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Record W4416438761 · doi:10.12927/cjnl.2025.27719

Ontario Emergency Department Models of Care With Nurse Practitioners and Clinical Nurse Specialists

2025· article· en· W4416438761 on OpenAlexaffvenueabout
Samantha Horvath, Sanja Visekruna, Kelley Kilpatrick, Melissa McCallum, Nancy Carter

Bibliographic record

VenueNursing leadership · 2025
Typearticle
Languageen
FieldHealth Professions
TopicNursing Roles and Practices
Canadian institutionsMcGill University Health CentreMcMaster UniversityHamilton Health Sciences
Fundersnot available
KeywordsEmergency departmentNurse practitionersHealth careEquity (law)Oncology nursingClinical nurse specialistDistrict nurseResource (disambiguation)

Abstract

fetched live from OpenAlex

Objective: To identify and describe the advanced practice nurse (APN) workforce and models of care (MOC) in emergency departments (EDs) across Ontario, Canada. Background: EDs face pressures related to patient acuity, wait times and resources. Research is needed to support ED APN MOC. Method: a cross-sectional survey was distributed to ED APNs. Results: = 52 (44.4% response rate). Frequently reported MOC were fast-track and general emergency, with fewer triage, geriatric and mental health MOC reported. Conclusion: Future efforts should focus on ED APN MOC improving equity and access. Results can inform health human resource planning to meet priority patient 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.

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)0.001
metaresearch head score (Gemma)0.004
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: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.064
Threshold uncertainty score0.181

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.004
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0030.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0080.001

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 head0.233
GPT teacher head0.469
Teacher spread0.236 · 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 routes3
Has abstractyes

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