Clinical Appraisal

In this episode, Ian picks apart a famous study on substituting NPs for GPs in the Dutch health system, in 15 primary care practices across The Netherlands. It's just one of a large swathe of research that now exists comparing NPs to physicians, but this one is fairly prestigious and Ian describes the things about it which are good, but also that which left much to be desired. This is the first of...

In this episode, Ian presents an idea as Nursing Theory mediating between clinical research and clinical practice in the discipline of nursing, and discusses some philosophical reasons why so many individuals may undervalue the theoretical approaches to clinical nursing, and how, on the whole, this may be naive.

In this episode, Ian reviews a new 2020 paper on interventional versus conservative management for primary spontaneous pneumothorax in adult patients.

In this episode, Ian reviews a Turkish study on ICU patients which sought to learn whether ROM exercises could prevent or reduce incidence of delirium in a subgroup of NIMV ICU patients over 65 years of age, or decrease the duration of delirium in this same sample of patients, should they develop it during their stint on the unit.

In this episode, Ian discusses an article from the Journal of Neuroscience Nursing, published back in 2018, on a prospective case review of 100 patients, where the NPs were evaluated on their ability to properly triage surgical cases to the consulting surgeons.

In this brief episode, Ian discusses the latest CDC reports of a "mere 6% of COVID-19 deaths due to SARS-CoV-2 infection alone" and describes how that misinterpretation is harmful and inappropriate.

In this episode, Ian presents another mathematical thought experiment, but framed again around developing optimism and, potentially, fighting against depressive tendencies to consider oneself a meaningless island amidst the chaotic landscape of the social relationships around them. Considering social cognition from the network standpoint, Ian encourages his listeners to consider themselves more li...

In this episode, Ian details the differences between qualitative research and quantitative research in nursing and other health sciences and discusses the value of qualitative work in particular, which is often eschewed by quantitatively-oriented researchers.

In this episode, Ian discusses a recently published research study in the Journal of Neuroscience Nursing, purporting to show that music therapy in the inpatient setting can aid patients with disorders of consciousness, intricately detailing the strengths and weaknesses as he understands them. He believes this to be an important contribution to the field of neuroscience nursing and hopes others wi...

In this more philosophical episode,  Ian uses combinatoric probability to describe the often infinite combinations of discrete items possible across various contexts and how, knowing this, may enhance compassion through the acknowledgement of one's own limited conclusions.

In this episode, Ian uses a thought experiment coupled with some limited data on BPD to explore the question of whether someone with a Cluster B "personality disorder" is capable of lasting, meaningful behavior change. Implications of this not being the case are explored, superficially.