Journal of Nursing最新文献

{"title":"Retraction: Empirical Concept Overview: Analysis of Optimal Nursing Staff Allocation in Hospital Acute Care Wards and Related Decision-Making.","authors":"","doi":"10.6224/JN.26314","DOIUrl":"10.6224/JN.26314","url":null,"abstract":"<p><p>This retracts the article DOI: 10.6224/JN.26204 due to concerns about data reliability.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 3","pages":"e26314"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[From Self-Reflection to Building a \"Culturally Safe\" Care System].","authors":"Shoa-Jen Perng","doi":"10.6224/JN.26301","DOIUrl":"10.6224/JN.26301","url":null,"abstract":"&lt;p&gt;&lt;p&gt;As Taiwanese society grows increasingly diverse and inclusive, the challenges faced in frontline clinical care are expanding beyond treating physical illnesses to include how to effectively embrace the life narratives and health beliefs of diverse populations. Although the long-standing emphasis on \"cultural sensitivity\" and \"cultural competence\" in the medical profession has encouraged healthcare professionals to learn about the customs and taboos of different cultures, research findings remind us that culture is not a fixed label. Lacking critical reflection on power imbalances, the accumulation of such knowledge may lead to the emergence and entrenchment of other forms of stereotyping (Curtis et al., 2019). The theme of this issue, \"Cultural Safety in Nursing Practice\", sincerely invites readers to reflect on whether our current standardized healthcare processes have unintentionally silenced certain voices. The articles featured in this issue provide accessible yet in-depth analyses of the multiple dimensions of cultural safety. At the theoretical level, we see how cultural safety resonates with emancipatory theory, cautioning against medical hegemony and advocating for returning to patients the authority to define their quality of care. In terms of practical application and implementation, cultural safety requires nurses to engage in critical self-reflection, active listening, and shared decision-making, thereby reconstructing a more equitable power relationship between healthcare providers and patients. Meanwhile, educational systems should strengthen the cultural teaching competencies of educators in the realms of foundational knowledge, facilitation skills, and curriculum design to foster more-inclusive learning environments. Ultimately, cultural safety must extend beyond the individual level into the organizational and policy levels as well. In one of the articles, the Indigenous Peoples Health Act (2023) is used to illustrate how respect for culture may be incorporated into healthcare indicators and administrative processes, suggesting a foundation for building a people-centered healthcare system that promotes health equity and social justice. Establishing a culturally safe care environment is a transformative process for healthcare professionals in diverse societies. However, cultural safety is not a one-time technical achievement. Thus, nursing practice must shift from merely \"understanding cultural differences\" to \"examining the safety of care\" by prioritizing the subjective experiences of care recipients and reconstructing power relations between providers and patients (Kaphle et al., 2022). Through the practical strategies introduced in this issue, we hope to inspire self-reflection and encourage all readers to become agents of change. Ultimately, every individual entering the healthcare system should feel seen and heard, and be able to receive care that is respectful of their cultural context within an environment of dignity.","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147975982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[From Cultural Sensitivity to Cultural Safety: Transforming Nursing Practice in a Multicultural Society].","authors":"Hwey-Fang Liang","doi":"10.6224/JN.26302","DOIUrl":"10.6224/JN.26302","url":null,"abstract":"<p><p>With the acceleration of both globalization and population mobility, healthcare settings have become increasingly culturally diverse, presenting nurses with more complex cross-cultural challenges. Although cultural sensitivity promotes understanding and respect for cultural differences, its emphasis on knowledge accumulation limits its effectiveness in addressing the power imbalances and structural inequalities embedded in healthcare interactions. In contrast, cultural safety underscores that quality of care should be defined by patients' subjective experiences and highlights the important influence of power relations, critical self-reflection, patient autonomy, and structural contexts on care quality. In this article, the author examines the theoretical transition from cultural sensitivity to cultural safety in the nursing profession and analyzes the implementation of cultural safety in clinical practice, nursing education, and healthcare systems and its related challenges. The results of literature synthesis and analysis show that cultural safety facilitates the reconstruction of nurse-patient relationships, strengthens patient participation and trust, and provides a vital approach to addressing health inequities in multicultural societies. In the Taiwanese context, the health concerns of diverse populations, which include new immigrants, migrant workers, and transgender individuals, underscore the practical and policy implications of cultural safety. Future efforts should continue to integrate cultural safety into nursing education, clinical practice, and institutional design to develop culturally appropriate care models grounded in local contexts to further enhance care quality and promote health equity.