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Military Nursing Research: Bibliographies (1996)

Chapter: 2 Published Research

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Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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2

Published Research

The following annotations were prepared from available abstracts by project staff.

CITATIONS FROM JOURNALS

This set of citations includes a number from Dissertation Abstracts International (DAI) that were not retrieved from the direct search of DAI.

Ahrens, WD. 1992 Mary J. Nielubowicz Award recipient. Nursing organizational restructure: choosing to change. Mil Med 1993;158(4):208–12.

This report describes factors that inspired nursing organizational restructure in a naval hospital. The specific modifications made and strategies for managing them are reviewed in the context of using planned-change principles and risk-taking behavior to achieve organizational growth.

Alderson C, Gallimore I, Gorman R, Monahan M, Wojtasinski A. Research priorities of VA nurses: a Delphi study. Mil Med 1992;157(9):462–5.

The purpose of this study was to identify and specify the most pressing questions in nursing research by means of a Delphi survey of a sample of a Veterans Administration Medical Center staff and head nurses.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Alexander L, Beck K. The smoking behavior of military nurses: the relationship to job stress, job satisfaction and social support. J Adv Nurs 1990; 15(7):834–9.

Three hundred and seven nurses at a large military medical center completed an anonymous questionnaire that measured their smoking status, job stress, job satisfaction, social support, and a variety of demographic factors. Results are presented and discussed.

Andersen CA. Preparing patients for aeromedical transport. J Emerg Nurs 1987; 13(4):229–31.

No abstract available.

Anna DJ. Assisting the military impaired health-care provider: an advocacy program developed by the Army Medical Department. Issues Ment Health Nurs 1988; 9(2):201–10.

No abstract available.

Bakas LM, Guzinski MG. The European Intra-Inter Theater Aeromedical Evacuation System: our mission—our attempt. Aviat Space Environ Med 1980; 51(3):290–2.

This report discusses the logistics of aeromedical evacuation. The order of magnitude of the problem and detailed analyses are presented. The study also presents examples of patient transfer from point of injury in areas remote from hospitalization through successive installations to the hospital for extended treatment and convalescence.

Baker RR, Menard SW, Johns LA. The military nurse experience in Vietnam: stress and impact. J Clin Psychol 1989; 45(5):736–44.

Demographic, health, and psychosocial data from two studies are presented on military nurses assigned to Vietnam. Army nurses were the subject of the first study. In the second study, Army nurses were compared with Air Force and Navy nurses. Stress experiences, career dissatisfaction data, and health problems of military nurses and their children are reported.

Balacki MF. Battle fatigue intervention: a vital role for nursing. Mil Med 1992; 157(4):192–5.

This paper examines the many aspects of battle fatigue from contributing factors to management principles, prevention, and assistance.

Beeman TA.The management education and training needs of Army head nurses. Ph.D. diss. The American University 1989; 206 p.

The purpose of this study was to identify the management education and training needs of Army head nurses and to determine if there were differences

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

between head nurses and nurse supervisors in relation to related factors: sex, age, rank, degrees held, certifications, continuing education credit, Army course attendance, type of area managed, time in the job, number of personnel managed, and size of hospital. The sample consisted of 175 head nurses and 39 supervisors assigned to randomly selected Army hospitals.

Ben HF, Pearson D, Rhee K, Yamada J Does the substitution of a resident for a flight nurse alter scene time?, J Emerg Med 1995; 13(2):151–3.

The purpose of this retrospective case control study was to compare the performance of a nurse–resident crew to that of the usual nurse –nurse crew in a helicopter transport service using scene time as a measure of overall teamwork. The study was carried out by a university-based helicopter emergency transport service.

Benham E. Coping strategies: a psychoeducational approach to posttraumatic symptomatology. J Psychosoc Nurs Ment Health Serv 1995;33(6):30–5.

This paper describes complex posttraumatic and dissociative symptomatology including flashbacks, reexperiencing phenomena, intense affects, and self-destructive impulses. Approaches developed to control these symptoms included healthy diversions, grounding techniques, and support networks.

Boyle M, Hatton D, Sheets C. Surgical cricothyrotomy performed by air ambulance flight nurses: a 5-year experience. J Emerg Med 1993; 11(1):41–5.

This retrospective study reviewed the performance of surgical cricothyrotomy by air ambulance flight nurse personnel.

Braswell LB.A study of the relation of personality, context, level of distress, and coping process, in Army reserve nurses activated in Operation Desert Shield Ph.D. diss. University of Georgia. Dissertation Abstracts International 1993; 53(9-B):4993.

No abstract available.

Brodie B, Rowell P, Bancroft B, Wolf W. A comparison of nurse practitioner and physician costs in a military out-patient facility. Mil Med 1982; 147(12):1051–3.

No abstract available.

Burke JB. Field interactions in aerovac nursing. Aviat Space Environ Med 1980; 51(6):618–21.

This paper analyzes interactions between the environmental field of an aeromedical evacuation aircraft and the inflight care of patients (the human

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

field). Examination of some stressors of flight—specifically, altitude physiology and sensory alterations—was used to generate testable hypotheses regarding patient care.

Burney R, Hubert D, Passini L, Maio R. Variation in air medical outcomes by crew composition: a two-year follow-up. Ann Emerg Med 1995; 25(2) : 187–92.

This 2-year prospective cohort study of variation in air medical outcomes was conducted to confirm results from a 1-year retrospective study and to compare outcomes associated with transport crew composition, namely, physician–nurse and nurse–nurse air medical crews, while controlling patient characteristics.

Burney R, Passini L, Hubert D, Maio R. Comparison of aeromedical crew performance by patient severity and outcome. Ann Emerg Med 1992; 21(4):375–8.

The purpose of this retrospective cohort study was to compare the severity of illness or injury of patients transported by air ambulance and outcomes for physician–nurse and nurse–nurse crews.

Burtnyk S. Secondary transportation of critically ill people—implications for nurses and the need for specialist training.Intensive Crit Care Nurs 1992; 8(4):234–9.

This study reviews the complications accompanying the transfer of critically ill patients, implications for staff, and the responsibility of staff should emergencies arise during transport. The need for advanced training is discussed.

Carney CM. Perceived symptoms among U.S. Army nurses: the effects of combat environment, gender, control, and social support. Ph.D. diss. George Washington University, Dissertation Abstracts International 1986; 46(11-B):4062.

No abstract available.

Carson KJ, Drew BJ. Electrocardiographic changes in critically ill adults during intrahospital transport.Prog Cardiovasc Nurs 1994; 9(4):4–12.

Using a prospective design, this study sought to describe electrocardiographic changes during intrahospital transport and to describe the nursing implications of transporting patients in this sample. A convenience sample of 29 critical care patients (14 cardiac, 8 neurological, 5 medical, 2 transplant) was selected from three intensive care units at a university hospital.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Clark C, Heidenreich T. Spiritual care for the critically ill. Am J Crit Care 1995; 4(1):77–81.

This descriptive study was conducted to identify factors that contribute to providing spiritual care for patients in intensive care units. A convenience sample of 63 patients in the critical care unit of a large midwestern military hospital participated in this study, 1 to 2 days after their transfer from the intensive care unit.

Connelly C. An empirical study of a model of self-care in chronic illness. Clin Nurse Spec 1993; 7(5):247–53.

This descriptive correlational study was conducted to test the efficacy of the Model of Self-Care in Chronic Illness. The model, an adaptation and extension of the Health Belief Model, was developed to describe and relate the variables that influence effective self-care among ambulatory chronically ill patients.

Constable J, Russell D. The effect of social support and the work environment upon burnout among nurses. J Human Stress 1986; 12(1):20–6.

This paper presents and discusses research findings on the effects of various aspects of the hospital work environment on burnout among nurses. It also evaluates the effects of social support in reducing or mitigating the relationship between negative aspects of the work environment and burnout.

Cook RL. Physician–nurse collaboration: a nurse's perspective. Aviat Space Environ Med 1979; 50(11):1179–81.

This is a systems analysis of physician–nurse collaboration during an epidemiologic follow-up study of air crewmen with asymptomatic exercise-induced ventricular tachycardia.

Cook RL. Nursing introspection: peer review. Aviat Space Environ Med 1980; 51(10):1159–62.

A survey of nurses working on in-house units at a U.S. Air Force medical center was conducted. Nursing peer review is presented as an important quality assurance method that is misunderstood widely and not practiced extensively.

Cook RL. Nursing peer review: a survey of flight nurse section members. Aviat Space Environ Med 1981; 52(1):50–2.

Thirty flight nurse section attendees at the 1980 Aerospace Medical Association meeting participated in a survey regarding nursing peer review. Respondents were middle- to senior-level nurses with a mean age of 39.8 ± 8.1 years and most frequently ranked as military grade of major.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Corcoran DK. Investigation of the relationship between selected variables and the decision-making and managerial ability of head nurses in the Army Nurse Corps. Ph.D. diss. University of Texas, Austin, Dissertation Abstracts International 1981; 42(3-B):967.

No abstract available.

Crosby F, Ventura M, Finnick M, Lohr G, Feldman M. Enhancing subject recruitment for nursing research. Clin Nurse Spec 1991; 5(1):25–30.

Recruitment efforts in four different nursing studies were compared and contrasted in an effort to determine effective and efficient approaches to recruitment of subjects who knowledgeably consent to participate in nursing research. Sample populations included nurse practitioners, patients, nurse aides, and nurse educators.

Cunningham N, Marshall C, Glazer E. Telemedicine in pediatric primary care. Favorable experience in nurse-staffed inner-city clinic. JAMA 1978; 240(25):2749–51.

Off-site pediatric consultation via bidirectional cable television was instituted to provide backup for nurse practitioners treating sick and well children in a small primary care clinic.

Dahl J, O'Neal J. Stress and coping behavior of nurses in Desert Storm. J Psychosoc Nurs Ment Health Serv 1993; 1(10):17–21.

This study examined the importance of combat stress-related factors to noncombatant personnel in the combat zone during Desert Storm.

Davidson P, Jackson C. The nurse as a survivor: delayed posttraumatic stress reaction and cumulative trauma in nursing. Int J Nurs Stud 1985; 22(1):1–3.

An integrated review of previously unrelated areas of research is presented to enhance the understanding of trauma and its impact on the mental health of nurses. Findings from recent studies on delayed posttraumatic stress reactions in Vietnam veterans, victims of natural disasters, and survivors of the holocaust are postulated to delineate symptoms that are also found in stress-prone nurses who are using maladaptive coping strategies in response to hospital-related traumatic episodes.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Delooz H, Verbruggen H, Mangelschots G, De LM, De JS, Meulemans A, et al. Six years experience with an emergency department based mobile emergency care delivery system. Acta Anaesthesiol Belg 1980; 31 Suppl:19–26.

The experience gained with a mobile emergency care delivery system, organized within the Emergency Department of the University Hospital Sint-Rafael Leuven, Belgium, is analyzed and discussed.

Dewane CJ. Posttraumatic stress disorder in medical personnel in Vietnam. Hosp Commun Psych 1984; 35(12):1232–34.

This study explores the unique characteristics of posttraumatic stress disorder (PTSD) among physicians, medics, corpsmen and nurses who served in Vietnam. Unique aspects of symptomatology of PTSD in medical personnel are described, including helplessness, survivor guilt, anger, isolation, estrangement, and low frustration tolerance.

Diekmann J, Smith J. Strategies for assessment and recruitment of subjects for nursing research. West J Nurs Res 1989; 11(4):418–30.

No abstract available.

Dreeben J. The role of pre-service interpersonal experiences and family relationships in the post-war adjustment of Vietnam veteran nurses. Ph.D. diss., Boston College. Dissertation Abstracts International 1993; 53(9-B):4950.

No abstract available.

Eagle J, Fortnum D, Price P, Scruton J. Developing a rationale and recruitment plan for a nurse researcher. Can J Nurs Adm 1990; 3(2):5–10.

This study uses a systematic approach to outline, define the need for, and prepare a comprehensive proposal for the recruitment of a nurse researcher.

Eastes LE. Evaluating the clinical practice of flight nurses: complexities and innovations. J Nurs Qual Assur 1989; 3(3):75–83.

This paper discusses a varied and comprehensive approach to evaluating care, and uses an assortment of methodologies to quantify adequately the quality of care provided by flight nurses.

Fiedler F. Validation and extension of the contingency model of leadership effectiveness: a review of empirical findings. Psychol Bull 1971; 76(2):128–48.

No abstract available.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Foley J, Foley B. USAR Nurse Referral and Retention Program. Mil Med 1992; 157(9):498–500.

This paper describes the Army Nurse Referral and Retention Program, developed and implemented at the 804th Hospital Center, which relieved the shortfall of registered nurses in the United States.

Ford M, Lake L. Establishing an audit system for Air Evac. Aviat Space Environ Med 1979; 50(3):284–9.

In this study, a pilot project was formulated to determine the validity of the audit tool used to determine the effectiveness of nursing interventions.

Frelin A, Oda D, Staggers N. The clinical nurse specialist role in the Army Medical Department. Clin Nurse Spec 1990; 4(3):147–50.

In this study, a survey was conducted of all practicing clinical nurse specialists in the Army Medical Department and their supervisors. Its purpose was to define their perceived role and the value placed on this role by their supervisors.

Gaudinski MA. Intangibles facilitating or inhibiting health care delivery systems. Aviat Space Environ Med 1978; 49(9):1111–4.

This paper reviews and discusses (1) basic concepts of general systems theory; (2) application of general systems theory to health care delivery systems including Air Evac systems; (3) intangibles in systems that facilitate or inhibit health care delivery; and (4) suggestions to facilitate open systems and the delivery of quality care.

Gaudinski MA. Coping with expanding nursing practice, knowledge, and technology. Aviat Space Environ Med 1979; 50(10):1073–5.

This paper reviews and discusses (1) factors associated with burnout-distress phenomena identified in professional literature; (2) factors associated with expanded roles and practice that contribute to burnout stress; (3) identification of factors in military and civilian air ambulance and aeromedical evacuation systems that contribute to burnout stress; and (4) recommendations for strategies to prevent and cope with burnout-distress factors.

Gibbs I, McCaughan D, Griffiths M. Skill mix in nursing: a selective review of the literature. J Advanced Nursing 1991; 16(2):242–9.

This review covers manpower planning, including the mix of nurses required to provide the necessary care for patients; staff turnover; and the use of less qualified staff in relation to cost containment and other factors.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Gilbert MA, Smithco MJ, Huff CM, Robinson R. Quantitative applications: forecasting and costing nursing service at an Army community hospital. Mil Med 1994; 159(3):210–3.

This study describes the utilization of a quantitative method of forecasting, coupled with an existing patient classification system, to provide a creative costing tool for managing nursing resources at military medical facilities.

Gill PM. Korean hemorrhagic fever: nursing care critical to recovery. Mil Med 1991; 156(3):131–4.

This paper discusses the Korean hemorrhagic fever disease process and appropriate nursing actions to avert serious progression of the disease.

Goldberg G, Jolly D, Hosek S, Chu D. Physician's extenders' performance in Air Force clinics. Med Care 1981; 19(9):951–65.

This study evaluates the quality of care of physician's extenders (PEs: 23 physician's assistants, 7 primary care nurse practitioners) in Air Force primary medicine clinics. It is part of an examination of effects on quality of care when PEs assume a considerable portion of the care formerly provided by physicians in the military medical system.

Griffin J, Carroll S, Devos J, Kowba M, Moran J, O'Hare PJ, et al. Nursing research priorities for the care of the naval hospital patient: a Delphi survey. Mil Med 1992; 157(11):608–10.

