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Relational Intelligence - Gemma 2 9B for Nursing

A fine-tuned Gemma 2 9B model specialised for person-centred nursing care and relational practice.

Model Details

Model Description

Relational Intelligence is a LoRA adapter fine-tuned on nursing care literature, designed to support nurses in understanding and applying person-centred care principles. Trained on open access journal articles from:

  • Foundation of Nursing Studies (FONS) - https://www.fons.org/
  • International Practice Development Journal (IPDJ) - ISSN: 2046-9292

This model respects the CC BY-NC 3.0 license of the source materials.

Model Sources

Uses

Direct Use

  • Educational support for nursing students and practitioners
  • Care planning inspiration and person-centred approaches
  • Reflective practice guidance and prompts
  • Understanding nursing theoretical frameworks
  • Research assistance in nursing literature

Downstream Use

Can be integrated into:

  • Clinical decision support tools
  • Nursing education platforms
  • Care planning applications
  • Reflective practice journals

Out-of-Scope Use

โš ๏ธ NOT for:

  • Clinical diagnosis
  • Prescribing medications or treatments
  • Emergency medical decisions
  • Replacing professional clinical judgement
  • Direct patient care without human oversight

Bias, Risks, and Limitations

  • Not a diagnostic tool - Cannot diagnose or recommend treatments
  • Knowledge limitations - May not reflect latest evidence
  • Potential hallucinations - May generate incorrect information
  • Cultural context - Primarily trained on English Western nursing literature
  • No patient context - Cannot examine patients

Recommendations

  • Always verify against current clinical guidelines
  • Use as supportive tool, not replacement for expertise
  • Never input identifiable patient information
  • Follow your organisation's AI policies

How to Get Started with the Model

import torch
from transformers import AutoModelForCausalLM, AutoTokenizer
from peft import PeftModel

# Load base model
base_model = AutoModelForCausalLM.from_pretrained(
    "google/gemma-2-9b-it",
    torch_dtype=torch.bfloat16,
    device_map="auto",
)

# Load LoRA adapter
model = PeftModel.from_pretrained(
    base_model,
    "NurseCitizenDeveloper/relational-intelligence-gemma2-9b"
)

tokenizer = AutoTokenizer.from_pretrained("google/gemma-2-9b-it")

# Generate
prompt = "<start_of_turn>user\nWhat are the key principles of person-centred care?<end_of_turn>\n<start_of_turn>model\n"
inputs = tokenizer(prompt, return_tensors="pt").to(model.device)
outputs = model.generate(**inputs, max_new_tokens=500)
print(tokenizer.decode(outputs[0], skip_special_tokens=True))

Training Details

Training Data

  • Source: FONS, IPDJ, person-centred care literature
  • Size: 15,234 Q&A pairs
  • Topics: Person-centred care, therapeutic relationships, reflective practice

Training Procedure

Preprocessing

Q&A pairs generated from nursing literature using Gemini 2.5 Flash, formatted in Gemma chat template.

Training Hyperparameters

  • Training regime: bf16 mixed precision, QLoRA (4-bit)
  • LoRA rank: 64
  • LoRA alpha: 16
  • Learning rate: 2e-4
  • Batch size: 1 (gradient accumulation: 4)
  • Epochs: 3
  • Max sequence length: 512
  • Optimizer: paged_adamw_8bit

Speeds, Sizes, Times

  • Training time: ~11 hours
  • Trainable parameters: 216M (2.28%)
  • Total parameters: 9.4B

Environmental Impact

  • Hardware Type: NVIDIA A100 GPU (40GB)
  • Hours used: 11
  • Cloud Provider: Google Colab
  • Compute Region: US

Technical Specifications

Model Architecture and Objective

  • Architecture: Gemma 2 9B decoder-only transformer
  • Adapter: LoRA (Low-Rank Adaptation)
  • Objective: Causal language modeling

Compute Infrastructure

Hardware

NVIDIA A100 GPU, 40GB VRAM

Software

  • transformers >= 4.42.0
  • peft >= 0.11.0
  • trl >= 0.8.6
  • bitsandbytes >= 0.43.0

Acknowledgments & Attribution

This model was trained on content from:

Foundation of Nursing Studies (FONS)

  • Website: https://www.fons.org/
  • The Foundation of Nursing Studies supports nurses and nursing to improve care

International Practice Development Journal (IPDJ)

We gratefully acknowledge FONS for making nursing research openly accessible to support evidence-based practice and education.

License Compliance

The training data derives from open access publications licensed under Creative Commons Attribution Non-Commercial 3.0 (CC BY-NC 3.0).

Accordingly, this model and its outputs:

  • โœ… May be used for educational purposes
  • โœ… May be used for research
  • โœ… May be adapted with attribution
  • โŒ May NOT be used for commercial purposes

Citation

BibTeX:

@misc{relational-intelligence-2025,
  author = {Lincoln Gombedza},
  title = {Relational Intelligence: A Fine-Tuned Gemma 2 Model for Nursing},
  year = {2025},
  publisher = {Hugging Face},
  url = {https://huggingface.co/NurseCitizenDeveloper/relational-intelligence-gemma2-9b}
}

APA:

Lincoln Gombedza. (2025). Relational Intelligence: A Fine-Tuned Gemma 2 Model for Nursing. Hugging Face. https://huggingface.co/NurseCitizenDeveloper/relational-intelligence-gemma2-9b

Model Card Authors

Lincoln Gombedza

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