Shows
The FuturistChristy Lane, CEO of Flora Health at HLTH2025 with Ian KhanAt HLTH2025, Ian Khan talks with Christy Lane, CEO of Flora Health, about creating the first-ever individually owned fertility insurance designed to make fertility treatment affordable and accessible. Christy shares insights on women’s reproductive health, financial planning for parenthood, and the future of fertility innovation.Christy Lane is the CEO and Co-Founder of Flora Health, leading the world’s first individually owned fertility insurance platform. With expertise in risk modelling and women’s health innovation, she’s empowering women to plan motherhood on their own terms through financial accessibility and education. Ian Khan is a global...
2025-11-1207 min
Much More Muchier with Pup Duffy & Keira LaneIan Kimble of Horror-Comedy "Dead Giveaway""Dead Giveaway" is having its world premier October 17th at the 34th annual Philadelphia Film Festival filmadelphia.orgTRAILER HERE: https://youtu.be/5FXQzkvRUV8?si=NfbhHpjIhPdBXyE8The film was written and directed by Ian and stars Ruby Modine, Mikaela Hoover, Scout Taylor- Compton, and more.IMDb HERE: https://www.imdb.com/title/tt33029532/?ref_=nv_sr_srsg_0_tt_8_nm_0_in_0_q_dead%2520giveawayIan Kimble has been involved in the film industry as a director, writer, and producer for over ten years. He first found his love for storytelling in the...
2025-10-1713 min
The Fast Lane with Ed LaneIan McCaw AD on revenue sharing and Liberty Football changing the tideIan McCaw AD on revenue sharing and Liberty Football changing the tide by Ed Lane
2025-10-1521 min
Jesus in My Life Podcast101. Ian: Encountering The Living GodSend us a textMuch of Ian's early life was lonesome and independent. As one who's struggled with social anxiety throughout his life, Ian often felt unimportant and purposeless. During a near death illness, the relational presence of the living God visited and conversed with him which changed his life forever. In this episode, you will hear the compelling and honest testimony of Ian's encounter with God himself and how he's never been the same since. If you are desperate to know and experience God and His great love, listen to Ian's story of being seen and...
2024-06-1850 min
Half Hour MentorEpisode 22: Iona LaneIn this episode, we welcome one of the brightest rising starts in the folk and acoustic music world, Iona Lane. Iona’s music is full of inspiration from the wonderful British countryside. In this interview, she shares with us her early influences and her approach to songwriting and career management. This will be particularly useful for young musicians to learn how to forge a professional career in the today’s challenging arts world.Please follow / subscribe to the podcast series and leave a review where you can. You can learn more about the series by following @halfhourmentor on I...
2023-09-2336 min
Kevin Lane's Spill Your GutsEP#208 "Slasher" (with series creator Aaron Martin & writer Ian Carpenter)On television, genre anthology shows have a special place in the hearts of horror fans. Of course, there’s the timeless and enduring “The Twilight Zone” and later the beloved HBO series “Tales from the Crypt”. Along the way you have some solid entries such as “Tales from the Darkside” and “Masters of Horror” but in 2011 Ryan Murphy’s “American Horror Story” became a smash hit and anthology horror was back in business. However, in 2016, it was a Canadian series that truly raised the bar for anthology genre television. Equal parts classic 80’s gore fest, Ag...
2023-04-111h 43
Clinical Appraisal85. 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.
2023-04-0431 minClinical Appraisal83. Dr. Phyllis Whitehead on unique contributions of clinical nurse specialists to care teamsIn 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 practitioners from nurse practitioners.
2022-11-2256 min
The Irreplaceable Man PodcastAligning With & Inspiring Your Personal Life Mission with Lane Belone - Episode 289Episode 289 is about finding your life mission.
What's your mission in life? Lane Belone, former Special Forces Green Beret and now an elite entrepreneur coach, co-author of Unleash Your Humble Alpha, host of Exactly What The Moment Called For and creator of the Joyful Sovereignty Experience. As a special forces soldier he built strength, discipline and healthy habits - but when his service was over he felt like there were parts missing from him; something to live for once out of the military. Lo and behold, he found his next mission. It was to make the world...
