TRISERVICE NURSING RESEARCH PROGRAM



TriService Nursing Research Program ANNUAL Progress Report Cover PageType the annual progress report using this template document. Instructions for how to complete the progress report are found throughout the document and appear in red. Ensure that you enter all text in black font, and delete all red font instructions before submitting. If the gridlines do not appear for the many tables in this document, click on the black text in any table, click on layout (in the ribbon at the top of screen), and click on view gridlines. Sponsoring InstitutionTriService Nursing Research ProgramAddress of Sponsoring Institution4301 Jones Bridge RoadBethesda MD 20814USU Grant Number (from Grant Agreement; e.g., HU0001-10-1-TS99)USU Project Number (from Grant Agreement; e.g., N10-099)Title of Research Study or Evidence-Based Practice (EBP) ProjectPeriod of Award (from Grant Agreement; e.g., 1 Sep 2010 – 31 Aug 2012)Type of Progress Report FORMCHECKBOX Interim FORMCHECKBOX AnnualDate on Start Letter from TSNRP (type “pending” if you have not received a Start Letter yet)Period Covered by this Report (e.g., 1 August 2010 – 31 July 2011; do not include information in this report that was covered in a previous interim or annual progress report; do not include information that occurs before or after the period covered by this report)Applicant Organization (e.g., The Geneva Foundation, University of Oklahoma) Address of Applicant OrganizationPrincipal Investigator (PI) Military Contact Information (if applicable, otherwise delete this section)RankDuty TitleAddress (street, city, state, zip code)TelephoneMobile TelephoneE-mail AddressPI Civilian Work Contact Information (if applicable; otherwise delete this section)Duty TitleEmployerAddress (street, city, state, zip code)TelephoneMobile TelephoneE-mail AddressPI Home Contact InformationAddress (street, city, state, zip code)TelephoneMobile TelephoneE-mail AddressSignaturesPI Signature DateMentor Signature (if applicable)Date TSNRP Research Priorities that Study or Project Addresses Primary Priority Identify the primary research priority addressed in the study or project. Force Health Protection: FORMCHECKBOX Fit and ready force FORMCHECKBOX Deploy with and care for the warrior FORMCHECKBOX Care for all entrusted to our careNursing Competencies and Practice: FORMCHECKBOX Patient outcomes FORMCHECKBOX Quality and safety FORMCHECKBOX Translate research into practice/evidence-based practice FORMCHECKBOX Clinical excellence FORMCHECKBOX Knowledge management FORMCHECKBOX Education and trainingLeadership, Ethics, and Mentoring: FORMCHECKBOX Health policy FORMCHECKBOX Recruitment and retention FORMCHECKBOX Preparing tomorrow’s leaders FORMCHECKBOX Care of the caregiverOther: (specify) FORMCHECKBOX Secondary Priority (if applicable; otherwise delete the words “Secondary Priority” and the duplicate table below )Force Health Protection: FORMCHECKBOX Fit and ready force FORMCHECKBOX Deploy with and care for the warrior FORMCHECKBOX Care for all entrusted to our careNursing Competencies and Practice: FORMCHECKBOX Patient outcomes FORMCHECKBOX Quality and safety FORMCHECKBOX Translate research into practice/evidence-based practice FORMCHECKBOX Clinical excellence FORMCHECKBOX Knowledge management FORMCHECKBOX Education and trainingLeadership, Ethics, and Mentoring: FORMCHECKBOX Health policy FORMCHECKBOX Recruitment and retention FORMCHECKBOX Preparing tomorrow’s leaders FORMCHECKBOX Care of the caregiverOther: (specify) FORMCHECKBOX Summary of Significant Events During Period of ReportCarefully document all significant events, including, but not limited to, the following: grant agreement modification, change in personnel, adverse event, protocol deviation, early release of funds, cost or no-cost extension, addition and/or reallocation of funds, Institutional Review Board (IRB) or Institutional Animal Care and Use Committee (IACUC) continuing review, deployment of key personnel, or change in scope, specific aims, research questions, hypotheses, measures, sample size, or eligibility criteria. Delete the examples and any extra rows; add rows if needed.Type of EventGrant Agreement Number (if applicable)Date of IRB or IACUC Approval (if applicable)E.g., No-cost extension3N/AE.g., Adverse event: N/A25 January 2011E.g., Protocol deviation: enrolled two subjects who did not meet eligibility criteriaN/A25 January 2011E.g., Increased sample size from 100 to 115420 March 2011E.g., Reallocated $20,000 from personnel budget category to supplies category5N/AE.g., IRB continuing reviewN/A1 May 2011E.g., Principal Investigator (PI) deployed for 