Nursing Ethics最新文献

{"title":"Value-conscious leadership actions in developing a health-promoting work environment.","authors":"Diako Morvati, Rita Solbakken, Jonas Vaag, Yvonne Hilli","doi":"10.1177/09697330251366615","DOIUrl":"https://doi.org/10.1177/09697330251366615","url":null,"abstract":"<p><p>BackgroundNurse leaders play a vital role in fostering a health-promoting work environment. Despite the increasing recognition of the importance of their roles, studies focusing specifically on the actions they employ to foster such environments remain limited.Research aimThe aim of this study is to explore and enhance understanding of the actions nurse leaders employ to develop a health-promoting work environment.Research designThis study used a qualitative design inspired by Gadamer's philosophical hermeneutics. Four semi-structured focus group interviews were conducted between August and December 2024. The data were analyzed using reflexive thematic analysis.Participants and research contextFourteen nurse leaders from hospitals and nursing homes in northern Norway participated in this study.Ethical considerationsThe study was approved by the Norwegian Agency for Shared Services in Education and Research. Both oral and written informed consent was obtained from the participants.FindingsThe actions employed by leaders to develop a health-promoting work environment are imbued with an overarching theme: \"value-conscious leadership in action,\" and four interwoven themes: (1) promoting justice by leading with equity and flexibility, (2) promoting relationships by cultivating an inclusive community, (3) respecting employees by fostering their empowerment and autonomy, and (4) facilitating professional growth by promoting a learning environment.ConclusionsThe basic values should be articulated, consciously integrated, and embodied through the nurse leader's actions, choices, and way of being. To implement the basic values, it is important to establish supportive networks for leaders and to conduct regular ethical reflections together with employees in the workplace.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251366615"},"PeriodicalIF":2.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating discriminatory requests and refusals of healthcare workers: A Canadian-based inpatient hospital algorithm.","authors":"Claudia Barned, Akosua Nwafor, Ann M Heesters","doi":"10.1177/09697330251374153","DOIUrl":"https://doi.org/10.1177/09697330251374153","url":null,"abstract":"<p><p>BackgroundHealthcare workers are increasingly subject to violence, aggression, and discriminatory requests from patients and families, reflecting broader societal biases within healthcare settings. In response, some institutions have developed policies and decision-making tools to guide leaders in addressing these situations ethically, consistently, and in accordance with human rights obligations.AimThis paper describes the revision of a previously published Caregiver Preference Algorithm to guide healthcare leaders in managing discriminatory patient requests. The goal was to create a more robust, accessible, and contextually sensitive tool to support decision-making.Research designThe algorithm was revised through a multi-phase quality improvement project aimed at enhancing support for both frontline clinicians and leadership.Participants and research contextThe project was conducted at a large, multisite tertiary care hospital in Ontario, Canada. Interviews were completed with 27 healthcare workers from various clinical areas. Stakeholder consultations included clinical and operational leadership, legal counsel, patient relations, equity offices, patient partners, and frontline staff.Ethical considerationsThis project was approved by the University Health Network's Quality Improvement Review Committee [ID: QIRC 22-0378].FindingsThe updated algorithm is structured around six key decision points: (1) patient acuity and capacity; (2) consideration of religious, cultural, or trauma-informed needs; (3) relevance of trainee or learner status; (4) whether the request violates the Human Rights Code; (5) the identity of the requester; and (6) the clinician's willingness to continue care.DiscussionThe revised algorithm integrates legal and ethical principles to help healthcare leaders navigate complex situations. It offers structured guidance while allowing flexibility to respond sensitively to diverse clinical contexts.ConclusionThis work contributes a practical, rights-based framework that can support healthcare institutions in ethically and consistently responding to discriminatory patient requests while protecting healthcare workers.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251374153"},"PeriodicalIF":2.7,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' moral suffering, burnout and turnover intentions: A two-wave study.","authors":"Mihaela-Alexandra Gherman, Laura Arhiri, Andrei Corneliu Holman, Camelia Soponaru","doi":"10.1177/09697330251366617","DOIUrl":"https://doi.org/10.1177/09697330251366617","url":null,"abstract":"<p><p>BackgroundNurses suffered an unprecedented number of potentially morally injurious events (PMIEs) during the COVID-19 pandemic. Their long-term associations with organizational well-being remain unknown.Research aimWe aimed to assess whether psychological basic need thwarting characteristic of nurses' episodic memories of PMIEs from the pandemic, either enacted (self-PMIEs) or passively witnessed (other-PMIEs), explained unique burnout and turnover intentions variance 2 years after the events.Research designWe present findings of a quantitative, two-wave longitudinal study (2022, when the pandemic peaked, and 2024, post-pandemic), focusing on comparing the two waves. In 