TSNRP Family Research Interest Group "Care of the Military Family" Series Part III

Nov 08, 2022 03:00pm -
Nov 08, 2022 04:00pm

Event Description

TSNRP Military Family Speaker Series Care of the Military Family Part II

Topic 1: Optimizing the Pediatric Nurse Practitioner’s role during Military Operations

Speaker: Maj Kelley M. Henson, USAF, NC, RN, PNP

Description: This presentation provides reasoning on how to optimize Pediatric Nurse Practitioners (PNP) capabilities in both wartime and peacetime scenarios in support of Military Families.

Background: In the Military Health System (MHS) Pediatric Nurse practitioners play a key role in evaluating and treating patients up to 23 years of age; however, their roles can vary widely across the services in how they are trained, utilized, and tasked for combat/deployment missions. Important is the degree to which PNP skills translate to an adult population in a combat/wartime scenario. Currently, PNP slots are not part of the combat mission, and risk being reduced and/or eliminated by the services.   There could be unintended consequences to these actions.

In this presentation we outline the PNP scope of practice, highlight the PNP’s potential contribution in a wartime setting, discuss the implications of maintaining the status quo, and emphasize the urgency to find an alternative to elimination of PNP slots.

Methods: Relevant literature was reviewed to explore these issues. This study relied on a range of sources:  Peer-reviewed academic articles, federal government publications, publicly available DoD documents and press releases, media articles and academic texts collected through searches of the Defense Technical Information Center database, the Web of Science index and the Nexis Uni database. 

Results: Adult military providers report being unprepared to care for infants and children while deployed and describe feeling surprised by the volume and acuity level of pediatric patients in that setting. Care in a deployed setting is frequently delivered by providers working outside of their specialty area. The expectation is that pediatric providers work as generalists in combat support hospitals (CSH). Important is the degree to which the PNP’s pediatric expertise as well as their foundational nursing skills across the lifespan translate to an adult population in a combat/wartime scenario.  The 2022 National Defense Strategy’s call for an agile Joint Force, and the AF’s Lead Wing with a hub-and-spoke model provides options for PNPs to contribute to expeditionary operations.

Topic 2: Military Family Relationships, Networks and Post-deployment Health

Speakers: Felix Kabo M. Arch. PhD

Penny F. Pierce PhD, RN, FAAN, COL, USAFR (Ret)

Description: Participants will learn the basics of social network analysis and implications of the approach to explore the consequences of military family disruptions.

A randomly selected sample of twenty military families from a larger study explored the role of one’s social network in post-deployment recovery and health. Specific aims are to: (1) test theories suggesting that differences in individuals’ social networks may explain health outcome disparities, and (2) test a systems science approach to untangle the links between individuals, their social networks, and health.

Background. Social network analysis (SNA) is the formal inquiry into the patterns of ties or relations among sets of actors. Networks have significant implications for the social and material support individuals have access to when military family life is disrupted.

Methods. We study the link from social ties to health in military families by using two approaches: (1) first, we enumerated all the ties in a person’s closest (inner) circle as per the network-mapping procedure; (2) second, we constructed a two-mode person-role network generating measures of centrality such as degree or the number of connections to others. The number of ties and degree were selected as the dependent variables for two sets of Heckman selection equation models to test our hypothesis regarding the effects of networks on how well individuals are able resolve problems that arise in their network relations.

Study Findings. The individual’s perceptions of self and of social relations are positively and significantly correlated with two network factors: position, or the individual’s importance due to the number of roles they are connected to; and structure, or how interconnected the roles are. Over a 12-month period, if an individual was more important in the network, and had fewer interconnections between network roles, the individual’s health declined. Controlling for age and gender, an individual who was more important in the network reported worse health outcomes. Differences in individuals’ social networks may explain health disparities where those with well-connected networks have more resources for dealing with the demands of deployments and other military-related interruptions in family life.

Virtual Platform: GoToWebinar

Target Audience: Members of the Military Community, Providers for Military Families, Nurse Researchers
Fee: $0
CME/CE: 1 hrs

IMPORTANT: There is a 2 step registration process -
After registering on this site, you will receive a confirmation email with instructions to register with GoToWebinar to receive your logon instructions and calendar reminder.

This webinar is sponsored by:

TriService Nursing Research Program Research and EBP Dissemination Course Survey

Event Type:Webinar
Early registration ends on Aug 14, 2022.
Regular registration starts on Aug 15, 2022 and ends on Nov 07, 2022.
Late registration starts on Nov 08, 2022.