6 months; MAJ Bob White is interim PI 61 May 2011E.g., Add Associate Investigator CDR Julie Day61 May 2011Project ActivityThere is no page limit for this section of the report.Study Abstract: Provide the study abstract written in your funded grant application, documented in the Statement of Work (refer to the Continuation Sheet of the Grant Agreement, Base Award), and/or addressed in modifications to the Grant Agreement, Base Award.Specific Aims or PICO Question: List the specific aims, PICO question, research or study questions, and/or hypotheses as written in your funded grant application, documented in the Statement of Work (refer to the Continuation Sheet of the Grant Agreement, Base Award), and/or addressed in modifications to the Grant Agreement, Base Award.Progress: Write sufficient information to thoroughly describe progress with respect to each specific aim, step in the EBP project, research or study question, and/or hypothesis of the study. If applicable, describe the preliminary findings and accomplishments with respect to each specific aim, research question, and/or hypothesis of the study or project. For purposes of this report, it is not necessary to include an extensive literature review, details about the theoretical framework or model, or methods. Rather, focus on progress towards achieving each specific aim or major task of the study or project, answering each research or study question, and/or testing each hypothesis. Embed any tables and figures such that they appear near their mention in the text. Number all tables and figures; clearly label all figures. Add a legend as well as a key to any abbreviations and symbols for both tables and figures.Problems/Obstacles Overcome: Provide any problems or obstacles and how this may have affected progress to date. Succinctly describe the facts in a non-biased and professional manner without judgmental or emotional embellishment, and explain what problem-solving strategies were used to solve the problem or obstacle. Reportable Outcomes: Provide a detailed description, if you have applied for (or been issued) a patent, developed a cell line, developed a tissue or serum repository, or developed a data registry. These are reportable events for military research funding.Summary of DisseminationCarefully document any dissemination activities since the start of the award in the following table; delete/add rows to the appropriate categories as needed; delete unused categories and/or rows; if no dissemination activities in any category, delete the entire table and document “none” Type of DisseminationCitation(s)Date and Source of Approval for Public ReleasePublications (using a consistent reference style, provide complete citation for papers already published in print or electronic journals)Publications in Press (using a consistent reference style, provide partial citation for papers accepted for publication but not yet published in print or electronic journals; if known, provide estimated date paper will be published)Published Abstracts (using a consistent reference style, provide complete citation for abstracts published in print or electronic journals)Podium Presentations (using a consistent style, provide author(s), title of presentation, conference name, conference location, date of presentation, sponsoring agency or organization) Poster Presentations (using a consistent style, provide author(s), title of poster, conference name, conference location, date of presentation, sponsoring agency or organization)Media Reports (provide details such as title, type of media [e.g., press release, newspaper article, television or radio story, internet post], date of report)OtherNext Steps: Provide a summary of what key activities will be accomplished for the remaining period of the grant. Mentor Evaluation: Please report a summary of communication with the protégé. Include the number of interactions, their approximate dates, the topics of discussion for each interaction, and the action following the interaction. Provide an evaluation of the protégé’s progress toward educational goals. Provide an assessment of the study’s progress, areas for improvement, and suggestions for successful completion. Delete if this does not apply. Recruitment and Retention Summary Table: Human Subjects ResearchThis section contains seven tables. Select and complete the table that bests aligns with your study or project. Delete the remaining tables. Add rows if indicated. For multi-site studies, include a table for each site. For studies with more complex recruitment and retention data, you may add a recruitment and retention figure as long as it contains