{"id":"W1977659910","doi":"10.1097/00124645-200311000-00008","title":"CREATING A CULTURAL SHIFT","year":2003,"lang":"en","type":"article","venue":"Journal for Nurses in Staff Development","topic":"Geriatric Care and Nursing Homes","field":"Health Professions","cited_by":3,"is_retracted":false,"has_abstract":true,"ca_institutions":"Royal Canadian Navy; Fraser Health; Island Health","funders":"","keywords":"Specialty; Gerontological nursing; Acute care; Nursing; Older people; Medicine; Geriatric care; Aged care; Psychology; Gerontology; Family medicine; Health care","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.01292666,0.0007679833,0.0004956169,0.001283667,0.02028372,0.01250226,0.001820775,0.003683888,0.006327152],"category_scores_gemma":[0.01179872,0.0004789748,0.0009823134,0.000696672,0.02774111,0.01088402,0.02886116,0.008790984,0.001351199],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.005854058,"about_ca_system_score_gemma":0.01129006,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.006422228,"about_ca_topic_score_gemma":0.01178102,"domain_scores_codex":[0.9885034,0.007654524,0.0002433475,0.0008804066,0.00128528,0.001433109],"domain_scores_gemma":[0.9897984,0.001727703,0.0005894237,0.001271676,0.001920747,0.004692108],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00009308059,0.0002651741,0.005962023,0.0002305028,0.00004199838,0.001079137,0.689109,0.0001890711,0.002150918,0.2020678,0.02937215,0.06943925],"study_design_scores_gemma":[0.00003663967,0.0001683156,0.002820571,0.0005635525,0.00002772304,0.0009010333,0.4820597,0.0002599633,0.0008436395,0.05830543,0.4539387,0.00007476917],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"commentary","genre_scores_codex":[0.3900384,0.005876825,0.03389463,0.2067129,0.01119219,0.0003626917,0.00009344691,0.0003568568,0.351472],"genre_scores_gemma":[0.9041324,0.002706015,0.01442728,0.03841188,0.0006684204,0.0003086806,0.00005219538,0.0002426673,0.03905046],"genre_candidate":"commentary","genre_consensus":null,"teacher_disagreement_score":0.02028372,"threshold_uncertainty_score":0.06836349,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.05534486721786012,"score_gpt":0.4309594545581825,"score_spread":0.3756145873403223,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}