Nurse Practitioner Role Acceptance in the Emergency Department : A Case Study
Bibliographic record
Abstract
The Ministry of Health and Long-Term Care (MoHLTC) invested in a pilot project that introduced nurse practitioners (NPs) into emergency departments (EDs) in order to improve patient care. Since the launch of the project, there have been no documented studies exploring how the NP role has been accepted by others. Role acceptance is critical to NP integration and thus effectiveness of the role in achieving its desired outcomes. This study explored NP role acceptance in the ED as perceived by NPs, physicians and nurses. Case study approach was employed using semi-structured interviews, the researcher's field notes and publicly accessible documents. NP role acceptance was found to be influenced by participants' understanding of the initial impetus for the role, the role itself, their appreciation of value-added components of the role, NP-specific characteristics and professional relationships among NPs, physicians and nurses. Implications for policy, practice, education and research are explored.
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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 | 0.010 | 0.022 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.012 | 0.005 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.002 | 0.005 |
| Research integrity | 0.005 | 0.005 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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".