Hypertension screening and management: does primary care nurse involvement affect care delivery?
Bibliographic record
Abstract
Increasing numbers of RNs are working in primary care settings. Emerging evidence suggests RNs have a significant influence in this workplace. This study investigated Manitoba primary care clinics to determine if the involvement of primary care RNs affected care delivery. To better understand the influence of RNs in this setting, thirty-seven clinics, including fee-for-service and alternate funded clinics, were surveyed. Information surrounding clinic funding model, team composition, hours of operation, geographical location and scope of practice of RNs in hypertension screening and management was obtained. Manitoba Primary Care Research Network (MaPCReN) data was analyzed to determine hypertension screening and management rates. While RNs are frequently involved in hypertension screening, and to a lesser extent in hypertension management, there appear to be opportunities to support role clarity to minimize underutilization, duplication and overlap of roles. These steps could assist RNs to be an integral part in supporting comprehensive primary care delivery.
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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 | 0.004 | 0.016 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| 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".