Barriers to Collaborative Anesthetic Care Between Anesthesiologists and Nurses on the Labor and Delivery Unit: A Study Using Modified Delphi Technique
Bibliographic record
Abstract
( Can J Anaesth . 2017;64(8):836–844) Teamwork between anesthesiologists and nurses is very important for patient safety and effective care, particularly in obstetric care. Barriers to effective teamwork between nurses and physicians are varied and can be difficult to identify, but may include lack of role clarity, intimidation and bullying, linguistic or cultural barriers, dependence on electronic systems, poor communication and hesitation to challenge the authority of the physician. The Delphi technique is a survey method used to minimize bias in group interviews and acquire a consensus of ideas from experts. This study uses a modified Delphi technique to gain consensus on the perceived barriers to collaboration between perinatal registered nurses and anesthesiologists in a tertiary labor and delivery unit.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.003 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 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 teacher head, 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".