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Record W4407570588 · doi:10.29173/spectrum244

Stigma Cultures in Healthcare Scale – Qualitative Findings in an Emergency Department Setting

2025· article· en· W4407570588 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.
venuePublished in a venue whose home country is Canada.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueSpectrum · 2025
Typearticle
Languageen
FieldSocial Sciences
TopicWorkplace Violence and Bullying
Canadian institutionsUniversity of Calgary
Fundersnot available
KeywordsEmergency departmentScale (ratio)Health careQualitative researchMedical emergencyPsychologyNursingMedicineSociologyPolitical scienceGeography

Abstract

fetched live from OpenAlex

One in five Canadians will experience a mental illness. Stigma poses a significant barrier for those with mental illness trying to access treatment. The Exploring Mental health Barriers in Emergency Rooms Study (EMBER) study aims to better understand stigma experienced by those with mental health and addiction concerns in emergency department (ED) settings. For this stage of the study, participants were asked to complete a survey detailing their visit to an ED in a hospital in Southern Alberta. Two scales were used to measure the presence of structural stigma in the ED: the Stigma Cultures in Healthcare Scale (SCHS) and an adapted version of the Patient Experiences of Mental Healthcare (PEMHC) scale. Results showed differential treatment experienced by those with mental health concerns as well as structural changes that could be made to ameliorate the experience of patients with mental health concerns.

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)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.477
Threshold uncertainty score0.996

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
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 head0.021
GPT teacher head0.411
Teacher spread0.390 · 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