Patients’ attitudes, the hospital environment, and staff behaviour affected patients’ dignity on a surgical wardCommentary
Bibliographic record
Abstract
What is the meaning of dignity for patients in an acute care hospital? How is dignity threatened or promoted? Qualitative case study. Surgical ward in an acute care hospital in the UK. Purposeful case sample of 24 patients 34–92 years of age (mean age 64 y, 62% men) who were admitted to hospital and stayed on the ward for ⩾2 days; and 26 ward-based staff (nurses and healthcare assistants) and 6 senior nurses. Patients were observed on the ward during twelve 4-hour sessions, and field notes were taken. 12 patients and 13 ward-based staff were interviewed immediately after observation; 12 other patients were interviewed within 2 weeks of discharge. 6 senior nurses were interviewed separately. Questions addressed the meaning of dignity; effects of hospital setting, staff, or situations on patient dignity; and how to promote dignity. Detailed notes, including verbatim speech, were taken; patient interviews after discharge and those with senior nurses were audiotaped and transcribed. Data were coded and analysed for themes. 4 themes were found. (1) …
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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 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| 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".