Exploring the communication experiences of international nurses who participated in a 13-week accent modification program
Bibliographic record
Abstract
Objective: This qualitative study explored the personal interactions of the nurses with patients, families, providers and other staff members after taking part in accent modification program.Methods: Hermeneutic Interpretive Phenomenology influenced by philosopher Martin Heidegger provided the philosophical underpinnings to guide this exploration of the communication experiences of international nurses about four to eight months after completion of a 13-week accent modification program.Results: The following six themes emerged from the data: I have the tool, I am self-assured, I speak with intention, I want to involve, My accent is part of who I am, and I am not an introvert.Conclusions: The findings of this study suggested that an accent modification program improves communication skills of international nurses regardless of age, gender, country of origin, and length of stay in the U.S. It is reassuring to employers who realize that there is a potentially effective intervention to improve and enhance linguistic competence of their current international nurses.
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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 | 0.018 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.008 | 0.005 |
| Scholarly communication | 0.003 | 0.003 |
| Open science | 0.002 | 0.006 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 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".