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Record W4414431912 · doi:10.1188/25.cjon.e158-e166

Oncology Nurse Well-Being and the Electronic Health Record–Generated Nurse–Patient Assignment

2025· article· en· W4414431912 on OpenAlexaff
Sharon Catherine Le Roux, Teresa K. Phan, Kimberly K Hatchel

Bibliographic record

VenueClinical journal of oncology nursing · 2025
Typearticle
Languageen
FieldNursing
TopicNursing education and management
Canadian institutionsKimberly-Clark (Canada)
Fundersnot available
KeywordsOncology nursingAnxietyDepression (economics)Clinical OncologyMEDLINEHealth care

Abstract

fetched live from OpenAlex

BACKGROUND: A consistent process for the creation of equitable nurse-patient assignments is absent on many inpatient nursing units. OBJECTIVES: Leveraging the electronic health record nurse-patient assignment tool, this evidence-based practice project aimed to promote oncology nurse well-being and satisfaction. METHODS: The project team used the Iowa Model Revised. The team collected participant demographics, pre- and postintervention Well-Being Index responses, and individual evaluations of the effectiveness of the manual assignment tool compared to the electronic health record nurse-patient assignment predictive model. FINDINGS: Postimplementation, a significant number of oncology nurses reported a decrease in physical health impeding their ability to work. Findings suggest oncology nurses experience less depression and anxiety as their years of oncology experience increase. The electronic health record nurse-patient assignment predictive model alleviates stress for clinical nurses and supports equitable assignments and clinician well-being.

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)0.013
metaresearch head score (Gemma)0.079
Version: metacan-v3-hybrid-931329e0061cValidation 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 score0.013
Threshold uncertainty score0.069

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0130.079
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0020.001
Open science0.0010.001
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0040.001

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 head0.025
GPT teacher head0.434
Teacher spread0.409 · 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 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
Published2025
Admission routes1
Has abstractyes

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