A framework to assess nurse practitioner role integration in primary health care.
Bibliographic record
Abstract
In the Canadian province of British Columbia, the nurse practitioner (NP) role was formally introduced in 2005. A participatory action research study was undertaken with NPs to examine how collaboration advances NP role integration in primary health care (PHC). The authors report on the study, in which the meaning of NP role integration was explored. The study uncovered 5 dimensions of NP role integration: autonomy, recognition, inclusion, contribution, and alliance. These dimensions, along with sample indicators, informed development of the NP Role Integration in PHC Framework. The significance of collaboration for advancing NP role integration is discussed; NP role integration is linked to the politics of PHC reform and the promise of holistic health promoting care for clients and communities. The framework has utility for policy leaders, decision-makers, and researchers in addressing barriers to role integration, supporting role evaluation, and securing and safeguarding the NP role.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.023 | 0.027 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.009 | 0.006 |
| Science and technology studies | 0.008 | 0.013 |
| Scholarly communication | 0.007 | 0.007 |
| Open science | 0.002 | 0.008 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".