Nursing and policy: nurses perspectives on ending hallway healthcare in Ontario
Bibliographic record
Abstract
Drawing from elements of street-level bureaucracy this thesis examines the experiences and perspectives of six nurses (registered practical nurses and registered nurses) and their work with patients designated as alternate level of care (ALC) in an era within which policy initiatives include an end to hallway healthcare. Policies to end hallway healthcare focus on providing patients with the right care in the right location. Little attention has been focused on the impact of nursing on policy implementation. Using a descriptive qualitative approach, this study paid particular attention to the realities of everyday work in various hospitals throughout Ontario. The findings show that nurses have differing levels of awareness and understanding of policy. Further, they feel removed from policy planning and decision-making. This calls for attention of nursing institutions (education and workplace), professional associations, researchers and policymakers to help bridge this gap.
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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 | 0.005 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.034 | 0.018 |
| Scholarly communication | 0.009 | 0.003 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.003 | 0.004 |
| 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".