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Record W2079253848 · doi:10.12927/cjnl.2010.22275

Close to the Tipping Point

2010· letter· en· W2079253848 on OpenAlexaffvenue
Pam Hubley

Bibliographic record

VenueNursing leadership · 2010
Typeletter
Languageen
FieldHealth Professions
TopicNursing Roles and Practices
Canadian institutionsHospital for Sick Children
Fundersnot available
KeywordsNursingEarly adopterTipping point (physics)Nursing literatureContext (archaeology)Nursing researchHealth careMedicinePsychologyPolitical scienceBusinessAlternative medicine

Abstract

fetched live from OpenAlex

Nursing leaders play a critical role in creating and enacting a vision for collaborative practice with advanced practice nurses (APNs). In this special issue, Nancy Carter and colleagues have identified many important influences and outcomes of successful nursing leadership in the context of promoting advanced practice nursing roles. The authors make a strong case for the importance of nursing leadership to facilitate large-scale systems change, noting the multiple levels on which nursing leaders work to ensure advanced practice nursing roles are well introduced to improve patient care. Nursing leadership can move an innovation like advanced practice nursing practice forward toward the "tipping point," when the new idea takes hold and becomes socially acceptable and desired, when the early adopters have influenced the early majority and about 15 to 20% of the population have adopted the idea (Berwick 2003). In many ways our nursing leaders have achieved this with advanced practice nursing roles, and we should celebrate. APNs are now more common, and certainly members of the public are proud to speak of the roles APNs play in their health services. An idea that once captured the minds of a select few has spread, thanks in large part to the nursing leaders who had a vision, believed in an idea, fought for it and worked to embed the change in the system.

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)0.007
metaresearch head score (Gemma)0.034
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.052
Threshold uncertainty score0.045

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0070.034
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0100.007
Scholarly communication0.0060.011
Open science0.0020.004
Research integrity0.0520.060
Insufficient payload (model declined to judge)0.0080.005

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 head0.327
GPT teacher head0.440
Teacher spread0.113 · 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 designNot applicable
Domainnot available
GenreCommentary

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

Citations0
Published2010
Admission routes2
Has abstractyes

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