scholarly journals COVID-19: Military Nurses Leading Innovation Through Research, Clinical Care, Education, and Collaboration

2021 ◽  
Vol 186 (Supplement_2) ◽  
pp. 1-3
Author(s):  
Heather C King ◽  
Laura A Talbot

ABSTRACT Military nurses have been placed in the forefront of clinical and leadership roles during the COVID-19 pandemic. Serving in critical roles, military nurses have spearheaded innovations in clinical practice, conducted research, and implemented evidence-based practice projects that have advanced the capabilities of the Armed Forces Nurse Corps. This collection captures and highlights many of these military nursing contributions combating the COVID-19 pandemic.

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.


Author(s):  
Leonor Teixeira ◽  
Cristina Barroso Pinto ◽  
António Luís Carvalho ◽  
Ana Isabel Carvalho Teixeira ◽  
Maria Cristina Bompastor Augusto

Author(s):  
Alaine E Reschke-Hernández

Abstract Currently, no drug can cure or effectively mitigate symptoms for the growing number of individuals who live with Alzheimer’s disease and related dementias. As they experience declines in memory, communication, and thinking—symptoms that undermine social initiative, autonomy, and well-being—these individuals become increasingly dependent on others. Evidence regarding the benefits of music therapy for persons with dementia is growing. Nonetheless, limitations in existing research have hindered knowledge regarding the use and appropriate application of music as a form of treatment with this population. This article describes the development of The Clinical Practice Model for Persons with Dementia, which provides a theoretical framework to inform evidence-based practice, illustrated here in application to music therapy. Specifically, the model is intended to prompt purposeful application of strategies documented within a broad literature base within 6 thematic areas (Cognition, Attention, Familiarity, Audibility, Structure, and Autonomy); facilitate clinical decision-making and intervention development, including music interventions; and encourage discourse regarding relationships between characteristics of the intervention, the therapist, the person with dementia, and their response to intervention. The model comprises a set of testable assumptions to provide direction for future research and to facilitate the description and investigation of mechanisms underlying behavioral interventions with this population. Although the model is likely to evolve as knowledge is gained, it offers a foundation for holistically considering an individual’s needs and strengths, guidance for applying music and nonmusic strategies in evidence-based practice, and direction for future research.


2021 ◽  
Vol 11 (34) ◽  
pp. 318-323
Author(s):  
Jessica Bernardes Almeida Borges da Silva dos Reis ◽  
Camila Bento Silva ◽  
Bianca Rafaela Correia ◽  
Vanessa De Almeida Ferreira Corrêa ◽  
Renata Flavia Abreu da Silva

Descrever a experiência de enfermeiras militares na Operação Xavante no enfrentamento ao novo Coronavírus. Trata-se de um relato de experiência sobre a atuação de enfermeiras militares na Operação Xavante. Como parte de uma equipe multidisciplinar, a enfermagem militar na Operação Xavante foi primordial em várias frentes de atuação, as quais permitiram, dentro do contexto proposto, o adequado cumprimento da missão e o sucesso das ações de saúde planejadas, destacando-se nos seguintes aspectos: recepção e triagem; acolhimento; educação em saúde e realização de testes imunológicos para a COVID-19. Enfatiza-se que estas ações fazem parte da atuação profissional das enfermeiras integrantes das Forças Armadas, atuando em diferentes situações e contextos, possibilitando reafirmar as práticas de enfermagem na atenção à saúde indígena, em meio a um momento de extremo desafio vivenciado pela população mundial.Descritores: Enfermagem Militar, Infecções por Coronavirus, Saúde de Populações Indígenas, Grupos Populacionais. Military nursing in the fight against COVID-19 in indigenous communitiesAbstract: To describe the experience of military nurses in Operation Xavante in coping to the new Coronavirus. This is an experience report on the role of military nurses in Operation Xavante. As part of a multidisciplinary team, military nursing in Operation Xavante was primordial on several fronts of action, which allowed, within the proposed context, the proper fulfillment of the mission and the success of the planned health actions, standing out in the following aspects: reception and screening; host; health education and immunological tests for COVID-19. It ends by emphasizing that these actions are part of the professional performance of nurses who are members of the Armed Forces, working in different situations and contexts, making it possible to reaffirm nursing practices in indigenous health care, amid a moment of extreme challenge experienced by the world population.Descriptors: Military Nursing, Coronavirus Infections, Health of Indigenous People, Population Groups. La enfermería militar en la lucha contra el COVID-19 en comunidades indígenasResumen: Describir la experiencia de las enfermeras militares en la Operación Xavante frente al nuevo Coronavirus. Este es un informe de experiencia sobre el papel de las enfermeras militares en la Operación Xavante. Como parte de un equipo multidisciplinario, la enfermería militar en la Operación Xavante fue primordial en varios frentes de acción, lo que permitió, dentro del contexto propuesto, el adecuado cumplimiento de la misión y el éxito de las acciones de salud planificadas, destacándose en los siguientes aspectos: recepción y selección; acogida; educación en salud y realización de pruebas inmunológicas para COVID-19. Finalizase enfatizando que estas acciones son parte del desempeño profesional de las enfermeras integrantes de las Fuerzas Armadas, actuando en diferentes situaciones y contextos, posibilitando reafirmar las prácticas de enfermería en la atención a la salud indígena, en un momento de desafío extremo que vive la población mundial.Descriptores: Enfermería Militar, Infecciones por Coronavirus, Salud de Poblaciones Indígenas, Grupos Poblacionales.


