Análisis de la influencia del uso de Guías de Práctica Clínica en el personal de enfermería
Bibliographic record
Abstract
Las Guías de Práctica Clínica (GPC) son documentos estandarizados que recogen recomendaciones ante un problema de salud específico, para ayudar a profesionales sanitarios y pacientes en la toma de decisiones. En España existe el Programa de Implantación de Guías de Buenas Prácticas, cuyo objetivo es implantar GPC de la Asociación de Enfermeras de Ontario, Canadá (RNAO) en los centros sanitarios, implicando y formando para ello al personal de enfermería. Fruto de ello, existen dos Centros Comprometidos con la Excelencia en Cuidados (CCEC) en Castilla y León: el Hospital Medina del Campo (HMC) y el Centro de Salud Ponferrada II. \nEl objetivo del estudio fue analizar la práctica diaria del personal de enfermería del HMC, entorno donde se utilizan GPC, y el Hospital Clínico Universitario de Valladolid (HCUV), entorno donde no se utilizan GPC, y compararlas entre sí.
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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 | 0.018 | 0.113 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.003 | 0.004 |
| Science and technology studies | 0.002 | 0.002 |
| Scholarly communication | 0.005 | 0.002 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.006 | 0.001 |
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".