2022-11-211h 12Clinical Appraisal82. Dr. Stephanie Griggs: Sleepy hormones and cosinor modelsIn 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 and diabetes self-management research. Specifically, Ian and Stephanie talk about her academic trajectory and how she came to be using a novel time series modeling technique known as cosinor models to better understand the nuances of individuals' patterns and biological rhythms.
2022-11-1758 min
TypologyFinding Meaning Beyond Motherhood with Erin S. Lane (Type 5) [S06-0016]Is motherhood really the hardest job in the world? Is there such a thing as a biological clock? Is motherhood the highest calling? And is it true that you can't truly know love until you're a mother? For Erin Lane, the mythology around motherhood has gotten out of hand. "How did we make motherhood an occupational, performative, identity based measure of worth?" This week, we speak to Erin Lane about these questions, and how being an Enneagram 5 has helped her break out of the scripts our culture gives her for motherhood. --- E...
2022-10-2050 min
It's Only a Podcast - A Horror Movie Review ShowEpisode 174 - Halloween Ends / 10 Cloverfield Lane (2106)Christian and Ian need to tell you about the Cherry Blossoms. We're back to review the alleged/promised finale to the first and longest-running slasher franchise, HALLOWEEN ENDS. Then, we kick off our new Blindspots series and talk about the surprise, genre-hopping sequel, 10 CLOVERFIELD LANE. We also discuss MySpace, cold brew, and evil dying tonight. We'd love to hear your thoughts, questions, or any requests you have. You can contact us at: ItsOnlyFeedback@gmail.com and on Facebook, Twitter, Instagram, and Letterboxd.
2022-10-181h 22Clinical Appraisal81. Good critical appraisal is trickyIn 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. Additionally, he discusses the impact of clinical scholars understanding how to piece together methodological designs while reading wide swaths of clinical literature and how it makes their critical appraisal skills better.
2022-07-1652 min
Clinical Appraisal80. My quantitative methods origin storyIn 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.
2022-04-241h 06
Leading ConversationsNo Wrong Path - Ian & Paul - Ep3In this episode, Barry leads the conversation with Ian Greenhill from Studio Something and Paul Mason from Go Forth about their unconventional paths into the advertising industry. Barry, Ian and Paul chat about their early experiences, inspirations and some of the people who helped them shape their early careers - as well as some of their favourite campaigns from recent years. Enjoy! 🎙
2022-03-2252 minClinical Appraisal78. An argument for the DNP-MSCIIn 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 that come from traditionally prepared scientists and skeptics. Rebutting many of these positions, Ian points out many logical flaws and inconsistencies in the argument that we ought not prepare a small cadre of DNP clinical experts in translational and clinical research, in an effort to help people understand that there is value...
2022-03-2048 minClinical Appraisal77. 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 fall apart from a nursing perspective and potentially fail millions of women and infants. A dynamic guest, Melissa Anne does a great job of being charitable to the medicalization of the birth process where it's warranted but is perfectly willing to shed light on the areas that are in...
2022-03-111h 16Clinical Appraisal76. Dr. Anne Marie Rafferty on the politics of nursing knowledgeIn 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. They discuss how the book has shaped her career, her thinking, and where some of the big problems are in need of tackling in the field, and traverse elements of the historical context that undergirds many of these contemporary nursing and health policy issues.
2022-03-081h 06Clinical Appraisal75. Dr. Jacqueline Fawcett on NursologyIn 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 being most appropriate for our discipline, to distinguish it as a discipline similar to biology or psychology or sociology. Ian was able to ask Jacqueline why she prefers the term and where it originated, how she envisions the linkages between theory and practice in nursing, and how and whether it is possible or necessary to...
2022-02-2540 minClinical Appraisal74. 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 relevant and important and worth embracing and taking seriously.
