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Record W4416876582 · doi:10.1016/j.outlook.2025.102614

Reframing value in nursing education

2025· article· en· W4416876582 on OpenAlex
Patrick Lavoie, Élisabeth Quesnel, Maude Crétaz

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

VenueNursing Outlook · 2025
Typearticle
Languageen
FieldNursing
TopicNursing education and management
Canadian institutionsMontreal Heart Institute
FundersCanada Research Chairs
KeywordsCognitive reframingValue (mathematics)Nurse educationNursing researchValue judgmentMEDLINE

Abstract

fetched live from OpenAlex

BACKGROUND: Although central to educational decision-making, value in nursing education is rarely defined. As programs evolve through curricular reform, competency-based design, simulation, artificial intelligence, and digital learning, what makes these efforts genuinely valuable remains unclear. PURPOSE: This paper introduces the REFLECT Framework, a reflective conceptual model for guiding value-based decisions in nursing education. METHODS: Using an integrative analysis of literature from healthcare, education, and implementation science, value is conceptualized as a multidimensional construct encompassing seven dimensions: purpose alignment, evidence-informed pedagogy, pedagogical expertise, learner-centeredness, resource stewardship, equity, and contextual fit and sustainability. DISCUSSION: These dimensions support reflection on whether educational initiatives are effective, ethical, equitable, feasible, and aligned with nursing's professional and societal purposes. The framework can be applied at micro (course), meso (program), and macro (system) levels to guide deliberation about what matters, for whom, and under what conditions. CONCLUSION: The REFLECT Framework offers a structured, context-sensitive approach for advancing a deliberate and sustainable approach to shaping nursing education.

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)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.823
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
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 head0.012
GPT teacher head0.350
Teacher spread0.339 · 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