End of Life Communication: A Scoping Review of Conversations on Death and Dying between Long-Term Care Home Staff and Family Caregivers
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.
Bibliographic record
Abstract
Current trends in Canada show that people are admitted into long-term care (LTC) facilities later in life, have more complex and co-morbid health and social care needs and thus have shorter lengths of stay before death (Cable-Williams & Wilson, 2017; Garner et al., 2018). As common occurrences, death and dying should be understood as part of the LTC cultural context, and yet there is a lack of discourse around dying in LTC facilities (O’Connor, 2009). Conversations around death and dying are important, as avoiding or delaying them can potentially restrict residents from timely end-of-life care. The belief that LTC facilities are places for living (not dying) contributes to the likelihood that end-of-life care is initiated when only a few hours or days remain until death, with little or no palliative care provided at earlier stages in the trajectory of decline (Cable-Williams & Rodin, 2016). This scoping review provides a synthesis of existing research around goals of conversations of death and dying between LTC staff and families and barriers and facilitators that can help or hinder having these discussions.
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Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.000 | 0.002 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.003 | 0.002 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it