Quand décider rime avec complexité – une étude qualitative menée auprès de parents devenus proches aidants
Bibliographic record
Abstract
Les progrès scientifiques réalisés au cours des dernières décennies assurent la survie de nombreux enfants atteints d’une maladie grave et potentiellement mortelle. Les traitements ne garantissent pas leur guérison, mais permettent une meilleure gestion de leurs symptômes de sorte qu’ils vivent plus longtemps. Toutefois, ces progrès ont d’importantes retombées pour les familles qui assument des soins de plus en plus complexes à domicile – une situation qui transforme le quotidien de parents devenus proches aidants. Ces avancées offrent des choix auparavant inexistants. Elles imposent des décisions parfois difficiles qui renvoient à différentes conceptions de la vie et de la mort. Cet article présente quelques-uns des résultats issus d’une recherche qualitative portant sur les trajectoires décisionnelles de parents d’un enfant ayant une condition médicale complexe (CMC). Nous proposons quelques pistes de réflexion pour accompagner ces parents qui font face à des prises de décision difficiles et complexes.
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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 | 0.011 | 0.023 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.004 | 0.004 |
| Scholarly communication | 0.004 | 0.004 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.006 | 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".