{"id":"W2169250587","doi":"10.1046/j.1440-1800.2003.00181.x","title":"Unable to answer the call of our patients: mental health nurses’ experience of moral distress","year":2003,"lang":"en","type":"article","venue":"Nursing Inquiry","topic":"Ethics in medical practice","field":"Health Professions","cited_by":157,"is_retracted":false,"has_abstract":true,"ca_institutions":"University of Alberta","funders":"","keywords":"Feeling; Psychology; Mental health; Distress; Mental distress; Nursing; Health care; Moral injury; Quality (philosophy); Social psychology; Medicine; Psychiatry; Psychotherapist","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.001767284,0.0001319086,0.0002885927,0.00005723196,0.0007092236,0.000004651137,0.0003314594,0.0001731299,0.00009415474],"category_scores_gemma":[0.003615917,0.00009809723,0.0000466078,0.0002998906,0.0004943787,0.0001480549,0.0000472315,0.001277555,0.00002652765],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0003238916,"about_ca_system_score_gemma":0.0005809502,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.000427101,"about_ca_topic_score_gemma":0.00002800769,"domain_scores_codex":[0.9958184,0.002071267,0.0006841765,0.0002542859,0.0006858186,0.0004860053],"domain_scores_gemma":[0.9978401,0.0006646056,0.0004394385,0.0005217972,0.0003063194,0.0002277609],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"qualitative","study_design_scores_codex":[0.0003207774,0.002365016,0.08184871,0.0005446904,0.00002979431,0.000001448615,0.4942986,0.00002974348,0.0004159236,0.06530745,0.3385346,0.01630319],"study_design_scores_gemma":[0.00249983,0.001143013,0.03281374,0.007570204,0.00004952753,0.000004482238,0.8419878,0.00006802673,0.001339251,0.006646253,0.10538,0.0004978394],"study_design_candidate":"qualitative","study_design_consensus":"qualitative","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9073923,0.0005273227,0.001358373,0.02203812,0.02140978,0.001925424,0.00006757043,0.00005931258,0.04522176],"genre_scores_gemma":[0.9925323,0.00002178625,0.001652877,0.004727284,0.0001604153,0.0000463977,0.00001359999,0.00002281576,0.0008224883],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.3476892,"threshold_uncertainty_score":0.5550411,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1239061294603394,"score_gpt":0.5154115460770651,"score_spread":0.3915054166167257,"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."}}