The purpose of this study, which used the Delphi technique, was to identify priorities for nursing research in a naval hospital. A general objective was to provide empirically based information to guide the development of a nursing research program at a regional medical treatment facility.

Harrahill M, Bartkus E. Preparing the trauma patient for transfer. J Emerg Nurs 1990; 16(1):25–8.

This article describes how to prepare the patient for transfer. It stresses the need for cooperation between referring and receiving hospitals.

Hines-Martin V, Ising M. Use of art therapy with posttraumatic stress disordered veteran clients. J Psychosoc Nurs Ment Health Serv 1993; 31(9):29–36.

This paper addresses a multidisciplinary therapeutic approach to intervene in maladaptive coping patterns of the posttraumatic stress-disordered veteran. The approach uses art therapy and nursing that emphasize both client-controlled expression of emotions and client-focused step-by-step behavior modification that promotes feelings of effectiveness in behavioral change.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Hunt R, Carroll R, Whitley T, Bryan-Berge D, Dufresne D. Adverse effect of helicopter flight on the ability to palpate carotid pulses. Ann Emerg Med 1994; 24(2):190–3.

The purpose of this study was to determine if the air medical helicopter environment compromises the ability to palpate carotid pulses. Using a carotid pulse model, flight nurses were tested for their ability to palpate the simulated carotid pulse at normal (120/80 mm Hg) and low (80/60 mm Hg) blood pressures on the ground and during helicopter flight.

Jackson JN. Occupational stress, strain and coping among active duty military and Department of Army civilian practical nurses. Ph.D. diss., Catholic University of America. Dissertation Abstracts International 1987; 48(6-A):1549–50.

No abstract available.

Janelli L, Jarmuz P. Motivational factors that affect the retention of reserve nurses in 8 aeromedical evacuation flights. Aviat Space Environ Med 1987; 58(4):375–8.

The purpose of the study was to identify the motivational factors that contribute to the retention of reserve flight nurses in aeromedical evacuation flights. A convenience sample of 69 reserve flight nurses from eight flights was utilized in the survey approach.

Jennings BM. Stress, locus of control, social support, and psychological symptoms among head nurses. Res Nurs Health 1990; 13(6):393–401.

This study evaluated relationships among work stress, nonwork stress, locus of control, social support, and psychological symptoms of head nurses from U.S. Army hospitals.

Jennings BM. Nursing implications of the Department of Defense Coordinated Care Program. Mil Med 1993; 158(12):823–7.

This paper presents an overview of the Coordinated Care Program and identifies and discusses the major nursing implications.

John K. The diagnostic approach: the usefulness of the DSM-III and systematic interviews in treatment planning. Special Issue: A woman's recovery from the trauma of war. Women & Therapy 1986; 5(1):91–99.

This study discusses the usefulness of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) in assessing a case study of an alcoholic woman suffering from posttraumatic stress disorder resulting from her experiences as a military nurse in Vietnam. The design and development of the DSM-III and the role of the structured diagnostic interview are outlined.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Johnson LD. An analysis of the Veterans Administration health professional scholarship program: an educational strategy to recruit and retain professional nurses. Ph.D. diss., University of Pennsylvania 1989; 380 p.

This study compared two groups of scholarship participants selected by different methods to determine the correlation among selection method, completion of academic program, performance of service obligation, and variables influencing participants' satisfaction and intent to remain employed by the Veterans Administration after completion of service obligations. Factor analysis of data from 312 participants who were performing their service obligation yielded six scales: five scales measuring influences on intent to stay with or to leave Veterans Administration employment after completion of service obligation, and one scale measuring satisfaction and intent to remain with the Veterans Administration.

Jones AP. Organizational reward systems: implications for climate. Motivation Emotion 1984; 8(3):259–74.

Researchers investigated the role of organizational reward structures on individual perceptions of the reward climate. The 73 military nurses and 50 civilian nurses in a naval hospital worked for the same supervisors but were subject to either tenure-contingent or behavior-contingent reward systems.

Jones DR. Aeromedical transportation of psychiatric patients: historical review and present management. Aviat Space Environ Med 1980; 51(7):709–16.

This article reviews the transport of psychiatric patients and discusses an aeromedical classification system that indicates the need for restraints, sedation, and properly trained attendants. It discusses the importance of preflight planning to deal with situational anxieties, consider the aeromedical implications of psychotropic medications, and anticipate disruptive behaviors.

Jones JA. Effects of the Alcoholism Awareness Workshop on Air Force nurses' attitudes toward and knowledge of alcoholism. Ed.D. diss., The American University 1991; 234 p.

This study utilized a pretest–posttest experimental design to examine the effects of an 8-hour Alcoholism Awareness Workshop on a sample of Air Force nurses' knowledge of alcoholism and attitudes toward alcoholics. A knowledge measurement tool, the Jones Alcoholism Inventory, and an attitude measurement tool, the Tolor and Tamerin Attitudes Toward Alcoholics Inventory, were used for pre- and posttest data collection.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Juras PE. Analysis of relative efficiency measures of medical nursing units for managerial diagnosis and control. Ph.D. diss., Syracuse University 1991; 227 p

This two-phase study was an attempt to determine if selected hospital and nursing unit characteristics and nursing unit staff work profiles were associated with efficient resource utilization. Phase one involved a cross-sectional measurement of the relative technical efficiency of 41 comparable short-term acute care medical nursing units from 21 participating hospitals. Phase two dealt with associations between relative technical efficiency and 11 selected nursing unit variables and 3 hospital characteristics.

Kennedy TE. Perceptions of the head nurse role: role conflict and role ambiguity. Mil Med 1984; 149(5):266–5.

This study investigated the head nurse (HN) role at a U.S. Army treatment facility to examine relationships among role conflict, role ambiguity, and perceptions of the HN role; 53 physicians and 18 HNs completed an HN activity list and a role conflict/role ambiguity Likert-type scale.

King L, Lee JL. Perceptions of collaborative practice between Navy nurses and physicians in the ICU setting. Am J Crit Care 1994; 3(5):331–6.

This study examined the extent to which Navy nurses and physicians perceive that collaborative practice exists in the intensive care unit (ICU) and also examined the difference in perceived use of collaborative practice by Navy nurses and physicians in the ICU.

Kocher KM, Thomas GW. Retaining Army nurses: a longitudinal model. Res Nurs Health 1994; 17(1):59–65.

A longitudinal sample of active-duty Army nurses working in a broad range of nursing specialties and settings was analyzed for retention behavior. A turnover model of actual retention behavior, estimated by using logistic regression, included external market, personal/demographic, and work-related variables as explanatory factors.

LaPlante G, Gaffney TM. Helicopter transport of the patient receiving thrombolytic therapy. J Emerg Nurs 1989; 15(2):196–200.

This article describes the symptomatology of thrombolytic therapy patients who are most likely to require transport for further intervention and describes the documented safety and feasibility of air transport.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

LaRocco JM, Tetrick LE, Meder D. Differences in perceptions of work environment conditions, job attitudes, and health beliefs among military physicians, dentists, and nurses. Mil Psychol 1989; 1(3):135–51.

This study assessed the perceptions of 86 physicians, 40 dentists, and 94 nurses working in the same hospital on variables relevant to stress and well-being. The model incorporated job characteristics, job strain, job attitudes, social support, personal characteristics, and health outcomes.

Laurence R. Part II: The treatment of torture survivors: a review of the literature. Issues Ment Health Nurs 1992; 13(4):311–20.

Various treatment modalities have been proposed for working with survivors of torture. In this article, treatment aimed at both the individual and the community is discussed. The role of nurses in preserving human rights and healing the victims of human rights' violations is also outlined.

Laurent CL, Johnston CR. Implementing the Performance Based Development System (PBDS) at Naval Medical Center San Diego. J Nurs Staff Dev 1995; 11(3):156–9.

This article discusses competency-based performance development—an educational tool for assessing the knowledge and skill base of a registered nurse—to facilitate formulation of training specific to that individual's needs. It discusses the stimulus, rationale, and obstacles experienced in implementation of this program in the military.

Laws HF II, Enriquez M. The prevalence of parasitism in preschool Americans in the Philippines. Mil Med 1990; 155(12):585–7.

This study describes the screening of American children living at Clark Air Base in the Philippines for a variety of internal parasites endemic to the area. Its objective was to determine if mass screening or mass treatment of American dependents was appropriate. The study tested for three endemic parasites—Ascaris, Giardia, and Trichuris—and determined correlations between incidence of infection and sex, race, and place of residence.

Leon GR, Ben-Porath YS, Hjemboe S. Coping patterns and current functioning in a group of Vietnam and Vietnam-era nurses. J Social Clin Psychol 1990; 9(3):334–53.

This study compared 36 nurses who served in Vietnam with 32 Vietnam-era military nurses on patterns of coping during their duty tours, the impact of their experiences, and current functioning. Subjects completed the Minnesota Multiphasic Personality Inventory (MMPI), a coping inventory, an impact-of-events scale, and a structured interview developed from previous inventories.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Levine E. Needs assessment for advanced practice nurses for the uniformed services. Mil Med 1994; 159(10):650–4.

An assessment was made of the need for advanced practice nurses in the Department of Defense and the U.S. Public Health Service. The assessment focused on three categories of advanced practice nurses: certified nurse anesthetists, certified nurse-midwives, and nurse practitioners.

Maloney J, Allanach B, Bartz C, Peterson S. Patient care and nursing practice when staff requirements exceed staff vailability. Mil Med 1993; 158(8):512–6.

This study examined the Workload Management System for Nurses (WSMN *) at a tertiary care Army hospital to determine the incongruence between recommended nursing care hours and actual nursing care hours provided. The purpose of the study was to describe patient care and nursing practice when calculated staff requirements exceed actual staff availability.

Maloney J, Bartz C, Allanach B. Staff perceptions of their work environment before and six months after an organizational change. Mil Med 1991; 156(2):86–92.

This study made a before-and-after comparison of a change in the nursing work environment after a change in supervisors. The study was conducted using the Insel and Moos' Work Environment Scale (WES) and assessed the impact that an organizational change would have on nursing staff perceptions.

Maloney J, Cheney R, Spring W, Kanusky J. The physiologic and psychological effects of a 5-week and a 16-week physical fitness program. Mil Med 1986; 151(8):426–33.

No abstract available.

Manly AS. Relationship between reported time spent in direct patient care and level of job satisfaction of selected United States Air Force Nurse Corps officers. Ph.D. diss., Auburn University. Dissertation Abstracts International 1988; 49(2-B):362.

No abstract available.

Maynard MD, Rak DJ. The need to be more efficient: lessons learned from a department of nursing reorganization. Mil Med 1994; 159(4):313–18.

This paper describes the planning and implementation of the reorganization of nursing at General Leonard Wood Army Community Hospital. The evaluation was accomplished by reviewing objective criteria and outcomes of crisis nurse and middle management seminars and a comprehensive staff survey.

*  

WMSN: Also referred to as “Workload Management System for Nursing.”

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

McMarlin SA. Variables which affect the attitude of Army nurses toward the nursing process. Ph.D. diss., University of Hawaii. Dissertation Abstracts International 1985; 46(4-B):1118.

No abstract available.

Mertlich G, Quaal SJ. Air transport of the patient requiring intraaortic balloon pumping. Crit Care Nurs Clin North Am 1989; 1(3):443–58.

This study reviewed information on ground transportation of patients requiring intraaortic balloon pumping and developed a set of recommendations for air transport of such patients. It discusses characteristics of balloon pumping that are unique to flight transport.

Misener TR, Knox, PD. Symbiotic and synergistic community-based volunteer home visiting program for postpartum families. Public Health Nurse 1990; 7(3):169–74.

This study describes methodology and outcomes of a 1-year volunteer home visiting program developed to provide services to families with new infants at one U.S. Army installation in the western United States.

Molter N. Workload Management System for Nurses: application to the burn unit. J Burn Care Rehabil 1990; 11(3):267–74.

The Workload Management System for Nurses (WSMN*) was evaluated for its application to the military burn research center. This system is based on direct and indirect nursing care research. It prospectively classifies patients on the basis of direct care requirements and then establishes staffing levels on the basis of both direct care and indirect care workloads.

Morrison RA. Early identification of chronic posttraumatic stress disorder by nurse clinicians. Orthop Nurs 1994; 13(4):22–4.

This paper reviews evidence for early detection and treatment on recovery or prevention of the debilitating chronic form of posttraumatic stress syndrome and for the existence of predisposing factors that may predict susceptibility to chronic posttraumatic stress disorder.

Norman EM. Posttraumatic stress disorder in military nurses who served in Vietnam during the war years 1965–1973. Mil Med 1988; 153(5):238–42.

In this study on posttraumatic stress disorder (PTSD), 50 female military nurses who served in Vietnam were interviewed about their war experiences and the presence of PTSD.

*  

WMSN: Also referred to as “Workload Management System for Nursing.”

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Norman EM. After the casualties: Vietnam nurses' identities and career decisions. Nurs Res 1992; 41(2):110–3.

This qualitative study explored the effect of the Vietnam War on 50 military nurses' careers.

Pavri J. Military nursing bibliography. J NY State Nurses Assoc 1991; 22(4):19.

No abstract available.

Penn BK. Correlations among learning styles, clinical specialties, and personality types of U.S. Army nurses. Ph.D. diss., University of Texas, Austin. Dissertation Abstracts International 1992; 53(2-A):393.

No abstract available.

Portnoy G, Kantor D, Natan EB. Missile attacks and nursing staff: impact of the Gulf War. J Psychosoc Nurs Ment Health Serv 1992; 30(3):21–2.

This qualitative study reviews the impact of missile attacks during the Gulf War on the fear and anxiety of hospital nursing staff. As the external threat receded, stress was related largely to prolonged hours in close quarters with other staff.

Reineck CA. Factors that contribute to anticipated turnover among civilian registered nurses employed in United States Army hospitals. Ph.D. diss., University of Maryland, Baltimore. Dissertation Abstracts Inernational 1991; 51(8-B):3782.

No abstract available.

Reineck CA, Kornegay ED, Valentin-Cintron JR. Transfer of learning: classroom to clinical setting. Mil Med 1982; 147(8):635–44.

This paper discusses the role of health field clinical Army personnel in (1) facilitating the transfer of learning from the simulated environment to the actual clinical setting and (2) performance evaluation at the end of the clinical learning experience. Introduction of a program in which nursing trainees learned on the job is discussed, and the development of a clinical evaluation sheet is presented.

Rhee K, Strozeski M, Burney R, Mackenzie J, LaGreca-Reibling K. Is the flight physician needed for helicopter emergency medical services? Ann Emerg Med 1986; 15(2):174–7.

This study assessed whether physicians are cost-effective in helicopter emergency medical services transport. During a 4-month study period, all physician-specific contributions to medical care were recorded by means of a

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

questionnaire that was completed by the flight physician and the flight nurse after each flight.

Rieder K, Wood M. Problem-orientation: an experimental study to test its heuristic value. Nurs Res 1978; 27(1):25–9.

Using a two-group before-and-after experimental design, this study explored the effect of problem-orientation on a nursing staff's ability to identify underlying patient problems. Nursing service staff members (registered nurses, licensed vocational nurses, and corps personnel) from two small naval hospitals were utilized.

Robinson S, Rodriguez E, Sammons M, Keim J. Does being in the military affect nurses' perceptions of work life? J Adv Nurs 1993; 18(7):1146–51.

This study is a causal comparative investigation of military and civilian nurses' perceptions of selected aspects of work life. The Work Environment Scale, the Maslach Burnout Inventory, and the Michigan Job Satisfaction Scale were administered to civilian and military samples matched on selected demographic variables.

Rogers B, Nickolaus J. Vietnam nurses. J Psychosoc Nurs Mental Health Serv 1987; 25(4):11–5.