2022, participants were randomly assigned to self-report need-thwarting associated with memories of either self-PMIEs or other-PMIES (quasi-experimental design). During both waves, they filled in questionnaires for burnout, turnover intentions, work-related psychological need satisfaction and socio-demographic factors.Participants and research contextThrough chain-referral methods, we purposively sampled 463 Romanian nurses working in hospitals at the peak of the pandemic in 2022, with 350 remaining in 2024.Ethical considerationsEthical approval was granted by the faculty ethics committee. Participants were fully informed of the research purpose and their rights prior to both waves.FindingsLinear mixed models showed that need-frustration associated with memories of self-PMIEs (assessed in 2022) significantly predicted burnout and turnover intentions in 2024. For memories of other-PMIEs, the relationships became nonsignificant in 2024.ConclusionsEpisodic memories of self-PMIEs continue to contribute to nurses' burnout and turnover intentions 2 years after the events. Organizational efforts for fostering positive retrospective appraisals through counseling services are needed, along with creating a safe climate where ethical misdemeanors may be disclosed and processed without fear of sanctions.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251366617"},"PeriodicalIF":2.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing ethical decision-making in nursing: A mixed-methods systematic review.","authors":"Ming Sun, Xianghua Jin, Zhuyin Wang","doi":"10.1177/09697330251374398","DOIUrl":"https://doi.org/10.1177/09697330251374398","url":null,"abstract":"<p><p>BackgroundEthical decision-making in nursing significantly impacts population health, yet systematic analyses of factors influencing this process remain scarce.AimThe aim is to systematically evaluate factors influencing ethical decision-making in clinical care and provide a reference for follow-up nursing ethics education, medical institution management, and policy research in this field.Research DesignThis study was conducted using a mixed-methods systematic review design. In December 2024, we searched PubMed, Web of Science, Wanfang Data, VIP Database, and China National Knowledge Infrastructure for studies on factors influencing nursing ethical decision-making. The search covered records from each database's inception to 1 December 2024. After literature screening and quality assessment, quantitative and qualitative data were extracted following the Joanna Briggs Institute Mixed-Methods Review guidelines. Core influencing factors were identified through thematic synthesis.Ethical ConsiderationsEthical review was not required for this study.ResultsSeventeen studies were included (13 quantitative and 4 qualitative). Thematic integration revealed four categories of influencing factors: nurse-related factors (e.g., professional identity perception), patient-related factors (e.g., clinical condition changes), team dynamics (e.g., collaboration among healthcare providers), and decision-making context (e.g., workload intensity), totaling 17 specific factors.ConclusionNursing ethical decision-making is influenced by personal, patient-related, team-related, and contextual factors. Strategies to enhance this process include improving nurses' ethical competence, fostering teamwork, optimizing decision-making environments, and integrating findings into clinical practice.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251374398"},"PeriodicalIF":2.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrity links ethics and efficiency in nursing leadership: Nurse leaders' views.","authors":"Susanne Salmela, Jessica Hemberg","doi":"10.1177/09697330251374397","DOIUrl":"https://doi.org/10.1177/09697330251374397","url":null,"abstract":"<p><p>BackgroundToday's healthcare organizations are organized to provide effective, efficient care that yields good patient outcomes. Healthcare leaders must be capable of engaging in both leadership relevant to human relationships and the management of processes.AimThe aim of this study was to explore nurse leaders' perceptions of integrity in enhancing nursing leadership that is both effective and ethical.Research design, participants, and research contextA qualitative exploratory design with qualitative content analysis as method was undertaken, including multistage focus group interviews with 9 nurse leaders in a hospital setting.Ethical considerationsThe study was conducted in accordance with the guidelines of the Finnish National Board on Research Integrity and the Declaration of Helsinki.FindingsOne main category and three subcategories were seen. The main category was \"Integrity links ethics and efficiency\".DiscussionIntegrity was seen as a part of ethical leadership. Integrity was also seen as nurse leaders' values shaped by personality and work experience. To lead with efficiency was seen as part of knowledge-based leadership.ConclusionsIntegrity allows nurse leaders to interweave ethical values and efficiency, thereby realizing nursing leadership that is ethical and effective and leading to care that is of good quality.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251374397"},"PeriodicalIF":2.