PODCAST · health
Clinical Appraisal
by Ian A. Lane
Evaluating the science and theory of nursing through a rigorous methodological lens
Episodes
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111. Balancing Life and Death and Nursing Science
What it takes to be a nurse scientist-in-training and a practicing clinician at the bedside requires a level of emotional maturity I think is likely entirely unique. I have immense respect for your work, and no one should ever make you feel as if you are a lesser researcher or scholar because of...
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110. Dr. Carrie-Ellen Briere on biomarker research in nursing: The benefits and components of human breastmilk
Dr. Briere's recent publication can be read, here: https://www.mdpi.com/2072-6643/16/3/362
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109. Philosophical laziness and problems of replication
Don't become an evangelist for Capital S- Science. Instead, be open to the idea that you may not know what you think you know based on singular studies that have never been replicated, and may have results which actually fail the false discovery test.
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108. Practice-changing clinical research is rare
How often should you expect the clinical research in your field to change your practice? If we assume Price's Law holds in health research regarding the validity of non-Null findings, we should expect a small fraction of published research to provide 'true' results. And amongst them, a smaller…
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107. Dr. Jacqueline Nikpour on expanding RN practice in Primary Care
Jackie Nikpour joins the podcast to discuss her crucial work in the space of primary healthcare and share her thoughts on what it means for RNs to work at the top of their license in primary healthcare in the U.S.
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106. Dr. Pamela Grace on Nursing Ethics
Dr. Pamela J. Grace joins the podcast for an episode dedicated to a discussion about how nurses can 'do right' by their patients.
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105. Don’t mistake experience for truth
Don't devalue new nurses' experiences and assume that, just because you've been in practice a long time it means your practice patterns are based on truisms. The way you've learned to do something and the fact that it's 'worked for you,' doesn't mean it's inherently true. Oftentimes, when…
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104. Scientific evidence trumps medical eminence
The burden of proof to demonstrate efficacy of biomedical tools (namely, drugs or surgery) is on biomedical scientists and physician-investigators. We are too quick, as a society, to assume their science is particularly good, just because it's popular, they're confident in what they do, and what...
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103. The unique canvas of nursing practice
It is easier to differentiate nursing from other health disciplines when you realize that the framework from which you're practicing not only implies unique processes but leads to distinct, if overlapping, outcomes, and that it's not all about tactics and techniques. Techniques and tactics, while...
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102. A hat tip to my NP colleagues
I've recently made the case that I don't believe the NP is practicing nursing anymore, but that they're now medical providers. This is my attempt to buttress the opposing argument, rather that they are simply extending nursing thinking into a legislatively expansive domain of care provision.
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101. You are more than a mini medic
Nursing is unique and we mustn't forget all the ways in which this is true. Medicine is almost always treated as 'the standard' against which other disciplines of healthcare are measured. But why should that be? What right has it earned to maintain that position beyond historical power…
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100. On the concepts of data saturation and counting qualitative data
"Don't quantify your qualitative data." Except when you do it without realizing it... Also, sidebar, yay for 100 episodes of the pod.
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99. Quant methods aren’t coming to the rescue
While qualitative research has challenges, quantitative methodology faces numerous challenges of its own. In the end, what can we really learn about human experience from either form of research? Only that which lies either on the margins, or that which can be captured in an overly simplified model.
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98. Maintaining stamina and excellence in your bedside nursing practice (with Michelle Boivin, BSN, RN)
In this episode, I speak with a well-respected PICU colleague of mine and bedside nursing expert, Michelle Boivin, BSN, RN, about how she has managed to maintain her bedside practice for over 20 years.
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97. Dr. Karen Braccialarghe on simulation in nursing education
https://about.me/ianlane/ https://youtube.com/@clinicalappraisal
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96. Dr. Mallory Perry-Eaddy on being an early career investigator
https://about.me/ianlane/ https://youtube.com/@clinicalappraisal
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95. How can I mitigate heel stick pain in newborns?
https://about.me/ianlane/ https://youtube.com/@clinicalappraisal
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94. Is there really a 'medical model?'
According to the fan-favorite 30-year celebratory piece she wrote in Nursing Science Quarterly in 2017, Dr. Jacqueline Fawcett, Ph.D., RN, FAAN implies that: because the 'medical model' doesn't exist as a conceptual model (from what Dr. Fawcett could find from a brief, non-systematic review),...
