Cross-Cultural Hospital Care as Experienced by Mi’kmaq Clients
Bibliographic record
Abstract
The hospitalization experiences of members of a Mi’kmaq, First Nation Community in New Brunswick, Canada, were examined to understand cultural sensitivity from their perspectives. Interpretive interactionism, a qualitative methodology, guided the study. In-depth interviews were conducted with 10 participants from the Big Cove First Nation Community. Recurring themes in their narratives revolved around understanding. Participants often felt misunderstood by caregivers in a way that made them feel lessened as persons. They also had difficulty understanding the hospital milieu and felt that they were strangers in it. Each, however, had experienced valued encounters with at least one caregiver when they felt understood. They felt these caregivers had been kind to them, accepted the Mi’kmaq custom of family visiting, and treated them as social equals. Compassion and a nondiscriminatory attitude were more important than cultural knowledge in this context in which the caregivers’culture rather than the care recipients’ culture predominated.
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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 | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.012 | 0.004 |
| Scholarly communication | 0.004 | 0.001 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
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.
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".