日期:2012-11-01 00:00:00
abstract::This study reports dental emergency rates and distribution of causes of dental emergencies at two expeditionary medical support facilities supporting operations Enduring Freedom/ Iraqi Freedom. A retrospective cohort analysis of 9948 soldiers deployed to Prince Sultan Air Base, Kingdom of Saudi Arabia, and 1467 soldie...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.169.7.510
更新日期:2004-07-01 00:00:00
abstract::The Armed Forces Regional Medical Examiner in Europe is responsible for medico-legal death investigations for the U.S. military in 89 countries in Europe, Southwest Asia, and Africa. The Disaster Mortuary Affairs Response Team (DMART) is a rapidly deployable, experienced, multidisciplinary team patterned after the reg...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::Cognitive dysfunction is commonly observed among individuals with alcohol use disorder (AUD) and trauma exposure and is, in turn, associated with worse clinical outcomes. Accordingly, disruptions in cognitive functioning may be conceptualized as a trans-disease phenomenon representing a potential high-yield target for...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-15-00228
更新日期:2016-07-01 00:00:00
abstract::Several biochemical tests are available to screen for heavy drinking in patients. Most of these (e.g., liver function tests and macrocytic volume) rise due to adverse effects of alcohol on organs or the organ's functions. Carbohydrate-deficient transferrin, however, seems to elevate because of the direct action of alc...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:
更新日期:2003-05-01 00:00:00
abstract::Disseminated fungal infections are normally opportunistic infections in the immunocompromised population. Current literature has documented a high mortality rate with these infections in civilian trauma or as complications of severe burns. There is only one published case of fungal infection in a combat-injured indivi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-12-00322
更新日期:2013-04-01 00:00:00
abstract::This study examined the infleunce of three types of boot-sock systems on incidence and severity of foot blisters. Participants were 357 men undergoing U.S. Marine recruit training at Parris Island, South Carolina. Each participant was assigned to one of three treatment groups. The first group wore the standard militar...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-10-01 00:00:00
abstract:INTRODUCTION:The most common cause of preventable death on the battlefield is significant blood loss, eventually causing decrease in tissue oxygen delivery. Pulse oximeters (POs) are widely used by the Israeli Defense Forces to obtain fast and noninvasive information about peripheral oxygen saturation (SpO2). However, ...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa314
更新日期:2021-01-25 00:00:00
abstract::Very little data are available to commanders regarding gynecological problems encountered by a large female population in a combat zone for extended periods of time. The 312th Evacuation Hospital supported Operation Desert Storm, treating over 12,000 patients. Of these, 577 were treated by the gynecological service. O...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::Tuberculosis (TB) is a common disease worldwide affecting more than 2 billion people, including latent, pulmonary, and extrapulmonary TB. The presentation of disseminated TB is variable and dependent on the organs affected. Therefore, making the diagnosis and providing appropriate treatment can be delayed. We present ...
journal_title:Military medicine
pub_type: 杂志文章,评审
doi:10.7205/MILMED-D-15-00232
更新日期:2016-03-01 00:00:00
abstract::Arteriopathy associated with human immunodeficiency virus infection and clinical acquired immunodeficiency syndrome is well-documented. The pathophysiology of this arteriopathy may vary in different vascular beds. Although arteriopathy of central nervous system (CNS) circulation has been recognized in pediatric patien...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.6.647
更新日期:2007-06-01 00:00:00
abstract::There is a need for more work to understand the quality of life (QOL) outcomes of survivors of Operations Enduring Freedom and Iraqi Freedom combat injury to improve care and treatment, and prevent poor physical, psychological, and social outcomes. We describe the study design and methods of the Wounded Warrior Recove...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-13-00444
更新日期:2014-03-01 00:00:00
abstract:INTRODUCTION:Dual-task performance, in which an individual performs two tasks simultaneously, is compromised following mild traumatic brain injury (mTBI). Proficient dual-task performance is essential in a military setting for both military member safety and execution of skilled tasks. To address the unique needs of mi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa404
更新日期:2021-01-25 00:00:00
abstract::Burnout is a syndrome of emotional exhaustion, depersonalization, and reduced personal accomplishment that can occur among individuals who do "people work" of some kind. Health care providers, including dentists, are at high risk for burnout because their occupations often require intense interactions between themselv...
journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00