Nelson A. Ditching, Angel Grace F. Furatero, Razilee Vania S. Iquiña, Aira Darlyn M. Sabulao, Jason M. Supremo, Ryan Michael Flores Oducado
{"title":"Factors Associated with Nursing Students’ Intention to Report Needlestick Injuries: Applying the Theory of Planned Behavior","authors":"Nelson A. Ditching, Angel Grace F. Furatero, Razilee Vania S. Iquiña, Aira Darlyn M. Sabulao, Jason M. Supremo, Ryan Michael Flores Oducado","doi":"10.14710/NMJN.V10I3.31975","DOIUrl":"https://doi.org/10.14710/NMJN.V10I3.31975","url":null,"abstract":"Background : Nursing students, like other healthcare workers, are prone to needlestick injuries. Over the years, studies have been conducted regarding needlestick injuries. However, its prevalence among Filipino nursing students’ is still not known. Also, nursing students’ intention to report needlestick injuries in the Philippines has not been explored. Purpose: The purpose of this research was to determine the factors associated with the intention to report needlestick injuries among nursing students applying the Theory of Planned Behavior. Methods: This cross-sectional study used the Needlestick Injuries Reporting Intention Scale (NIRIS) and was distributed among 233 senior nursing students in Iloilo City, Philippines. Descriptive statistics and Pearson’s correlation were utilized to analyze the data. Results: The results of the study revealed that 15% of nursing students had experienced a needlestick injury. However, only less than half (45.71%) of those who sustained needlestick injury reported the incident. Nursing students exhibited a positive attitude ( M =5.41; SD =0.63) toward reporting needlestick injuries. They perceived a high social pressure ( M =4.65; SD =0.46), high behavioral control ( M =4.19; SD =0.45), and high intention ( M =8.99; SD =1.15) in reporting needlestick injuries. Attitude ( p =0.000), subjective norm ( p =0.000), and perceived behavioral control ( p =0.000) were significantly correlated with the intention to report needlestick injuries. Conclusion: This study supports the Theory of Planned Behavior in identifying factors influencing nursing students’ intention to report needlestick injuries.","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"28 1","pages":"234-243"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83955463","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}
Destia Widyarani, Tantut Susanto, Dwi Wahyuni, H. Pham
{"title":"Identifying Community/Public Health Nursing Competencies in Indonesia: A Modified Delphi Method","authors":"Destia Widyarani, Tantut Susanto, Dwi Wahyuni, H. Pham","doi":"10.14710/NMJN.V10I3.29435","DOIUrl":"https://doi.org/10.14710/NMJN.V10I3.29435","url":null,"abstract":"Background: Nurses in public health centers, or known as public health nurses (PHNs), have duties in implementing promotive, preventive, curative, and rehabilitative efforts. In Indonesia, there is no basic reference to the competencies that should be performed by PHNs. The provision of health services in the community should cover two areas, namely inside and outside the building (Minister of Health’s Regulation No. 279 Year 2006); it causes nurses in the community to further hone their skills while in the field. Purpose: This study aimed to identify the competencies of the Indonesian PHNs from experts using the C/PHN competencies of the Quad Council Coalition through a Delphi method. Methods: This study was quantitative research with a Delphi method. We employed a purposive sampling technique to recruit the experts of public health nurses. The experts did a Delphi method to identify, analyze, and modify the C/PHN Competencies of the Quad Council Coalition into the Indonesian version of C/PHN Competencies with local cultures. Results: Results showed that from eight domains of the Quad Council Coalition C/PHN competencies, there were changes for priority of the PHN competencies in Indonesia. All priorities were classified into eight groups, namely: (1) Leadership Skills and Thinking Systems; (2) Community Dimensions of Practice; (3) Assessment Analytic; (4) Policy Development and Program Planning; (5) Communication Skills; (6) Financial Planning and Management and Planning; (7) Public Health Sciences Skills; and (8) Cultural Competency. Conclusion: The Quad Council Coalition of C/PHN competencies are appropriate with the Indonesian PHN competencies, although the priority is changed related of local wisdom as stated in the Minister of Health’s Regulation No. 279 Year 2006. Therefore, the Indonesian P/HN competencies should be developed to support the Indonesian health people through family approach.","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"42 19","pages":"350-360"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72539246","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}
R. Utami, Ahmat Pujianto, Dody Setyawan, Elsa Naviati, Nana Rochana