2022-02-2050 min
Garlic Marketing ShowThe Ultimate KPI-Tracking and Content Regeneration Strategy with Tyler Lane, Session InteractiveIn a world where digital marketing is becoming more and more critical for the success of your business or agency, having an effective content strategy is key. Ian Garlic talks to Tyler Lane, Founder of Session Interactive, about his keys to creating and restructuring great content. Tyler discusses what KPIs you should be tracking as well as how to break down your content priorities. Discover his best tips for incorporating videos into all of your content.What You’ll Learn:The Most Common Errors People Make in Their ContentThe Two Main Goals to St...
2022-02-0134 minClinical Appraisal73. Trade-offs in clinical researchIn 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.
2022-01-2843 minClinical Appraisal72. One method of reviewing randomized trialsIn 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 provides the most bang for his buck. Others' mileage may vary of course. But these are the pieces at least to be on the lookout for, when reading intervention research in biomedicine.
2022-01-101h 45Clinical Appraisal71. Dr. Rosemary Taylor on bullying in nursingIn 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 nurse "horizontal violence" as she has termed in in her dissertation defense and beyond is a construct which has been notoriously difficult to measure and evaluate in the research on this topic, and Dr. Taylor's life's work is to help tease apart these issues in an effort to disentangle the structural barriers to intervening and...
2022-01-081h 32Clinical Appraisal70. Interpreting data on monoclonal antibodiesIn 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 approach taken is a methodological one, and the focus is not on COVID-19 per se.
2022-01-0223 minClinical Appraisal69. 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 be afforded the opportunity to be a PI, and her perspective on the viability of this path for others with similar training. Her interests in the intersection of psychiatric and dermatological research was also discussed, from the perspective of there being unique and important questions to answer from her vantage point as a DNP-prepared clinical researcher.
2021-12-3023 minClinical Appraisal68. Quality improvement "vs." Clinical ResearchIn 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 doesn't require IRB approval and can't be gneralized,' while others are staunch proponents of the immediacy and primacy of QI initiatives, for various reasons, some of which will be explored in this episode. Ian discusses three primary components of this problem which are interesting to him: 1. QI and research may only...
2021-10-1953 min
Conscious Design Podcast™Interview with Lane Rasberry on Wikipedia and its UsefulnessWelcome back to another episode of the Conscious Design Podcast and today Ian welcomes Lane Rasberry. Ian lets the guest introduce himself and his connection to Wikipedia. Lane quickly shifts to the topic of the community surrounding Wikipedia and reveals how it actually works there. Ian and Lane go ahead and discuss how Wikipedia deals with user data and how they try to keep the balance and generally the site in check. Lane then explains how in social media and major publications it is possible to quite easily push certain narratives or ideas only with the help of money...
2021-09-3045 minClinical Appraisal67. Methodological rigor and the Delta variantIn 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).
2021-08-2034 minClinical Appraisal66. On shared meaningIn 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 health-illness experiences is perhaps tenable after all... (then again, this is all just interesting pontificating at this point).
2021-08-1523 minClinical Appraisal65. 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 her own independent program of research focused on arthritic and pre-arthritic hip conditions. She has been an independently funded scientist translating the work of her colleagues from the bench to the bedside for a number of years, and joins the podcast today to speak with Ian about what the path looks like for an MSCI-prepared clinical...
2021-07-2758 minClinical Appraisal64. Dr. Yvette Conley on using Omics to study symptomsIn 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 more broadly.
2021-07-231h 03Clinical Appraisal63. Dr. Angela Starkweather on clinical and translational nursing scienceIn 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 competence as a clinical researcher in nursing science and balancing one's career aspirations across domains.
2021-07-211h 02Clinical Appraisal62. Dr. Theresa Koleck on applying NLP and data mining to symptom scienceIn 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 processing (NLP) in the study of five deliberately selected symptoms. This project was a methodologically-focused feasibility pilot of the use of NLP and the NimbleMiner R-Studio Shiny package, created by one of her nurse scientist colleagues at Columbia University (Dr. Max Topaz). Additionally, they discuss Dr. Koleck's broader interests in symptoms and symptom burden.