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147975922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Maintaining Intimate Relationships After Total Penectomy: A Nursing Care Perspective].","authors":"Hsueh-Fang Hung, Fang-Yu Hsu","doi":"10.6224/JN.26312","DOIUrl":"10.6224/JN.26312","url":null,"abstract":"<p><p>In Eastern cultures, sexuality and intimate relations are typically regarded as delicate issues and generally ignored in treatment processes, which may cause physical, psychological, and even spiritual suffering throughout the process of recovery. This article discusses a case report involving a 42-year-old male patient, who was diagnosed with penile cancer and subsequently received a total penectomy and urethral reconstruction. Nursing care was provided from May 24 to June 15, 2023. The information was gathered using observation, interviews, and chart reviews. In addition to a surgical wound infection, the patient evidenced emotional suppression and psychological distress associated with their cancer diagnosis and changes in body image after the penectomy. The patient displayed doubtfulness and a disposition to shun closeness. The health problems detected included infection, body image problems, and an inability to have intimacy. The model used during the care period was EX-PLISSIT (extended permission limited-information specific- suggestion intensive-therapy), which was utilized to offer education, communication and feedback concerning intimacy and potential recommendations. A multidisciplinary team worked together to develop a suitable medical and psychological care plan. By affirming the patient's self-worth and helping them recognize and adapt to bodily changes, nursing care enhanced self-care ability. Through early nursing intervention and professional support, the patient and family were guided to explore ways of intimate interaction after surgery, helping to maintain closeness and improve life satisfaction. This experience may serve as a reference for nurses caring for patients with penile cancer to help these patients maintain intimate relationships postoperatively.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147975903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Improving the Fat Grafting Surgical Preparation Accuracy of Operating Room Nurses Using the ADDIE Instructional Model].","authors":"Chun-Chu Ko, Sheng-Pao Li, Yu-Hong Xu, Fang-Kuei Hsieh, Tsen-Yu Tu","doi":"10.6224/JN.26311","DOIUrl":"10.6224/JN.26311","url":null,"abstract":"<p><strong>Background & problems: </strong>Surgical safety is a core patient-safety goal. In our hospital, the rate of accuracy among operating room nurses in preparing for fat grafting surgeries was only 55.4%. The main factors found to influence this issue were: reliance on verbal, experience-based teaching; unfamiliarity with processes and complex instruments; lack of operating manuals and checklists; inadequate in-service education; and lack of standardized operating protocols.</p><p><strong>Purpose: </strong>This project was developed to establish a systematic education and training program and standardized workflow to improve the accuracy of operating room nurses in preparing for fat grafting surgeries.</p><p><strong>Resolution: </strong>Following the ADDIE (analysis, design, development, implementation, and evaluation) instructional model, the interventions implemented in this project included: compiling a preparation manual and mind map, planning structured in-service education, producing an interactive e-book, and holding simulation workshops. Also, a preparation-accuracy checklist and knowledge test were used to track outcomes in 20 nurses. In addition, the Objective Structured Assessment of Technical Skill instrument was used to provide real-time feedback during the simulation courses, and maintenance follow-up was conducted from April through May 2025.</p><p><strong>Results: </strong>After the intervention, the preparation accuracy rate increased from 55.4% to 96.5% and the knowledge accuracy rate increased from 45.0% to 94.5%. Notably, the preparation accuracy rate was 100% during the maintenance follow-up period.</p><p><strong>Conclusions: </strong>Conclusions: Combining the ADDIE instructional model with multiple strategies may be an effective strategy for improving preoperative preparation accuracy and professional competence in nurses. Regular interprofessional consensus meetings should be held to allow rolling revisions to be made to the workflow and, accordingly, develop surgical care guidelines as references for clinical practice to further strengthen nursing quality and patient safety.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147975987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Effectiveness of Dog-Assisted Therapy in Improving the Behavioral and Psychological Symptoms of Dementia: A Systematic Review and Meta-Analysis].","authors":"Tsuei-Yi Tseng, Jia-Sin Luo, Chia-Chi Kuo","doi":"10.6224/JN.26309","DOIUrl":"10.6224/JN.26309","url":null,"abstract":"<p><strong>Background: </strong>Patients with dementia commonly exhibit behavioral and psychological symptoms of dementia (BPSD) such as depression, withdrawal, and agitation. These symptoms are known to significantly impact both mental and physical health, increase caregiving burdens, and lead to higher rates of hospitalization and mortality.</p><p><strong>Purpose: </strong>This study was designed to evaluate using a systematic review and meta-analysis the effectiveness of dog-assisted therapy (DAT) in improving BPSD.