This study describes the experiences of women who served as nurses in Vietnam between 1964 and 1975. The symptoms of posttraumatic stress disorder are discussed, and methods of treatment are suggested.

Ryan-Wenger N. Physical and psychosocial impact of activation and deactivation on Army Reserve nurses. Mil Med 1992; 157(9):447–52.

The purpose of this descriptive, multiphasic research was to examine systematically, as it was experienced, the impact of activation and subsequent deactivation on 81 Army Reserve nurses. The variables measured included somatic symptoms, psychosocial effects, stressors, coping strategies, and positive aspects of the experience.

Savage S, Simms LM, Williams R, Erbin-Roesemann M. Discovering work excitement among Navy nurses. Nurs Econ 1993; 11(3):153–61.

This study examined the use of the Simms' work excitement data collection protocol on Navy Nurse Corps officers in Navy medical centers.

Shiffer SW. 1989 Mary J. Nielubowicz Award winner. Today's role of the Navy nurse. Mil Med 1990; 155(5):208–13.

This paper discusses role stress and strain that may develop for Navy nursing practitioners resulting from unclear or inaccurate expectations regarding the traditional Navy nurse role of peers or superiors. This stress may lead to loss of

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

professional commitment and professional values both as an officer and as a nurse.

Shotkin JD, Bolt B, Norton DA. Teaching program for patients with low-back pain. J Neurosci Nurs 1987; 19(5):240–3.

The nursing process was applied to address the needs of low-back pain patients on a 48-bed neurosurgery–general surgery ward at Walter Reed Army Medical Center. Patient needs were assessed through distribution of questionnaires over a 9-month period. Based on the results, a nursing care plan including diagnoses, expected outcomes, and nursing interventions was developed into 12 written teaching modules.

Singh R. Relationship between occupational stress and social support in flight nurses. Aviat Space Environ Med 1990; 61(4):349–52.

The purpose of this study was to examine the relationship between the levels of occupational stress and social support in flight nurses. Chosen by systematic random sampling, 160 flight nurses were asked to complete demographic, social support, and occupational stress questionnaires. Hans Selye's stress–response model was used as the conceptual framework.

Stabingas SF. A comparison of Reserve Officer Training Corps (ROTC) and volunteer accessions to the Army Nurse Corps in terms of their achievement, performance, and perceptions of current duty and military issues: a descriptive study. Ph.D. diss., George Washington University. Dissertation Abstracts International 1985; 46(6-A):1484.

No abstract available.

Stretch RH, Vail JD, Maloney JP. Posttraumatic stress disorder among Army Nurse Corps Vietnam veterans. J Consult Clin Psychol 1985; 53(5):704–8.

This study extended an earlier examination of posttraumatic stress disorder among active-duty and reserve U.S. Army Vietnam veterans to 361 Army nurses (mean age 41.5 years) who had served in Vietnam and 351 Vietnam-era Army nurses (mean age 38.7 years) who had not served in Vietnam.

Tanaka, K. Development of a tool for assessing posttrauma response. Arch Psychiatr Nurs 1988; 2(6):350–6.

No abstract available

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Thomas F, Clemmer TP, Orme JF Jr. A survey of advanced trauma life support procedures being performed by physicians and nurses used on hospital aeromedical evacuation services. Aviat Space Environ Med 1985; 56(12):1213–5.

This study was undertaken to determine if nurses used on hospital aeromedical evaluation services perform advanced trauma life support procedures usually reserved for physicians.

Thomas SH, Stone CK, Bryan-Berge D. The ability to perform closed chest compressions in helicopters. Am J Emerg Med 1994; 12(3):296–8.

This study evaluated the effect of air medical transport environment on the cardiopulmonary resuscitation efficacy. A mannequin model was used to assess the ability of flight nurses to perform effective chest compressions while in flight and when stationary on the helipad.

Thompson J, Irvine T, Grathwohl K, Roth B. Misuse of metered-dose inhalers in hospitalized patients. Chest 1994; 105(3):715–7.

This study examined the misuse of metered-dose inhalers (MDIs) by hospitalized patients. Patient's MDI techniques were observed before and after a series of in-service training sessions was provided to hospital personnel on correct MDI use.

Tindal C, Bursley H. Using nursing expertise for non-nursing computer systems. Nurs Clin North Am 1985; 20(3):595–603.

This study reviews the ability of nurse clinicians to transfer cognitive skills associated with analysis, implementation, and evaluation of patient care to a setting in which automated systems and computer technology are the primary focus.

Tober T, Lawson J. Application of unit dosage in a naval hospital: a report on two studies. Mil Med 1969; 134(4):264–8.

No abstract available.

Troumbley P, Lenz E. Application of Cox's Interaction Model of Client Health behavior in a weight control program for military personnel: a preintervention baseline. ANS Adv Nurs Sci 1992; 14(4):65–78.

This study represents a limited application of Cox's Interaction Model of Client Health Behavior in a weight control program for enlisted U.S. Army soldiers. Relationships of client singularity variables (demographic characteristics, motivation, psychological distress, and designation as overweight or normal weight) to one another and to preintervention measures of client outcomes (health status, health risk) were examined in a sample of 154 soldiers.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Vardiman EM. The relationship of psychosocial autonomy perceptions of work autonomy and selected personal and work place characteristics. Ph.D. diss., George Mason University. Dissertation Abstracts International 1993; 53(7-B):3840.

No abstract available.

Weber B, Carrougher G, Marvin J, Bayley E, Knighton J, Rutan R. Research priorities for burn nursing: nursing recruitment, retention, and other administrative issues. J Burn Care Rehabil 1992; 13(2 pt 1):249–53.

This Delphi study was designed to identify nursing research priorities. Ninety-four participants completed four rounds of questionnaires that contained 101 potential research questions.

White L, Dela Cruz J. A model program: stress management unit—a clinic run by Army nurses. Mil Med 1991; 156(11):599–602.

This article identifies the need for stress management clinics in the military and briefly describes the nurse-run clinic at Brooke Army Medical Center.

Williams H, Blue B, Langlois P. Do follow-up home visits by military nurses of chronically ill medical patients reduce readmissions? Mil Med 1994; 159(2):141–4.

The study included chronically ill medical patients admitted three times or more. Patients were 45 years of age or older, lived within 25 miles of the hospital, and were assigned randomly to either a control group or a home visit group.

Winters DT. Perceptions of occupational status of Army nurses and physicians regarding themselves and each other. Mil Med 1985; 150(6):297–99.

This cross-sectional descriptive study examined the nurse-physician relationship in the U.S. Army. The sample population consisted of 150 physicians and 139 nurses.

Wynd C, Dziedzicki R. Heightened anxiety in Army Reserve nurses anticipating mobilization during Operation Desert Storm. Mil Med 1992; 157(2):630–4.

Research was conducted in January 1991 to compare anxiety levels of Army Reserve and civilian registered nurses and to identify factors contributing to high anxiety. It was predicted that anxiety would be greater in reservist nurses who were anticipating mobilization during Operation Desert Storm.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Yoder L. A descriptive study of mentoring relationships experienced by Army nurses in head nurse or nursing supervisor roles. Mil Med 1992; 157(10):518–23.

Mentoring relationships experienced by Army Nurse Corps officers in head nurse or nursing supervisor roles were examined via a survey questionnaire.

CITATIONS FROM TECHNICAL REPORTS

Ables JL. A Comparison of Patients' and Nurses' Perceptions of Stimuli Experienced in an Intensive Care Unit.Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1988. A217364 AFIT/CI/CIA-88-198. 47p.

The purpose of this descriptive study was to determine the difference between patients' and nurses' perceptions of the stimuli experienced by intensive care unit (ICU) patients, and relationships between the patients ' perceptions of stress and the number of days spent in the ICU, the severity of illness, or the occurrence of an ICU orientation visit.

Adkison PC. Comparison of Job Attitudes Between Physicians, Nurses, Other Medical Officers, and Other Air Force Officers. Student report. Air Command and Staff College, Maxwell Air Force Base, AL. 1986. ACSC-86-0025. 84p.

The purpose of this research project was to explore the job attitudes of military medical professionals.

Alexander DF, Mangelsdorff AD. Nonproductive Factor Allowance. (Pilot Study). Final report. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1980. HCSD-80-002. 95p.

The purposes of the study were to determine the validity of the 1.11 nonproductive factor used in staffing guides, to identify other allowable categories of nonproductive time that should be used in determining the nonproductive factor, and to recommend a new nonproductive factor if the present factor is not valid.

Allen CA. Knowledge Level of United States Air Force Flight Nurses Regarding the Injuries of Conventional Warfare Casualties. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1989. AFIT/CI/CIA-89-022. 82p.

The purpose of this study was to predict major injuries occurring in a future conflict and to describe the knowledge level of Air Force flight nurses regarding injuries of conventional warfare casualties. It used a survey requesting demographic information and a 30-question multiple-choice test.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Aune R, Jensen GD, Mitchell GW. Inflight Medical/Nursing Task Performance. School of Aerospace Medicine, Brooks Air Force Base, TX. 1990. USAFSAM-TR-90-35. 35p.

This study compared the performance of 14 medical nursing tasks performed by aeromedical evacuation crew members in aircraft simulators under conditions of conventional versus chemical warfare. Twenty volunteer airmen and marines served as patients.

Baker RD. Study to Develop Critical Indicators for Monitoring and Evaluating Potentially Compensable vents for the Nursing Risk Management Program at Dewitt Army Community Hospital. Final report. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1989. HCA-1-87-RDB. 65p.

The study presents a literature review of the development of risk management programs, including that of the Army Medical Department, and of nursing risk management. It attempted to identify the most critical indicators of potentially compensable events concerned with nursing practice—indicators to be considered for use in a risk management –quality assurance screen.

Bartlett AL. Stressful Situations of Air Force Nurses Recently Graduated from Pre-Service Baccalaureate Programs in Nursing as Identified by Critical Incident Technique. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1980. AFIT-CI-80-49T. 283p.

A descriptive survey of U.S. Air Force nurses from general hospitals, regional hospitals, and medical centers of the Air Force was conducted to determine the extent to which stressful situations were experienced by recently graduated pre-service baccalaureate nurses during their first 12 months on active duty and within their first 18 months in nursing, and the nurse's ability to identify them using the critical incident technique.

Bates DB. Evaluation of Needlestick Prevention Devices. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1993. A268253 AFIT/CI/CIA-93-055. 53p.

This study evaluates the use of needlestick prevention devices in decreasing needlestick injuries.

Bell JM. AIDS: Secretions and Implications for Nursing Care-Givers. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. A254297 AFIT/CI/CIA-92-043. 96p.

This study reviews the nursing care-giver's knowledge of the physiological, legal, and ethical aspects of AIDS. Treating AIDS patients in a manner that is

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

nonjudgmental in regard to the psychosocial aspects of the condition is also considered.

Bell MR. Implementation of the AMEDD (Army Medical Department) Standards of Nursing Practice: An Evaluation. Final report Jan 85–Jan 87. Army Health Care Studies and Clinical Investigation Activity, Fort Sam Houston, TX. 1987. HCSCIA-HR-87-008. 175p.

This study was assigned as part of the fiscal year (FY) 1985 AMEDD Study Program; it reviewed evaluation and implementation efforts of the AMEDD Standards of Nursing Practice between 1978 and 1985.

Bell MR, Twist P, Misener TR. Clinical Nursing Records Study (Executive Summary). Final report Jan 84–Oct 87. Army Health Care Studies and Clinical Investigation Activity, Fort Sam Houston, TX. 1991. HCSCIA-HR91-001A. 10p.

This study, assigned as part of the FY 1984 AMEDD Study Program, examined inpatient nursing documentation issues, and tested new documentation forms and concepts. The study purposes were twofold: (1) to assess AMEDD nursing documentation system to identify specific problem areas, and (2) to develop forms and guidelines to address the problems.

Benninger CO. Increasing the Response Rate of the Patient Satisfaction Survey of Inpatients at National Naval Medical Center. Final report Jul 92–Jul 93. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1993. HCA-32A-93. 39p.

This paper describes the implementation of a staff education program and the development of a standardized method for conducting a patient satisfaction survey in an attempt to increase the patient response rate. An experimental model is used to study the effects of the changes on the involved nursing units.

Bostwick TM. Motivation: A Seminar to Assist Charge Nurses in Understanding Motivation and Worker Behavior. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1988. AFIT/CI/NR-88-95. 227p.

This report surveys Army nurses to discover important, satisfying, and unsatisfying aspects of nurses' jobs. It also investigates job satisfaction and nurses' intentions to remain or leave an organization.

Boswell MJ. Development of a Model Competency-Based Orientation Program. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1988. 84p.

This study explored the staff development model of a competency-based orientation program that was both efficient and cost- and learning-effective,

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

and would meet the varied needs of the graduate baccalaureate nursing students, the Air Force, and the client population being served.

Brazil A. Study to Determine the Validity of the Nursing Admission Assessment (DA Form 3888/3888-1) as a Mechanism for Identifying the Presence of One or More Universal Indicators of the Need for Discharge Planning. Final report Jul 86–Jul 87. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1987. HCA-66-89. 117p.

This project was a descriptive field study conducted as one component of the evaluation by the Center Discharge Planning Committee of a newly implemented Discharge Planning Program at Brooke Army Medical Center. The study was designed to evaluate the use of the nursing admission assessment forms as a mechanism for determining the presence of one or more indicators of the need for discharge planning.

Bridges EJ. Evaluation of Critical Care Nurses' Knowledge and Ability to Utilize Information Related to Pulmonary Artery Pressure Measurement. Master's thesis. Washington University, Seattle, WA. 1991. A243580. 351p.

The purposes of this study were to describe critical care nurses' knowledge and ability to utilize information related to pulmonary artery pressure measurement and to determine the differences in relevant demographic data with respect to the mastery of this information.

Brown EA. A Comparative Pharmacokinetic Study of the Role of Gender and Developmental Differences in Occupational and Environmental Exposure to Benzene. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1994. A284809 AFIT/GEE/ENV/94S-12. 121p.

The purposes of this study were to show that physiological differences between men and women result in gender-specific exposures with respect to benzene and to assess the extent to which a lactating woman's occupational and personal benzene exposure might have impact on the exposure of nursing infants. It highlights the possibility of subjecting an infant to the effects of industrial chemicals via breastfeeding. This study employs physiologically based pharmacokinetic modeling to investigate the influence of physiological parameters and to evaluate the ability of inhaled benzene to transfer from mother to infant through breast milk.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Brownstein A. Total Quality Management: Implications for Nursing Information Systems. Master's thesis Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. A252616 AFIT/CI/CIA-92-031. 141p.

This study explored the implications of total quality management and its use by nursing information systems specialists to aid in the development of high-quality information systems and support the quality improvement endeavors of the parent organization.

Bruhn DD. Costs/Benefits of Opening a Skilled Nursing Facility at Naval Hospital, San Diego. Master's thesis. Naval Postgraduate School, Monterey, CA. 1992. 130p.

The objective of this study was to determine whether it would be cost-beneficial for a naval hospital to open a skilled nursing facility. Subsidiary purposes of the study were to (1) determine the need for skilled nursing care, (2) calculate the manpower requirements to staff a skilled nursing facility, (3) ascertain the cost to operate a skilled nursing facility, and (4) determine facility requirements.

Buchanan JL, Kane RL, Garrard J, Bell RM, Witsberger C. Results from the Evaluation of the Massachusetts Nursing Home Connection Program. Rand Corp., Santa Monica, CA. 1989. A227988 RAND/JR-01. 136p.

This study provides the results of an evaluation of the Massachusetts nursing home connection program, a demonstration project using nurse practitioners and physician assistants to improve quality of care in nursing homes.