2021-07-071h 03Clinical Appraisal61. Dr. Paule Joseph on contributions to nursing scienceIn this episode, Ian speaks with NIH Lasker Clinical Scholar, Dr. Paule V. Joseph, PhD, CRNP, FAAN, about her experiences as a nurse scientist focused on the translation of basic science questions into practice. Her work specifically concentrates on chemosensory (taste and smell) dysfunction arising from metabolic conditions(i.e., obesity) , but she has a wealth of experience in every facet of clinical investigation, and simultaneously continues to practice as an advanced practice nurse, board certified in family practice. As she has become an impromptu mentor for Ian, he was extremely grateful to have the opportunity to interview her...
2021-06-2644 minClinical Appraisal60. Postprandial walking for blood glucose control (Reynolds et al., 2016)In this episode, Ian reviews a 2016 paper in Diabetologia predicated on the self-care management of type 2 diabetes with a walking intervention aiming to evaluate 10-min. post-meal walks 3x/day compared to standard 30-min. walking advice for daily physical activity in an effort to control blood sugar levels.
2021-06-2536 minClinical Appraisal59. Effecting change through nursing leadership (with Dr. Martha Dawson)In this episode, Ian had the pleasure of speaking with Dr. Martha A. Dawson, DNP, RN, FACHE, an esteemed nurse executive, Associate Professor of nursing at the University of Alabama at Birmingham. Dr. Dawson is a health administration expert and implementation researcher, and the current President/CEO of the National Black Nurses Association (NBNA). This inspirational interview describes Martha's dynamic journey through nursing and health administration into positions of leadership within the profession and concludes with poignant advice to budding nurses about their future careers as well as a gripping discussion on the need to improve diversity in the...
2021-06-121h 07Clinical Appraisal58. Managing burnout in healthcare workers (with Dr. Joshua Lea)In this episode, Ian speaks with Dr. Joshua Lea, DNP, MBA, CRNA, an Assistant Clinical Professor at Northeastern University's School of Nursing, about his research interests in occupational wellness and burnout amongst healthcare professionals and nurses in particular, including the importance and ramifications of this issue for both providers and for patients.
2021-06-1238 minClinical Appraisal57. Primary care treatment of headache (with Dr. Maureen Moriarty)In this episode, Ian speaks with Dr. Maureen Moriarty, DNP, ANP, FAHS, a primary care headache specialist with a private practice in Maryland about her journey through academics and to becoming a principal investigator.
2021-06-1129 minClinical Appraisal56. Bridging nursing and public health (with Dr. Susan Strobel)In this episode, Ian has a discussion with Dr. Susan Strobel, DNP, MPH, RN, Assistant Professor of Nursing and Public Health at University of South Dakota, about her experiences as a DNP-prepared clinical investigator and academic scholar. This is part one in a brief series called "Showcasing DNP Scholars." (If you know exceptional DNP-prepared nurse scientists or academicians, please send Ian an email at clinicalappraisal@gmail.com nominating them for an interview! And if you are that DNP-prepared nurse, and you're interested to come on and talk about your journey, please send along that email!)
2021-06-1020 minClinical Appraisal55. Good and bad reasons to get a PhDIn this episode, Ian describes some of the better and worse reasons to pursue a PhD in Nursing Science, from his perspective having spent time in a PhD program and working under PhD-prepared investigators at the medical school prior to entering graduate studies. This is a response to a listener question.
2021-06-0959 minClinical Appraisal54. Who can serve as PI?In this episode, Ian discusses the question of whether PI eligibility status is granted on the basis of having earned a PhD and what role a DNP-prepared investigator might serve in clinical research as a team lead. Furthermore, Ian describes the many avenues a DNP-trained professional nurse interested in pursuing an academic research career might go about trying to make this dream a reality.
2021-06-051h 07Clinical Appraisal53. Participatory Action Research (PAR) & CBPRIn this episode, Ian describes what Community-Based Participatory Research (CBPR) is and what Participatory Action Research methods often look like when done comprehensively, and details just a few of the myriad ways it could be beneficial for nurse researchers to adopt as a methodology in their patient-oriented outcomes related scientific work.
