Journal of Nursing Regulation最新文献

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How many hours do nurses who re-enter the workforce need to “practise” to maintain safe “practice”? 重新进入工作岗位的护士需要“练习”多少小时才能保持安全的“练习”?
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/j.jnr.2025.06.007
Emma Eaton , Amanda Henderson
{"title":"How many hours do nurses who re-enter the workforce need to “practise” to maintain safe “practice”?","authors":"Emma Eaton ,&nbsp;Amanda Henderson","doi":"10.1016/j.jnr.2025.06.007","DOIUrl":"10.1016/j.jnr.2025.06.007","url":null,"abstract":"<div><h3>Background</h3><div>The regulation of nursing is needed to assure the public that registered nurses are competent and capable. When nurses do not practice for extended periods, their capacity to provide safe contemporary care gradually lessens. There is little evidence about how best to ensure that nurses who re-enter the workforce will provide safe and competent care.</div></div><div><h3>Purpose</h3><div>To ascertain the number of hours nurses in a supervised practice arrangement within a clinical environment take to demonstrate competence in maintaining requisite standards of practice following an extended period away from the profession.</div></div><div><h3>Methods</h3><div>A quantitative evaluation design determined nurses’ workplace performance during a supervised return-to-practice program. Twenty nurses with supervised practice requirements placed in acute clinical areas over a 5-year period (2019–2024) were monitored. The number of supervised hours of practice were recorded until the nurse met the requisite standards for practice. Competence was determined by a user-friendly validated measure of workplace performance based on Nursing and Midwifery Board of Australia standards for practice.</div></div><div><h3>Results</h3><div>The number of hours that nurses needed to undergo supervised practice to demonstrate the requisite standard of workplace performance after a break contrasted markedly depending on whether nurses had substantial experience in a specialty prior to their break. Nurses (<em>n</em> = 10) with more than 5 years’ experience in a specialty demonstrated requisite standards for practice after 120–216 h of supervised practice, whereas nurses (<em>n</em> = 10) who had different trajectories (i.e., without substantial experience) prior to their return to work needed 450 h of supervised practice before they were deemed suitable for unconditional registration.</div></div><div><h3>Conclusion</h3><div>Supervised practice needs may vary based on a nurse's previous experience. Understanding different needs of cohorts returning to the profession can assist healthcare leaders in planning for safe supervised practice for nurses returning after prolonged periods.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 82-91"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“Protect the public—that's first. The second [goal] is getting the nurse to recovery”: Interviews with alternative-to-discipline program administrators “保护公众——这是第一位的。第二个[目标]是让护士康复”:采访另类纪律项目的管理者
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/j.jnr.2025.06.002
Emily Naiser , Ashley Myers , Christina Orzabal , Georges Naufal , Cindy Weston , Nancy Fahrenwald , Jane N. Bolin
{"title":"“Protect the public—that's first. The second [goal] is getting the nurse to recovery”: Interviews with alternative-to-discipline program administrators","authors":"Emily Naiser ,&nbsp;Ashley Myers ,&nbsp;Christina Orzabal ,&nbsp;Georges Naufal ,&nbsp;Cindy Weston ,&nbsp;Nancy Fahrenwald ,&nbsp;Jane N. Bolin","doi":"10.1016/j.jnr.2025.06.002","DOIUrl":"10.1016/j.jnr.2025.06.002","url":null,"abstract":"<div><h3>Background</h3><div>Substance use disorder (SUD) among nurses presents significant challenges for both healthcare professionals and patient safety. Rough estimates suggest that 10 % of nurses, or more than half a million nursing professionals, experience SUD in the United States. Alternative-to-discipline (ATD) programs offer a nonpunitive approach to rehabilitation for nurses while ensuring public safety.</div></div><div><h3>Purpose</h3><div>This study examines the effectiveness and functioning of ATD programs through the perspectives of state-level program administrators.</div></div><div><h3>Methods</h3><div>Semi-structured qualitative interviews were conducted with ATD program administrators in the United States. Using a thematic analysis approach, common successes and challenges related to ATD programs were identified.