An abstruse first sentence truncates our yearn to learn.
It dispirits us,……so many books and manuscripts, and so little time. Worse, it fills turbid the moat around something essential.
“Anyone who’s worth anything reads just what he likes, as the mood takes him (her).” Virginia Woolf reminds us.
The attached article exemplifies a regrettably incomprehensible first sentence that is not especially inviting,……but if you read on, Cuttini et al present a helpful qualitative study – what drives change in NICUs? Authors inquire – Why do effective preventives/diagnostics/therapeutics take sooooo long to disseminate?
Look at their recommended fundamentals (all discussed in our University of CQI workshop): a) involve all staff, b) listen to objections, c) pragmatic, non-judgmental audits, d) regular literature review (read!), e) participation in structured QI and research (yes!), f) incorporate EBM principles, g) early partnering with professional bodies for consensus and gravitas. Figure 1 is instructive – the different priorities of RNs and MDs,…..it would be helpful to see other allied health providers’ sentiments.
Abdus Salam, Pakistani theoretical physicist and Nobel Prize Laureate – “From time immemorial, man has desired to comprehend the complexity of nature in terms of as few elementary concepts as possible.” He knew well the danger of this royal road to over-simplification, scientism, technologic zeal, and unintended consequences.
Do you know who discussed uncertainty with as admirable honesty as any writer? Inventor of the “essay” – Michel de Montaigne (1533-1592).
“Nothing is so firmly believed as that which we know least.”
Joe Kaempf, MD
District VIII Member Extraordinaire
Portland, OR
Volume 12, Number 40