Budinger DP. Importance of Various Factors in the Determination of Inpatient Satisfaction: Health Care Providers' and Patients' Perspectives. Final report Jul 93–Jul 94. Brooke Army Medical Center, Fort Sam Houston, TX. 1994. 111p.

This study compared health care providers' and patients' perceptions of the importance of various factors to patient satisfaction. Subjects of this study were 292 health care providers and 137 inpatients in a tertiary care military hospital.

Cahill-Yeaton M. Patients' Perception of Support in the Emergency Department. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1989. A218134 AFIT/CI/CIA-89-057. 107p.

The purpose of this study was to identify nursing behaviors that emergency department patients find supportive. One hundred and one emergency department patients completed a survey that consisted of demographic data and 51 items on a Likert-type scale measuring the importance of nursing behaviors.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Camp NE. Factors Related to Burnout in the Neonatal Intensive Care Nurse. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1986. A170676 AFIT/CI/NR-86-72T. 96p.

A descriptive–correlational study was conducted to determine the relationship between burnout in neonatal intensive care nurses and variables in three categories: (1) personal resources, (2) role-related factors, and (3) personal perceptions. The subjects consisted of 125 nurses selected from a random sample of members of the Nurses Association of the American College of Obstetricians and Gynecologists who had identified themselves as neonatal intensive care nurses.

Campbell DD. Implications for Future Air Force Reserve Medical Unit Nurse Authorization Builds. Research report. Air War College, Maxwell Air Force Base, AL. 1988. 116p.

This paper examines Air Force Reserve flight nurse officer authorization builds in FY 1982 through FY 1986 for trends and considerations that could influence plans and expectations for future build endeavors. Basically, it presents a retrospective narrative analysis of statistical data regarding growth in Air Force Reserve flight nurse authorizations, gains and losses in flight nurse manning, disposition of losses, reasons for losses to nonparticipatory status, and a summary of literature addressing the present and anticipated future nurse shortage.

Carty JL, Rea RE, Jennings BL. Post Anesthesia Care Unit Patient Classification System: The Direct Care Nursing Time Component. Final report Sep 87–Nov 90. Army Health Care Studies and Clinical Investigation Activity, Fort Sam Houston, TX. 1991. HCSCIA-HR91-002B. 107p.

The intent of this study was to quantify the time that postanesthesia care unit (PACU) nurses spend in direct patient care (i.e., care provided in the presence of the patient). The quantified PACU direct care time would provide one critical component necessary for the development of an acuity-based patient classification system. The study was conducted in three broad phases over a period of 2 years.

Castro R. Analysis of Patient Waiting Time in the Emergency Room at Martin Army Community Hospital, Fort Benning, Georgia. Final report Jul 92–Jul 93. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1993. HCA-11A-93. 36p.

This study attempted to identify the variables that contribute to patient waiting time in the emergency room. Ten independent variables had been identified from previously published studies. These variables were patient volume, patient acuity, laboratory tests, radiology procedures, consultations, admission, physician staffing, nurse staffing, physician assistant staffing, and shift.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Chaisson AT. Learning Styles of Staff Nurses in Selected Clinical Areas of Practice. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1988. A196483 AFIT/CI/NR-88-13. 62p.

In this descriptive study, the learning styles of staff nurses were investigated by using Kolb's Learning Style Inventory. The sample consisted of 52 registered nurses working in the various clinical areas of pediatrics, medical–surgical nursing, intensive care, labor and delivery, neonatal intensive care, and the operating room.

Chaney TG. Job Satisfaction, Organizational Commitment, and Intent to Stay Among United States Air Force Certified Registered Nurse Anesthetists. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1991. A239245 AFIT/CI/CIA-91-021. 136p.

The purpose of this study of Air Force clinical certified registered nurse anesthetists was to describe and determine relationships among job satisfaction, organizational commitment, and intent to stay.

Clark C. Caring Practices of Clinical CRNA Instructors in Clinical Student Instruction. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 019911991993. A275310 AFIT/CI/CIA-93-159. 68p.

The purpose of this study was to assess the degree to which clinical certified registered nurse anesthetist (CRNA) instructors incorporate caring into their clinical student instruction. A quantitative questionnaire was developed (alpha coefficient= .94). Analysis compared demographics of age, sex, years of practice, level of education in anesthesia, and marital status with caring scores.

Collings JC. Nursing Case Management: Adapting to the Challenges of Today's Healthcare Environment. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1993. A268440 AFIT/CI/CIA-93-062. 68p.

The nursing case management model of patient care delivery was examined throughout this paper, including a historical perspective and key forces that led to its emergence on the health care scene. The paper covers two distinct models of nursing case management, the components and distinguishing features of each model, and recommendations for their implementation.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Conway TL, Hurtado SL, Woodruff SI. Navy Health Care Provider Attitudes and Practices Concerning Patient Tobacco Use. Interim report. Naval Health Research Center, San Diego, CA. 1992. NHRC-92-3; Xb-NMRDC. 45p.

This study surveyed Navy health care providers regarding mandated patient care practices related to tobacco use. Surveys were completed by 2,287 participants and included 1,181 physicians, 548 dentists, 26 nurse practitioners, 19 physician assistants, and 513 independent duty corpsmen.

Cooke TW. Medical and Nurse Corps Recruiting Strategies. Revision. Final report. Center for Naval Analyses, Alexandria, VA. 1990. CRM-90-38-REV. 47p.

This research memorandum outlines how accession programs and incentives implemented to address recruiting difficulties apply to physicians and nurses in various phases of their careers.

Criswell JD. Parent-Assisted Patient Controlled Analgesia for Preoperational Children with Mucositis. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1994. A281868 AFIT/CI/CIA-94-046. 73p.

This study addresses the most effective way to assess the degree of pain in children younger than 7 years of age by using the parents as a resource for assessing the child's pain.

D'Agostino MF. Study to Determine the Feasibility of Implementing a Cart Exchange Distribution System for Medical Supply Support Within the Hospital. Study report Jul 84–Jul 85. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1985. HCA-13-89. 105p.

This study was conducted to determine if the cart exchange system is a viable method of medical supply distribution within Munson Army Community Hospital. Medical supply usage was employed to determine the stockage levels for a supply cart.

Daly JM. The Therapeutic Use of Music in Critical Care. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1995. A294640 AFIT-95-021. 55p.

This study examines the use of music therapy by the critical care clinical nurse specialist in promoting a holistic approach to patient care.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Davis B, Finstuen K, Kane E. Needs Assessment and Telecommunications Cost Benefit Analysis for Army Medical Department Continuing Clinical Education Requirements. Technical report. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1985. AHS-8. 87p.

This study provides a cost–benefit comparison of five telecommunication systems for meeting specified continuing clinical education needs as identified in a policy Delphi study of 27 U.S. Army Medical Department offices and installations.

Davis RL. Nurses' and Cancer Patients' Perceptions of Symptom Distress—A Replication Study. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1991. A243356 AFIT/CI/CIA-91-079. 117p.

The purpose of this study was to investigate the congruence between hospitalized cancer patients' self-assessments of symptom distress and nurses' assessments of symptom distress in those patients. Using a comparative descriptive design, a convenience sample of 32 nurse –patient pairs completed the modified symptom distress scale.

Davison FE. Study to Determine the Best Method of Improving the Flow of Patients Through the Surgical Critical Care Units at Letterman Army Medical Center. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1989. HCA-1-89-FED. 60p.

The study is an attempt to determine the most appropriate use of limited resources at Letterman Army Medical Center. Analysis of a sample of patients under intensive care was done to ascertain which patients could have been cared for more efficiently in an intermediate care unit.

Dean WM. Levels of Psychologic Stress of Air Force Staff Nurses Working in Intensive Care Units, Non-Intensive Care Units, and a Flying Unit. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1989. AFIT/CI/CIA-89-020. 76p.

This study evaluated differences among non-intensive care nurses, intensive care nurses, and flight nurses with regard to level of self-reported stress.

Desimore VB. Effectiveness of a Nurse-Managed Smoking Cessation Intervention in Hospitalized General Surgical Patients. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. AFIT/CI/CIA-92-88. 51p.

The purpose of this pilot study was to determine the effectiveness of a nurse-managed smoking cessation intervention program on short-term smoking abstinence. Hospitalized smokers (n = 28) undergoing general surgery were assigned randomly to either an experimental or a control group.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Devney AM. Effect of Interactive Video Practice in Detecting Technical Errors on Performance of a Simple Medical Procedure. Master's thesis. Naval Postgraduate School, Monterey, CA. 1985. 38p.

A general model for using an interactive video instruction program to teach a simple medical procedure (aseptic degloving) was tested as a supplemental instruction tool. Seventy-six Navy hospital corpsmen enrolled in the Basic School, Naval School of Health Sciences, served as subjects.

Distel MJ. Handwashing Practices Among Hospital Patients: Knowledge and Perception of Ambulatory Patients and Nursing Personnel. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1989. AFIT/CI/CIA-89-040. 188p.

This descriptive study provides information specific to patient hand-washing practices. Field observations were conducted to assess actual hand-washing behaviors demonstrated by ambulatory hospital patients using a sample of 40 adult patients (20 on a medical unit and 20 on a surgery unit) and the nursing personnel (22 registered nurses and 13 military medical technicians) who provided nursing care to those patients.

Doyle KA. Nurse Corps Training Importance Survey Report. Final report. Navy Occupational Development and Analysis Center, Washington, DC. 1992. PERS-002. 130p.

The purpose of this study was to assess the introductory training needs of Navy Nurse Corps officers who care for inpatients in the specialties of orthopedics, obstetrics–newborn, and psychiatry. The scope was limited to 25 small- and medium-sized inpatient medical treatment facilities stateside and overseas.

Driscoll DM. Burn Dressings: A Critical Indicator for Patient Care Classification in Burn Units. Army Institute of Surgical Research, Fort Sam Houston, TX. 1991. A251390. 4p.

The purpose of this descriptive study was to establish the mean tasking time for nursing staff to apply burn dressings.

Duong DN. Self-Care in Women with Breast Cancer. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. A252612 AFIT/CI/CIA-92-021. 125p.

No abstract available.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Eydenberg KM. Attitudes of Pediatric Nurse Practitioners Towards Parental Use of Corporal Punishment. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1994. AFIT/CI/CIA-94-019D. 113p.

In this study, 216 civilian and military pediatric nurse practitioners were asked to complete a questionnaire concerning their attitudes and beliefs related to the spanking of children. Respondents were presented with nine scenarios of common childhood misbehavior and asked if they would approve or recommend parental use of spanking as an appropriate disciplinary response.

Fisher CD. Identifying the Outcomes of Socialization: Two Studies. Technical report. Texas A & M University, College of Business Administration, College Station TX. 1982. TR-ONR-8. 44p.

This report contains a review of outcomes of organizational socialization either measured or mentioned by past researchers; it was followed by two studies intended to identify outcomes.

Fletcher EL. Study to Identify Functions Which Inhibit or Facilitate the Health Care Delivery Process on Ward 51 at Walter Reed Army Medical Center, Washington, DC Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1980. HAC-115-88. 83p.

This study identifies functions that inhibit or facilitate the health care delivery process on Ward 51 at Walter Reed Army Medical Center. The interaction among the ward's physicians, nurses, and administrative staff; physical layout; patient census; organization; and leadership are among the areas considered by the author.

Foti CA . A Comparison of Power Perceptions Held by Female Nurse and Female Business Executives. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1990. A224955 AFIT/CI/CIA-90-053. 89p.

The purpose of this study is to compare power perceptions held by female nurse executives and female business executives.

Frelin AJ. Evaluation Study of Family Nurse Practitioners in US Army Health Care. Final report. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1982. HCSD-82-002. 81p.

The purpose of this study was to evaluate the practice of family nurse practitioners within Army Medical Department (AMEDD).

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Frelin AJ. Scheduling Options Utilized in Departments of Nursing. Final report 1 Nov 81–31 Jul 83. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1983. HCSD-83-003. 52p.

This study was assigned as part of the AMEDD Study Program for FY 1983. Examples of nontraditional scheduling options were described, evaluated for usefulness in AMEDD, and illustrated by using “model nursing unit” schedules.

Fry SA. The Effects of Social Support on Work Stress and turnout. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1988. A217456 AFIT/CI/CIA-88-224. 162p.

This descriptive study investigated the effects of social support on work stress and burnout in registered nurses. The nurses completed a questionnaire packet containing a brief demographic sheet, the Maslach Burnout Inventory, the Gray-Toft Nursing Stress Scale, and the House Social Support Scale.

Fullenkamp DM. Role Conflict, Role Ambiguity, and Role Strain in United States Air Force Chief Nurse Administrators. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1987. AFIT/CI/NR-87-94T. 142p.

This descriptive correlational and comparative study examined relationships between role conflict and role ambiguity as measured by the Role Conflict and Ambiguity Questionnaire and role strain as measured by the Tennessee Stress Scale-R.

Garr ME. Patient Satisfaction with Obstetrics Care at Walter Reed Army Medical Center. Final report Jul 93–Jul 94. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1994. HCA-9B-94. 88p.

This study focused on determining which factors in nursing services influence patient satisfaction on the obstetrics ward of Walter Reed Army Medical Center. A survey instrument was developed to evaluate patient satisfaction. It places specific emphasis on dimensions of teaching, communication, physical care, interaction between patients and nursing staff, interaction within the family, ancillary services, and overall satisfaction.

Garriott LN. Study to Assess and Recommend Methods to Reduce Loose Paperwork in the Clinical Section at Wilford Hall USAF Medical Center, San Antonio, Texas. Study report from Jul 80–Jul 81. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1981. HCA-102-88. 58p.

This study addresses the problems caused when excessive loose medical documents (largely laboratory slips and x-ray reports) are received by the

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

inpatient records section of a 1,000-bed U.S. Air Force teaching hospital each month.

Gentry NO. An Assessment of the Quality of Sampling Procedures Reported in Clinical Nursing Research: A Pilot Study. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1988. A198057 AFIT/CI/NR-88-153. 132p.

This pilot study assessed the reliability of an instrument specifically designed to assist in the scientific evaluation of the quality of clinical nursing research. This instrument also was used to identify the major sampling errors in a random sample of research articles published in selected clinical nursing journals in 1986.

Gormley TM. Role Expectations for United States Air Force Psychiatric Clinical Nurse Specialists . Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1986. AFIT/CI/NR-86-40T. 153p.

The purpose of this thesis was to describe and analyze role expectations for Air Force psychiatric clinical nurse specialists (PCNSs). Data were obtained on role expectations held by the PCNSs and by their mental health and nursing colleagues, specifically, clinical psychologists, clinical social workers, generalist mental health nurses, nurse administrators, and psychiatrists.

Gutierrez C, Sexton C. The Relationship Between Patients' Perceptions of Nurse Caring Behaviors and Patient Satisfaction with Labor and Delivery. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1991. A249840. 99p.

This study evaluated women's satisfaction with their nursing care during the childbirth experience.

Harford LA. The Application of Learning Styles to Computer Assisted Instruction in Nursing Education. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1991. A243361 AFIT/CI/CIA-91-069. 84p.

This is an evaluation of the incorporation of computers as instructional tools in the nursing education environment as a means of providing individualized instruction.

Harmeyer GR. A Prototype Model for Automating Nursing Diagnosis, Nurse Care Planning and Patient Classification. Master's thesis. Naval Postgraduate School, Monterey, CA. 1986. A169129. 403p.

This project serves as a prototype of an automated nursing care system. It contains three main components: nursing diagnosis, nursing care plans, and

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

patient classification. The objective of this project was to combine the three nursing elements into a single integrated system.