2021-05-2435 minClinical Appraisal52. Nursing informatics and health equity (with Dr. Anthony Tolentino)In this episode, Ian speaks with Dr. D. Anthony Tolentino, PhD, RN-BC, a National Clinician Scholars Fellow at the University of Michigan School of Nursing about his experience working in health informatics as a nurse informaticist and gaining some insight not only into the types of methods and analyses Dr. Tolentino has used in his work (including computational ethnographic methods using Markov chain models and more) but also how he's become gripped by the problem of disaggregating health data for minoritized groups to improve self-management of disease. His particular population health focus is on type II diabetes outcomes in...
2021-05-221h 00Clinical Appraisal51. A primer on risk ratios and number needed to treat (NNT)In this episode, Ian discusses relative versus absolute risk ratios and number needed to treat (NNT). In it, he describes some of the ways each are used and under what conditions it might be best to use one over the other, as well as what precisely the NNT really means. Finally, he concludes with some thoughts about how interpreting regression output is bound to be a vital skill for DNP-prepared nurses to adequately translate the science of nursing into their practices.
2021-05-1332 minClinical Appraisal51. Who gets to have an opinion?In this episode, Ian talks a little about why it's important not to silo our experts away as the only people able to speak to a topic of relevance to the population. Generally, the more and more expertise is developed, the more niche and nuanced it becomes, and the less overarching pertinance it has to the broader topic at hand. Furthermore, who gets to decide which layer of expertise or which vector matters most? Should all the experts get to speak, or just one subset? Should those with lived experience get to speak, too, or just the academics? Only...
2021-04-2921 minClinical Appraisal50. Test-retest reliability within and between subjects in qualitative analysisIn this episode, Ian describes an issue he sees with qualitative analysis, whereby a kappa coefficient for inter-rater reliability is often met and then forgotten about, once, but that consistency in these reliability scores is problematic both within raters but also between raters. Furthermore, there is an issue of inter-subject disagreement and intra-subject disagreement. In the end, there seems to be a test-retest reliability problem both within and between subjects in qualitative analysis, which has heretofore not gotten much attention in the methodological realm, which Ian is attempting to shed some light on in this opinion piece.
2021-04-2933 minClinical Appraisal49. Some limitations of qualitative inquiryIn this episode, Ian riffs off-the-cuff about a fascinating book he's currently reading by Dr. Janice Morse, a well-regarded anthropologist and nurse researcher who pioneered the field of qualitative health research, laying out some of the advantages and disadvantages, as well as some of the limitations, of qualitative methodology and how it ties into the philosophy of science conversations which have occurred recently on the podcast.
2021-04-2653 minClinical Appraisal48. Could hourly neuro checks in ICU pts be more harmful than helpful? (McLaughlin et al., 2018)In this episode, Ian details a nice paper by McLaughlin, Hartjes, and Freeman who tracked 20 of their own Neuro ICU patients who were receiving the standard hour-by-hour neurological examinations after admission to the Neuro ICU to find out whether sleep deprivation might be related to the potential for seeing increased neurological deterioration or ICU delirium during their tenure on the unit. The proposal is that this effect, if observed, might be mediated or moderated by sleep deprivation. This was a single-arm, prospective, natural history cohort design, designed to look at their pt population prevelance of neurological decline or delirium...
2021-04-1633 minClinical Appraisal46. Defining Nursing, Part II: The theory-practice divideIn this episode, Ian passionately describes his reasoning behind the belief that Nursing Theory ought to backpeddle toward practitioners as the existential philosophical enterprise has it seemingly running toward extinction, as it leaps further and further away from what practitioners actually need or care about. Then he reads through 21 definitions of what Nursing is or consists of by the thought leaders of our field from Nightingale onward, save only a few, and discusses some of his agreements and contentions with these thinkers perspectives. Ultimately, as Dr. Rosemarie Rizzo Parse has written, previously, philosophical debate is at the heart of...
2021-04-121h 03Clinical Appraisal45. Defining Nursing, Part I: Not all theories are equalIn this episode, Ian decribes two different definitions of what constitutes nursing - one from the 1960s and one from the 1990s, as nursing science trended toward an epistemology much more tightly aligned with postmodern existentialism as it moved away from logical empiricism. This is to provide a glimpse of what may frustrate students about Nursing Theory coursework; it often strikes them as not useful or relevant or even related to their clinical practices, which is why they generally sought nursing as a career in the first place. This isn't to say Nursing Theories and their respective definitions of...
