{"id":"W2108346178","doi":"10.1016/j.pmn.2014.04.002","title":"Positioning Clinical Nurse Specialists and Nurse Practitioners as Change Champions to Implement a Pain Protocol in Long-Term Care","year":2014,"lang":"en","type":"article","venue":"Pain Management Nursing","topic":"Pain Management and Opioid Use","field":"Medicine","cited_by":70,"is_retracted":false,"has_abstract":false,"ca_institutions":"University of Regina; Dalhousie University; Hamilton Health Sciences; Toronto Metropolitan University; McMaster University","funders":"Canadian Institutes of Health Research","keywords":"Medicine; Nursing; Clinical nurse specialist; Thematic analysis; Protocol (science); Outreach; Audit; MEDLINE; Exploratory research; Qualitative research; Alternative medicine","routes":{"ca_aff":true,"ca_fund":true,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow"],"consensus_categories":[],"category_scores_codex":[0.004937675,0.0003229844,0.0004209628,0.0006132161,0.0002443309,0.0001423894,0.0001587292,0.00009772497,0.0001458873],"category_scores_gemma":[0.0003493319,0.0003378616,0.0001186042,0.0004696405,0.00008915938,0.000214946,0.0000639432,0.0002625822,0.00005691759],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004258122,"about_ca_system_score_gemma":0.00002196232,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00003518747,"about_ca_topic_score_gemma":0.0001179194,"domain_scores_codex":[0.9964161,0.00108805,0.0006591681,0.0007221261,0.0004804442,0.0006341409],"domain_scores_gemma":[0.9986489,0.0002492541,0.0001872424,0.0005078141,0.00007271626,0.0003340612],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"observational","study_design_scores_codex":[0.0006007585,0.0009231266,0.4223864,0.001361859,0.0001175665,0.0002483355,0.006984766,0.000008226857,0.00003012033,0.008343906,0.008647464,0.5503475],"study_design_scores_gemma":[0.005134662,0.001239502,0.9286922,0.005169777,0.0002352488,0.000004092841,0.009857365,0.001104784,0.00001669399,0.0005044685,0.04749498,0.000546287],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"protocol","genre_gemma":"empirical","genre_scores_codex":[0.2323988,0.000266624,0.102313,0.07812974,0.001776305,0.4381906,0.00002096582,0.001087066,0.1458168],"genre_scores_gemma":[0.8995944,0.00005573062,0.01109413,0.01753196,0.001995859,0.06785456,0.0003873015,0.0001309012,0.001355203],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.6671955,"threshold_uncertainty_score":0.9999073,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03078426803180026,"score_gpt":0.4054674538207543,"score_spread":0.374683185788954,"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."}}