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Record W1524541615 · doi:10.18438/b8jp44

Critical Care Nurses on Duty: Information-Rich but Time-Poor

2007· article· en· W1524541615 on OpenAlexvenueno aff
Suzanne Lewis

Bibliographic record

VenueEvidence Based Library and Information Practice · 2007
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsnot available
Fundersnot available
KeywordsCoding (social sciences)DutyHealth careData collectionNursingContext (archaeology)PsychologyComputer scienceMedicine

Abstract

fetched live from OpenAlex

Objective – To describe critical care nurses’ on-duty information-seeking behavior. Design – Participatory action research using ethnographic methods. Setting – A twenty-bed critical care unit in a 275-bed community (non-teaching) hospital. Subjects – A purposive sample of six registered nurses (RNs) working shifts in the critical care unit. Methods – The researcher accompanied six RNs on various shifts (weekdays and weekends, day and night shifts) in the critical care unit and used participant observation and in-context interviews to record fifty hours of the subjects’ information-seeking behavior. Transcripts were written up and checked by the subjects for accuracy and validity. The resulting rich data was analyzed using open coding (concepts which emerged during data gathering, for example “nurse’s personal notes”); in vivo coding (participant-supplied concepts, for example “reading on duty”); and axial coding (hierarchical, researcher-developed concepts such as “information behaviors, information sources, information uses, and information kinds”) (147). Main results – The critical care nurses constantly sought information from people (patients, family members, other health care workers), patient records, monitors, and other computer systems and noticeboards, but very rarely from published sources such as books or online databases. Barriers to information acquisition included equipment failure, illegible handwriting, unavailable people, social protocols (for example physician – nurse interaction), difficult navigation of computer systems, and mistakes caused by simultaneously using multiple complex systems. Conclusion – Critical care nurses’ information behavior is strongly patient-centric. Knowledge-based information sources are rarely consulted on duty due to time constraints and the perception that this would take time away from patient care. In seeking to meet the knowledge-based information needs of this group, librarians should be wary of traditional, academic models of information delivery. Instead, they should consider a tailored ready reference service incorporating quality and quantity filtering.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.012
metaresearch head score (Gemma)0.049
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.012
Threshold uncertainty score0.065

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0120.049
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0040.005
Science and technology studies0.0040.003
Scholarly communication0.0080.009
Open science0.0010.007
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

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.

Opus teacher head0.044
GPT teacher head0.388
Teacher spread0.343 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreEmpirical

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".

Quick stats

Citations2
Published2007
Admission routes1
Has abstractyes

Explore more

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