2021-04-1023 minClinical Appraisal44. What is Nursing Science? (Part II)In this episode, Ian continues a conversation on the necessary constituents of what comprise Nursing Science as such. A continuation of the previous episode, this time Ian gives such compelling reasons why we ought not consider nurse scientists to merely be researchers who identify as nurses. In the end, the position Ian lands on is that it may indeed be the case that Nursing Science exists, per se, but that it must be founded on theoretical conceptualizations and conceptual models unique to the discipline of nursing, which necessitates a clear definition of Nursing itself.
2021-04-0421 minClinical Appraisal43. What is Nursing Science?In this episode, Ian describes some plausible distinctions between nursing and medicine and, thus, nursing science and medical science. Beginning with fundamental definitions and philosophical considerations, he contends that there may in fact be a distinct nursing science paradigm set apart from other disciplines in the sciences, but in order to conclude that we must first generate a consensus definition on what sets apart nursing from medicine in the first place. The construct of a 'nursing science' hinges entirely on the operational definition of what is Nursing, per se. In the end, this is an exceptionally complicated question Ian...
2021-04-0341 minClinical Appraisal42. Insights from a travel NP (with David Warren)In this episode, Ian speaks with David Warren, NP, a triple-board certified nurse practitioner about his practical experiences as a clinical expert in the field of emergency care across six years of travel nursing. Together, they discuss some of the challenges David has seen in the contemporary field of advanced practice nursing, specific to nurse practitioners, and speculate about ways high-quality nursing research may be leveraged to address some of these concerns. Furthermore, Ian takes the opportunity to ask David, who has worked alongside numerous healthcare providers across several state lines, what he sees as some pivotal areas nurse scientists...
2021-04-031h 10Clinical Appraisal41. Dr. Anne Sales on implementation research and nursing practiceIn this episode, Ian speaks with Dr. Anne Sales, PhD, RN, a nurse and professor in Michigan and a notable health services researcher. A founding co-editor in chief of the journal Implementation Science Communications, Anne discusses with Ian the advent of implementation science as a discipline and its relationship to health services research and nursing science.
2021-03-1656 minClinical Appraisal40. Health behavior change (with Catherine Nagawa)In this episode, Ian speaks with Catherine Nagawa, MS, a PhD student in her final year of a clinical & population health research program, whose work focuses on health behavior change and smoking cessation. She joins Ian today to discuss how the various theories of health behavior might be applicable to things nurses and nurse researchers care about, including clinical interviewing, self-management of disease, health promotion and disease prevention. Enjoy!
2021-03-1452 minClinical Appraisal39. ICU alarms and sound pressure levels (Vreman et al, 2020)In this episode, Ian goes through a recent, interesting paper published in the Journal of Intensive and Critical Care Nursing by Vreman and colleagues from the Netherlands, wherein the authors describe the sound pressure effects of various alarm bells in differing ICU environments, at various timepoints throughout the day.
2021-03-1155 minClinical Appraisal38. Nightingale introjectedIn this episode, Ian discusses the internalization of nursing theories in the everyday practice of nursing which is taken for granted as just being part and parcel of nursing, but which actually resulted from the theorizing of specific nursing thinkers throughout the ages. In an attempt to help bridge the gap between practice and theory, Ian sees one of the many necessary steps as helping nurses on the ground who reject theory outright to see where they've actually introjected these theories into their practices, despite their purported rejection of the ideas from an academic perspective.
2021-02-2827 minClinical Appraisal37. On NP education (with John Canion)In this episode, Ian speaks at length with John Canion, NP, a board certified emergency nurse practitioner in the State of Texas, who has become passionate about NP educational reform. John walks Ian through his thinking on where the current problems are, from where they may have arisen, and what he sees as some viable movements forward to overcome some of the political strife the field is contending with. Please feel free to share comments or questions; John has graciously offered to come back on again, anytime. Enjoy!
2021-02-221h 10Clinical Appraisal36. Male representation in nursingIn 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.
2021-02-2127 minClinical Appraisal35. Charting a path forwardIn 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.