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93. How should I secure my nasal tube? (McNeely et al., 2023)
An interesting RCT examining nasogastric tube securement devices versus standard taping methods on accidental dislodgment. https://about.me/ianlane/ https://youtube.com/@clinicalappraisal
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92. Debunking Carper's Ways of Knowing
What else is there to say. https://about.me/ianlane/ https://www.youtube.com/@clinicalappraisal/videos https://www.buymeacoffee.com/ianalaneRN https://www.paypal.com/paypalme/clinicalappraisal
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91. Nurse-led chronic wound care (Sili et al., 2023)
An excellent nurse-led RCT of an organizational-level nursing intervention for specialty wound care clinics. (Sili et al., 2023) https://about.me/ianlane/ https://www.youtube.com/@clinicalappraisal/videos https://www.buymeacoffee.com/ianalaneRN https://www.paypal.com/paypalme/clinicalappraisal
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90. Nursing - What is it? (Hall, 1963)
A review of Lydia E. Hall's seminal 1963 work: "Nursing - What is it?" An important addition to the Clinical Appraisal Nursing Theory podcast series and the inaugural YouTube video podcast upload. Watch on YouTube: https://www.youtube.com/@clinicalappraisal
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89. Leveraging the zone of proximal development to grow as a scientist
Struggling with imposter syndrome? In academics, this feeling never goes away. And there's no magical threshold that comes with taking more and more classes to makes you 'ready' to write that first grant or paper. It's time, now, to push yourself to new heights. Watch on YouTube:...
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88. Dr. Bernard Garrett on Anti-Empiricism in Nursing
A discussion with Nurse Theorist and Scientist, Dr. Bernie Garrett, from UBC School of Nursing, on the problem of New Age Spiritualism in Nursing.
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87. Pod-Brief: Qualitative biases & Importance of Clinicians in EBP
A brief discussion of the challenges and biases that arise when interpreting qualitative research, as well as the pivotal role of clinical insights in advancing evidence-based practice in health sciences.
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86. Why are you so skeptical?
This episodes discusses the philosophical importance of skepticism in scientific pursuits.
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85. Psych nursing before Thorazine (feat. Dianne Lane, MSN, RN)
In this episode, Ian speaks with his grandmother, Dianne Lane, a masters-prepared psychiatric nurse and nurse researcher who is now 90 years old. In it, she describes what life was like as a psychiatric nurse pre-psychotropic drugs.
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84. What does it mean to advance nursing practice?
What is an advanced nurse? Is prescription authority synonymous with APRN practice? What constitutes an APN? These are issues dealt with in this episode of the podcast.
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83. Dr. Phyllis Whitehead on unique contributions of clinical nurse specialists to care teams
In this episode, Ian speaks with National Association of Clinical Nurse Specialists (NACNS) President, Dr. Phyllis Whitehead, PhD, APRN/CNS, FAAN, about how she conceptualizes the unique contributions to patient care of CNS trained nurses and how one might differentiate the roles of CNS...
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82. Dr. Stephanie Griggs: Sleepy hormones and cosinor models
In this conversation, Ian talks with Dr. Stephanie Griggs, PhD, RN, FAAN, a sleep self-management expert in pediatrics, focused on young adult health. Stephanie is an assistant professor of nursing at Case Western Reserve University and an up-and-coming force to be reckoned with in academic sleep...
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81. Good critical appraisal is tricky
In this episode, Ian discusses the importance of understanding research design and analysis to accurately determine the efficacy of research findings, as well as the frequency with which most research findings are demonstrably proven 'false' over time, according to researchers at Stanford....
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80. My quantitative methods origin story
In this episode, Ian details his journey through quantitative health science and how he originally became interested in statistical methods as applied to research on human health.
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79. Research is multimodal
Reality testing is needed to assess the validity of your abstract constructs, and if it cannot be shown to hold outside of your mental ideals... I am sorry, but it's wrong. We need to go back to the drawing board, in some sense.
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78. An argument for the DNP-MSCI
In this episode, Ian concludes his arguments from the last year as to why we need a track for the DNP-prepared clinical researcher, separable from PhD-typical training pathways, for nurse scientists at the applied or practice-based setting, by teasing apart many of the usual rebukes of this idea...
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77. Laboring down on the science of birth (with Melissa Anne Dubois)
In this episode, Ian discusses the science of labor and delivery with Melissa Anne Dubois, a seasoned L&D nurse and soon-to-be Nursing PhD student. They passionately discuss all things maternal health, in the context of what we can learn from the trials that currently exist and where they tend to...
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76. Dr. Anne Marie Rafferty on the politics of nursing knowledge
In this episode, Ian speaks with Dr. Anne Marie Rafferty, a nurse, scholar, educator and historian from the UK, about a 1996 book she published entitled "The Politics of Nursing Knowledge," which was largely predicated on her doctoral dissertation work in medical sociology and modern history.…
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75. Dr. Jacqueline Fawcett on Nursology
In this episode, Ian interviews a Living Legend in Nursing, Dr. Jacqueline Fawcett, PhD, RN, FAAN. Jacqueline is internationally recognized for her work in meta-theoretical underpinnings of nursing science and practice, and has been credited as revivifying a term from the 1970s, "Nursology", as...
