Enhancing Chronic Pain Nursing Diagnosis Through Machine Learning: A Performance Evaluation.

This study proposes an evaluation of the efficacy of machine learning algorithms in classifying chronic pain based on Italian nursing notes, contributing to the integration of artificial intelligence tools in healthcare within an Italian linguistic context. The research aimed to validate the nursing...

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Publicado en:CIN: Computers, Informatics, Nursing Vol. 43; no. 5; pp. 1 - 7
Autores principales: Macrì, Davide, Ramacciati, Nicola, Comito, Carmela, Metlichin, Elisabetta, Giusti, Gian Domenico, Forestiero, Agostino
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins May2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2025
      vid: 43
      iid: 5
      pid: 433
      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/CIN.0000000000001277
        184974697
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        atl: Enhancing Chronic Pain Nursing Diagnosis Through Machine Learning: A Performance Evaluation.
      aug:
        au:
          Macrì, Davide
          Ramacciati, Nicola
          Comito, Carmela
          Metlichin, Elisabetta
          Giusti, Gian Domenico
          Forestiero, Agostino
        affil: Author Affiliations: Istituto di Calcolo e Reti ad Alte Prestazioni (Institute for High-Performance Computing and Networking) (Drs Macrì, Comito, and Forestiero)
      sug:
        subj:
          Chronic Pain Diagnosis
          Nursing Diagnosis Evaluation
          Quality Improvement
          Machine Learning Algorithms Evaluation
          Chronic Pain Classification
          Nursing Records Italy
          Health Care Delivery Italy
          Human
          Artificial Intelligence
          Italy
          Validation Studies
          Decision Making, Clinical
          Quality Assessment
          Sensitivity and Specificity
          Natural Language Processing
          Nursing Care
          Chronic Pain Nursing
          Nursing Informatics
      ab: This study proposes an evaluation of the efficacy of machine learning algorithms in classifying chronic pain based on Italian nursing notes, contributing to the integration of artificial intelligence tools in healthcare within an Italian linguistic context. The research aimed to validate the nursing diagnosis of chronic pain and explore the potential of artificial intelligence (AI) in enhancing clinical decision-making in Italian healthcare settings. Three machine learning algorithms—XGBoost, gradient boosting, and BERT—were optimized through a grid search approach to identify the most suitable hyperparameters for each model. Therefore, the performance of the algorithms was evaluated and compared using Cohen's κ coefficient. This statistical measure assesses the level of agreement between the predicted classifications and the actual data labels. Results demonstrated XGBoost's superior performance, whereas BERT showed potential in handling complex Italian language structures despite data volume and domain specificity limitations. The study highlights the importance of algorithm selection in clinical applications and the potential of machine learning in healthcare, specifically addressing the challenges of Italian medical language processing. This work contributes to the growing field of artificial intelligence in nursing, offering insights into the challenges and opportunities of implementing machine learning in Italian clinical practice. Future research could explore integrating multimodal data, combining text analysis with physiological signals and imaging data, to create more comprehensive and accurate chronic pain classification models tailored to the Italian healthcare system.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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