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing home contrasts: A critical discussion on harnessing reflection for dignified change.","authors":"Trude Anita Hartviksen, Lisbeth Uhrenfeldt, Jessica Aspfors","doi":"10.1177/09697330251374177","DOIUrl":"https://doi.org/10.1177/09697330251374177","url":null,"abstract":"<p><p>The capacity of healthcare personnel to promote well-being and dignity among nursing home residents remains a topic of ongoing discourse. This critical discussion extends from a previously published research project on healthcare leadership. The results revealed that healthcare middle managers' perceived lack of resources, trust, and collaboration hindered their capability for quality improvement. Our concern was reinforced when relatives expressed a willingness to accept undignified care due to resource constraints. In this discussion paper, we add to existing knowledge by critically discussing how nursing home relatives and managers share experiences and face the consequences of negotiating human dignity as both a fundamental right and moral obligation. Galvin and Todres's existential theoretical framework is applied to understand dignified care and to reveal contrasts and overlaps within academic and public discourse. We argue that resource-limited healthcare, which generates undignified care, creates cross-pressure of suffering for relatives and managers. If both groups are incapacitated by this cross-pressure, knowledge mobilization and practice improvement stagnate. However, integrating measures into organizational quality systems to promote critical reflection among both groups as a tool for quality improvement may offer potential dignified change.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251374177"},"PeriodicalIF":2.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical dimensions in nursing care for individuals with intellectual disabilities.","authors":"Mohammed Elmadani, Klara Simon, Mohammed Mustafa, Godfrey Mbaabu Limungi, Evans Kasmai Kiptulon, Maha Besbes, Amer Mesmar, Osama Hamad, Eva Horvath, Lívia Tóth, Orsolya Mate","doi":"10.1177/09697330251366607","DOIUrl":"https://doi.org/10.1177/09697330251366607","url":null,"abstract":"<p><p>BackgroundIndividuals with intellectual and developmental disabilities (IDD) face significant health disparities, often exacerbated by ethical and legal complexities in nursing care. Nurses are frequently challenged to balance autonomy, informed consent, patient safety, and human rights, especially in settings with unclear guidelines or insufficient training. This narrative review explores the ethical and legal considerations in nursing care for individuals with IDD, aiming to highlight challenges and propose best practices.MethodsA narrative review methodology was employed to synthesise evidence from qualitative, quantitative, mixed-methods studies, theoretical articles, and grey literature. A comprehensive search was conducted across PubMed, EBSCO, Embase, Scopus, and Web of Science, using keywords related to ethical issues, legal rights, nursing, and intellectual disability. Studies were included if they addressed the ethical or legal dimensions of nursing care for people with IDD. Data were synthesised narratively and visually mapped using conceptual mapping techniques. Quality was assessed using the SANRA scale.ResultsEighteen studies met the inclusion criteria. The findings reveal ethical tensions in obtaining informed consent, maintaining autonomy, and ensuring dignity against communication barriers and behavioural challenges. Nurses reported experiencing an emotional burden and ethical uncertainty when institutional constraints limit person-centred care. The overuse of restrictive practices and limited access to tailored healthcare were recurrent concerns. Legal challenges included complexities in guardianship, consent to treatment, and discriminatory practices. Emerging issues, such as the ethical use of artificial intelligence in care planning, were also noted.ConclusionNursing care for individuals with IDD requires ethically grounded, legally informed, and person-centred approaches. Best practices include accessible communication, interdisciplinary collaboration, tailored education, and advocacy. Nurses must receive support through training and organisational frameworks to navigate complex ethical decisions and uphold the dignity and rights of individuals with IDD. These findings have direct implications for nursing practice and policy, offering actionable guidance to improve ethical decision-making, communication, and inclusive care delivery for individuals with intellectual disabilities.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251366607"},"PeriodicalIF":2.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Duality of roles and moral injury in defence force nurses.","authors":"Kristina Griffin, Therese Taylor","doi":"10.1177/09697330251366598","DOIUrl":"https://doi.org/10.1177/09697330251366598","url":null,"abstract":"<p><p>BackgroundMilitary medics, who are both professional soldiers and qualified nurses, can face situations where their training and moral ethos conflict in the performance of duty. Their role has intrinsic duality. They are both a soldier, thus a member of a military organisation as well as well as a healer, a nurse with a corresponding duty of care. Both roles have ethical, legal and professional responsibilities, codes of conduct and moral codes. Both also are roles which have strong cultural images and distinct expectations from individuals and those around them. This can lead to moral dilemmas, moral injury and long-term psychological illness. In the 2024 Royal Commission into Defence and Veteran Suicide in Australia, moral injury was cited as a relatively new, but not widely acknowledged, risk factor that may lead to suicide. In the context of defence, moral injury can be described as being experienced by a person who participates in, or witnesses, actions that go against their moral code or moral beliefs.Research designThe research presented is a component of a larger study into the role duality of the Australian Army medic in warzones. It focuses on interviews from twelve currently serving army medics who have deployed overseas in recent conflicts with the research question: How does the intrinsic duality of the role of the medic impact the individual performing this specialised role.Ethical considerationsThis research has ethics approval from both the Australian Defence Human Research Ethics Committee #778-15 and the Human Research Ethics Committee #2015/024. Participants have given formal consent for their reflections to be used in publications.ConclusionFor this research the psychological impact of these ethical conflicts on Australian Army Medics who have served in this dual role has been investigated, with specific focus on moral injury.