Social network analysis: Exploring connections to advance military nursing science

Nursing leadership and influence in practice domains at a Veterans Affairs Health Care System

BACKGROUND

Studies in Veteran populations have examined disparities in health service use, care quality, outcomes and increased demands for behavioral health.

PURPOSE

The purpose is to describe the development of nursing leadership roles that influenced practice improvements and demonstrated outcomes related to health disparities in a Veterans Affairs (VA) population over a 12-year period.

METHODS

The Sundean and colleagues' concept analysis of nurse leadership influence was applied to frame the initiative process and impacts.

DISCUSSION

Antecedents and processes that facilitated leadership development included mentorship, disparities expertise, partnerships, consultation, scholarship, dissemination, advocacy, education, and strong coauthor collaboration. Improvements and outcomes included access to services, improved health indicators, tools, workforce, funding, innovations, and nurse investigator studies, consistent with VA priorities and policy related to disparities and equity. Limitations and barriers were addressed.

CONCLUSION

This initiative models' strategies to increase nurse leadership in health equity and care transformation in health systems and community practices.

Research interest groups: Creating the foundation for professional nursing education, mentorship, and collaboration

BACKGROUND

Research Interest Groups have been used to enhance collaboration within specialty health care areas.

PURPOSE

This article was to demonstrate the impact of an organic model created by the TriService Nursing Research Program which became a conduit for collaboration across the three branches of Military Nursing Services to answer relevant research questions and support evidence-based practice.

METHODS

Groups were organized around different specialty topics with a focus on education, mentorship, and collaboration. Modest funding, together with the development of an annual plan and report of scholarly activities allowed the groups to capture their impact and to strategically align efforts to support the National Defense Strategy and excellence in Military Nursing.

FINDINGS

From 2018 to 2021, overall publications and funded grants for these groups increased each year despite multiple competing priorities.

DISCUSSION

TriService Nursing Research Program Research Interest Groups demonstrate a successful, and easily replicable model to generate and disseminate research to inform clinical practice and health policy, both in the public and private sectors.

Spatial Network Structure of China’s Provincial-Scale Tourism Eco-Efficiency: A Social Network Analysis

While tourism eco-efficiency has been analyzed actively within tourism research, there is an extant dearth of research on the spatial network structure of provincial-scale tourism eco-efficiency. The Super-SBM was used to evaluate the tourism eco-efficiency of 30 provinces (excluding Tibet, Hong Kong, Macao and Taiwan). Then, social network analysis was employed to examine the evolution characteristics regarding the spatial network structure of tourism eco-efficiency. The main results are show as follows. Firstly, tourism eco-efficiency of more than two thirds’ provinces witnessed an increasing trend. Secondly, the spatial network structure of tourism efficiency was still loose and unstable during the sample period. Thirdly, there existed the multidimensional nested and fused spatial factions and condensed subsets in the spatial network structure of tourism eco-efficiency. However, there was still a lack of low-carbon tourism cooperation among second or third sub-groups. These conclusions can provide references for policymakers who expect to reduce carbon emissions from the tourism industry and to achieve sustainable tourism development.