2014 ◽  
Vol 9 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Mary Beth Zwart ◽  
Bernadette Olson

Context It is the responsibility of athletic training educators, through curriculum and clinical experiences, to engage students towards adopting evidence-based practice (EBP) into their practice. The initial task of implementing EBP into a curriculum or course can seem like a large task for educators and students. As a way to start scaffolding EBP concepts across the curriculum, a modified critical appraisal assignment was developed to teach therapeutic modality concepts. Objective The purpose of this action research project was to demonstrate how a modified critical appraisal assignment can be used to introduce the process and aspects of critical appraisal and begin scaffolding the development of critical appraisal skills over time. The objectives of this study were to evaluate the students' ability to (1) successfully locate relevant research needed to answer clinical questions and (2) successfully appraise the literature according to basic EBP strategy. From a program perspective, the modified critical appraisal assignment was a starting point from which to include EBP principles into didactic coursework. Design Seventeen athletic training students completed 3 modified critical appraisal assignments pertaining to the use of therapeutic modalities. Each paper included 5 sections: (1) clinical question, (2) key clinical findings, (3) clinical applicability based on information from the appraisal and significance of results, (4) article comparison table, and (5) implications for clinical practice, patient education, and future research. The instructor evaluated the assignments blind. Conclusions Students were generally able to complete the critical appraisal assignment; however, students had difficulty locating research that answered the clinical question. Students struggled to relate the key clinical findings of the research articles and implications for clinical practice to the given clinical question. Findings from this study have informed faculty teaching, including introducing EBP skills earlier in the curriculum and inserting assignments that stress various aspects of the critical appraisal process.


2018 ◽  
Vol 8 (9) ◽  
pp. 87
Author(s):  
Kaisa Bjuresäter ◽  
Sister Tessy Sebastian ◽  
Bhalchandra Kulkarni ◽  
Elsy Athlin

Introduction: This study is a part of a project aimed at implementing and evaluating the Collaborative Model of Best Practice, (CMBP) to promoting evidence-based practice (EBP) in health care contexts. The aim of the study was to assess nurses’ interest, attitudes, utilisation, and views on promotors of and resources related to EBP before and after taking part in the CMBP project, and to investigate their views on the CMBP in relation to collaboration between the academy and clinical practice, the earning environment, job satisfaction, and nursing quality.Methods: A descriptive, comparative design was used with pre- and post-test measurements. The Research Utilization Questionnaire (RUQ) and study-specific questions were distributed to ward nurses (n = 67) in a rural Indian hospital.Results: Most of the nurses thought that the CMBP had a positive impact on quality of care, on their attitudes to, interest in, and knowledge EBP, and on their job satisfaction. They also considered that the collaboration between the nursing college and clinical practice had a positive impact on the learning environment and that more resources were available at the end of the project.Conclusions: The CMBP project was an attempt to improve the quality of care for patients and the learning environment for nursing students and nurses on the project wards. The results indicated fulfilment of these goals, which strengthens the usability of the model. Implementation of EBP is challenging and requires long-lasting activities and comprehensive support from leaders and facilitators. More studies are needed in which EBP is systematically implemented, accomplished, evaluated, and reported.


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