all information contained within the tables.Recruitment and Retention Number of Subjects This Reporting PeriodTotal Number of Subjects Since Study or Project BeganNumber of Subjects Projected in Grant ApplicationSubjects AvailableSubjects Contacted or Reached by Approved Recruitment MethodSubjects ScreenedSubjects IneligibleSubjects RefusedHuman Subjects ConsentedSubjects Who WithdrewSubjects Who Completed StudySubjects With Complete DataSubjects with Incomplete DataAnalysis: In one to five sentences, describe trends related to recruitment and enrollment. For example: During the initial months of recruitment, an average of 10 subjects were recruited each month. During the past 3 months, approximately 17 subjects were recruited each month. We expect to complete recruitment by 1 August 2011. Since the start of the study, one subject has withdrawn from the study.Recruitment and Retention 1)Summary Table: Human Subjects Research with Control/Sham GroupRecruitment and Retention Aspect Number of Subjects This Reporting PeriodTotal Number of Subjects Since Study or Project BeganNumber of Subjects Projected in Grant ApplicationSubjects AvailableSubjects Contacted or Reached by Approved Recruitment MethodSubjects ScreenedSubjects Ineligible Subjects RefusedHuman Subjects ConsentedSubjects Intervention Group / Control or Sham Group Intervention Group / Control or Sham Group Subjects Who WithdrewIntervention Group / Control or Sham Group Subjects Who Completed StudyIntervention Group / Control or Sham Group Subjects With Complete DataIntervention Group / Control or Sham Group Subjects With Incomplete DataAnalysis: In one to five sentences, describe trends related to recruitment and enrollment. For example: During the initial months of recruitment, an average of 10 subjects were recruited each month. During the past 3 months, approximately 17 subjects were recruited each month. We expect to complete recruitment by 1 August 2011. Since the start of the study, one subject has withdrawn from the study.Recruitment and Retention 1)Summary Table: Human Subjects Research with Multiple InterventionsRecruitment and Retention Aspect Number of Subjects This Reporting PeriodTotal Number of Subjects Since Study or Project BeganSubjects Projected in Grant ApplicationSubjects AvailableSubjects Contacted or Reached by Approved Recruitment MethodSubjects ScreenedSubjects IneligibleSubjects RefusedHuman Subjects ConsentedSubjects Intervention Group 1 / Intervention Group 2 / Control or Sham GroupIntervention Group 1 / Intervention Group 2 / Control or Sham Group Subjects Who WithdrewIntervention Group 1 / Intervention Group 2 / Control or Sham Group Subjects Who Completed StudyIntervention Group 1/ Intervention Group 2 / Control Group Subjects With Complete DataIntervention Group 1 / Intervention Group 2 / Control Group Subjects With Incomplete Data2)Analysis: In one to five sentences, describe trends related to recruitment and enrollment. For example: During the initial months of recruitment, an average of 10 subjects were recruited each month. During the past 3 months, approximately 17 subjects were recruited each month. We expect to complete recruitment by 1 August 2011. Since the start of the study, one subject has withdrawn from the study.B.Recruitment and Retention 1)Summary Table Medical Record/Data Registry ResearchRecruitment and Retention Aspect Number of Subjects This Reporting PeriodTotal Number of Subjects Since Study or Project BeganMedical or Data Registry Records AvailableMedical or Data Registry Records ScreenedSubjects Ineligible Subjects With Complete DataSubjects with Incomplete Data2)Analysis: In one to five sentences, describe trends related to recruitment and enrollment. For example: During the initial months of data collection, an average of 100 charts were reviewed each month. During the past 3 months, data from approximately 17 records were entered each month. We expect to complete data collection by 1 August 2011. Since the start of the study, data from two subjects were incomplete.B.Recruitment and Retention 1)Summary Table Animal ResearchRecruitment and Retention Aspect Number of Subjects This Reporting PeriodTotal Number of Subjects Since Study or Project BeganAnimals Projected in Grant Application Animals PurchasedModel Development Animals Research AnimalsAnimals With Complete DataAnimals with Incomplete Data2)Analysis: In one to five sentences, describe trends related to recruitment and enrollment. For example: During the initial months of the study, data were collected on an average of 10 animals each month. During the past 3 months, approximately 17 animals completed the