Canadian Journal of Nursing Research最新文献

{"title":"The Prevalence and Predictors of Compassion Satisfaction, Burnout and Secondary Traumatic Stress in Registered Nurses in an Eastern Canadian Province: A Cross-Sectional Study.","authors":"Joy Maddigan,&nbsp;Maureen Brennan,&nbsp;Kelly McNaughton,&nbsp;Gerry White,&nbsp;Nicole Snow","doi":"10.1177/08445621221150297","DOIUrl":"10.1177/08445621221150297","url":null,"abstract":"<p><strong>Background: </strong>The quality of Registered Nurses' worklife is impacting nurses' mental health, and the standard of care received by clients. Contributing factors to nurses' stress are the trauma of continuous caring for those in great suffering, and adverse working conditions.</p><p><strong>Objectives: </strong>i) to explore the prevalence of work-related stress in a provincial sample of Registered Nurses; ii) to compare the levels of compassion satisfaction, burnout and secondary traumatic stress reported by nurses in hospital, community, non-direct care settings, and, iii) to identify factors that predict levels of nursing work stress.</p><p><strong>Methods: </strong>A descriptive, predictive study with a self-report survey containing demographic questions and the Professional Quality of Life Scale was emailed to over 3,300 Registered Nurses. The scale measured the prevalence of three worklife indicators, compassion satisfaction, burnout and secondary traumatic stress. Multiple linear regression identified factors that predicted the levels of the three indicators. A subgroup analysis explored the quality of worklife based on three practice environments.</p><p><strong>Findings: </strong>Nurses (n  =  661) reported moderate compassion satisfaction, burnout, and secondary traumatic stress. The strongest predictor, satisfaction with one's current job, predicted high compassion satisfaction and lower burnout and secondary stress. The subgroup analysis identified hospital nurses as having the most work-related stress and the lowest level of compassion satisfaction.</p><p><strong>Conclusion: </strong>Innovative, collaborative action can transform nurses' practice environments. Organizational support is essential to bring about needed improvements.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"425-436"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10613837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Providers and Immigrants/Refugees with Health Care: A Meta-Synthesis of the Latin American Context","authors":"Mayckel da Silva Barreto, Isadora Wolf, Nathalie Campana de Souza, Lorena Franco Buzzerio, V. Vieira, Maria do Céu Figueiredo-Barbieri, S. Marcon","doi":"10.1177/08445621231215845","DOIUrl":"https://doi.org/10.1177/08445621231215845","url":null,"abstract":"The experiences of providers and immigrants/refugees related to healthcare in the Latin American context have not yet been aggregated. This study aimed to synthesize the qualitative evidence on this theme. A systematic review of qualitative evidence with meta-synthesis. After identification, eligible studies were evaluated for methodological quality, and information was systematically analyzed. The sample comprised 26 articles. The meta-theme shows that the experiences of providers and immigrants/refugees are determined by multilevel factors. In a macro-context, these factors involve the vulnerabilities of immigrants/refugees and the healthcare system/model, and in a closer context, they involve the lack of professional training in cultural skills and communication; language barriers; and prejudice/xenophobia. Within healthcare, the relationship is mostly conflictual, asymmetric, and unable to solve problems, leading to negative repercussions for both. Managers involved in developing public policies and providers must consider improving the interrelationship between healthcare services and the migrant population.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"14 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139257732","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":"A Multiphase Mixed Methods Study on the Integration of a Population Health Approach in Sexual Health Programs and Services in Ontario Public Health Units.","authors":"Linda Frost,&nbsp;Ruta Valaitis,&nbsp;Susan M Jack,&nbsp;Michelle Butt,&nbsp;Noori Akhtar-Danesh","doi":"10.1177/08445621221143019","DOIUrl":"https://doi.org/10.1177/08445621221143019","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the extent of and factors influencing implementation of a population health approach within sexual health programming in public health.</p><p><strong>Method: </strong>This sequential multi-phase mixed methods study combined findings from a quantitative survey assessing the extent that a population health approach was implemented in sexual health programs in Ontario public health units and qualitative interviews with sexual health managers and/or supervisors. Interviews explored factors influencing implementation and were analyzed using directed content analysis.</p><p><strong>Results: </strong>Staff from fifteen of 34 public health units completed surveys and ten interviews were completed with sexual health managers/supervisors. From the 8 Population Health Key Elements Template, 6 elements were moderately implemented and 2 had low implementation. Qualitative findings focused on enablers and barriers to implementing a population health approach in sexual health programs and services and explained most of the quantitative results. However, some of the quantitative findings were not explained by qualitative data (e.g., low implementation of using the principles of social justice).