Helm SJ. The Relationship Between the Level of Nurse Staffing and Nursing Incidents. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. A254300 AFIT/CI/CIA-92-041. 103p.

This study determined the relationship between the level of nurse staffing and nursing incidents. The study was based on two samples: (1) nursing incident data (n = 80) and workload management statistics for six nursing units; and (2) daily workload data (n = 213) for one medical–surgical unit, regardless of incident occurrence.

Higgins MM. Attitudes, Power, and Ability to Care Among U.S. Air Force Mental Health Nurses: A Descriptive Study. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1993. 137p.

This descriptive study of 144 Air Force mental health nurses examined their relationships and attitudes toward mental illness, their sense of power within the military environment, and their ability to care. Using the nursing theory of Modeling and Role-Modeling, a framework was provided that addressed the need for the nurse to approach the client with empathy and unconditional acceptance, as well as the nurses' role within the organizational system.

Hilsher CK. Ventricular Assist Devices: Physiology Meets Technology . Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1993. A268124 AFIT/CI/CIA-93-064. 72p.

This study examined patient selection for ventricular assist devices in order to produce positive patient outcomes and cost containment. Evaluation of both the patient and the device influences the effectiveness of treatment and ultimately patient outcome.

Hilton TF. Individual, Organizational, and Job Factors Affecting the Quality of Work Life Among Navy Nurse Corps Officers . Interim report Mar 86–Mar 87. Naval School of Health Sciences, Bethesda, MD. 1987. NSHS-1-87. 97p.

This report summarizes the results of a Navy-wide survey of all Navy Nurse Corps officers. Results showed that Navy nurses were satisfied with their jobs in general, were performing at or above expectations, and had a low turnover intent.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Hoiberg A. Health Effects Associated with Minority Status Among U.S. Navy Officers . Interim report. Naval Health Research Center, San Diego, CA. 1983. NAVHLTHRSCHC-83-30. 18p.

The purpose of this study was (1) to identify the health risks unique to various minority groups in the U.S. Navy officer corps, (2) to determine the impact of minority status on health, and (3) to examine differences in overall effectiveness rates between minority and dominant groups.

Horzempa HA. Relating Nursing Care Requirements to Diagnosis Related Groups (DRGs). Final report Jan–Jul 91 Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1991. HCSD-33C-91. 51p.

This study analyzed the nursing care hours required for DRGs 138 and 139 at Wilford Hall Air Force Medical Center and compared the results with those reported elsewhere.

Iversen JS. Needs of Family Members of Cancer Patients. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1988. AFIT/CI/NR-88-175. 91p.

The purpose of this study was to identify the importance of cognitive, emotional, and physical needs to family members of cancer patients. The sample consisted of 28 family members, either spouses or adult children, who accompanied the cancer patients to a clinic in a military hospital in the Northwest.

Jennings BL, Rea RE, Antopol BB. Labor and Delivery Patient Classification System Based on Direct Nursing Care Time . Final report Feb 88–Jul 91. Army Health Care Studies and Clinical Investigation Activity, Fort Sam Houston, TX. 1991. 154p.

This study was conducted as directed by the Army Medical Department Study Board to extend the Workload Management System for Nursing (WMSN) into Labor and Delivery. The focus of the study was on nursing time spent in direct care (i.e., performing nursing activities at the patient's bedside).

Jennings BM, Rea RE, Carty JL, Seipp KA. Research Priorities of the U.S. Army Nurse Corps . Final report 1990–1991. Army Health Care Studies and Clinical Investigation Activity, Fort Sam Houston, TX. 1993. HCSCIA-HR-91-004. 52p.

A three-round Delphi study was conducted to establish the research priorities of the Army Nurse Corps (ANC). Participants in the study included members of the active and reserve components of the ANC.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Johnson KL. Military Casualty with Combat Related Acute Post Traumatic Stress Disorder. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1984. AFIT/CI/NR-84-23T. 113p.

The purpose of this study was to describe the level of knowledge of Air Force nurses with regard to combat-related acute posttraumatic stress disorder (APTSD). A researcher-designed combat fatigue questionnaire was mailed to 600 Air Force nurses selected randomly.

Johnson MB. Ten-Hour Shift on Trial at Blanchfield Army Community Hospital: A Study of Staff Nurse Perceptions of Their Job Satisfaction. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1984. HCA-142-88. 93p.

This study examined implementation of a 10-hour shift and its impact on the perception of job satisfaction of registered nurses.

Kay TL, Rieder KA, Hall RJ. Attempt to Refine DRGs (Diagnosis Related Groups) for Navy Medical Department Use by Including Military Unique Variables and an Estimate of Disease Severity. Naval School of Health Sciences, Bethesda, MD. 1985. NSHS-RR-2-85. 87p.

This report presents the results of a study to determine if differences in length of stay within DRGs could be explained by additional variables in the Navy Inpatient Data System and by a measure of disease severity.

Kilpatrick DR. Effect of Past Mentoring Experiences on Job Satisfaction of Nurses in Management Positions. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1993. A275364 AFIT/CI/CIA-93-1175. 110p.

The purpose of this research project was to determine if past mentoring experiences affect job satisfaction scores of nurses in management positions.

King N, Goodwin CW Jr, Mason AD Jr. Utilization of Nursing Staff for Assessment of Dietary Intake. Army Institute of Surgical Research, Fort Sam Houston, TX. 1986. A175665. 3p.

This study was undertaken to determine the accuracy of food intake estimation by nursing staff compared with the weighing method used by dietary personnel. Fifty calorie counts were evaluated simultaneously by nursing and dietary personnel.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Kocher K, Thomas G. Reserve Intentions of Active-Duty Army Nurses . Final report. Naval Postgraduate School, Monterey, CA. 1988. NPS54-88-014. 116p.

This report investigates factors influencing the plans of active-duty Army nurses to join a reserve or guard unit on leaving active service. Data from the 1985 Department of Defense (DOD) Survey of Officers and Enlisted Personnel were used to develop profiles of active-duty Army nurses in three tenure groups.

Kolesar M. Analysis of the Extent of Completion of Skin Assessments and Documentation of Risk for Skin Breakdown in the Trauma Patient Who Experiences Hypovolemic Shock Requiring Massive Transfusion, Resuscitation, and Surgical Intervention . Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1991. A243468 AFIT/CI/CIA-91-085. 98p.

The purpose of this randomized chart review study was to determine the number of charts with documentation of skin assessment and, if deemed appropriate, the nursing diagnosis—impaired skin integrity or potential for impaired skin integrity. A sample of 105 charts of trauma patients from 1985 to 1989 was audited.

Lambert MH. Survey of Physicians Assigned to Madigan Army Medical Center to Determine Perceptions of the Role of the Professional Nurse; Do the Perceptions Substantiate Documented Elements Contributing to the Nursing Shortage? Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1981. HCSD-3-88. 194p.

This study examined the physicians' perceptions of the professional nurse role and possible linkages with a nursing shortage.

Ledzinski TA. Description of Maternity Patient and Staff Nurse Perceptions Regarding Supportive Nursing Behaviors. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1990. AFIT/CI/CIA-90-004. 100p.

This descriptive study was based on work done by Gardner and Wheeler using their copyrighted Supportive Nursing Behavior Checklist. Its purpose was to compare military and civilian facility obstetrical nurses' and postpartum patients' perceptions regarding supportive nursing behaviors.

Lensing SB. Model of Career Orientation for Military Nurse Corps Officers. Master's thesis. Naval Postgraduate School, Monterey, CA. 1984. 109p.

The purpose of this thesis was to investigate whether the perception of alternative job factors affected the career orientation of military Nurse Corps officers in both initial and subsequent periods of service obligation. The

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

sample was selected from the 1978 DOD Survey of Officer and Enlisted Personnel conducted by the Rand Corporation.

Lerro P, Morrison J, Ramsberger P. U.S. Army Survey of Nurses and Nursing Students: Sampling Frame and Survey Development . Final report Sep 91–Aug 92. Army Research Institute for the Behavioral and Social Sciences, Alexandria, VA. 1992. ARI-RN-92-76. 86p.

This report describes the rationale for a study of nurses and the development of the sampling frame and questionnaires for a survey of registered nurses and nursing students.

Lewis NL. Head Nurse Leadership Style and Staff Nurse Job Satisfaction: Are They Related? Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1987. A185668 AFIT/CI/NR-87-91T. 60p.

The purpose of this research study was to determine correlations between medical, surgical, or oncological staff nurses' job satisfaction and their perception of the leadership style of their head nurse at a particular institution.

Long JL, Quisenberry ME. Relationship Between the Knowledge Base Needed for Effective Performance by Nurse Corps Officers in Management Positions and the Knowledge Base Gained in the Manpower, Personnel and Training Analysis Program at NPS (Naval Postgraduate School) and Selected Nursing Administration Programs Utilized by the Navy Nurse Corps. Master's thesis. Naval Postgraduate School, Monterey, CA. 1986. 167p.

This study surveyed Nurse Corps officers in management positions to ascertain the relationship between skills gained in manpower personnel and training analysis or in civilian nursing administration programs and Navy Nurse Corps job component needs.

Maraz LA. Study of Air Force Emergency Medical Technician Documentation. Does Direct Nursing Supervision Make a Difference? Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1986. AFIT/CI/NR-86-113T. 42p.

The purpose of this study was to determine if professional nurses influence the quality of emergency medical technician documentation and to provide empirical evidence of this influence to the Air Force Nurse Corps.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Martino DK. Work Satisfaction Issues Among Prior United States Air Force Certified Registered Nurse Anesthetists. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1990. AFIT/CI/CIA-90-027. 130p.

The primary purpose of this research project was to identify issues associated with the decision of many former Air Force CRNAs to discontinue their military careers (prior to meeting retirement criteria) and opt for anesthesia nursing practice in a nonmilitary setting.

Mathews KR. Mentorship as a Career Advancement Strategy in the United States Air Force Nurse Corps. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1988. AFIT/CI/NR-88-188. 95p.

This study investigated whether mentoring was perceived by senior Air Force Nurse Corps officers as enhancing an individual's professional socialization and the ability to develop the qualifications necessary for advancement. The sample consisted of 107 randomly selected lieutenant colonels and colonels in the Nurse Corps.

Matuszewski DF. Optimization Models for Placing Nurse Recruiters. Master's thesis. Naval Postgraduate School, Monterey, CA. 1994. 55p.

This thesis addresses the problem of placing active-duty nurse recruiters at recruiting stations for the U.S. Army Recruiting Command. The objective is to maximize the yearly production of nurse commissions, a random component of the problem.

McGurgan B, Strano N. The Effectiveness of a Preoperative Critical Care Orientation on Postoperative Anxiety of Family Members. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1994. A281832 AFIT/CI/CIA-94-040. 35p.

A pretest–posttest 2-group quasi-experimental design was used to study the effect of a preoperative critical care unit tour and informational booklet on postoperative anxiety as evidenced by (1) heart rate, (2) blood pressure, (3) Spielberger's state anxiety inventory, (4) a visual analogue scale, and (5) the experimental group's feedback on the interventions. The study was based on Jean Johnson's theory of concrete objective information (formerly called preparatory sensory information).

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

McMarlin S, Vail JD, Larkin J. Feasibility Study for the Establishment of a Nurse Administered Unit at Walter Reed Army Medical Center . Final report Apr–Sep 85. Walter Reed Army Medical Center, Washington, DC. 1986. WRAMC-MR86-001. 65p.

The purpose of the study was to explore the possibility of establishing a nurse-administered unit at Walter Reed Army Medical Center in Washington, D.C.

Miller JR, Ashton CA. United States Army Reserve Nurse Satisfaction and Retention . Final report 30 Sep 87–31 Oct 90. Battelle Memorial Institute, Columbus, OH. 1990. USAREC-SR-90-9. 100p.

The purpose of this descriptive study was to determine what influenced nurses to join the U.S. Army Reserve and the extent to which the following variables affected satisfaction and retention: unit and individual characteristics, military benefits, and commitment to the ANC.

Minson RE. Attitudes of Female and Male Nurses Toward Men in Nursing: A Replication and Comparison Study. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1989. A218299 AFIT/CI/CIA-89-084. 142p.

This study was a replication and comparison study of attitudes of female and male nurses toward men in nursing.

Misener TR, Bell MR, Mechanic H, Biskey VP. Mobilization Readiness of Retired Army Nurse Corps Officers. Final report Jul 84–Jun 86. Army Health Care Studies and Clinical Investigation Activity, Fort Sam Houston, TX. 1986. HCSCIA-HR86-002. 257p.

Retired Army Nurse Corps officers eligible for recall were surveyed to ascertain their personal and professional readiness, as well as their attitudes, opinions, needs, and concerns regarding mobilization.

Misener TR, Frelin AJ, Twist PA. Time Spent in Indirect Nursing Care. Final report Oct 82–Sep 83. Army Health Care Studies and Clinical Investigation Activity, Fort Sam Houston, TX. 1983. HCSCIA-83-004. 252p.

This study is part of the FY 1983 Army study program intended to augment the FY 1981 completed study entitled “Nursing Care Hours Standards.” It provides valid and reliable percentages for hospital patient nursing care unit requirements (i.e., direct care, indirect care, and nonproductive time).

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Moore MD. Medical Supply Systems: Alternatives for Brooke Army Medical Center. Final report 1992–1993. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1993. HCA-3A-93. 45p.

The purpose of this paper is to study the two different methods of supply delivery being used in Brooke Army Medical Center (BAMC) wards and, after quantitative analysis, to recommend a supply delivery system for use in the new BAMC. The data for this study included ward location, the number of beds on the ward, the average number of patients on the ward, the number of nursing care hours expended, the number of assigned personnel, and select medical supply data.

Murray JS. Social Support for Siblings of Children with Cancer. Master's thesis. Air Force Institute of Technology, , Wright-Patterson Air Force Base, OH. 1993. A267551 AFIT/CI/CIA-93-091. 127p.

This descriptive study investigated nursing interventions used by pediatric oncology nurses to provide social support to siblings of children with cancer. The study was guided by a model that posits major categories of social support variables including emotional, instrumental, informational, and appraisal support.

Naehr LS. Comparative Analysis of Nursing Manpower Requirements: Traditional Staffing Methodology Versus Patient Classification System at Madigan Army Medical Center. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1983. HCA-92-88. 145p.

This study compares and contrasts two methods for determining nursing manpower requirements: traditional staffing methodology versus patient classification system. It ascertains the cost in terms of manpower requirements generated by each system.

Nancarrow RL. A Protocol for a Prospective Study of Pregnancy Outcomes of Operating Room Nurses and Nurse Anesthetists Occupationally Exposed to Waste Anesthetic Gases as Compared to Psychiatric Nurses in the United States Air Force. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1980. AFIT-CI-80-56T. 83p.

This thesis establishes a methodology to link information from the automated personnel data base at the Air Force Military Personnel Center with information contained in the medical records for those individuals under study. This linkage permits continuous surveillance of exposed individuals throughout their Air Force career and into their separation or retirement if necessary.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Nelson MS. The Adequacy of Nurse Staffing in the Emergency Department When Patient Acuity Is a Consideration. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. A254715 AFIT-CI-CIA-92-071. 132p.

This study addresses the adequacy of nurse staffing in the emergency department, by using data on patient volume obtained in the previous year and nursing time spent, and by considering the acuity of the illness or injury.

Newton TA. Study to Determine the Success of Implementing the Workload Management System for Nurses at Moncrief Army Community Hospital. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1989. HCA-1-87-TAN. 95p.

This descriptive study of the WSMN* examined utilization of professional and ancillary staff and the impact of staffing adjustments on utilization.

Nichols JC. Turnover Among Air Force Nurses. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1987. AFIT/CI/NR-87-54T. 287p.

