Abstract

Research indicates that number of nurse practitioners (NPs) is growing. Additional training is necessary to increase self-efficacy in tactical settings. Evidence shows the Tactical Combat Casualty Care (TC3) course is the national standard for tactical medical training. This pilot study aimed to demonstrate that the TC3 course increases the tactical self-efficacy of flight nurse practitioners (FNPs) in preparation for the role of the law enforcement tactical nurse practitioner. Selected FNPs completed a TC3 course to increase tactical self-efficacy through a combination of formal (didactic), informal (vicarious), and physiological conditioning (scenario-based) positive verbal or written reinforcement, as theorized by Bandura. A general self-efficacy scale (GSES) was administered, and data were compared and analyzed us- ing two-tailed paired t tests. Clinical relevance was identified in the fact that tactical self-efficacy increased in all participants, and a statistically significant increase in tactical self-efficacy was seen in 50% of the FNPs. Increasing the tactical self-efficacy of FNPs helped prepare them for the role of the law enforcement tactical nurse practitioner in support of a metropolitan Special Weapons and Tactics team. This project is not generalizable but brings the current body of knowledge together regarding NPs working in tactical environments. Future studies are still needed.

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