</p><p><strong>Conclusion: </strong>Qualitative findings revealed factors influencing the implementation of a population health approach. A lack of resources available to health units, differing priorities between health units and community stakeholders, and access to evidence around population-level interventions influenced implementation.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"319-332"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/fe/10.1177_08445621221143019.PMC10416551.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship between Nursing Leadership and Patient Readmission Rate: A Systematic Review.","authors":"Sulaiman Dawood Al Sabei,&nbsp;Amy M Ross","doi":"10.1177/08445621231152959","DOIUrl":"https://doi.org/10.1177/08445621231152959","url":null,"abstract":"<p><strong>Background: </strong>Nurse leaders play a fundamental role in improving patient quality care delivery, thus improving patient clinical outcomes.</p><p><strong>Purpose: </strong>This systematic review examined the knowledge to date of nursing leadership on reducing patient readmission rates.</p><p><strong>Methods: </strong>A literature review was conducted using seven electronic databases: Medline Ovid, PubMed, Cumulative Index to Nursing and Allied Health (CINAHL) Plus, Emerald, PsycINFO, ABI/INFORM collection, and EBSCO, with the addition of references for relevant papers reviewed.</p><p><strong>Findings: </strong>The search resulted in a total of 15 articles. Findings revealed that leadership practices of nurses have an impact on reducing patient readmission rates.</p><p><strong>Conclusions: </strong>The results suggest a need for further rigorous studies investigating the mechanism of how nursing leadership relates to patient readmission rates and how to translate this into practice across diverse cultures.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"267-278"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014441","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":"\"Don't Turn a Blind Eye\": An Instruction for Supporting Meaningful Conversations About Gender-Based Violence During Perinatal Care.","authors":"Jila Mirlashari,&nbsp;Ann Pederson,&nbsp;Janet Lyons,&nbsp;Lori A Brotto","doi":"10.1177/08445621231171976","DOIUrl":"https://doi.org/10.1177/08445621231171976","url":null,"abstract":"<p><strong>Background and purpose: </strong>Evidence suggests that Gender-based violence (GBV) is prevalent throughout the perinatal period. Women during this time have frequent contact with healthcare providers (HCPs), and there are many opportunities that HCPs can identify GBV and support women by early intervention during routine prenatal care. However, evidence shows that HCPs are still hesitant to address this issue. This study was conducted to explore the experiences of Survivors and HCPs on how to manage a meaningful conversation about GBV with survivors during perinatal care.</p><p><strong>Methods: </strong>A thematic approach has been used in this qualitative study.</p><p><strong>Results: </strong>Twenty-eight semi-structured interviews were conducted with survivors and HCPs. Three main themes emerged from the data analysis, including: \"Knock gently on the door to enter the client's private world\", \"Show interest in clients' stories that are beyond their physical problems\" and \"Gradually and cautiously cross the hidden borders.\"</p><p><strong>Conclusion: </strong>HCPs play a pivotal role in identifying GBV and providing support for survivors, particularly during their perinatal period. However, initiating a conversation around this sensitive topic needs time, skill, and enough knowledge. Validating survivors' experiences, providing a private and safe atmosphere without judgment, and creating empathy could lead to more disclosure of GBV. To have a meaningful conversation, HCPs need to have a holistic approach toward care, show interest in clients' stories beyond their physical problems, and support clients who have shared sensitive information.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"354-364"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014995","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":"Single Room Maternity Care Versus Traditional Maternity Care: A Cross-Sectional Study Examining Differences in Mothers' Perceptions of Readiness for Discharge and Satisfaction and Health Outcomes.","authors":"Marc Hall,&nbsp;Arfan Afzal,&nbsp;Deborah E White","doi":"10.1177/08445621231165233","DOIUrl":"https://doi.org/10.1177/08445621231165233","url":null,"abstract":"<p><strong>Background: </strong>Single room maternity care (SRMC) includes all aspects of the birth process (labour, delivery, postpartum) in a single room with a consistent team of healthcare providers. Traditional maternity care (TMC) involves having mothers labouring and delivering their baby in one room and then transferring to a room on another unit, which also means a transition in providers. Although many hospitals have transitioned to SRMC, there has been limited evidence to support their development.