This study identified Air Force Nurse Corps officers at risk for turnover, the impact of satisfaction on the turnover, the impact of work role design and individual motivation on satisfaction, and the stated reasons for turnover.

Nistler CJ. The Self-Identified Skills and Competencies of First-Line Nurse Managers. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. A254298 AFIT/CI/CIA-92-042. 42p.

This explorative, descriptive study utilized a questionnaire to identify the self-perceived skills and competencies of a sample of newly appointed middle managers. The target population was the first-time, first-line, nurse manager in the 0–3 year range.

Oakes DL. Physiological Effects of Positive Pressure Ventilation. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. A254809. 80p.

This paper presents the more common forms of mechanical ventilatory support with the adjuncts of positive end expiratory pressure and continuous positive airway pressure. Physiological effects of positive pressure ventilation are explained with emphasis on major organ systems. It concludes with a discussion of the clinical nurse specialist' s role in providing care for the patient who is mechanically ventilated.

*  

WMSN: Also referred to as “Workload Management System for Nursing.”

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Payne CJ. Study to Determine Military Officer Manpower at WRAMC (Walter Reed Army Medical Center) That Is Diverted from Patient Care. Study report Jul 85–Jul 86. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1986. HCA-28-89. 371p.

This study was conducted to determine how much time is spent by medical officers in non-patient care, patient care, and nonavailable activities. Army officers involved in patient care activities were surveyed to measure the amount of time spent in patient care, non-patient care, and nonavailable activities.

Pengilly PL. Non-ACLS (Advanced Cardiac Life Support) Nurses' Supporting Roles During Cardiac Arrests: What Is the Need for Education?. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1989. AFIT/CI/CIA-89-033. 78p.

The purpose of this descriptive study was to identify the extent and correlates of educational needs of non-ACLS nurses for performance during cardiopulmonary arrest by surveying 200 nurses assigned to 17 Air Force hospitals.

Perry AA. Computer-Assisted Instruction: An Alternative Teaching Method for Exercise and Fitness Concepts. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1994. A282163 AFIT/CI/CIA-94-044. 84p.

The purpose of this study was to compare the effectiveness of computer-assisted instruction and lecture instruction in teaching exercise and fitness concepts. Attitudes toward the use of the computer as a learning tool were also examined.

Peters GC. Study to Determine if the Training Being Provided on the William Beaumont Army Medical Center Hospital Information System Meets the Needs of System Users. Final report Jul 87–Jul 88. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1988. HCA-44-89. 95p.

This study sought to determine if the training provided on the William Beaumont Army Medical Center (WBAMC) Hospital Information System met the needs of system users. The study used a survey instrument developed by Dr. James Bailey to evaluate user satisfaction with the WBAMC Hospital Information System.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Peters PA. Navigating Survival: Quality of Life Following Bone Marrow Transplantation. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1991. A239190 AFIT/CI/CIA-91-018. 156p.

This study explored the quality of life of adult bone marrow transplantation survivors, and the processes involved in maintaining or enhancing life quality were identified. Grounded theory methodology was used to explore quality of life from the survivor's perspective.

Pietrocola MR. Nursing Case Management: What Difference Does It Make? A Replication Study. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1995. A294877 AFIT-95-019. 40p.

The purpose of this study was to replicate a 1988 study that examined the impact of nursing case management on cost and length of stay for DRGs 107 (coronary artery bypass graft) and 106 (coronary artery bypass graft with angiography). This study reviews trends in cost and length of stay over a 4-year period from 1988, when nursing case management was initially implemented, to 1992, when the present study was undertaken.

Ramsberger PF, Barnes JD, DiFazio AS, Tiggle R. U.S. Army Survey of Registered Nurses and the U.S. Army Survey of Nursing Students: Methodology and Results. Final study report Aug 93–Aug 94. Human Resources Research Organization, Alexandria, VA. 1995. ARI-SR-95-02. 120p.

This report details the methodology of and preliminary results from surveys of registered nurses and nursing students. Representative samples of each were selected, and their attitudes toward various aspects of nursing, especially military nursing, were assessed.

Ramsberger PR, DiFazio AS. Survey of Total Army Military Personnel: Analyses of Active Duty and Reserve/Guard Army Nurse Corps Data. Technical report. Human Resources Research Organization, Alexandria, VA. 1995. ARI-TR-1026. 67p.

Data collected from Army registered nurses as part of the Survey of Total Army Military Personnel are examined in this report. The principal goal of the analyses was to isolate those factors related to retention decisions.

Raube K. Health and Social Support of the Elderly. Doctoral thesis. Rand Corp., Santa Monica, CA. 1992. A260664 RAND-N-3467-RGSD. 133p.

This report describes the results of the first year of a randomized controlled trial that evaluates whether a community-based in-home preventive program can change the level of social support for and improve the health status of an older population.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Ray CL. Study to Identify and Analyze the Effects of Category and Frequency Sampling on the Reporting of Total Nursing Care Hour Requirements. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1989. 054881004. 419158. 63p.

The impact of patient categorization and frequency sampling on the accurate reporting of the number of nursing care hours needed for a given group of patients was demonstrated in this study.

Rea RE, Jennings BL, Carty JL, Seipp KA. Development of a Labor and Delivery Nursing Patient Classification System: The Indirect Care Component. Final report 1989–1991. Army Health Care Studies and Clinical Investigation Activity, Fort Sam Houston, TX. 1991. HCSCIA-91-005B. 63p.

The purpose of this study was to determine the indirect care time (including nonproductive time) in labor and delivery expressed as a proportion of available time. Eventually, this work will be combined with direct care time and time unavailable for care to determine nursing requirements consistent with currently accepted nurse staffing standards methodology.

Rea RE, Jennings BL, Carty JL, Seipp KA. Development of a Post Anesthesia Care Unit Nursing Patient Classification System: The Indirect Care Component. Final report 1989–1991. Army Health Care Studies and Clinical Investigation Activity, Fort Sam Houston, TX. 1991. HCSCIA-HR-91-006B. 63p.

The purpose of this study was to determine the indirect care time (including nonproductive time) in postanesthesia care expressed as a proportion of available time. This work will be combined, eventually, with direct care time and time unavailable for care to determine nursing requirements consistent with currently accepted nurse staffing standards methodology.

Rhoton NK. Relationship Between Charge Nurse Leadership Style and Staff Nurse Job Satisfaction. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1985. AFIT/CI/NR-86-20T. 91p.

This report examines the relationship of the charge nurse leadership style dimensions of consideration (relationship orientation) and structure (task orientation) with staff nurse job satisfaction. The Leadership Opinion Questionnaire, which measures consideration and structure, was completed by 15 charge nurses; and the Minnesota Satisfaction Questionnaire; which measures satisfaction with 20 job elements, was completed by 77 staff nurses in two Air Force medical centers.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Rieder KA, Jackson SS. Evaluative Study of the Navy Medical Department's Patient Classification System and Staffing Allocation. Preliminary report Oct 83–Aug 84. Naval School of Health Sciences, Bethesda, MD. 1984. RP-1-84. 69p.

This preliminary report evaluated the validity and reliability of the Workload Management System for Nursing. The WMSN is used as the basis for nurse staffing decisions within the Navy Medical Department.

Rieder KA, Jackson SS. Evaluative Study of the Navy Medical Department's Patient Classification System and Staffing Allocation System (the Workload Management System for Nursing). Final report Oct 83–Sep 85. Naval School of Health Sciences, Bethesda, MD. 1984. NSHS-RR-5-85. 134p.

The purpose of this study was to evaluate the validity and reliability of the WMSN, which includes a patient classification system and staffing methodology. At that time, the system was being used in 36 naval hospitals.

Roberts BJ, Kocher KM. Recruiting and Retaining Army Nurses: An Annotated Bibliography. Final report. Naval Postgraduate School, Monterey, CA. 1988. NPS-54-88-015. 64p.

This listing of annotated references includes studies dealing with the labor market behavior of registered nurses. References describing both the military and the civilian working environments for registered nurses are contained in the bibliography.

Sanford EJ. Study to Identify Selected Variables Associated with Length of Stay of Outlier Diagnosis Related Groups at Brooke Army Medical Center. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1989. 054881004. 419158. 132p.

Stepwise multiple regression analysis was used to identify 14 variables associated with length of stay of seven DRGs: 014, 122, 125, 132, 143, and 172.

Saulsberry PA. Study to Develop a Management Model for the Optimal Mix of Inpatient Services for Womack Army Community Hospital. Final report Jul 87–Jul 88. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1988. HCA-47-89. 140p.

By utilizing the available knowledge of Womack Army Community Hospital inpatient costs and those of Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), a management model was developed that minimized the overall government cost for selected DRGs in the Fort Bragg catchment area.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Scott MJ. Role Conflict and Reality Shock Among Neophyte Navy Nurses.Master's thesis. San Diego State University, CA. 1992. 94p.

This descriptive exploratory study looked at the problems of reality shock and role conflicts for new graduate nurses in a highly bureaucratic setting (i.e., the Navy Nurse Corps). Following 21 new nurses (with Bachelor of Science degrees in nursing) from 2 weeks after reporting to their first duty station (Naval Hospital, San Diego) to 8 months later, the study looks at the new graduates' expectations versus reality, school-to-work transition problems, dissatisfactions and conflicts with both their professional and their officer roles in the Navy Nurse Corps, and how these changed throughout this period.

Shigley E. Analysis of Factors Affecting the Career Plans of Military Nurses. Master's thesis. Naval Postgraduate School, Monterey, CA. 1988. 66p.

This thesis analyzes factors influencing a military nurse's decision to stay in or to leave the service. Data used were from the 1985 DOD Officer and Enlisted Personnel Survey conducted for the Office of the Secretary of Defense by the Defense Manpower Data Center.

Simpson PF. Promotion Opportunities of Minorities to the Controlled Grades in the Navy Nurse Corps. Master's thesis. Naval Postgraduate School, Monterey, CA. 1992. 77p.

This thesis analyzes the promotion opportunities of minorities (which include men in nursing) to the controlled grades in the Navy Nurse Corps. Data are drawn from the Officer Master Files and the Officer Summary Records.

Skelton PA. Implications for Advanced Nursing Practice in the Patient with Heat Stress. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1993. A267953 AFIT/CI/CIA-93-065. 75p.

The intent of this study is to explore the nature of heat-related injuries, current management techniques, and prevention methods.

Slater HA. Relating Nursing Care Requirements to Diagnosis Related Groups (DRGs). Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1991. AFIT/CI/CIA-91-082. 34p.

This study will analyze the nursing care hours required for DRGs 138 and 139 at Wilford Hall Air Force Medical Center and compare the results with those found in a 1990 study that documented nursing care hours required for 80 percent of cases treated in U.S. Army medical treatment facilities.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Smith BJ. Promotion of Entrepreneurial Behavior in the Army Nurse Executive: One Answer to Lessening the Impact of the Nurse Shortage. Study project. Army War College, Carlisle Barracks, PA. 1991. 31p.

The purpose of this study was to present one possible strategy for dealing with the nursing shortage facing the Army Nurse Corps: the development of entrepreneurial behavior in the Army nurse executive.

Solano MA. Influence of Professional Nursing Practice on Nurse Satisfaction and Retention Among Active Duty United States Air Force Nurses. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1993. AFIT/CI/CIA-93-060. 124p.

A causal modeling nonexperimental design was used to test the influence of professional nursing practice (autonomy, control over nursing practice, group cohesion, and organizational commitment) on job satisfaction and anticipated turnover. A sample of 79 active-duty Air Force nurses provided the convenience sample for the study.

Steele TP. Tasks of the Shipboard Independent Duty Hospital Corpsman. Task Training Adequacy and Performance Frequency. Interim report. Naval Health Research Center, San Diego, CA. 1987. NHRC-87-34. 68p.

This study was conducted in response to a need for empirical data to facilitate the identification of essential independent duty corpsman (IDC) knowledge and skills. It considered unusual or infrequent clinical conditions or disorders and nonroutine contingencies, such as combat casualty care, as well as routine IDC tasks.

Steele TP, Holmes SA, Higgins JL, Rieder KA. Perceptions of the Educational Coordinator's Role in the Navy Medical Department. Research report Oct 83–Dec 84. Naval School of Health Sciences, Bethesda, MD. 1985. RR-3-85. 133p.

This report presents the results of a survey intended to identify and compare perceptions by incumbents and key rolesenders (officers and directors) of the educational coordinator's (EC's) role within U.S. Navy hospitals. Specific topics of concern were identifying the appropriate functions and organizational structure of hospital education departments; assessing the extent of EC role conflict and career concerns; identifying appropriate educational preparation for ECs; and identifying attitudes toward education and training, in general, and at each of the 31 naval hospitals studied.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Swiderski FA. Efficient Resource Utilization in the Bayne-Jones Army Community Hospital Emergency Room. Final report Jul 89–Jul 90. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1990. HCA-22-90; XA-HCA. 236p.

This management project looks at the amount of time patients spend for an emergency room visit at the Bayne-Jones Army Community Hospital, given the level of physician, nurse, paraprofessional, and bed resources. Information about patient care activities was obtained from randomly selected medical records and by conducting a time-in-motion study of the hospital emergency room.

Thomas GW, Roberts BJ, Kocher KM. Recruiting and Retaining Army Nurses: An Annotated Bibliography,1990. Final report. Naval Postgraduate School, Monterey, CA. 1990. NPS-AS-91-003. 75p.

This listing of annotated references includes studies dealing with the labor market behavior of registered nurses. References describing both the military and the civilian working environments for registered nurses are contained in the bibliography.

Tosi MS. Exploratory Case Study of the Operating Room. Final report Jul 92–Jul 93. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1993. HCA-21A-93. 76p.

This exploratory case study on the operating room at Silas B. Hays Army Community Hospital was conducted to provide more objective data to the hospital executive staff and to aid them in making decisions regarding the operating room. Data were collected using three methods: (1) surveying operating room staff, (2) observing activities in the operating room, and (3) attending meetings of the operating room Quality Improvement Process action team.

Toth GD. Characteristics and Lifestyle Behaviors of Employees Who Work for the Department of Defense. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. AFIT/CI/CIA-92-016. 66p.

The purpose of this descriptive study was to compare characteristics and lifestyle behaviors of DOD employees, based on their participation in hospital-based wellness centers.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Towne TA. Comparative Analysis of Health-Promotion Behaviors in Civilian and Military Nurses. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1990. AFIT/CI/CIA-90-013. 58p.

The purpose of this study was to identify which health behaviors were more prevalent among two groups of professional nurses: civilian and military. Military nurses were included because there are few documented studies that examine the health behaviors of this group of nurses.

Turner PB. Retention in the Navy Nurse Corps. Master's thesis. Naval Postgraduate School, Monterey, CA. 1990. A245885. 98p.

This thesis examines some of the influences on a Navy nurse's decision to stay in or to leave the service. The sample was selected from the 1987 occupational task inventory of the Navy Medical Department, an inventory conducted by the Navy Occupational Development Analysis Center.

Vann TA. Nurse Administrators' Perceptions of Power. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1989. A208442 AFIT/CI/CIA-88-203. 128p.

The purpose of this descriptive study was to ascertain how hospital-based nurse administrators perceive their degree of power. Nurse administrators (n = 103) in a southeastern state were invited to complete an anonymous, self-administered questionnaire.

Walls SE. Measuring Control over Nursing Practice Among Hospital Staff Nurses. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1992. A252619 AFIT/CI/CIA-92-029. 113p.

The purpose of this study was to estimate the reliability and validity of a new unit-level version of an existing control over nursing practice scale using a descriptive survey design. A convenience sample of 91 staff registered nurses from two urban hospitals voluntarily completed two versions (individual level and unit level) of the control over nursing practice scale and an index of work satisfaction.