2021-02-201h 01Clinical Appraisal34. Nurse-led prehospital stroke education program (with Nili Steiner)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 Implementation Project. Enjoy!
2021-02-0933 minClinical Appraisal34. Intuitive regression output interpretationIn this episode, Ian walks through Excel's data analysis package output for a simple linear regression model and briefly, in an inuitive, non-mathematically rigorous way, walks through the interpretive meaning of some of these pieces of the regression model; what they mean, how to interpret them, what one would say about them in looking at their analysis. The fact that it's an audio only format makes it a bit of a challenge, but we like a challenge. (Please email thoughts or reactions to clinicalappraisal@gmail.com.) Hopefully this is a somewhat helpful addition to your educational armementarium re: basic...
2021-01-2932 minClinical Appraisal33. Statistics for DNP students (with Dr. Joshua Lambert)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 he describes some useful statistical tests for DNP students.
2021-01-2758 minClinical Appraisal32. The NIH Stroke Scale (with Dr. Patrick Lyden)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!
2021-01-1920 minClinical Appraisal31. What if there were more nurse scientists?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.
2021-01-1529 minClinical Appraisal30. ICU nurses' willingness to treat COVID pts (Lord et al., 2020)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 management was an important consideration. More importantly, however, Ian describes how this question of how to stop the loss of bedside nurses due to burnout and fear of illness from the pandemic and maintain the integrity of the workforce is crucial to the...
2021-01-101h 01Clinical Appraisal29. On respectIn 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.
2021-01-0921 minClinical Appraisal28. DNP Critical Analysis & EBPIn 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 of those listeners who may have felt over the last few episodes that Ian may not fully understand some of the more nuanced and important reasons to suppress this notion - albeit just one of the different arguments against it. He...
2021-01-071h 22Clinical Appraisal27. Efficacy versus effectiveness researchAs 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 next full-length research review. Happy New Year!
2021-01-0631 minClinical Appraisal26. On individual goals and professional commitmentsIn 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 doctoral study. Ian discusses the shortage of tenured research faculty in clinical nursing research in the United States and how a new cadre of properly trained DNP-prepared research scholars designed to augment and facilitate dissemination of the work of their nurse PhD colleagues should be fostered rather...
2020-12-2953 minClinical Appraisal25. AMA #3In 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?
2020-12-1537 minClinical Appraisal24. Considerations in choosing the DNP or PhD in nursing (Canady, 2020)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."
2020-12-1437 minClinical Appraisal23. Challenges faced by new DNP grads (Labardee et al., 2020)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.
2020-12-1031 minClinical Appraisal22. Differentiating DNP from PhD-level researchIn 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 about DNPs as translators and PhDs as originators of 'knowledge' in the field.
2020-12-0819 minClinical Appraisal21. Residual disability five years after ARDSIn 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 100 critical care studies ever published.
2020-12-0734 minClinical Appraisal20. Reducing stroke readmission with an NP-led transitional care programIn 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 implementation from phase 1 to phase 2 in terms of reducing 30- or 90-day readmission rates.
2020-12-0532 minClinical Appraisal19. First-hand experience in a COVID ICU (with Briana Juskowiak)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 Medicine discussing the possible futility of resuscitation efforts of in-hospital cardiac arrest. Bree can be found on YouTube by searching: "Bree Juskowiak"! Enjoy!
2020-12-0451 minClinical Appraisal18. AMA #2 - What differentiates nursing from medicine?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!
2020-11-2835 minClinical Appraisal17. Full practice authority & NP workforce outcomesIn 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 important downstream effects on health professional shortage areas (HPSA) and other important health services indicators.
2020-11-2627 minClinical Appraisal16. Translating nursing research with implementation scienceIn 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.
2020-11-221h 01Clinical Appraisal15. Feasibility pilot of resilience training for ICU nursesIn 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 and what pieces to look out for as they walk through an article, from the standpoint of a clinician trying to stay up to date, but still doing a critical appraisal...
2020-11-161h 05Clinical Appraisal14. Values in statistical modelsIn 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.
