L’infirmière praticienne, un rôle parfaitement adapté à la pratique des soins palliatifs : étude descriptive qualitative
Bibliographic record
Abstract
L’approche des soins palliatifs consiste à s’occuper avec bienveillance des personnes souffrant de maladies menaçant leur vie, afin de maintenir la meilleure qualité de vie qui soit (Hawley, 2017). Cela implique : une gestion efficace des symptômes pour régler les manifestations physiologiques des maladies; des interventions pour promouvoir le mieux-être social, spirituel et émotionnel des patients et de leurs familles; des soins en fin de vie de haut niveau pour maintenir les patients dans le confort et la dignité à l’approche de la mort (Organisation mondiale de la Santé, 2011; Worldwide Palliative Care Alliance [WPCA], 2014). On recommande les soins palliatifs non seulement pour le cancer, mais aussi pour les maladies chroniques menaçant la vie, comme l’insuffisance cardiaque ou rénale ou diverses maladies neurologiques (Hawley, 2017). Vu la prévalenfigurece élevée et la hausse prévue des maladies chroniques, non seulement au Canada, mais aussi dans le monde entier, le besoin de soins palliatifs est déjà grand et le sera encore plus dans l’avenir (Association canadienne des soins palliatifs [ACSP], 2014; Agence de la santé publique du Canada, 2016; WPCA, 2014).
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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 | 0.015 | 0.022 |
| Meta-epidemiology (narrow) | 0.000 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.004 | 0.005 |
| Scholarly communication | 0.005 | 0.005 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.001 | 0.003 |
| 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".