{"id":"W4413101258","doi":"10.1016/j.iccn.2025.104193","title":"Communication with the critically ill patient: A nexus between patient needs, communication partner skills and the ICU environment – Response to Kuruppu et al.","year":2025,"lang":"en","type":"letter","venue":"Intensive and Critical Care Nursing","topic":"Family and Patient Care in Intensive Care Units","field":"Health Professions","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Toronto East General Hospital","funders":"","keywords":"Critically ill; Medicine; Nexus (standard); Critical illness; Intensive care medicine; Nursing; Medical emergency","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":"codex-gemma-dda1882f352a","candidate_categories":["metaresearch","metaepi_narrow","sts","research_integrity"],"consensus_categories":["sts"],"category_scores_codex":[0.0007246992,0.0005844337,0.0007982294,0.000250604,0.00213205,0.0001454405,0.0005341844,0.0006799216,0.00003228063],"category_scores_gemma":[0.01428681,0.0003541487,0.0001453416,0.0002804794,0.002811718,0.0001229969,0.0006464506,0.004549408,0.00002627788],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0003915555,"about_ca_system_score_gemma":0.0002164094,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0002109204,"about_ca_topic_score_gemma":0.00002780214,"domain_scores_codex":[0.9900702,0.006936969,0.0008680628,0.0006084469,0.0007090898,0.0008072723],"domain_scores_gemma":[0.9565417,0.03164114,0.000218353,0.001553879,0.009833843,0.0002110772],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.001025977,0.00003002182,0.0001438895,0.0001825918,0.00008325067,0.00003258633,0.08608032,0.000001762643,0.000005281786,0.003107563,0.898008,0.01129875],"study_design_scores_gemma":[0.0009064048,0.0008030119,0.0006988178,0.007837784,0.0004645298,0.00002193299,0.2197023,0.00001200359,0.00001620215,0.001246455,0.7678488,0.0004417041],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.009550299,0.005203108,0.0005865671,0.9770975,0.0006187183,0.002568559,0.0005164506,0.00006166809,0.003797152],"genre_scores_gemma":[0.2924854,0.0002688613,0.0003392379,0.7056495,0.0001121201,0.0004541873,0.0004974785,0.00005357935,0.0001396586],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.2829351,"threshold_uncertainty_score":0.9999021,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.03723909910335442,"score_gpt":0.3694453491834082,"score_spread":0.3322062500800537,"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."}}