Journal of Professional Nursing最新文献

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Unifying a school of nursing: Developing a framework to guide nursing education 统一护理学院:制定指导护理教育的框架
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-07-17 DOI: 10.1016/j.profnurs.2024.07.001
Emily Nowak PhD, RN, Sarah White MSN, Joyce M. Brettner DNP, Joyce B. Perkins PhD, RN, Kara S. Koschmann PhD, APRN, Rachael McGraw DNP, Suzanne Lehman DNP, Jayne Sparks DNP, