Strategies of Persuasion: The Efforts of Nurse Practitioners in Institutionalizing a New Role
Bibliographic record
Abstract
Political entrepreneurs are people who get things done. They are critical to change implementation within organizations because they have the ability to use their contextual knowledge and convince others to modify their behavior (Buchanan and Badham 1999). But are political entrepreneurs also important in institutional change? Our study of nurse practitioners (NPs) in Alberta, Canada, led us to believe that political entrepreneurship was an important but overlooked component of institutional and organizational change. We followed the introduction of a new NP role (nurses with advanced education and experience) over a five-year time period, observing how this institutional change process was orchestrated and driven by individuals at the front lines. NPs themselves used their contextual knowledge to design and implement strategies in attempts to institutionalize the new role. These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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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 | 0.008 | 0.009 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.005 | 0.016 |
| Scholarly communication | 0.008 | 0.004 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.001 | 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".