Nursing Practice Council : literature review, implementation, and evaluation plan / by Wendy Holmes.
Bibliographic record
Abstract
The purpose of this paper is to outline an implementation and evaluation plan for the establishment of a Nursing Practice Council (NPC) for the public health and registered nurses in a \nsmall rural health unit in southern Ontario. A NPC is a formal, employer-supported structure, \nconsisting of a representative group of front line nurses, and its purpose is to enhance the practice and \nwork environment for nurses by providing access to peer support and creating a forum for discussion \nand decision making regarding nursing practice issues. The resulting enhanced nursing practice \nenvironment may lead to benefits to the patient through improved care and benefits for the \norganization such as improved nurse recruitment and retention. \nIn this paper, a health promotion program planning and evaluation framework will be utilized \nto plan, implement and evaluate a NPC for the Haldimand Norfolk Health Unit (HNHU), located in \nsouthern Ontario. As the NPC is not a true health promotion program per se, the evaluation \nframework for its development and implementation has been modified to suit this project. By using \nthis modified framework, a step by step plan can be developed, which will facilitate the identification \nof enabling factors and barriers as well as provide information for the implementation evaluation \nstrategies throughout the process. Consequently, timely corrections to the process can be made during \nimplementation which will in turn assist the project to succeed. The evaluation will seek to identify \nthe benefits to the nurses and the organization. \nIn this paper, information is provided on a review of current literature regarding the status of \npublic health nursing in Ontario and the concepts and models related to NPCs (section 2); the goal of \nthe paper (section 3); an overview of the project (section 4); the project implementation plan (section \n5); the proposed evaluation framework (section 6); and the implications for public health practice and \npolicy (section 7).
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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 | 0.093 | 0.103 |
| Meta-epidemiology (narrow) | 0.001 | 0.002 |
| Meta-epidemiology (broad) | 0.004 | 0.003 |
| Bibliometrics | 0.022 | 0.021 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.005 | 0.005 |
| Open science | 0.004 | 0.005 |
| Research integrity | 0.002 | 0.004 |
| Insufficient payload (model declined to judge) | 0.010 | 0.004 |
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".