Ward-Lee L. A Study to Measure Nursing Activity and Productivity to Identify Potential Benefits in Preparation for the Implementation of Hospital Information Systems. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1989. A237616 HCA-1-87. 187p.

This paper examines the potential for increasing nursing productivity through the reduction of indirect care time. The current percentage of indirect care time is measured by using the methodology developed by Misener et al. (1983, see earlier citation).

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Warren CS. Comparison of Nurses' Activities Under Two Models of Administration. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1985. HCA-34-89. 106p.

This study was conducted to compare the time spent in direct and indirect patient care for registered nurses in a unit-managed model and those in a nurse-managed model. The time spent in direct and indirect patient care was observed by using a work sampling technique for two matched wards working under the two systems.

Warren CS, Styer DJ, Sturm MK. Delineating the Ambulatory Care Nursing Activities in the Navy Medical Department. Phase 1. Workload Management System for Nursing Ambulatory Care Project. Preliminary report Sep 86–Mar 87. Naval School of Health Sciences, Bethesda, MD. 1987. HSHS-2-87. 66p.

The ultimate goal of this research was to create an ambulatory patient classification and staffing methodology that translates varying patient workload into professional and paraprofessional nursing staff requirements.

Wasneechak DA. Preadmission Certification: Identifying Variables That Impact on the Appropriateness of Patient Admissions. Final report Jul 93–Jul 94. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1994. HCA-32D-94. 64p.

To determine the feasibility of hiring nurses for preadmission certification, six variables (age, gender, beneficiary status, proximity of home to duty, possession of health insurance, and admitting service) were examined.

Waun DM. The Effects of Endotracheal Suctioning with Manual Hyperventilation on Cerebrovascular Status of Closed Head Injured Patients. Master's thesis. Air Force Institute of Technology, Wright-Patterson Air Force Base, OH. 1989. A218238 AFIT/CI/CIA-89-021. 120p.

The purpose of this study was to determine the effects of endotracheal tube suctioning with manual hyperventilation on the cerebrovascular status of severe closed head injured patients.

Wilson BA. Study to Develop an Implementation Plan for a Centralized Materiel Management System at the US Army Medical Department Activity, Ft. Sill, OK. Study report Jul 85–Jul 86. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1986. HCA-112-89. 213p.

The intent of this study was to select and implement a plan to convert the present decentralized materiel management system to a form of centralized management prior to occupancy of the new facility. The objectives of the project were to conduct a comprehensive literature review of materiel management systems, identify and describe the present decentralized system, distinguish and evaluate centralized systems presently functioning in medical

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

facilities, and recommend a centralized materiel management system that best meets the needs of nursing and administration in performing the mission of the U.S. Army Medical Department Activity (MEDDAC), Fort Sill, Oklahoma.

Womack DE. Diagnosis Related Groups as Indicators of Nurse Staffing Requirements. Master's thesis. Academy of Health Sciences (Army), Fort Sam Houston, TX. 1985. A209734 HCA-36-89. 105p.

This study was conducted to determine whether DRGs are indicators of nurse staffing requirements. A sample of discharge record abstracts was classified into DRGs, and the amount of nursing time spent with individual patients was determined by using the Workload Management System.

Zadinsky JK. Development of an Acuity-Based Nurse Staffing System for the Post Anesthesia Care Unit. Final report 1992–1993. Army Health Professional Support Agency, Falls Church, VA. 1994. HR95-001. 143p.

The purposes of the study were (1) to provide an acuity-based method of determining nurse staffing needs for postanesthesia care units (PACU) in the Army Medical Department and (2) to provide a method of analyzing PACU workload variation.

CITATIONS FROM DISSERTATIONS ABSTRACTS INTERNATIONAL

Additional citations for dissertations that were retrieved from the searches of CINAHL and PsychInfo appear in the section on citations from journals.

Alexander, Linda Lewis. Smoking Behavior of Military Nurses: The Impact of Job Stress, Job Satisfaction and Social Support. Ph.D. diss., University of Maryland 1988.

This study surveyed the prevalence of smoking behavior among military nurses and examined the possible influence of job stress, job satisfaction, and social support.

Bice-Stephens, Wynona Mettes. Hospitals as Teaching Sites: Converging Theory and Practice Through Clinical Application Programs Based upon Adult Learning Principles. Ed.D. diss., Peabody College for Teachers of Vanderbilt University 1994.

This descriptive statistical study examined the role of clinical application programs in converging theory and practice within hospitals functioning as teaching sites. Results indicated that the Army Nurse Corps preceptorship is perceived as a valid clinical application teaching strategy that promotes principles of adult education, plus socialization and integration, in the corps.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Biskey, Valerie Payne. The Impact of Decisional Control on Patient Satisfaction and Selected Health Care Outcomes. D.S.N. diss., The University of Alabama in Birmingham 1987.

This experimental study investigated the impact of patient decisional control on five dependent variables: satisfaction, decision making, systolic blood pressure, diastolic blood pressure, and body weight. The purpose was to determine if adults with essential hypertension who were encouraged to exercise decisional control would have greater satisfaction with nurses and nursing care, would perceive decision making power and achieve controlled blood pressures, and would attain weight loss over a 60-day period.

Black, Joanne Martena Reinhard. Information Seeking and Information Using Behaviors of Nurses in Clinical Practice as Related to Cognitive Style. Ph.D. diss., The University of Texas at Austin 1983.

This exploratory study examined the relationship of cognitive style to the information-seeking and information-using behaviors of nurses in clinical practice in a military hospital. Three research questions were posed: (1) How do nurses with distinct cognitive style preferences exhibit information-seeking behaviors in clinical practice? (2) How do nurses with distinct cognitive style preferences exhibit information-using behaviors in clinical practice? (3) How do nurses with neutral cognitive style preferences exhibit information-seeking and information-using behaviors in clinical practice?

Bourke, Kathryn Ann. Life Readjustment Stress, Coping, and Patterns of Appraisal Among Vietnam Era Health-Related Military Personnel and Nurse Veterans. Psy.D. diss., California School of Professional Psychology, Fresno 1995.

The purpose of this study was to examine Vietnam-era veterans' life events, stressors, readjustment reactions to psychological distress, coping skills, and appraisal abilities. Forty-nine nurse and other health-related military personnel veterans (22 females and 27 males) who served on active duty during the Vietnam era completed questionnaires about their life, stress, and coping abilities.

Brown, Marie Annette. Social Support and Symptomatology: A Study of First Time Expectant Parents (Washington). Ph.D. diss., University of Washington 1983.

This study explored the experience of symptomatology and support in expectant mothers and fathers, and examined their similarities and differences. Further, it examined the relationships among support, symptomatology, and stress on expectant mothers and fathers. Subjects were recruited from military hospital obstetrical clinics and community hospital prenatal classes.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Bruce, Sandra Lynn. The Effect of a Coronary Artery Risk Evaluation Program on the Serum Lipid Values of a Selected Military Population. M.S.N. thesis, The University of Texas at Arlington 1991.

This study examined the efficacy of a coronary artery risk evaluation program conducted at a military installation. Based on the Precede Model of Health Education, the study tested the theoretical relationship between health education and two health outcomes: serum lipid values and cardiovascular risk levels.

Carr, Mary Ann. Effect of a Family Crisis Intervention Program on Family Need Satisfaction, Family Functioning, and Patient Stress Following an Acute Myocardial Infarction. D.N.Sc. diss. (university name not provided.) 1995.

The purpose of this study, conducted in a military medical center, was to measure the effect of a family crisis intervention program on family need satisfaction, family functioning, and patient stress following acute myocardial infarction. Conducted as a quasi-experimental posttest study, study subjects were randomly assigned to a blind control group or to an experimental group.

Carroll, David Wayne. Gender-Related Attitudes Toward Antidepressants. M.S.N. thesis, The University of Texas Health Science Center at San Antonio. 1993.

A 16-item antidepressant questionnaire was used to explore attitudes of active-duty enlisted military personnel diagnosed with major depression. Areas of exploration included (1) attitudes toward medication compliance, (2) insight into the need for an antidepressant, (3) assessment of risk–benefit ratio, (4) acceptance of professional help, (5) general attitudes about antidepressants as a treatment for depression, and (6) locus of control.

Concannon, Kathleen O'Sullivan. Surviving the Storm: The Experience of Desert Storm Nurses. M.S. thesis, The University of Arizona 1992.

This study was an initial attempt to define the experience of deployment. By using grounded theory, three Air Force nurses were interviewed about their experience of deployment in support of Operation Desert Shield/Desert Storm.

Cummings, Phillip Howard. Men in Nursing: The Development of a Theoretical Construct for Delayed Occupational Choice (Vocational, Career). Ed.D. diss., North Carolina State University at Raleigh 1984.

This study examined the reasons men delay entering, or do not enter, nursing. Men in the study population had health-related experience in the military service, or had been employed in another health-related job, and were encouraged by close friends and relatives in health occupations to enter nursing.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Dehlinger, Marjorie Ellen. Cancer Patients' Health Beliefs and the Decision to Participate in Cancer Research (Nursing). D.N.Sc. diss., The Catholic University of America 1986.

This study examined relationships between the individual's health beliefs and his or her decision to participate in cancer research. Interviews took place in seven agencies: three research centers, two military hospitals, one private hospital, and one physician 's office. They covered demographic data, the individual's health beliefs and activities, and the factors and individuals that influenced the subject's decision to participate in cancer research.

Dyer, Alice. The Predictability of Leader Effectiveness from Sex-Role Orientation of Nursing Leaders. Ph.D. diss., United States International University 1978.

This study examined leader effectiveness in nursing as related to the leader's sex-role orientation. A sample of 92 male and female nursing leaders was obtained from a variety of clinical and educational organizations.

Easley, Phyllis Ann. Psychological Preparation for Venipuncture of Children in the Ambulatory Care Setting. M.S. thesis, Texas Woman's University 1988.

This study was done to determine if psychological preparation of children in the ambulatory care setting prior to a venipuncture would affect the child's emotional upset and cooperative behavior during the venipuncture procedure. Data were collected in the outpatient clinics of a military medical treatment facility, using the concept of coping behaviors of children.

Ebblie JE. Knowledge of Treating Nuclear Accident Victims: A Comparison of Military and Non-Military Nurses Working in Emergency Departments.. Master's thesis, The University of Alabama in Huntsville 1983.

No abstract available.

Edwards, Mary Elizabeth Jordan. Prediction of Delayed or Interrupted Recovery Among Elective Surgery Patients: A Nursing Perspective (Delayed Recovery). Ph.D. diss., The University of Texas at Austin 1990.

This study was undertaken to determine if age, marital status, gender, perceived health status, satisfaction with family relationships, and perceived stress had value as predictors of delayed or interrupted recovery among patients having elective surgery for cholecystectomy, abdominal hysterectomy, or bowel resection with anastomosis. The sample was obtained from two military hospitals that provided health care for retired and active-duty personnel and their dependents.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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Ellis, Wayne Enoch. Determining Proficiencies in Spinal Anesthesia Using the Delphi Technique (Anesthesia Programs, Nurse Anesthesia Program). Ph.D. diss., Texas A & M University 1990.

Utilizing the Delphi technique, this study was initiated to determine proficiencies for individuals completing anesthesia training programs. The study further compared the differences between military and civilian medical communities.

Fagerland, Kathleen Joy. Attitudes, Beliefs, and Significant Others Influencing the Expectant Woman's Participation in Childbirth Education Classes. M.S. thesis, The University of Utah, College of Nursing 1987.

The purpose of this quasi-experimental study was to identify the attitudes, beliefs, and significant others influencing the expectant woman's participation in childbirth education classes. A survey of a convenience sample of expectant women was conducted at a military facility.

Fleshin, Diane J. The Homeless Military Veteran: A Comparative Analysis with the Nonveteran Homeless. M.S. thesis, San Jose State University 1991.

This retrospective comparative study, conducted at three National Guard armories that sheltered homeless individuals, was undertaken to see if differences exist between the nonveteran homeless and the homeless military veteran. In addition, veterans who served in combat were compared with the non-combat exposed to examine differences between these subgroups.

French, Diana Gail. An Investigation of the Beliefs of Registered Nurses Towards Service in the Army Nurse Corps, Reserves (Military, Recruitment, Attitude). Ph.D. diss., The University of Toledo 1986.

An investigation was undertaken, using Martin Fishbein's behavior-intention model as the conceptual framework, to examine the beliefs of registered nurses in the state of Ohio toward service in the Army Nurse Corps Reserve. Data were collected from 334 registered nurses, both civilian and Army Reserve.

Gournic, Joyce Loraine. Patient Integration: Toward a Theory of Moral Development of Experienced Clinical Nurses. Ph.D. diss., George Mason University 1994.

The purpose of this qualitative research was to develop a substantive theory of moral development, using grounded theory methodology, to describe the process of moral development of experienced clinical nurses. Sampling diversity included number of years of clinical experience, practice setting, age, education, and such considerations as geographic mobility, military and civilian employment, and marital status.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Graham, Ruth M. The Effect of Work Specialty, Demographic Variables, and Social Support upon the Perceived Job Stress of Military Nurses. M.A. thesis, University of the Pacific 1989.

This retrospective study sought to (1) investigate differences in the type of stressors and level of job stress reported by nurses working in intensive care or coronary care units, medicine–surgery, and other specialty areas; (2) examine the relationship between perceived job stress and social support; and (3) determine whether five demographic characteristics (age, sex, marital status, level of educational training, and military rank) had moderating effects on job stress. A sample of 231 military nurses completed a demographic inventory, the Nursing Job Stress Instrument, and the Social Support Questionnaire.

Grendell, Ruth Naomi. Baccalaureate Reentry Students: Effects of Professional Support on Role Conflict and Role Transition (Reentry Students). D.N.Sc. diss., University of San Diego 1991.

This study surveyed 206 registered nurses and 37 Navy corpsmen to examine the interrelationships of multiple roles and focal role commitments, previous education, work experience, and role conflicts perceived by reentry adult students. It also examined the influence of professional support in the subsequent transition to the professional role.

Haines, Theresa Lynn. Risk Factors for Coronary Heart Disease in Women. M.S. thesis, Pacific Lutheran University 1993.

The purpose of this study was to identify and compare the documented risk factors for coronary heart disease demonstrated by women and men who were diagnosed and treated for coronary heart disease in a 90-bed military hospital over a 3-year period. Data were collected by retrospective chart review.

Harrity, Mary Catherine. The Characteristics of the Military Retirees Who Volunteered as Civilians for a U.S. Army Family Support System During Operation Desert Shield/Storm. M.S. thesis, D'youville College 1992.

This study was designed to identify the characteristics of the military retirees who volunteered as civilians in a family support group at a military compound during Operation Desert Shield/Desert Storm. Using a theory of goal attainment as a conceptual framework within which military retiree volunteers were studied, a 15-item, investigator-designed questionnaire was completed by 17 subjects.

Harwick, Michelle Anne. Relationships Among Preventive Behavioral Model Concepts in Individuals at Risk for Coronary Artery Disease. M.S. thesis, The University of Arizona 1989.

The purpose of this research was to describe relationships among preventive behavior model concepts in military-affiliated individuals at risk for coronary

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

artery disease. One hundred forty-three subjects were recruited by their primary care physician and were requested to complete questionnaires measuring health beliefs, health locus of control, value orientations, and health care activities.

Hatcher, Barbara Jones. Predictors of Well-Being Among Army National Guard Nurse Officers. Ph.D. diss., George Mason University 1994.

The purpose of this study was to identify predictors of well-being. The study was guided by published theoretical perspectives of stress and coping and of well-being. Study participants included 149 Army National Guard nurse officers who deployed to Southwest Asia.

