Uniformed nurses carry out a charge that reaches far beyond traditional nursing roles. They care for patients in locations as dangerous as the wounds they treat, and make decisions that can save one life or thousands at once. Uniformed nurses are the cornerstones of the Military Health System, and USU is the place to learn the advanced skills needed to be expert clinicians and leaders in the profession.
GSN Annual Report Hightlights
GSN Annual Report Highlights
Executive Summary: Graduate School of Nursing 2017 Annual Report
The Daniel K. Inouye Graduate School of Nursing (GSN) at the Uniformed Services University of the Health Sciences (USU) is unique in its focus on military readiness and leadership in preparing advanced practice nurse clinicians, scientist, and scholars. In 2017, the GSN achieved a national rank in the top 10% of US graduate schools of nursing surveyed, and ranked 4th in nurse anesthesia schools. The GSN continues its focus on transforming Federal and military health and healthcare; and its achievements in education, scholarship and service are accomplished through partnerships, innovation, and focused outcomes.
In 2017 close to 200 students were enrolled as advanced practice nurse practitioners (family, women’s health and psychiatric mental health), nurse anesthetists, clinical nurse specialist and nurse scientists; and 56 graduates joined over 954 alumni. Multiple academic partnerships included collaboration with American Samoan government, Veterans Hospital and a Samoan Federally Qualified Health Clinic to expand advanced practice nursing (APRN) clinical rotations and to contribute to APRN role development in this underserved area. In partnership with the military African Command and the University Center for Global Health, the GSN developed and implemented a trauma nursing course in Rwanda for military nurses, and hosted its first international visiting scholar from Republic of South Korea. The anesthesia program expanded to include all Air Force students and a new clinical site with support faculty.
Interprofessional collaboration increased with student/faculty participation in the multidisciplinary pain management program of University of Pennsylvania, and full GSN integration with the medical school reflective practice curriculum. Simulated battlefield mass casualty exercises and a new mental health provider role in the exercises was implemented to address combat and operational stress roles for APRNs and clinical psychologists. GSN faculty led the codification and evaluation of the military expeditionary resuscitative surgical team curriculum and participated as lead instructors. Faculty also pioneered multiple operational readiness interprofessional elective courses in dive, wilderness, mountain, and avalanche medicine. The focus on wellness spawned an innovative curriculum initiative for interactive learning in integrative medicine strategies.
Research and Scholarship
The GSN graduated two PhD in Nursing Science students who were assigned military nursing research related positions after graduation. The 54 graduating advanced practice students contributed 18 evidence based scholarly DNP projects in 15 military treatment facilities on topics relevant to federal health care. Grant funding for 16 scholarship initiatives was over six million dollars. Focus areas of scholarship included the care of military families and veterans, military readiness, en-route care, battlefield acupuncture, palliative care communication skills, women’s health and operational readiness. There was a robust source of funding, including the TriService Nursing Research Program, Robert Wood Johnson (RWJ) Foundation, Congressionally Directed Medical Research Programs, and the U.S. Army Medical Research Acquisition Activity.
Seven Jonas Veteran Health Scholars and two RWJ Nurse Scholars qualified for grants, and continued work with the Collaboration of Political and Social Research (ICPSR) Center at University of Michigan provided an intensive summer institute for both doctoral students and junior faculty. In a continuous improvement initiative, the GSN completed a systematic self- assessment of the 15 year evolved PhD program to be followed by a voluntary external evaluation of strengths and opportunities for enhancement. With the US Public Health Service the GSN collaboratively sponsored, a memorial celebration of the life and scholarship contributions of its founding Dean, Faye G. Abdellah, retired Rear Admiral, US Public Health Service. GSN faculty and students disseminated multiple contributions to the professional and military communities through over 50 publications/presentations; and thirteen faculty served as journal manuscript reviewers and/or on journal editorial boards for 27 different professional journals.
Leadership and Service
A systematic evaluation of the leadership and military operational readiness components of the curriculum was completed and resulted in a curriculum framework for delineation of core, specialty and elective courses; interactive and interprofessional experiences were developed to prepare military health leaders. The GSN partnered with industry to offer education on high level disinfection and quality assurance for DoD Enterprise participants from 28 military treatment facilities in 13 states and 6 countries. The GSN initiated a formal faculty development and orientation program to enhance academic career goal achievement, and piloted an innovative approach to align process improvement with highly reliable organization concepts.
System infrastructure improvements included implementation of: a diversity/inclusivity committee, enhanced student communication and feedback opportunities with GSN leadership, faculty interactive dialogue sessions regarding strategic planning and school values, and new processes for archiving and externally accessing DNP scholarship projects via the internet.
The GSN is proud to serve the warriors of our nation through education, scholarship, and leadership in preparing the next generation of nurse scientists and advanced practice nurses with a unique education for a unique kind of nursing—good care in bad places.