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74. Why should I care about Nursing Theory?
In this episode, Ian responds to a listener question about how he reconciles the apparent contradiction in his recent claims about how most nurses eschew nursing theory so we need to make it more pragmatically relevant to practicing nurses, with the idea that he still finds Nursing Theory to be...
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73. Trade-offs in clinical research
In this episode, Ian discusses the importance of clinical trade offs and the implications of the multiplicity problem in terms of real world effects of our overly simplistic theories.
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72. One method of reviewing randomized trials
In this episode, Ian details his methodology for reviewing intervention studies, particularly randomized controlled clinical trials (RCT) and other human subjects experiments in the biomedical or biobehavioral sciences. This is merely the method that has worked for him over the years, and…
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71. Dr. Rosemary Taylor on bullying in nursing
In this episode, Ian speaks with Dr. Rosemary Taylor, PhD, RN, CNL, an experienced nurse and academic scholar with a wealth of knowledge and an interest in studying interpersonal violence, bullying and other noxious behaviors in the health care environment, particularly amongst nurses. Nurse on...
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70. Interpreting data on monoclonal antibodies
In this episode, Ian revisits the notion of number needed to treat (NNT) and absolute risk ratio (ARR) from a few episodes ago, in light of some new claims made about mAb therapies for the treatment of COVID-19 patients, given some of the public support for their early use. As always, the…
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69. Carving a clinical research path as a DNP (feat. Dr. Patricia M. Delgado)
In this episode, Ian speaks with Dr. Patricia M. Delgado, DNP, APRN, DCNP. Patricia is a DNP-prepared principal investigator with extensive training in adult-gerontological primary care and subspecialty training in dermatology about her journey into clinical research, what hurdles she overcame to...
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68. Quality improvement "vs." Clinical Research
In this episode, Ian reviews some literature and some questions surrounding the idea of whether quality improvement (QI) projects are just "research lite" or whether they have valid standing in and of themselves apart from research. Many people have written on whether QI is just 'research which...
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67. Methodological rigor and the Delta variant
In this episode, Ian discusses some methodological challenges in properly interpreting emerging data from the COVID-19 pandemic, specifically surrounding the Delta variant of concern (VOC).
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66. On shared meaning
In this episode, Ian takes a more esoteric thought-ride through the bramble of lived experience and shared health-illness experiences to arrive at a tentative conclusion that perhaps the development of a methodology to evaluate the ontological legitimacy of an externally valid measure of shared...
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65. Exploring the MSCI for clinical experts (with Dr. Marcie Harris-Hayes)
In this episode, Ian speaks with physical therapist and hip pain researcher extraordinaire, Dr. Marcie Harris-Hayes, PT, DPT, MSCI. Dr. Harris-Hayes is on the faculty at Washington University School of Medicine in St. Louis, where she advises trainees interested in clinical research and conducts...
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64. Dr. Yvette Conley on using Omics to study symptoms
In this episode, Ian speaks with Dr. Yvette P. Conley, Ph.D., FAAN of University of Pittsburgh School of Nursing about her experience as a human molecular geneticist working in Nursing Science, to untangle the complexities of symptom development and about nursing research using omics techniques...
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63. Dr. Angela Starkweather on clinical and translational nursing science
In this episode, Ian speaks with Dr. Angela Starkweather, PHD, ACNP-BC, CNRN, FAAN, Professor of Nursing at UConn School of Nursing and NINR-funded translational pain scientist, about biobehavioral mechanisms of pain and symptom self-management. They also talk at length about maintaining clinical...
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62. Dr. Theresa Koleck on applying NLP and data mining to symptom science
In this episode, Ian speaks with Dr. Theresa A. Koleck, PhD, RN, from University of Pittsburg School of Nursing about her expertise in omics and biomedical informatics. Dr. Koleck recently published a fascinating first-author paper in Nursing Research focused on the use of natural language...
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Frequently Asked Questions
How many episodes does Clinical Appraisal have?
Clinical Appraisal currently has 112 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is Clinical Appraisal about?
Evaluating the science and theory of nursing through a rigorous methodological lens
How often does Clinical Appraisal release new episodes?
Clinical Appraisal publishes regularly with 112 episodes available. Check the episode list for the typical release schedule.
Where can I listen to Clinical Appraisal?
You can listen to Clinical Appraisal on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts Clinical Appraisal?
Clinical Appraisal is created and hosted by Ian A. Lane.
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