Clinical Appraisal

In this episode, Ian ponders the mostly absent male perspective in nursing theory and research and speculates a little about why that is and what might be its relevance to the continued improvement of the still young discipline.

In this episode, Ian maps out the origins of the Clinical Appraisal podcast, how things have gone, and where he sees them moving from here as the show evolves over time, based on his current interests in theory and methodology.

In this episode, Ian interviews Nili Steiner, MSN, RN, SCRN working in a major stroke center at a level 1 trauma center in Los Angeles county, California, who has been an emergency nurse for 28 years and a stroke nurse for 11 years. Recently, pre-COVID-19, she led a pre-hospital PCA stroke education program for parademics and pre-hospital providers and joins Ian to discuss her community Implementa...

In this episode, Ian talks with statistics professor, Dr. Joshua W. Lambert, Ph. D., from the University of Cincinnati College of Nursing, where Dr. Lambert helps foster the development of statistical competencies in graduate nursing students in both the PhD and DNP programs. He joins Ian in discussion about an editorial he wrote for the Journal of Nursing Education (JNE) in January, 2020, wherein...

In this episode, Ian had the great pleasure of interviewing Dr. Patrick Lyden, MD, of University of Southern California Keck School of Medicine in the division of Neurology, where he asks Dr. Lyden some fundamental questions about the NIHSS instrument. Enjoy!

In this episode, Ian provides some musings on the problem of research and COVID-19 and what things might look like had we had larger swaths of nurse researchers able to participate in the larger conversation of public health throughout the pandemic.

In this episode, Ian details a recently published study in JICCN discussing the willingness of ICU nurses at the bedside to provide care to COVID-19 patients in the first wave of the pandemic, in Syndney, Australia. This was a prospective cross-sectional, single-center observational study designed to evaluate potential predictors of nurses' willingness, and concluded that communication from manage...

In this episode, Ian addresses a quesionner's concerns over his spending 01:21:00 on the podcast bolstering the perspective of his debate opponents' views on one argument related to restricting DNP-prepared scholars in the conduct of academic nursinng research. It is about respect and understanding others' perspectives, to enhance our own and to improve and increase cross-communication. Enjoy.

In this episode, Ian steel man's one compelling argument against the DNP-prepared clinical investigator. Namely, the fact that DNPs are intended to be prepared as broad-based clinical and practice-change experts, which does not afford for the siloing which must occur for PhD-prepared scholars to be effectives scientist-researchers in their content areas of expertise. This was recorded for the sake...

As a response to a listener's question, Ian addresses in this episode the core differences, as he sees them, between what is efficacy research and what is effectiveness research and tries to gives a few examples of them both. A fairly large topic in and of itself, Ian felt this was worthy of its own podcast episode. Look out for the next episode, which will be released shortly and will feature the...

In this final episode in a saga on the hypothetical demarcation problem in academic nursing research between DNP- and PhD-trained clinical investigators, Ian describes the importance of individual professionals' values and self-identification with practitioner-scholar or research scientist and how there are larger considerations at play, here, than merely the programmatic-level factors of one's do...

In this third AMA episode, Ian answers the following three questions: 1.) Isn't the DNP a "clinical doctorate?;" 2.) Ought we just do away with DNPs focusing on research altogether in favor of becoming direct-entry clinical doctors?; and 3.) What is the difference between "basic research methodology" and "outcomes evaluation methodology" re: PhD v. DNP, respectively?

In this episode, Ian continues his discussion of the DNP as compared with the PhD in terms, specifically, related to the conduct of original academic and clinical research. The paper reviewed, today, was published in the Journal of Professional Nursing in 2020, by Dr. Krystal Canady, DNP, and is entitled: "Practical and philosophical considerations in choosing the DNP or PhD in nursing."

In this episode, Ian responds to a few polite criticisms of his previous episode on DNP versus PhD-level research, and then describes a useful and important 2020 editorial review in Nurse Leader, describing challenges faced by newly graduated DNP-prepared nurses in acute care workforce settings.

In this episode, Ian thinks through the question of how to differentiate the role of the DNP as compared with the PhD in Nursing, from an academic research perspective. Although these are just thoughts and contemplation, there is something here for both DNPs and PhDs in nursing science and the hope is that it merely spurs something of an interesting dialogue about the overly simplistic heuristics...

In this episode, Ian reviews a seminar New England Journal paper by Herridge et al. (2011) discussing functional disability longitudinally post-ARDS treatment across four MICU and SICUs in Canada. The paper details the functional, psychosocial, and medical impairments that have appeared to linger in this sample across five years of follow-up data collection. This paper is considered one of the top...

In this episode, Ian reviews a 2016 paper in Stroke by Condon et al. describing a prospective RN/NP-led transitional stroke care program including follow-up calls and clinic visits after patients were discharged to home from a single-center hospital system. This program intended to review two phases of the TSC program to assess any potentially significant improvements across the phases of implemen...

In this episode, Ian interviews APRN Briana Juskowiak, a certified nurse practitioner in Georgia, who has spent the length of the COVID-19 pandemic working as an ICU NP, treating COVID-19 patients on the front line. Bree joins Ian in this episode of Clinical Appraisal to discuss her experiences in a COVID hot spot and to discuss an article from Shah et al. (2020) published in Critical Care Medicin...

In this Ask-Me-Anything episode, Ian answers three listener questions. Question one asks about Odds Ratios. Question two asks whether nursing and medicine are more Art or more Science. And question three asks what the main difference is between what broadly constitutes medicine and what constitutes nursing. Enjoy!

In this episode, Ian reviews a recent Nursing Outlook paper on Workforce Outcomes in nurse practitioners as a result of changes in full practice authority legislation during the period of 2010-2018. This study was designed to assess whether instituting full practice authority legislation in states that previously did not have it might improve workforce outcomes in NPs which might thereafter have i...

In this episode, Ian describes how implementation is the key missing link in what might bring together academic-based nursing research and clinical nursing practice, and discusses how the DNP model of terminal training in nursing practice may be the proper conduit for this level of translational and implementation science and policy development.

In this colloquial episode, Ian first answers two listener questions and then dives into how he thinks about doing a "quick read" through scientific articles, and paraphrases a new paper he's not yet read before live for the audience. The point of this is different from his usual deep dives into the literature; it's to give his audience a sense of what sorts of questions they might ask themselves...

In this episode, Ian gives an argument for why integrating others' values into our interpretations of data (whether in dialogue with another person through conversation or with respect to our scientific inquiry in health care research) is an imperative way to model reality more accurately, and discusses the fact-value overlap in statistical inquiry in scientific research.

In this first AMA episode of the Clinical Appraisal podcast, Ian provides his thoughts on two listener questions which were recently emailed, both about the COVID-19 pandemic and some of the more recent metrics which were used to evaluate data on patient outcomes. The first related to excess all-cause mortality, and the second to masking-related decreases in hospitalization rates.

In this episode, Ian discusses the issues the nursing profession may face if its students continue to eschew things like Nursing Theory or professional advocacy, and generally philosophizes and pontificates about the larger problems which might result from continued demonization of our forebears.