Practice: What Will Change in Nursing Practice Over the Next Five Years?
Bibliographic record
Abstract
The answer: “It depends.” The question in the title is by no means easy to answer. There are too many variables – independent, interdependent and dependent – all of which will affect the final outcome. I think a much easier question for me to answer would be “What should change”; but I digress. My task is to reflect on what will change in nursing practice over the next five years. Since the early 1990s, healthcare has undergone major reform in order to reduce or maintain costs while attempting to increase the quality of outcomes. Such strategies as downsizing, restructuring, rightsizing and re-engineering were utilized in order to achieve “system reform.” However, system reform requires an alignment of structure, process and outcome. All too often over the past 10 to 15 years, the focus of system reform has been on structure for example, the Sinclair restructuring commission and the reform of Community Care Action Centres. In addition, consumer knowledge and expectations have increased, the client population has continued to age and technology has continued to outpace social norms, morals and values. Issues identified in the 1980s by such groups as the Registered Nurses Association of Ontario (RNAO) and the Canadian Nurses Association (CNA) continue to be issues today. In 1981, the RNAO held a Think Tank on Nursing Leadership. In its report on the Think Tank (RNAO 1982), the RNAO identified issues that included educational entry level to the profession, specialization, changing roles in institutional and primary care, ethical decision-making, professional rights and responsibilities and adequacy of nursing manpower. The presence or absence of nursing leadership was also identified as having a major effect on the quality of client care. These issues made the need for strong and effective leadership a priority for the profession in the future. The recommendations that arose from the Think Tank are still current. What Will Change in Nursing Practice Over the Next Five Years?
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 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 | 0.020 | 0.074 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.008 |
| Scholarly communication | 0.008 | 0.019 |
| Open science | 0.002 | 0.005 |
| Research integrity | 0.013 | 0.011 |
| Insufficient payload (model declined to judge) | 0.019 | 0.010 |
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".