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Record W4388979569 · doi:10.1016/j.pecinn.2023.100234

Supporting nursing roles in medical assistance in dying: Development and evaluation of an evidence-based reflective guide

2023· article· en· W4388979569 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenuePEC Innovation · 2023
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsUniversity of British Columbia HospitalOkanagan University CollegeUniversity of British Columbia, Okanagan CampusUniversity of British Columbia
FundersCanadian Institutes of Health Research
KeywordsNursingQualitative researchReflective practicePsychologyContent analysisNursing practiceProfessional developmentMedical educationMedicinePedagogySociology

Abstract

fetched live from OpenAlex

Objective: To develop and evaluate an evidence-based online Reflective Guide to prepare Registered Nurses and Nurse Practitioners for important professional, personal, and relational roles in MAID in Canada. Methods: The Reflective Guide was developed inductively from qualitative interviews with 120 Canadian nurses. The online Guide contains a 15 min documentary video and five areas of content: nurses' experiences, making moral sense of MAID, best practices, common dilemmas, and self-care strategies. Online visitors to the Guide were asked to participate in a mixed-method evaluation of the Guide. Results: Participants rated their experiences with the Guide highly, indicating that it helped them develop further insights about MAID and strengthened their practice. Qualitative responses revealed an array of emotions that resulted from the philosophic, moral, and professional wrestling that is characteristic of this new practice. Conclusion: The positive responses to the Guide, and the complexity of the responses submitted by respondents, attest to the effectiveness of the Guide and the importance of preparing nurses for the personal and professional aspects of MAID-related practice. Innovation: The MAID Reflective Guide is an effective innovation for nurses as evidenced by its uptake. In the first year the Guide received 2300 unique learners from 30 countries.

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.

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)0.004
metaresearch head score (Gemma)0.004
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 score0.359
Threshold uncertainty score0.481

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.002
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 head0.339
GPT teacher head0.553
Teacher spread0.214 · 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