protocol each month. We expect to complete animal data collection by 1 August 2011. Since the start of the project, one animal was euthanized for an unrelated medical condition.B.Recruitment and Retention 1)Summary Table: Animal Research with Control/Sham GroupRecruitment and Retention Aspect Number of Subjects This Reporting PeriodTotal Number of Subjects Since Study or Project BeganAnimals Projected in Grant ApplicationAnimals PurchasedModel Development AnimalsAnimals Intervention Group / Control or Sham GroupIntervention Group / Control or Sham Group Animals With Complete DataIntervention Group / Control or Sham Group Animals With Incomplete DataAnalysis: In one to five sentences, describe trends related to recruitment and enrollment. For example: During the initial months of the study, data were collected on an average of 10 animals each month. During the past 3 months, approximately 17 animals completed the protocol each month. We expect to complete animal data collection by 1 August 2011. Since the start of the project, one animal was euthanized for an unrelated medical condition.B.Recruitment and Retention 1)Summary Table: Animal Research with Multiple InterventionsRecruitment and Retention Aspect Number of Subjects This Reporting PeriodTotal Number of Subjects Since Study or Project BeganAnimals Projected in Grant Application Animals PurchasedModel Development Animals Animals Intervention Group 1 / Intervention Group 2 / Control or Sham GroupIntervention Group 1 / Intervention Group 2 / Control or Sham Group Animals With Complete DataIntervention Group 1 / Intervention Group 2 / Control or Sham Group Animals With Incomplete DataAnalysis: In one to five sentences, describe trends related to recruitment and enrollment. For example: During the initial months of the study, data were collected on an average of 10 animals each month. During the past 3 months, approximately 17 animals completed the protocol each month. We expect to complete animal data collection by 1 August 2011. Since the start of the project, one animal was euthanized for an unrelated medical condition. Budget Update1)Current Budget: Include the official budget from your applicant organization. An authorized representative from the applicant organization must either sign the budget report or include a memo that indicates approval. Your signature on the report indicates that you carefully reviewed the official budget and agree with it. If TSNRP awarded you additional funds or you reallocated funds from one budget category to another budget category, the budget must reflect the changes.2)Budget Analysis: Summarize plans to expend remaining funds. Indicate whether remaining funds will be sufficient to complete the research study or EBP project. If applicable, briefly describe the rationale for and outcome of reallocating funds and/or obtaining additional funds. Do not use this report to request a budget change; that is accomplished under a separate process using an Award Change Request Form.TimelineCurrent Timeline: Include the most recent approved timeline from your grant. The start date and end date should match those provided on the coversheet of this report. If TSNRP awarded you additional time to complete the project, this timeline must reflect those approved changes. Timeline Analysis: Summarize plans to complete the project in the remaining period of performance. Indicate how the timeline will need to be adjusted, if necessary, to complete the research study or EBP project. If applicable, briefly describe the rationale for and outcome of adjusting the timeline. Do not use this report to request any changes to the period of performance; that is accomplished under a separate process using an Award Change Request Form.Summary Statement: End with a conclusion that succinctly summarizes key results, the degree to which each specific aim was achieved, and any anticipated need to modify any aspect of the study or project. Do not introduce new information in the conclusion. Ensure that the conclusion is justified by the data. References CitedInclude any cited references. Use a consistent style of your choice – one that includes the author(s), article, journal, or book title; volume number (if applicable), page numbers, and year of publication. Provide the PMC reference number (e.g., PMCID234567) for each citation that falls under the NIH Public Access Policy. You may include URLs or PMCID numbers, along with the full reference, for citations that are not covered by the Public Access Policy but that are publicly available in a free, online format. ................
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