</div></div><div><h3>Results</h3><div>Administrators from eight ATD programs participated in the interviews, and one submitted written responses to the interview questions. Findings revealed that functionally, ATD programs vary in the supports and restrictions given to nurses and that these decisions are primarily based on public safety. The ATD program administrators utilized the resources available to them but wished they could serve more nurses, minimize the costs to nurses, and provide additional support. While ATD programs facilitate recovery and professional reintegration, barriers such as stigma and resource limitations persist.</div></div><div><h3>Conclusions</h3><div>This study highlights the need for standardized program guidelines and enhanced support structures to optimize outcomes. These insights contribute to a broader understanding of SUD intervention strategies in nursing, inform policy improvements, and identify future research directions.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 111-117"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postlicensure nurse competence in the United States: A concept clarification 美国持证护士能力:概念澄清
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/j.jnr.2025.06.008
J. Lea Brown, Yang Yu, Ying Xue
{"title":"Postlicensure nurse competence in the United States: A concept clarification","authors":"J. Lea Brown,&nbsp;Yang Yu,&nbsp;Ying Xue","doi":"10.1016/j.jnr.2025.06.008","DOIUrl":"10.1016/j.jnr.2025.06.008","url":null,"abstract":"<div><h3>Background</h3><div>Postlicensure nurse competence is a critical factor in healthcare quality and safety, yet a research gap exists in the U.S.-specific context.</div></div><div><h3>Purpose</h3><div>This study aimed to clarify the concept of postlicensure nurse competence in clinical settings in the United States, establish an operational definition, and develop a conceptual model.</div></div><div><h3>Methods</h3><div>The Norris method of concept clarification was used. Data were compiled from literature and health/nursing professional organization websites. Inclusion criteria were full-text articles written in English that were conducted exclusively in the United States, were focused on postlicensure registered nurses, and contained either a theoretical or operational definition of nurse competence.</div></div><div><h3>Results</h3><div>Data were collected from 44 published articles and information from eight professional organization websites. The analysis revealed that postlicensure nurse competence consisted of five domains: knowledge, technical skills, judgment and decision-making, communication, and professionalism. The conceptual model illustrated that the operational definition of nurse competence is shaped by and relative to three tiers of constantly evolving practice standards at the employer, state board of nursing, and professional organization levels; is acquired and sustained through initial and ongoing education and experience; and impacts various health and healthcare outcomes.</div></div><div><h3>Conclusion</h3><div>The operational definition provides an improved understanding of what constitutes nurse competence for postlicensure nurses in the United States. The conceptual model further highlights the context, antecedents, and consequences of nurse competence and their relationships. This study provides a framework for the operationalization and assessment of postlicensure nurse competence and helps advance consistency in regulation of postlicensure nurse competence in the United States.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 118-126"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial Bd. Page 社论版
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/S2155-8256(25)00081-X
{"title":"Editorial Bd. Page","authors":"","doi":"10.1016/S2155-8256(25)00081-X","DOIUrl":"10.1016/S2155-8256(25)00081-X","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Page A1"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
POLICY PERSPECTIVE: The artificial intelligence will see you now 政策视角:人工智能现在就会看到你
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/j.jnr.2025.06.001
Nicole Livanos
{"title":"POLICY PERSPECTIVE: The artificial intelligence will see you now","authors":"Nicole Livanos","doi":"10.1016/j.jnr.2025.06.001","DOIUrl":"10.1016/j.jnr.2025.06.001","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 133-135"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144653376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Characteristics of entry-level nurses: Does the NCLEX definition still apply? 初级护士的特点:NCLEX的定义仍然适用吗?