</p><p><strong>Methods: </strong>This study was conducted in two large hospitals (one offering SRMC, the other TMC) in Western Canada. A cross-sectional between-subjects design was used to compare differences between SRMC and TMC. New mothers were asked to complete validated questionnaires. Health information was collected from administrative and health databases. The main outcomes included readiness for hospital discharge, mothers' satisfaction, newborn length of stay, and mother length of stay. Several covariates were examined.</p><p><strong>Results: </strong>In total, 506 (292 SRMC; 214 TMC) mothers participated. Readiness for discharge and maternal satisfaction were significantly higher in SRMC. Although newborn and mother length of stay were significantly reduced in SRMC compared to TMC for univariate tests, mother length of stay was not significantly different when adjusting for other variables.</p><p><strong>Conclusions: </strong>There are positive health and psychosocial outcomes for mothers and newborns in the SRMC model of care compared to TMC. Since readiness for discharge and satisfaction are associated with positive maternal-infant interactions and transitions to community, SRMC could be the better approach. Further research should examine healthcare provider outcomes and implementation costs.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"345-353"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10392471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midlife Transition Experiences of South Asian Immigrant Women in Canada: A Qualitative Exploration.","authors":"Ping Zou,&nbsp;Arzoo Alam,&nbsp;Jing Shao,&nbsp;Yan Luo,&nbsp;Yanjin Huang,&nbsp;Hui Zhang,&nbsp;Wei Wang,&nbsp;Souraya Sidani","doi":"10.1177/08445621231153525","DOIUrl":"https://doi.org/10.1177/08445621231153525","url":null,"abstract":"<p><strong>Background: </strong>South Asians make up a significant portion of the immigrant population in Canada, and a large portion of them are in their midlife. To improve the midlife transition of South Asian immigrant women, it is necessary to understand their lived experiences.</p><p><strong>Purpose: </strong>Guided by the transition theory, this study investigates the midlife experiences of South Asian immigrant women in Canada.</p><p><strong>Methods: </strong>Twenty-two South Asian midlife, immigrant women were recruited to participate in this study from the Greater Toronto Area, Ontario, Canada. This study consisted of one asynchronous online focus group with 12 participants and ten one-on-one telephone interviews. Qualitative content analysis was guided by transition theory.</p><p><strong>Results: </strong>South Asian immigrant women experienced many different transitions in their midlife in Canada. These transitions included changes in their (a) lifestyle, (b) career, (c) family, (d) physical health, (e) mental health, (f) social, (g) environment, and (h) personal development. Women actively managed their transitions using strategies such as exercise, socialization, counseling, and religion. Women expressed the need for social, community, and governmental support to facilitate their midlife transitions.</p><p><strong>Conclusion: </strong>To promote healthy midlife transition, governments need to create better employment policies to facilitate immigrant women settlement, transferring skills, and re-employment in Canada. In addition, health care and community services to promote physical and mental health should be emphasized.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"305-318"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10370890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asian Healthcare Workers and Their Experiences of Racism in North America: A Scoping Review.","authors":"Samantha Louie-Poon, Patrick Chiu, Janice Y Kung","doi":"10.1177/08445621231166101","DOIUrl":"10.1177/08445621231166101","url":null,"abstract":"<p><strong>Background: </strong>The rising rates of anti-Asian sentiments has recently been called into question by several community activists and scholars. While this collective work has heightened awareness to address anti-Asian racism, the experiences of Asian healthcare workers in particular remains limited.</p><p><strong>Purpose: </strong>To map the existing literature on anti-Asian racism experienced by Asian healthcare workers in North American healthcare settings, identify gaps in the current literature base, and inform future areas of anti-Asian racism research.</p><p><strong>Methods: </strong>A scoping review following Arksey and O'Malley's (2005) methodology with updated guidance by Levac et al. (2010) and Peters et al. (2020) was undertaken.</p><p><strong>Findings: </strong>A total of 3565 articles from database searches were identified from eight databases, with 64 full text articles screened and 15 articles included in this review. Anti-Asian racism amongst healthcare workers has been conceptualized, studied, and understood in three broad categories: levels of racism, descriptions of anti-Asian racism, and the impact of racism. In 60% of the included articles, interpersonal level of racism was solely studied, while 40% articles simultaneously studied interpersonal and institutional levels of racism. Anti-Asian racism was described through three key perspectives: otherness, inferior professional status, and general racial discrimination. Lastly, the impact of Asian healthcare workers' experiences of anti-Asian racism was studied by exploring the impact on mental health and barriers to career advancement.