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Record W2921080601

Single Room Maternity Care Model: Unit Culture and Healthcare Team Practices

2019· article· en· W2921080601 on OpenAlexaboutno aff
Elena Ali, Deborah White, Shelley Raffin Bouchal, Suzanne Tough

Bibliographic record

VenueInternational journal of nursing · 2019
Typearticle
Languageen
FieldMedicine
TopicMaternal and Perinatal Health Interventions
Canadian institutionsnot available
Fundersnot available
KeywordsUnit (ring theory)Health careNursingChildbirthParticipant observationEthnographyQualitative researchPsychologyOrganizational cultureMaternity careMedicineSociologyPublic relationsPregnancyPolitical science
DOInot available

Abstract

fetched live from OpenAlex

The evidence regarding the effects of a Single Room Maternity Care (SRMC) model on women’s childbirth experiences, healthcare providers’ workplace satisfaction, and cost outcomes remains equivocal. The research questions for this focused ethnographic study are: how is culture experienced by nurses and other healthcare providers on the SRMC unit, and how do the values, beliefs, and norms of nurses and other healthcare providers on the SRMC unit influence their day-to-day practices of caring for women and their families. The aim of this qualitative focused ethnography was to explore the culture and practices of the healthcare team in a SRMC unit. Twelve healthcare providers were recruited from a Single Room Maternity Care unit located in a Western Canadian hospital. Semi-structured interviews, participant observations, and examination of unit-related documents were conducted between October 2014 and January 2015. Data were analyzed using an approach by Roper and Shapira (2000). Two main themes emerged from the data: creating and maintaining culture and the work family. The participants considered themselves a family, and made collective and conscious efforts to create a unit culture where everyone could feel supported and valued. Unit culture determined the ways members of the healthcare team functioned in their day-to-day practice. Further research is required to explore the relationship between the maternity unit and quality of patient care, as well as the impact of collaborative practices on both providers and recipients of maternal care.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.465
Threshold uncertainty score0.309

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.086
GPT teacher head0.440
Teacher spread0.354 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations0
Published2019
Admission routes1
Has abstractyes

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