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251366598"},"PeriodicalIF":2.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' simulation-based medical error experiences: A qualitative study.","authors":"Fulya Batmaz, Sule Biyik Bayram, Aysel Özsaban, Ebru Turhal","doi":"10.1177/09697330251366604","DOIUrl":"https://doi.org/10.1177/09697330251366604","url":null,"abstract":"<p><p>BackgroundMedical errors represent a significant threat to patient safety, often stemming from miscommunication and negligence. Nurses play a critical role in preventing such errors; however, they frequently underreport or conceal them. Simulation-based applications provide a controlled and safe environment where nurses can experience and reflect on medical errors, thereby enhancing their awareness and contributing to improved patient safety practices.AimThe study aims to investigate nurses' experiences with medical errors using a simulation and to provide an in-depth understanding of their behaviors.Research designDescriptive phenomenological qualitative research.Participantsand research context: The study was conducted with 10 nurses at a university hospital between March and April 2023. Simulation scenarios were developed in line with the INACSL standards. Data were collected using a descriptive form and semi-structured interviews and analyzed using descriptive phenomenological analysis.Ethical considerationsThis study was approved by the Karadeniz Technical University Health Sciences Scientific Research Ethics Committee (approval no.2022/60) on 06.05.2024. Informed consent was obtained from the participants.ResultsDuring the simulation practices, nurses exhibited two distinct behaviors concerning medical errors: concealment (<i>n</i> = 4) and disclosure (<i>n</i> = 6). The analysis identified two themes and 12 subthemes based on the nurses' experiences.ConclusionThe study concluded that nurses exhibited a range of behaviors and emotions in response to medical errors, with these responses influenced by various underlying factors. The findings of this study are anticipated to inform strategies for managing medical errors encountered by nurses. Future research should focus on integrating and evaluating simulation-based approaches to medical error management within nursing education.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251366604"},"PeriodicalIF":2.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical implications of nurse brain drain on undergraduate nursing students.","authors":"Animesh Ghimire, Mamata Sharma Neupane","doi":"10.1177/09697330251374392","DOIUrl":"https://doi.org/10.1177/09697330251374392","url":null,"abstract":"<p><p>BackgroundGlobal healthcare worker migration, often termed \"brain drain,\" poses profound ethical challenges for low- and middle-income countries (LMICs) such as Nepal. Although the economic and professional drivers behind nurse migration are relatively well-documented, the ethical implications for nursing students-who witness this dynamic during their formative training-remain insufficiently examined.AimThis study investigated how undergraduate nursing students in Nepal perceive and navigate the ethical dimensions of nurse brain drain.Research DesignA descriptive phenomenological design was employed. Data was collected through semi-structured interviews and analyzed using a thematic approach.Participants and Research ContextSixteen third- and fourth-year Bachelor of Science in Nursing students at a tertiary institution in Chitwan, Nepal, were purposively sampled.Ethical ConsiderationsThe Nepal Health Research Council (NHRC-277/2024) granted ethical approval. Informed consent was obtained from all participants, who were assured of their right to confidentiality and withdrawal rights.ResultsThe findings revealed a profound ethical narrative captured in five interconnected themes. Participants are caught in \"The Dissonance of Duty,\" a core conflict exacerbated by witnessing \"The Eroding Ideal\" of their profession within a strained system and the subsequent \"Ripple Effect of Absent Role Models.\" This compels a complex process of \"justifications, rationalizations, and lingering doubts regarding migration.\" Ultimately, many resolve this tension by \"Reimagining Patriotism in a Globalized Profession,\" framing their potential departure as a new form of transnational contribution.ConclusionsNepalese nursing students are active moral agents, rethinking duty and national allegiance in a context marked by workforce shortages and global opportunity. Addressing these ethical dilemmas demands curricular reforms emphasizing real-world decision-making, transnational mentorship opportunities, and systemic improvements in working conditions. Fostering an environment that inspires rather than compels loyalty is crucial for sustaining Nepal's healthcare workforce-a lesson of considerable relevance to other LMICs confronting similar migration pressures.</p>","PeriodicalId":49729,"journal":{"name":"Nursing Ethics","volume":" ","pages":"9697330251374392"},"PeriodicalIF":2.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}