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News Brief: NPs and PAs unsure about participating in medical aid in dying.

2023· article· en· W4318065755 on OpenAlexaboutno aff

Bibliographic record

VenueAJN American Journal of Nursing · 2023
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineMedical education

Abstract

fetched live from OpenAlex

NPs and PAs unsure about participating in medical aid in dying. A significant number of advanced practice professionals (APPs; specifically, NPs and physician assistants) are uncertain about participating in medical aid in dying (MAID), according to a study in the October JAMA Network Open. MAID involves prescribing life-ending medication to terminally ill patients with less than six months of life expectancy. It is an increasingly accepted practice in European countries and Canada and is becoming more common in the United States. Ten states and the District of Columbia have passed laws permitting MAID under a range of conditions. In 2021, New Mexico became the first state to pass legislation giving MAID prescription authority to APPs, and other states with MAID laws are considering doing the same. Yet, in a recent survey of 77 APPs working at a comprehensive cancer center in Washington State, only 51% of respondents reported willingness to prescribe or consult about the medications, while 40% were uncertain, and 9% were not willing to participate. Despite these varied responses, 91% of respondents supported the legalization of MAID.

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)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.418
Threshold uncertainty score0.360

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
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 head0.150
GPT teacher head0.470
Teacher spread0.320 · 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
Published2023
Admission routes1
Has abstractyes

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