Heroman, Karen Messersmith. Pregnancy Outcome in Military and Civilian Women. D.N.Sc. diss., University of San Diego 1990.

The purpose of this investigation was to determine if two groups of pregnant women—military enlisted and civilian dependents—differed in selected risk factors (smoking, alcohol consumption, weight gain, prenatal care, work patterns, life stress, and social support) or in pregnancy outcome (infant birth weight and gestational age).

Jacobs, Marianne Scherer. The Best of Times, the Worst of Times: The Vietnam Experiences of and Posttraumatic Stress Disorder Among Female Nurse Veterans (Veterans). Ph.D. diss., University of Washington 1990.

This dissertation is a qualitative and quantitative analysis of the Vietnam and readjustment experiences of 257 female nurse veterans, based on questionnaire responses and interviews. Responses to a questionnaire documented demographic and military characteristics, experiences prior to and in Vietnam, homecoming, subsequent experiences and posttraumatic stress disorder (PTSD), and use of and attitudes toward the Veterans Administration.

Jensen, Richard Gerald. Determinants of Outpatient Health Services Utilization by Army Retirees and Spouses. Ph.D. diss., The University of Texas at Austin 1989.

This study investigated a set of 25 factors thought to influence the sources and volumes of outpatient health care used by Army retirees and spouses. Subjects included 262 men and women randomly selected from a list of 19,834 Army retirees and spouses.

Jones, Tempsie Lavern. Leadership Styles of Army and Civilian Nurse Administrators. M.S. thesis, Texas Woman's University 1991.

In this study, a nonexperimental descriptive design was used to determine the differences in leadership styles between Army nurse administrators in military hospitals and civilian nurse administrators in civilian hospitals. The sample

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

consisted of 30 nurse administrators: 15 Army nurse administrators from military hospitals throughout the United States and 15 civilian nurse administrators from civilian hospitals throughout Texas.

Kelly, Joyce Wood. A Study to Develop a Model of Anesthesia Care Provided by a Team of Physicians and Nurses. Ed.D. diss., Pepperdine University 1991.

The purpose of this study was to develop a model of anesthesia care provided by a team of physicians and nurses. The research objectives were to (1) identify and report characteristics and components of a conceptualized model of anesthesia care provided by a team of physicians and nurses, (2) determine the feasibility of a conceptualized model, (3) formulate a model of anesthesia care, and (4) make recommendations regarding implementation of the model of anesthesia care.

Kroskey, Diane Lynn. Factors Affecting the Nutritional Status of Pregnant Women. M.S. thesis, The University of Arizona 1989.

This study attempted to determine the effects of gastrointestinal discomforts, socioeconomic status, dietary knowledge, and beliefs about foods to avoid during pregnancy on the nutritional status of pregnant women in their second trimester. Indicators of nutritional status included hemoglobin, upper-arm muscle circumference, weight for height, and eating patterns. Subjects were 20 active-duty or dependent wives of Air Force service members of rank E-4 and below.

Larkin, Jude Owen. Health Service Utilization in the Near Retirement Period by Both Husband and Wife in Selected Military Families: An Exploratory Study. Ph.D. diss., The University of Texas at Austin 1983.

This study explored the relationship between the perception of the magnitude of life change in military retirement and health service utilization by both spouses (n = 76) in 38 military families nearing retirement. In addition, it examined the effects of work and retirement attitudes, social support, and generalized expectancies of locus of control on the relationship between life change and health service utilization.

Mauro, Kathleen. Military Life Stress, Personal Resources, and Birth in the Military Community (Childbirth). Ph.D. diss., The University of Michigan 1995.

This longitudinal, correlational study examined the relationships among demographic characteristics, military life stress, mastery, social support, gender role identity, overnight separations, and perception of birth in 69 civilian women married to active-duty soldiers. Subjects were selected nonrandomly from the population of all third-trimester primigravida women without chronic illness or gestational problems planning to deliver at one of two Army hospitals.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

McKay, Priscilla Sandford. Examining the Nature and Extent of Professional Staff Nurse Participation in Patient Care Decision-Making (Autonomy, Interdependence). Ph.D. diss., University of Maryland Baltimore Professional Schools 1985.

Professional autonomy of hospital staff nurses was examined by using patient care-specific measures of independent and interdependent decision making. The purpose was to describe staff nurse involvement in decisions for which nurses have professional authority and accountability —decisions that had not been examined adequately in the literature. A stratified random sample of 260 full-time military and civilian staff nurses working on 52 inpatient units in four medical centers was asked to complete a self-report questionnaire.

McNulty, Margaret Anne. Eating Disorders Among Active Duty Female Navy Nurses: Who, When and Why? Dr.P.H. diss., University of Hawaii 1994.

This was a descriptive and correlational study to determine the prevalence of eating disorders among active-duty female Navy nurses and further to identify factors that might predispose female Navy nurses to exhibit eating disorders.

Menard, Shirley Ann Waltz. Critical Learning Incidents of Female Army Nurse Vietnam Veterans and Their Perceptions of Organizational Culture in a Combat Area (Women Veterans, Nurses). Ph.D. diss., The University of Texas at Austin 1993.

This retrospective study investigated unique critical learning incidents and perceived organizational culture as described by female Army nurse Vietnam veterans. The following questions were answered: (1) What is the nature of critical learning incidents described by female Army nurse Vietnam veterans during their service in Vietnam? (2) What is the relationship between the type of learning described by female Army nurse Vietnam veterans and the perceived organizational culture of military hospitals in Vietnam? (3) What is the nature of the difference between critical learning incidents of female Army nurse Vietnam veterans with less than versus those with more than 2 years of professional nursing experience prior to their service in Vietnam?

Moorhead, Sue Ann. Nurses' Job Satisfaction, Commitment, Search Behavior and Intent to Leave the Air Force: A Test of a Causal Model (United States Air Force). Ph.D. diss., The University of Iowa 1993.

The purpose of this research was to develop and estimate a causal model of job satisfaction, commitment, search behavior and intent to leave the Air Force. Three perspectives—economics, psychology, and sociology—provide the conceptual basis for the study.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Neal, Leslie Jean. The Coping Ability of Military Parents of Disabled Children. M.S. thesis, San Jose State University 1992.

This descriptive and exploratory study addresses the coping ability of military parents of disabled children who were assigned to an Army post in northern California. It examines the perceptions, beliefs, feelings, and concerns of parents whose children's disabilities ranged from epilepsy to Walker–Warburg syndrome and whose ages ranged from 8 months to 17 years.

Nichols, Mary Reid. Adjustment to New Parenthood: Relationship Among Prenatal Factors, Intrapartal Events, and New Parent Experiences for Primiparous Mothers and Fathers Who Share Childbirth. Ph.D. diss., The University of Texas at Austin 1992.

The purpose of this study was to examine the relationship between selected components of a synthesized model of adjustment to new parenthood in couples who share the childbirth experience. Subjects were military couples who were married, living with their spouses, and expecting their first child. The study specifically examined the relationship among prenatal factors, intrapartal events, and selected new parenthood experience variables.

O'Brien, Timothy Tracy. Patterns of and Barriers to Child Safety Seat Use Within Military Families. M.S.N. thesis, University of Florida College of Nursing 1992.

This descriptive study determined the relationships between the pattern of child safety seat use and parental perceptions of the time required for proper use of seatbelts and safety, the anticipatory guidance parents receive, awareness of state law, parental use of seatbelts, and selected demographic variables. The sample consisted of 100 military active-duty families who presented a child weighing 40 pounds or less to a naval medical treatment facility for pediatric care.

O'Neill, Jacquelyn S. An Exploration of the Process of Coping as Experienced by Nurses Who Served in the Vietnam War. Ph.D. diss., The University of Texas at Austin 1990.

The purpose of this study was to explore theoretical dimensions of the process of coping as experienced by women who were placed in extreme psychological and physical circumstances. All the participants (n = 12) were military registered nurses who had served at least one tour in Vietnam, at which time their median age was 24 years.

Rich, Irene Aurelia Meyers. General Pregnancy Attitudes, Ambivalence, and Psychological Symptom Distress During Pregnancy. D.N.Sc. diss., The Catholic University of America 1993.

A beginning theoretical model was developed to show the relationships among general pregnancy attitudes, ambivalence, and psychological symptom distress

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

during pregnancy. Women from three participating military hospitals were provided research instruments in prepaid mailers.

Richman Lisa R. Parental Caretaker Stress and Coping During Military Deployment of Spouse for Operation Desert Storm. M.S.N. thesis, University of Florida 1993.

Using a sample of 57 wives and 11 husbands of military personnel deployed in Desert Storm, this study compared responses to the Primary Caretaker and Ways of Coping questionnaires. Research questions addressed differences between wives and husbands in perceived stress levels; use of emotion- and problem-focused coping; and perceptions of whether the preparation, separation, or reunion period was the most stressful deployment period.

Roach, Cynthia L. Whittig. Perceived Role Conflict, Role Ambiguity, and Work Satisfaction of the Army Reserve Nurse. D.S.N. diss., The University of Alabama in Birmingham 1991.

The purpose of this descriptive, exploratory study of activated Army Reserve nurses was to determine correlations among six factors of work satisfaction (pay, autonomy, organization policies, task requirements, professional status, and interactions), role conflict, and role ambiguity. Specific demographic variables were analyzed to ascertain if predictive models could be developed to determine career intentions.

Roup, Brenda Jacobs. Factors Associated with Universal Precautions Compliance by Critical Care Nurses. Ph.D. thesis, University of Maryland Baltimore Professional Schools 1995.

The purpose of this study was to determine compliance with universal precautions by direct observation and by self-report questionnaire in a random sample of critical care nurses in a military medical center. Additionally, the investigator examined knowledge, attitudes, and supply and equipment variables that might impact the rate of compliance.

Rupkalvis, Carol Anne Cude. The Relationship of Health with Role Attitudes, Role Strain, and Social Support in Enlisted Military Mothers. M.S. thesis, The University of Arizona 1987.

No abstract available.

Schempp, Catherine Mary. Quality of Life in United States Soldiers with HIV Infection (Immune Deficiency). D.N.Sc. diss., The Catholic University of America 1994.

The purpose of this cross-sectional study was to examine the relationships among and between health locus of control, social support, sickness impact, life satisfaction, and quality of life in soldiers at different stages of human immunodeficiency virus (HIV) infection. This study included a total of 140 male HIV-infected military

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

members at different stages of the disease process, stage 1 to stage 6, at Walter Reed Army Medical Center.

Simmons, Susan Johnston. Self-Care Agency and Health-Promoting Behavior of a Military Population. Ph.D. diss., Medical College of Georgia 1990.

This study examined the extent to which exercise of self-care agency and the basic conditioning factors of age, gender, marital status, ethnicity, military rank, duty type, formal education, and perceived health state explained reported performance of health-promoting behaviors in a military population. The Health-Promoting Self-Care System Model was developed from three nursing frameworks and tested in a random sample of 421 active-duty Navy men and women.

Spurlin, Anne Ruth. Critical Analysis of Tasks Performed by United States Air Force Nurses with Varying Levels of Professional Education. Ed.D. diss., Columbia University Teachers College 1981.

This study was designed to analyze the specific tasks of practice of Air Force nurses to determine the impact of their educational preparation on the nature of their practice of nursing. The study addressed the question: What are the relationships among the level of professional education of Air Force nurses, the types of tasks they perform, the degree of complexity of those tasks, and the percentage of time spent by them in the performance of three specific types of tasks? Variables included were military grade, geographic location, type of health care setting, length of military service, and duty Air Force specialty code.

Strong, Julie Kay. Characteristics of Military Members Hospitalized with a Psychiatric Diagnosis During the Persian Gulf War. M.S.N. diss., University of Florida College of Nursing 1992.

The purpose of this study was to identify and describe characteristics of military members serving in the Persian Gulf War who were hospitalized with a psychiatric diagnosis. Data were collected by reviewing charts and computerized records of a convenience sample of 99 military members from one Air Force treatment facility.

Stuhlmiller, Cynthia Marie. An Interpretive Study of Appraisal and Coping of Rescue Workers in an Earthquake Disaster: The Cypress Collapse (California, Loma Prieta Earthquake). D.N.S. diss., University of California, San Francisco 1991.

This dissertation examined the effects of disaster rescue work, focusing on the perspective of rescuers at the collapse of the Interstate-880 Cypress Street viaduct following the October 17, 1989, Loma Prieta earthquake. It explored the rescuers' motivations, actions, coping strategies, interactions, and under

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

standing of and the responses to the event, as well as the practical wisdom each acquired. Forty-two military pararescuers, fire fighters, Department of Transportation workers, and coroner–investigators were interviewed 6 months after the event.

Vail, James David. Knowledge Essential for Nursing Judgment in the Clinical Administration of Oxygen: Double Nasal Cannula or Face Mask Method. D.N.Sc. diss., The Catholic University of America 1980.

The purpose of this experimental study was to answer the question: Is the arterial oxygen tension of mouth breathers more effectively raised by using the oxygen mask or the oxygen double nasal cannula? The 34 subjects for this study were solicited from a large military medical battalion.

Varda, Janice Lynne. Behaviors of Military Personnel to Attain or Maintain Desired Weight Prior to Mandatory Weight Surveillance. M.S. thesis, The Ohio State University, College of Nursing 1989.

The purpose of this study was to identify preparatory behaviors of military personnel to attain or maintain desired weight prior to mandatory weight surveillance. An investigator-designed questionnaire, which included a demographic section and a list of 21 potential weight reduction behaviors, was distributed to active-duty military personnel at a midwestern Air Force base.

Weigle-Spier, Candice Lynn. Trauma and Moral Thinking: Military Nursing in Vietnam. Psy.D. diss., Massachusetts School of Professional Psychology 1994.

This theoretical study examined the effects of moral thinking on the experience of trauma, the impact of trauma on moral thinking, and the ways in which the content of Vietnam nurse-veterans' moral thinking about war was affected by combat-related trauma.

Whitford, Marguerite Elizabeth. Women of Military Families' Health Beliefs as Related to Their Initiation of Early Prenatal Care. M.S. diss., California State University, Long Beach 1990.

A retrospective descriptive study was conducted to investigate the social, psychological, and demographic factors that may explain the reasons for delayed prenatal care in women of military families. The sample of 62 pregnant women had been referred from a military clinic to private obstetrical care.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
×

Williamson, Gail J. A Comparative Study of Role Perceptions of Head Nurses in Military and Nonmilitary Hospitals. M.S. diss., Texas Woman's University 1992.

This descriptive study evaluated how head nurses in seven nonmilitary and seven military hospitals perceived their roles. Questionnaires used for this activity evaluated job variability, expertise, definition, capacity, and incentives.

Yoder, Linda Helen. A Descriptive Study of Career Development Relationships Experienced by Army Nurse Corps Staff Nurses and Self-Reports of Professionalism, Job Satisfaction, and Intent to Stay. Ph.D. diss., University of Pennsylvania 1992.

The purpose of this study was to examine the context and demographic profile of the types of career development relationships experienced by Army staff nurses, and to investigate the relationship between the presence of a career development relationship and nurses' self-reports of professionalism, job satisfaction, and intent to stay in the military. The population studied consisted of a random sample of Army staff nurses. A scannable questionnaire packet was developed by using the following instruments: the Alleman Mentoring Scale, Hall's Professionalism Scale, the Nursing Work Index, and Hoppock's Job Satisfaction Scale.

Suggested Citation:"2 Published Research." Institute of Medicine. 1996. Military Nursing Research: Bibliographies. Washington, DC: The National Academies Press. doi: 10.17226/9180.
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