</p><p><strong>Conclusion: </strong>Despite the presence of anti-Asian racism, the limited literature examining the complexities of the experiences of anti-Asian racism for Asian healthcare workers is concerning. Future scholarship requires further investigation that comprehensively explores the multiple pathways of anti-Asian racism, the contestation of monolithic stereotypes, and how Asian healthcare workers negotiate both hypervisibility and invisibility within healthcare spaces.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"279-291"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/96/28/10.1177_08445621231166101.PMC10416554.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10371341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Narrative Inquiry to Understand Anti-Muslim Racism in Canadian Nursing.","authors":"Nasrin Saleh,&nbsp;Nancy Clark,&nbsp;Anne Bruce,&nbsp;Mehmoona Moosa-Mitha","doi":"10.1177/08445621221129689","DOIUrl":"https://doi.org/10.1177/08445621221129689","url":null,"abstract":"<p><strong>Background: </strong>Islamophobia or, anti-Muslim racism, and more specifically, gendered islamophobia targeting Muslim women who wear a hijab is rising globally and is aggravated by the COVID-19 pandemic. However, anti-Muslim racism is not well understood in Canadian nursing.</p><p><strong>Purpose: </strong>This study utilized narrative inquiry to understand anti-Muslim racism through the experiences of nurses who wear a hijab with the goal of putting forward their counter-narrative that disrupts anti-Muslim racism in Canadian nursing.</p><p><strong>Methods: </strong>Narrative inquiry informed by Critical Race Feminism, care ethics, and intersectionality were used to analyze the factors shaping anti-Muslim racism and composite narratives were used to present the results.</p><p><strong>Results: </strong>The three composite narratives are: 'This is Who I Am: A Muslim Nurse with a Hijab and an Accent'; 'I Know What is at Play: Unveiling Operating Power Structures and Power Relations'; and 'Rewriting the Narrative: Navigating Power Structures and Power Relations'. These composite narratives constituted the nurses' counter-narrative. They revealed intersections of gendered, racial divisions of labour and religious narratives that shape anti-Muslim racism, as operating power relations in nursing, and how Muslim nurses reclaimed control to resist their racialized stereotypes.</p><p><strong>Conclusion: </strong>Findings suggest that anti-Muslim racism in nursing operates through multiple intersecting power relations. Using stories can mobilize transformational change so that anti-racist practices, policies, and pedagogy can be embraced.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"292-304"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Frailty and a Nurse-Identified Need for Comprehensive Geriatric Assessment Referral from the Emergency Department.","authors":"Fabrice I Mowbray,&nbsp;Brittany Ellis,&nbsp;Connie Schumacher,&nbsp;George Heckman,&nbsp;Kerstin de Wit,&nbsp;Ryan P Strum,&nbsp;Aaron Jones,&nbsp;Rebecca H Correia,&nbsp;Eric Mercier,&nbsp;Andrew P Costa","doi":"10.1177/08445621221144667","DOIUrl":"https://doi.org/10.1177/08445621221144667","url":null,"abstract":"<p><strong>Background: </strong>Emergency nurses commonly conduct geriatric assessments in the emergency department (ED). However, little is known about what geriatric syndromes or clinical presentations prompt a nurse to document an identified need for comprehensive geriatric assessment (CGA).</p><p><strong>Objectives: </strong>To examine the association between geriatric syndromes, like frailty, and a nurse-identified need for a CGA following emergency care.</p><p><strong>Methods: </strong>We conducted a secondary analysis of a multi-province Canadian cohort from the InterRAI Multinational Cohort Study. We collected data at ED registration from patients 75 years of age and older (n = 2,274) from eight ED sites across Canada between November 2009 and April 2012. Geriatric syndromes were assessed by trained emergency nurses using the interRAI ED Contact Assessment; and we retrospectively calculated the ED frailty index. We employed binary logistic regression to determine the adjusted associations between geriatric syndromes and a nurse-identified need for a CGA.</p><p><strong>Results: </strong>Approximately one-quarter (28%) of older adults were identified to need a CGA following emergency care. A 0.1 unit increase in the ED frailty index increased the likelihood of a nurse identify a need for CGA (RD: 6.6; 95% CI = 5.5-7.9). Most geriatric syndromes increased the probability of a nurse documenting the need for a CGA.</p><p><strong>Conclusion: </strong>When assessed by emergency nurses, the identified need for CGA is strongly linked to the presence of geriatric syndromes, including frailty. We provide face validity for the continued use of emergency nurses for screening and assessing older ED patients.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":"55 3","pages":"404-412"},"PeriodicalIF":2.1,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}