Critical Care Outreach Team Nurses' Roles in End-of-Life Discussions
Bibliographic record
Abstract
Critical Care Outreach Team (CCOT) nurses are part of hospital emergency response teams, assessing and mobilizing resources for decompensating patients. Although a significant proportion of this role involves addressing end-of-life (EOL) issues, this role is ill-defined in the literature and in practice. The purpose of this interpretive descriptive study is to explore CCOT nurses’ involvement in EOL discussions. In-depth interviews were conducted with 11 participants across hospitals in Ontario. Thematic analysis identified six themes: the relational nature of the CCOT nurse role, acquiring skills to discuss EOL, impetus for CCOT nurse involvement, dynamic approaches to EOL discussions, the impact of CCOT nurse involvement, and “doing better”. Study findings point towards potential implications for educational, organizational practice, and policy strategies to support CCOT nurses engaging in EOL discussions.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.012 | 0.028 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.010 | 0.007 |
| Scholarly communication | 0.005 | 0.004 |
| Open science | 0.002 | 0.007 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 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 itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".