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A resident-centered approach to nursing staff planning in long-term care using the Synergy tool

2025· article· en· W4411928331 on OpenAlex
Farinaz Havaei, Maura MacPhee, Andy Ma, Janice Sorensen, Sheila A. Boamah, David Keselman

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.

Bibliographic record

VenueGeriatric Nursing · 2025
Typearticle
Languageen
FieldHealth Professions
TopicGeriatric Care and Nursing Homes
Canadian institutionsMcMaster UniversityUniversity of British ColumbiaFraser HealthUniversity Canada WestUniversity of British Columbia Hospital
FundersCanadian Institutes of Health Research
KeywordsStaffingDependency (UML)Long-term careUnit (ring theory)Nursing homesNursingMedicineTerm (time)Operations managementPsychologyComputer science

Abstract

fetched live from OpenAlex

The Synergy tool was used to forecast long-term care (LTC) resident needs for nurse staffing planning. Forecasting techniques were applied to longitudinal resident needs data from 67 unique residents across four units in two LTC homes in British Columbia. Acuity and dependency needs scores were forecasted for a four-week period using an Error Trend Seasonality (ETS) model. The four units demonstrated changing or stable resident acuity and dependency needs during the forecasting period. Increasing, decreasing, or stable resident acuity needs during the forecasted period would suggest the unit would benefit from higher, lower, and similar regulated nurse staffing level than the previous period respectively. Increasing, decreasing, or stable resident dependency needs during the forecasted period would suggest the unit would benefit from higher, lower, and similar PSW staffing level than the previous period respectively. This integrated technique sheds light on proactively planning staffing needs based on considerations of resident needs.

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 categoriesMeta-epidemiology (narrow), Science and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.416
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.002
Science and technology studies0.0020.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
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 head0.043
GPT teacher head0.399
Teacher spread0.356 · 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