{"title":"Critical Care Nurses’ Experiences of End-of-Life Care: A Qualitative Study","authors":"R. Utami, Ahmat Pujianto, Dody Setyawan, Elsa Naviati, Nana Rochana","doi":"10.14710/NMJN.V10I3.31302","DOIUrl":"https://doi.org/10.14710/NMJN.V10I3.31302","url":null,"abstract":"Background: Patients admitted to the intensive care unit (ICU) may face terminal illness situations, which may lead to death. In this case, the role of critical care nurses shifts from life-sustaining to end-of-life care (EOLC). Nurses’ involvement in EOLC varies between countries, even in one country due to differences in religion, culture, organization, laws, cases and patient quality. In Indonesia, research on EOLC in ICU has not been carried out. Purpose: This study aimed to explore the experiences of critical care nurses in providing EOLC. Methods: A qualitative study with a phenomenological approach was conducted. Ten critical care nurses having the experiences of caring for dying patients were recruited through a purposive sampling technique for in-depth interviews. Manual content analysis was used to identify themes. Results: The results of the study found five themes, including the challenge of communication with the family, support for the family, support for the patient, discussion and decision making, and nurses’ emotions. Conclusion: Most of EOLC provided by critical care nurses was focused on the family. They had some challenges in communication and decision making. Nurses need to get training and education about how to care for patients towards the end of life.","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"24 1","pages":"260-274"},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78982148","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}
Fitria Handayani, S. Setyowati, D. Pudjonarko, D. Sawitri
{"title":"The Effect of “SELF-HELP Packages” on Post Stroke Depression among Ischemic Stroke Survivors","authors":"Fitria Handayani, S. Setyowati, D. Pudjonarko, D. Sawitri","doi":"10.14710/NMJN.V10I3.31014","DOIUrl":"https://doi.org/10.14710/NMJN.V10I3.31014","url":null,"abstract":"Background: There are several factors that contribute to Post Stroke Depression (PSD). Since a single intervention is proven ineffective to deal with PSD, an intervention which includes biological, psychological, social, and spiritual aspects (“SELF-HELP Packages”), therefore, needs to be established.Purpose: The purpose of the study was to investigate the effect of “SELF HELP Packages” intervention on PSD among ischemic stroke survivors after three months from onset and its effect after confounding variables were controlled.Methods: This study was a pre and post quasi-experiment with a control group involving 34 ischemic stroke survivors each group. The inclusion criteria were survivors after three months from ischemic stroke, no aphasia, having a good hearing, and having Mini Mental Status Examination (MMSE) score of ≥ 22. GRID-HAMD 17, Multidimensional Scale of Perceived Social Support (MSPSS), and Barthel-Index were used to measure PSD, social support, and functional status respectively. “SELF-HELP Packages” intervention was delivered in three sessions, namely information delivery, discussion and activity. Statistical analyses were conducted using McNemar test, Chi-square and logistic regression.Results: The result showed that “SELF-HELP Packages” considerably decreased PSD in the intervention group (p=0.004). There were also significant differences in PSD after the intervention between two groups (p=0.008). Logistic regression showed that ‘SELF-HELP Package” had no effect on PSD when other confounding variables were controlled (p=0.075, OR=0.288, 95% CI 0.073 – 1.135).Conclusion: SELF-HELP Packages” should be applied in providing the nursing intervention among stroke ischemic survivors in clinical setting. A longer period of time for the intervention is also recommended for the next study in order to obtain a more robust result. ","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84423028","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 Experiences and Meanings of Nurses’ Smiles to Patients in the Emergency Department","authors":"Vera Fitriana, A. Santoso, E. Dharmana","doi":"10.14710/NMJN.V11I1.28377","DOIUrl":"https://doi.org/10.14710/NMJN.V11I1.28377","url":null,"abstract":"Background: Psycho-emotional aspects play an important role in both health services and health workers in the emergency department. Smiles are forms of interactions between nurses and patients that are given in providing health services to patients in terms of nonverbal communication. However, high workloads in the emergency unit may hinder nurses from smiling. Purpose: This study aimed to explore the experiences and meanings of nurses’ smiles to patients in the emergency department.Methods: This study employed a qualitative design with a descriptive phenomenological approach. Thirteen participants were recruited through purposive sampling using the inclusion criteria, such as emergency nurses with more than three years of work experience and nurses who had attended training on effective communication. Data were collected through in-depth interviews with semi-structured questions and analyzed using the Colaizzi’s phenomenological approach. Results: The study generated four themes, namely, the importance of smiles in emergency services, the miracle of smiles, the hindrances for emergency nurses to smile, and that smiles and humor in an emergency situation are important for children. Conclusion: The study concluded that nurses’ smiles had a significant benefit on emergency department services as a form of interpersonal relationship, although the practice still needs to be improved. Nurses are expected to be able to apply smiles in communicating with patients and their families in the emergency departments.","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81666305","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 Relationship between Job Stress and Job Satisfaction