2020-11-0842 minClinical Appraisal13. AMA #1 - Public Health metricsIn 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.
2020-10-3148 minClinical Appraisal12. If not you, then who?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.
2020-10-2336 minClinical Appraisal11. Comparing NPs to general practitionersIn 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 many on this topic. Ian will be reviewing every randomized trial comparing NPs to "standard" medical reference groups which has ever been published, and he'll present them all...
2020-10-181h 10Clinical Appraisal10. Importance of theory in nursing practiceIn 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.
2020-10-1727 minClinical Appraisal9. Spontaneous pneumothorax: Should we intervene?In this episode, Ian reviews a new 2020 paper on interventional versus conservative management for primary spontaneous pneumothorax in adult patients.
2020-09-2215 minClinical Appraisal8. ROM exercises for ICU deliriumIn 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.
2020-09-1745 minClinical Appraisal7. NP triage in outpatient spinal surgeryIn 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.
2020-09-1437 minClinical Appraisal6. Harmful data misinterpretations on COVID-19 mortalityIn 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.
2020-09-0216 minClinical Appraisal5. Your influence on the social landscapeIn 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 like nodes in a network of neurons than as islands or drops in a bucket, which has little to no impact.
2020-09-0215 minClinical Appraisal4. Qualitative versus quantitative nursing researchIn 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.
2020-09-0245 minClinical Appraisal3. Music therapy for disorders of consciousnessIn 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 will follow the authors' sentiment that more work ought to be conducted on this question.
2020-08-2847 min
The Robert Lane Creative Careers PodcastIan McMillanRobert talks to poet, writer and broadcaster Ian McMillan about his career, saying yes to opportunities, criticism, playing to small and large audiences and broadcasting on Radio 3 for twenty years. https://twitter.com/IMcMillan www.robertlanemusic.co.ukSupport this show http://supporter.acast.com/the-robert-lane-creative-careers-podcast-1. Hosted on Acast. See acast.com/privacy for more information.
2020-08-251h 05Clinical Appraisal2. Increasing optimism and compassion with math?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.
2020-08-2522 minClinical Appraisal1. Managing behavior change expectations in disordered personalityIn 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.
2020-08-2439 min
Ian Talks ComedyLane SarasohnLane Sarasohn is a pioneer in television satire. He, along with Ken Shapiro, Chevy Chase and Richard Allen launched Channel One in 1967 and released their greatest hits in the 1974 hit film the Groove Tube (which grossed $104 million in today's money), which influenced much of the comedy that followed. In this supersized episode, he discusses the genesis of the Groove Tube, working with Chevy Chase and Susan Anton on their TV specials, pilot that should of hit and those that shouldn't have, and working on Not Necessarily the News.
Links
http://lanesarasohn.com/ - Lane's personal webpage...
2020-06-121h 34
Ian Hates Movies10 Cloverfield Lane - Ian Hates Movies #63Ian and Kelly broke their theater streak but still got a good movie in this week. On this episode of Ian Hates Movies, they talk the next installment of the J.J. Abrams' Cloverfield universe, 10 Cloverfield Lane!This psychological thriller/alien invasion movie 10 Cloverfield Lane stars John Goodman and one of the loves of Ian's life, Mary Elizabeth Winstead!Let's get to 10 Cloverfield Lane already! You're gonna need to talk about this before the next one comes out!P.S. - Ian is sick again! Damn the winter! He apologizes if his voice...
2017-03-1643 min
Ian WhitcombIan Whitcomb - 28 Parade of the Faves (part 2)Annette Hanshaw - Daddy Won’t You Please Come Home
Ruth Etting - Hold Me
Little Jack Little - Jealous
Cliff Edwards - Halfway to Heaven
George Formby - Husband of the Wife of Mister Wu
Flanagan & Allen - Down Forget Me Not Lane
Mrs. Mills - On Mother Kelly’s Doorstep
Billy Cotton & His Band - Friends & Neighbours
Freddy Cannon - Where the Action Is
Ian Whitcomb & His Dance Band - Altadena Lane
Ian Whitcomb w/ Janet Klein’s Parlour Boys - Ambling Along
2011-03-2944 min