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/j.jnr.2025.06.005
Nicole Williams , Steven G. Viger , Hong Qian
{"title":"Characteristics of entry-level nurses: Does the NCLEX definition still apply?","authors":"Nicole Williams ,&nbsp;Steven G. Viger ,&nbsp;Hong Qian","doi":"10.1016/j.jnr.2025.06.005","DOIUrl":"10.1016/j.jnr.2025.06.005","url":null,"abstract":"<div><h3>Background</h3><div>During the initial licensure period, entry-level nurses face several challenges, such as providing complex care in an ever-evolving healthcare landscape, prioritizing care, role actualization, and more. As the demands in healthcare continue to evolve, it is crucial to understand prevalent entry-level nursing characteristics and practice behaviors and their duration.</div></div><div><h3>Purpose</h3><div>This study aimed to explore the length of time that entry-level nurse characteristics endure, thus describing the entry-level period.</div></div><div><h3>Methods</h3><div>Using a mixed-method design with a sample of 193 nurses, a 15-min presentation and discussion regarding the characteristics and practice behaviors of entry-level nurses was facilitated and followed by the administration of a one-question survey that asked, “Does the current NCLEX definition of an entry-level nurse, one with no more than 12 months of experience, still apply?”</div></div><div><h3>Results</h3><div>Of the 193 participants, 74 % responded “Yes” to the question, and 26 % responded “No.” Themes such as a perception of increased proportion of entry-level nurses working part-time/per diem, increased clinical demands, and the need for entry-level clinical judgment were noted during the sessions. While the participants represented a diverse group of nurses across the United States and Canada, the small sample size prohibits generalizability.</div></div><div><h3>Conclusion</h3><div>The study results indicate that the definition of an entry-level nurse as one with no more than 12 months of experience remains relevant. Nurse regulators must understand the importance of establishing a framework to define the nursing entry-level period, as this vital time frame creates a basis for licensure assessment and support during the new licensure period.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 75-81"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The critical intersection of research and practice in regulation 监管研究与实践的关键交叉点
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/j.jnr.2025.06.010
Carol Anne Timmings
{"title":"The critical intersection of research and practice in regulation","authors":"Carol Anne Timmings","doi":"10.1016/j.jnr.2025.06.010","DOIUrl":"10.1016/j.jnr.2025.06.010","url":null,"abstract":"","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Page 57"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Licensure pathways for internationally educated nurses: An environmental scan of Canadian nursing regulatory bodies 国际教育护士的执照途径:加拿大护理监管机构的环境扫描
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/j.jnr.2025.06.004
Patrick Chiu , Nasrin Alostaz , Apple Hermosisima , Rio Li , Houssem Eddine Ben-Ahmed , Jelena Atanackovic , Damilola Iduye , Natalie Thiessen , Bukola Salami , Kathleen Leslie
{"title":"Licensure pathways for internationally educated nurses: An environmental scan of Canadian nursing regulatory bodies","authors":"Patrick Chiu ,&nbsp;Nasrin Alostaz ,&nbsp;Apple Hermosisima ,&nbsp;Rio Li ,&nbsp;Houssem Eddine Ben-Ahmed ,&nbsp;Jelena Atanackovic ,&nbsp;Damilola Iduye ,&nbsp;Natalie Thiessen ,&nbsp;Bukola Salami ,&nbsp;Kathleen Leslie","doi":"10.1016/j.jnr.2025.06.004","DOIUrl":"10.1016/j.jnr.2025.06.004","url":null,"abstract":"<div><h3>Background</h3><div>Licensure pathways for internationally educated nurses (IENs) in Canada have historically been criticized for being too lengthy, complex, and costly. Reforms to streamline IEN licensure have been inconsistent across Canadian jurisdictions, with limited evidence regarding which licensure pathways best support equitable and ethical regulatory policies for IENs.</div></div><div><h3>Purpose</h3><div>The present study aimed to map the regulatory landscape to identify key characteristics, similarities, and differences in IEN licensure requirements and explore the options available to meet these requirements across Canadian nursing regulators.</div></div><div><h3>Methods</h3><div>We conducted an environmental scan of 20 Canadian nursing regulators’ websites. Data were extracted and organized into Excel spreadsheets to facilitate comparisons and were analyzed using directed content analysis.</div></div><div><h3>Results</h3><div>Findings were organized into two broad categories: licensure requirements and options for meeting these requirements. Licensure requirements were broadly similar across jurisdictions and nursing designations (e.g., licensed practical nurses, registered nurses, registered psychiatric nurses), with certain notable exceptions, including recency or currency of practice requirements and expedited pathways available for IENs from specific countries. The options available to meet licensure requirements varied significantly, creating a potentially confusing patchwork of reforms across nursing regulators that could create inequities in IEN licensure and integration.</div></div><div><h3>Conclusion</h3><div>The variation in options to meet licensure requirements highlights the need for greater efforts to harmonize and simplify IEN licensure across Canada. Further research is required to evaluate the impact and feasibility of reforms to identify long-term, sustainable, ethical, and equitable solutions.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 99-110"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Design and development of a regulatory framework for assessing nurse and midwife controlled drug prescribing in British Columbia 设计和制定一个监管框架,以评估不列颠哥伦比亚省护士和助产士控制的药物处方
