Enfermería de práctica avanzada: praxis, políticas y profesión
Bibliographic record
Abstract
En este artículo presentamos un análisis crítico de la transformación que ha tenido la profesión de enfermería luego de la institucionalización de la práctica avanzada (EPA). Hacemos un repaso del desarrollo histórico de la EPA –principalmente en Estados Unidos y Canadá–, y discutimos las implicancias culturales y legales para la práctica de enfermería y para las enfermeras como sujetos sociales. En tanto esta reflexión permite planear una nueva agenda de investigación en el área de la salud, surge una preocupación sobre la contradicción interna en torno a la medicalización, como también sobre la necesidad de evaluar cuidadosamente la transferencia de esta política a otros sistemas de salud.
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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 | 0.014 | 0.019 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.003 | 0.004 |
| Science and technology studies | 0.006 | 0.023 |
| Scholarly communication | 0.012 | 0.005 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.003 | 0.005 |
| Insufficient payload (model declined to judge) | 0.006 | 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".