</p><p><strong>Methods: </strong>In line with the Joanna Briggs Institute guidelines for systematic reviews of effectiveness, a literature search was conducted in seven databases, including AgeLine, CINAHL, Cochrane Library, Embase, ProQuest, PubMed, and Airiti Library for relevant articles in Chinese or English published before April 2025. The keywords \"dementia\", \"dog-assisted therapy\", and their related MeSH terms and synonyms were used. The scope of the search was limited to randomized controlled trials (RCTs), with studies not meeting the criteria were excluded. A total of 10 RCTs were included. The literature was assessed using the Joanna Briggs Institute 2023 RCT appraisal checklist, the Grading of Recommendations Assessment, Development and Evaluation system was used to rate the quality of the evidence, and the meta-analysis was performed using RevMan version 5.4.</p><p><strong>Results: </strong>The results of the meta-analysis revealed that DAT improved BPSD significantly compared to routine care (SMD = -0.46, p < .0001) and enhanced functional activity (SMD = 0.31, p = .03). However, no statistically significant difference was found in terms of cognitive function. The subgroup analysis results for BPSD indicate DAT significantly alleviates agitation and depressive symptoms.</p><p><strong>Conclusions / implications for practice: </strong>The findings indicate DAT has the potential to significantly improve BPSD in patients with dementia. However, the existing evidence relies primarily on small sample studies with an overall high risk of bias, making the evidence relatively weak. Based on current evidence, DAT should be used as a non-pharmacological care intervention in long-term care facilities, with long-term follow-up necessary to verify its clinical application benefits.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147975585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Impact of the Post-Acute Care Program on Primary Caregiver Burden After Acute Stroke].","authors":"Shiu-Hao Tai, Ya-Wen Li, Ching-Wei Lin, Tzu-Ching Liu, Shir-Ling Lin, Ying Liang, Wan-Ling Yang","doi":"10.6224/JN.26307","DOIUrl":"10.6224/JN.26307","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a leading cause of disability and death. Taiwan has implemented a post-acute care (PAC) program for stroke since 2014. However, the impact of this program on primary caregiver burden remains inadequately investigated.</p><p><strong>Purpose: </strong>This study was conducted to compare the trajectories of family functioning and caregiver burden over the follow-up period between primary caregivers of patients with acute stroke in PAC and non-PAC groups (as tested using group × time interaction). The caregiver characteristics that may warrant clinical prioritization were also explored as potential hypothesis-generating signals for future research.</p><p><strong>Methods: </strong>A quasi-experimental design was adopted. One hundred primary caregivers from a medical center in northern Taiwan were enrolled and allocated to either the PAC or non-PAC group (n = 50 each) based on whether the patient had received PAC. Two instruments, including the Family APGAR and Caregiver Burden Inventory, were administered once on hospital days 10-14, and at 1 and 3 months after discharge. Chi-square tests, t tests, and two-way repeated-measures ANOVA were used for analysis.</p><p><strong>Results: </strong>Baseline sociodemographic characteristics did not differ significantly between the PAC and non-PAC groups. Two-way repeated-measures ANOVA showed significant time effects, with caregiver physical, time, and developmental burdens decreasing over time (time main effect, p < .01). The Group × Time interaction was not significant. No significant between-group differences in trajectories were observed under the current design and data conditions. In the exploratory analysis of the overall sample, family function at 3 months post-discharge differed by age and educational level, and female participants reported higher emotional and developmental burden than their male counterparts. Interpretation of the intervention effect should consider the potential for unmeasured confounding variables.</p><p><strong>Conclusions: </strong>Although caregiver burden declined over time, under the defined study design and data conditions, no significant difference in the trajectories of caregiver burden between the PAC and non-PAC groups was observed. The analytic focus in this study was on between-group differences in longitudinal change (trajectories) rather than cross-sectional differences at each time point. The findings of the exploratory analysis suggest associations between older age, lower educational attainment, and being female with less-favorable profiles on selected measures, warranting clinical prioritization as well as further validation in future studies to inform the development of more effective family-centered PAC support strategies.