among Saudi Nurses: A Cross-Sectional Study","authors":"O. Baker, Bandar Dhafer Alshehri","doi":"10.14710/NMJN.V10I3.32767","DOIUrl":"https://doi.org/10.14710/NMJN.V10I3.32767","url":null,"abstract":"Background: The productivity of nurses and patient healthcare is highly influenced by nurses’ stress-related factors and job satisfaction. Nursing is the least preferred career opportunities for Saudi residents as compared to other options. Nurses’ perceptions of intention to quit contributes to their shortage in Saudi health care institutions.Purpose: The study aimed to examine the relationship between work-related stress and job satisfaction among Saudi nurses working at a public hospital.Methods: The research used a cross-sectional design that collected data from samples of 297 nurses working at a specified public hospital and aged over than 20 years old. Convenient sampling was employed to recruit the samples. Data were collected using the Expanded Nursing Stress Scale (ENSS) and Job Satisfaction Scale (JSS). The Statistical Package for Social Sciences (SPSS) version 20.0 was applied, and Pearson’s correlation test was to identify the relationship between variables.Results: The results indicated that the nurses at the hospital where the study took place experienced low levels of stress with a mean value of 2.1995. Besides, the nature of work indicated maximum job satisfaction with a mean value of 15.666, whereas minimum job satisfaction levels (11.569), were related to benefits provided to nurses. A positive correlation was found between the level of stress and satisfaction with a p-value of 0.041.Conclusion: The stress factors were highly correlated with job satisfaction. The identification of stress factors is important as it may create a negative impact on patients’ care and their well-being. It is suggested that changes in managerial affairs and policies are essential for implementing beneficial strategies that may assist in resolving the issue.","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76088720","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}
A. Alsufyani, Abdulaziz A. Aldawsari, Sayer M. Aljuaid, Khalid E. Almalki, Yasir M. Alsufyani
{"title":"Quality of Nursing Care in Saudi Arabia: Are Empathy, Advocacy, and Caring Important Attributes for Nurses?","authors":"A. Alsufyani, Abdulaziz A. Aldawsari, Sayer M. Aljuaid, Khalid E. Almalki, Yasir M. Alsufyani","doi":"10.14710/NMJN.V10I3.32210","DOIUrl":"https://doi.org/10.14710/NMJN.V10I3.32210","url":null,"abstract":"Background: The examination of the literature indicates that practicing nurses are barely engaged in developing enhancement programs for quality nursing care. There are numerous studies on the value of nursing care, but none offers ways of assessing the value of care provided by nurses. Identifying the essence of quality nursing care can facilitate effective enhancement approaches. It was prudent to explore the relationship between advocacy, caring, and empathy in delivering quality nursing care.Purpose: This study aimed to comprehend the views of Saudi Arabian nurses on how empathy, advocacy, and caring act as measurements of quality of nursing care.Methods: A qualitative investigative, descriptive design was used to explore the advocacy, empathy, and caring from the viewpoints of practicing nurses. Twenty-one general and specialized medical care nurses from King Saud Medical City in Saudi Arabia were recruited through purposive sampling. The researchers conducted semi-structured interviews that were recorded, written out, and subjected to thematic analysis.Results: The findings have led to the establishment of quality Saudi nursing care with the identification of core themes: empathy, advocacy, and caring. The findings of this study elevate the understanding of the quality of nursing care in the Saudi context.Conclusion: The participants aver that patient advocacy, empathy, and care are parts of the characteristics of nursing profession. These characteristics aid in listening and comprehending patients’ perspectives. Following the findings, it is suggested to provide training to the nurses to overcome the challenges faced by nurses in reflecting empathy.","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75737153","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}
Eka Wahyuningrum, N. R. Yulianti, Andri Kenti Gayatina
{"title":"Factors Affecting Sleep Problems in Preschoolers","authors":"Eka Wahyuningrum, N. R. Yulianti, Andri Kenti Gayatina","doi":"10.14710/nmjn.v10i2.26649","DOIUrl":"https://doi.org/10.14710/nmjn.v10i2.26649","url":null,"abstract":"Background: Sleep problems are self-care deficits of sleep experienced by more than 44% of preschoolers. Some studies have showed that physical, psychological, family, environmental, and temperamental factors could cause sleep problems among children. However, other research showed that there is no correlation between sleep problems and environmental factors. There are pro-cons regarding the causes of sleep problems. Purpose: The purpose of this study was to analyze factors affecting sleep problems among preschoolers. Methods: A cross-sectional study was conducted among 297 preschoolers selected by systematic random sampling. Data were collected using the Children’s Sleep Habits Questionnaires (CSHQ) and analyzed using bivariate (Chi-Square and Fisher tests) and multivariate (logistic regression) analyses. Results: Results of the bivariate