The covenantal or communal values of surgeons and intensivists influenced end-of-life care in 3 intensive care units
Bibliographic record
Abstract
Cassell J, Buchman TG, Streat S, et al . Surgeons, intensivists, and the covenant of care: administrative models and values affecting care at the end of life—Updated. Crit Care Med 2003;31:1551–9.[OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] Q How does end-of-life care differ in intensive care units (ICUs) that use different administrative models? Ethnographic observation. Surgical ICUs in St Louis, Missouri and San Antonio, Texas, and a medical-surgical ICU in Auckland, New Zealand. Approximately 600 physicians, nurses, allied health professionals, patients, family members, and friends. The first author spent 18 months in the ICU in Missouri; 3 weeks in the ICU in Texas; and 10 weeks in the ICU in New Zealand. Her participation varied by site and included observation of rounds, patient care, and end-of-life discussions with families, as well as interviewing health professionals. A semi-closed unit with conflicting ethics (Missouri). On this unit, surgeons and intensivists shared responsibility for patient care, but conceptualised this responsibility quite differently. Surgeons appeared to act based on a covenantal ethic, which focused on … [1]: {openurl}?query=rft.jtitle%253DCritical%2Bcare%2Bmedicine%26rft.stitle%253DCrit%2BCare%2BMed%26rft.aulast%253DCassell%26rft.auinit1%253DJ.%26rft.volume%253D31%26rft.issue%253D5%26rft.spage%253D1551%26rft.epage%253D1557%26rft.atitle%253DSurgeons%252C%2Bintensivists%252C%2Band%2Bthe%2Bcovenant%2Bof%2Bcare%253A%2Badministrative%2Bmodels%2Band%2Bvalues%2Baffecting%2Bcare%2Bat%2Bthe%2Bend%2Bof%2Blife--Updated.%26rft_id%253Dinfo%253Adoi%252F10.1097%252F00003246-200305000-00039%26rft_id%253Dinfo%253Apmid%252F12771632%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1097/00003246-200305000-00039&link_type=DOI [3]: /lookup/external-ref?access_num=12771632&link_type=MED&atom=%2Febnurs%2F7%2F2%2F64.1.atom [4]: /lookup/external-ref?access_num=000182981300039&link_type=ISI
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 distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.002 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 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 teacher head, 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".