Clinical Appraisal

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 your clinical practice. Relationships with patients is why we do what we do.

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.

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.

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 studied, we learn what we thought we knew was true... isn't.

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 similar, are grounded and applied from distinct frameworks of knowing and unique strategies, in service of often different goals.

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 hierarchies? Certainly contemporary evidence doesn't support that stance. You are an expert nurse. You are not a lower order version of medicine's implementation arm without prescriptive or diagnostic authority. And you're certainly not the punching bag for a medically-centered hospital system. You are an autonomous professional. Embody that and remember who you are and from where you came.

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.

https://about.me/ianlane/ https://youtube.com/@clinicalappraisal

https://about.me/ianlane/ https://youtube.com/@clinicalappraisal

An interesting RCT examining nasogastric tube securement devices versus standard taping methods on accidental dislodgment. https://about.me/ianlane/ https://youtube.com/@clinicalappraisal

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

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: https://www.youtube.com/@clinicalappraisal

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.