analysis showed that some variables were related to sleep problems among preschoolers, including family income ( p =0.027), the education level of the mother ( p <0.001), and bed-sharing ( p =0.003). Multivariate analysis found that factors related to sleep problems were bed-sharing ( p =0.031; OR=2.377), gadget use in two hours before sleep ( p =0.039; OR= 2.703), and the education level of the mother ( p =0.007; OR=2.244). Conclusion: Factors related to sleep problems in preschoolers were bed-sharing, gadget use in two hours before sleep, the education level of the mother, and family income. This study recommends that environmental and family factors should be modified by limiting bed-sharing and reducing the use of gadgets before bedtime.","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"22 1","pages":"107-118"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73404577","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":"Self-Efficacy Affects Cancer Patients in Solving Problems, Seeking Support and Avoiding Problems as Coping Mechanisms","authors":"Yesiana Dwi Wahyu Werdani, Pascalis Arief Ardiansyah Silab","doi":"10.14710/nmjn.v10i2.26803","DOIUrl":"https://doi.org/10.14710/nmjn.v10i2.26803","url":null,"abstract":"Background: Cancer is a disease that causes various physical and mental problems. Being diagnosed with cancer affects the self-efficacy and behavior of individuals to choose a coping mechanism in facing the problem. Purpose: This study aimed to determine the effect of self-efficacy on solving problems, seeking support, and avoiding problems as coping mechanisms in cancer patients. Methods: A cross-sectional study was conducted on 45 cancer patients selected using a total sampling technique from two public health centers in Surabaya, Indonesia. Data were collected using the General Self-Efficacy Scale and Coping Strategy Indicator, and analyzed using the Shapiro Wilk for data normality, and linear regression to determine the effects of self-efficacy on solving problems, seeking support, and avoiding problems with p< 0.05. Results: The results showed the participants’ rate of self-efficacy levels ( M =3.26), and coping mechanism levels in solving problems ( M =3.46), seeking support ( M =2.88), and avoiding problems ( M =3.27), as well as mean scores of self-efficacy (32.6±3.8), solving problems (34.6±3.8), seeking support (31.8±3.7), and avoiding problems (32.7±3.2). Based on the linear regression test, there was a significant effect self-efficacy on solving problems (p<0.001; R 2 =0.97), seeking support (p<0.001; R 2 =0.98), and avoiding problems (p<0.001; R 2 =0.98) as coping mechanisms. Conclusion: Cancer patients who had high self-efficacy scores would choose solving problems and seeking support as the coping mechanisms, but those with lower scores on self-efficacy prefer to avoid the problems.","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"8 1","pages":"146-157"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84357311","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}
Asih Nurakhir, Fiqih Nindya Palupi, C. Langeveld, D. Nurmalia
{"title":"Students’ Views of Classroom Debates as a Strategy to Enhance Critical Thinking and Oral Communication Skills","authors":"Asih Nurakhir, Fiqih Nindya Palupi, C. Langeveld, D. Nurmalia","doi":"10.14710/nmjn.v10i2.29864","DOIUrl":"https://doi.org/10.14710/nmjn.v10i2.29864","url":null,"abstract":"Background: The skills in effective communication and critical thinking are essential for nurses to apply appropriate judgments in the delivery of patient care. Classroom debates are evident to be an effective strategy that can be used to improve such skills. Unfortunately, research focusing on classroom debates to promote critical thinking and oral communication skills among nursing students has not been extensively explored. Purpose: This study aimed to explore nursing students’ views of classroom debates as a learning strategy to enhance critical thinking and oral communication skills. Methods: A descriptive qualitative research design was employed in this study. Twelve students of the undergraduate program in nursing with classroom debate experiences and willingness to participate were purposively recruited for semi-structured interviews. Open-ended questions were used, and probing questions were also generated from the participants to get more detailed information. The interviews were transcribed verbatim and analyzed using the inductive content analysis. Results: The results of the study identified five themes, including the acquisition of new knowledge, awareness and responsiveness to diverse viewpoints and arguments, learning structuring ideas and appropriate ways of presentation, development of other necessary skills, and challenges of classroom debates in nursing education. Conclusion: Classroom debates promoted the development of critical thinking and oral communication skills, and offered students an opportunity to develop other necessary skills in the face of today’s complex healthcare. Classroom debates can be integrated into the curriculum and teaching practices of any nursing educational institutions.","PeriodicalId":36409,"journal":{"name":"Nurse Media Journal of Nursing","volume":"5 3-4","pages":"130-145"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.14710/nmjn.v10i2.29864","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72452713","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}