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147975933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Caring for a Patient With Rare Urachal Carcinoma and Facilitating Family Medical Decision-Making: A Case Report].","authors":"Mei-Ying Liu, Su-Ying Lin","doi":"10.6224/JN.26213","DOIUrl":"10.6224/JN.26213","url":null,"abstract":"<p><p>This case was a 28-year-old male patient newly diagnosed with metastatic urachal carcinoma who presented with abdominal distension. Metastatic urachal carcinoma is rare and highly aggressive and associated with poor prognosis. The care period was from November 7, 2022 to May 16, 2023. On hospital day four, the patient developed acute respiratory distress, which required endotracheal intubation and transfer to the intensive care unit. The nursing practitioner facilitated cross-coordination between oncology and critical care teams. The \"Patient-Centered Care\" concept and \"Four Quadrants\" ethical framework were applied to address dilemmas in medical decision-making. Clinical information was primarily obtained from the patient's mother. This case highlights the challenges involved in respecting patient autonomy regarding chemotherapy, managing severe tumor lysis syndrome with acute kidney injury complications, and dealing with family conflicts regarding medical decision-making in end-of-life care. By coordinating across the healthcare team, we effectively managed a complicated and evolving clinical course. This case report was prepared to share our experience as a reference for clinical nursing practice.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 2","pages":"e26213"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The Current State of Integrating Evidence-Based Health Care Competence Into Taiwan's Nursing Clinical Ladder System].","authors":"Hsiao-Ying Hung, Ya-Wen Lee, Hsiu-Ling Chou, Chiou-Fen Lin, Ying-Ju Chang","doi":"10.6224/JN.26208","DOIUrl":"10.6224/JN.26208","url":null,"abstract":"<p><strong>Background: </strong>Given the importance of evidence-based health care (EBHC), some hospitals in Taiwan have incorporated this competency into their clinical ladder systems. However, the details regarding how hospitals implement and integrate EBHC across different ladder levels remain insufficiently understood. Inconsistencies between hospitals may affect clinical practice, staff promotion fairness, and the overall effectiveness of EBHC competency development.</p><p><strong>Purpose: </strong>This study was designed to explore the current status of the promotion of EBHC in hospitals, how EBHC is being integrated into nursing clinical ladder systems, and the key facilitators and barriers to implementation.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted between January and March 2024. Representatives from 240 member hospitals of the Taiwan Nurses Association completed a self-developed questionnaire. Questions on the survey examined how the targeted hospitals promoted EBHC, how EBHC was being incorporated into the clinical ladder system, related implementation methods, required educational hours, and perceived facilitators and barriers. Data were analyzed using descriptive statistics.</p><p><strong>Results: </strong>Of the 215 hospitals that responded (response rate = 89.6%), 66.5% reported having promoted EBHC. Of the 183 hospitals that had implemented a clinical ladder system, 68.9% (n = 126) reported incorporating EBHC competencies by requiring evidence-based reports; however, only 24.6% (n = 31) of these applied this requirement at all ladder levels. In addition, only 53.2% of these 183 hospitals required that nurses complete a specific number of EBHC training hours, with these hours varying substantially across institutions. Moreover, EBHC competency requirements and reporting standards were inconsistent between ladder levels. The key facilitators identified included managerial support for EBHC (73.5%), organizational support (69.2%), and regular training (68.4%). The major barriers identified included limited English proficiency among nurses (70.2%) and a lack of qualified mentors (63.7%).</p><p><strong>Conclusions / implications for practice: </strong>To better integrate EBHC into clinical ladder systems, nursing professional associations should convene expert consensus meetings to define EBHC competencies, develop tiered training standards, and set the assessment methods to be used at each ladder level. Nursing schools should incorporate standardized EBHC core curricula into their programs. In addition, collaboration among professional organizations may facilitate the development of systematic, digital continuing education modules to improve accessibility and support the clinical application of EBHC.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 2","pages":"e26208"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Localizing Global Evidence-Based Care Practices: JBI Taiwan Center for Holistic Care and Evidence Implementation].","authors":"Shwu-Feng Tsay, Pei-Fan Mu","doi":"10.6224/JN.26202","DOIUrl":"10.6224/JN.26202","url":null,"abstract":"<p><p>In recent years, evidence implementation has become an important strategy in improving healthcare quality and patient safety. In this article, the vision, mission, strategies, key priorities, and action plans of the JBI Taiwan Center for Holistic Care and Evidence Implementation are introduced, and the anticipated opportunities and challenges going forward are described. By aligning with global evidence resources in responding to local healthcare needs, the Center promotes cross-national collaboration and knowledge co-creation through Local Solution Rooms, which are responsible to translate global best evidence into practical and locally applicable solutions. Through talent cultivation and knowledge translation, the Center continues to strengthen evidence implementation in aging and community care, solidify Taiwan's position as a knowledge translation hub, deepen institutional collaborations, and expand related international partnerships. The goal of the Center is to advance scalable and sustainable evidence implementation models and, leveraging collective wisdom and cross-sector collaboration, the Center is committed to driving the further development of person-centered, evidence-based healthcare.</p>","PeriodicalId":35672,"journal":{"name":"Journal of Nursing","volume":"73 2","pages":"e26202"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}