Evidence map›Paper›PMID 34569603›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2021

Use of machine learning to transform complex standardized nursing care plan data into meaningful research variables: a palliative care exemplar.

Tamara G R Macieira, Yingwei Yao, Gail M Keenan

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Tamara G R MacieiraDepartment of Family, Community and Health Systems Science, College of Nursing, University of Florida, Gainesville, Florida, USA.ORCID 0000-0003-1100-3760
Yingwei YaoDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, Florida, USA.
Gail M KeenanDepartment of Family, Community and Health Systems Science, College of Nursing, University of Florida, Gainesville, Florida, USA.

Funding

Tailored Clinical Decision Support Formats Designed to Improve Palliative Care for Cancer and Chronically Ill Patients: A Pre-Clinical TestR01NR018416 · NINR · UNIVERSITY OF FLORIDA · PI DUNN LOPEZ, KAREN, KEENAN, GAIL M · 2019 to 2021
$1.7M
Harmonizing and Integrating Nursing Data into Multidisciplinary Datasets to Evaluate Hospital Care and Readmissions of Older Adults with Alzheimer’s Disease and Alzheimer’s Disease-Related DementiasR21AG072265 · NIA · UNIVERSITY OF FLORIDA · PI KEENAN, GAIL M, MACIEIRA, TAMARA G.R. · 2021 to 2022
$417k
NIA NIH HHS R21 AG072265NIA NIH HHS R21AG072265NINR NIH HHS R01 NR018416NINR NIH HHS R01NR018416
6 · The paper itself

Abstract

The aim of this article was to describe a novel methodology for transforming complex nursing care plan data into meaningful variables to assess the impact of nursing care. We extracted standardized care plan data for older adults from the electronic health records of 4 hospitals. We created a palliative care framework with 8 categories. A subset of the data was manually classified under the framework, which was then used to train random forest machine learning algorithms that performed automated classification. Two expert raters achieved a 78% agreement rate. Random forest classifiers trained using the expert consensus achieved accuracy (agreement with consensus) between 77% and 89%. The best classifier was utilized for the automated classification of the remaining data. Utilizing machine learning reduces the cost of transforming raw data into representative constructs that can be used in research and practice to understand the essence of nursing specialty care, such as palliative care.

Indexed as

Machine LearningPalliative CareAgedAlgorithmsElectronic Health RecordsHumansPatient Care Planningelectronic health recordsmachine learningnursingnursing informaticsstandardized nursing terminology

Identifiers

PMID34569603
PMCPMC8633646

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.