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/j.jnr.2025.06.009
Darlene Secong, Alison Wainwright
{"title":"Design and development of a regulatory framework for assessing nurse and midwife controlled drug prescribing in British Columbia","authors":"Darlene Secong,&nbsp;Alison Wainwright","doi":"10.1016/j.jnr.2025.06.009","DOIUrl":"10.1016/j.jnr.2025.06.009","url":null,"abstract":"<div><div>Harm reduction initiatives were introduced in the Canadian province of British Columbia (BC) to prevent overdose deaths and minimize harms posed by illicit opioids. Initiatives included the expansion of opioid agonist prescribing authority to include registered nurses and registered psychiatric nurses and the introduction of a low-barrier safer supply program to improve access to prescribed pharmaceutical alternatives to illicit drugs. In response to the increase in controlled drug prescribing, the licensing and regulatory body for nurses and midwives, the BC College of Nurses and Midwives (BCCNM), began work to develop a regulatory prescription monitoring program. Designed as a component of BCCNM's Quality Assurance Program, the prescription monitoring program will utilize available prescribing data to review and assess the prescribing practices of nurses and midwives against standards of practice. Although prescription monitoring programs are widely used to monitor the prescribing and dispensing of opioids and other controlled substances, such programs historically have not been designed to include nonmedical prescribers. In the present article, we describe the process undertaken to develop the new program for monitoring and assessing the prescribing of nurses and midwives. We review relevant literature, describe our use of journey and process mapping, and discuss lessons learned and future state considerations as we work toward program implementation.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 127-132"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Substance use–related content in advanced practice nursing curricula: A scoping review 高级护理实践课程中与物质使用相关的内容:范围综述
IF 4.2 4区 医学
Journal of Nursing Regulation Pub Date : 2025-07-01 DOI: 10.1016/j.jnr.2025.06.003
Tamar Rodney , Tammy Slater , Alyssa C. Hamel , Zoe Spyralatos , Khadejah F. Mahmoud , Deborah S. Finnell
{"title":"Substance use–related content in advanced practice nursing curricula: A scoping review","authors":"Tamar Rodney ,&nbsp;Tammy Slater ,&nbsp;Alyssa C. Hamel ,&nbsp;Zoe Spyralatos ,&nbsp;Khadejah F. Mahmoud ,&nbsp;Deborah S. Finnell","doi":"10.1016/j.jnr.2025.06.003","DOIUrl":"10.1016/j.jnr.2025.06.003","url":null,"abstract":"<div><h3>Background</h3><div>Funding opportunities within the last decade were aimed at addressing the deficits in substance use-related content that have existed for decades. In the face of the opioid crisis, efforts have been undertaken to increase access to treatment using the advanced practice nursing workforce. There continues to be a pressing need to ensure that students are prepared to identify, treat, and manage people with substance use disorders.</div></div><div><h3>Purpose</h3><div>To identify educational enhancements that have been made related to substance use–related content in graduate nursing curricula.</div></div><div><h3>Methods</h3><div>This scoping review followed the five-stage process described by Arksey and O’Malley (2005) to answer the question, “What is the current state of the literature on educational content related to substance use for preparation of advanced practice nursing students?</div></div><div><h3>Results</h3><div>The review included 23 publications spanning an 8-year period from 2015 to 2023. Curricular approaches were augmenting existing courses with substance use content or providing dedicated courses focusing on substance use. Most of the publications included content related to screening, brief intervention, and referral to treatment (SBIRT). The content, amount of time to deliver, and placement across the curriculum was inconsistent across the set of publications.</div></div><div><h3>Conclusion</h3><div>It is essential to ensure that the next generation of advanced practice nurses has the requisite knowledge, skills, and attitudes to care for people at risk for and with a substance use disorder. This scoping review serves as an incentive for nurse educators who have or are undertaking curricular enhancements to disseminate their work.</div></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":"16 2","pages":"Pages 58-74"},"PeriodicalIF":4.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144655595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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