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Record W63550356

Walking the walk: living evidence-based practice.

2004· article· en· W63550356 on OpenAlexaffabout
Jannell Plouffe, Christy Seniuk

Bibliographic record

VenuePubMed · 2004
Typearticle
Languageen
FieldHealth Professions
TopicHealth Sciences Research and Education
Canadian institutionsChildren's Hospital of Winnipeg
Fundersnot available
KeywordsMultidisciplinary approachGuidelineClinical PracticeRealmNursingMedicineMedical educationEngineering ethicsPsychologySociologyEngineeringPolitical science
DOInot available

Abstract

fetched live from OpenAlex

Evidence-based clinical practice is a goal of professional nursing. Linking research to the clinical realm appears logical and sounds simplistic, yet frequently our preconceived thoughts and ideas of ease of change do not equate with the reality of the situation. The research exists, the need is there, but "how shall the two meet?" In this article, the authors describe the successful implementation of a multidisciplinary evidence-based clinical practice guideline in the pediatric intensive care unit (PICU) at Winnipeg Children's Hospital. Maintaining artificial airways was a frequent topic of discussion in this PICU. The questions surrounding this practice were reviewed using an evidence-based practice framework in order to provide a clinical practice guideline that would assist in the delivery of care.

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)0.095
metaresearch head score (Gemma)0.267
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.095
Threshold uncertainty score0.503

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0950.267
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0100.008
Science and technology studies0.0030.005
Scholarly communication0.0120.012
Open science0.0050.009
Research integrity0.0110.012
Insufficient payload (model declined to judge)0.0050.003

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 head0.264
GPT teacher head0.482
Teacher spread0.218 · 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 designNot applicable
Domainnot available
GenreCommentary

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

Citations1
Published2004
Admission routes2
Has abstractyes

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