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Record W4404296906 · doi:10.29173/cjen408

Would standardized best practice guidelines to help patients, families and caregivers making end-of-life decisions for care be beneficial?

2010· article· en· W4404296906 on OpenAlexvenueaboutno aff
Maria-Louise McLaughlin Gentle

Bibliographic record

VenueCanadian Journal of Emergency Nursing · 2010
Typearticle
Languageen
FieldMedicine
TopicPalliative Care and End-of-Life Issues
Canadian institutionsnot available
Fundersnot available
KeywordsEnd-of-life careBest practicePsychologyNursingMedicinePalliative carePolitical science

Abstract

fetched live from OpenAlex

Understanding the basis of personal clinical practice and identifying a potential research questionInitiating resuscitation for an incapacitated, palliative, or neurologically deceased person can be ethically and emotionally distressing for the nurses and health care team, and family involved in these situations.When a family or caregiver refuses to initiate a do-not-resuscitate (DNR) or life support withdrawal due to lack of knowledge, understanding and support, it is upsetting to all parties involved.Maintaining life support or not implementing a DNR plan of care is not always in the best interest of the patient.

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 machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.141
metaresearch head score (Gemma)0.355
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.141
Threshold uncertainty score0.744

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.1410.355
Meta-epidemiology (narrow)0.0020.001
Meta-epidemiology (broad)0.0020.003
Bibliometrics0.0050.004
Science and technology studies0.0050.007
Scholarly communication0.0110.012
Open science0.0100.008
Research integrity0.0170.021
Insufficient payload (model declined to judge)0.0060.006

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 head0.158
GPT teacher head0.459
Teacher spread0.301 · 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 source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

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
Published2010
Admission routes2
Has abstractyes

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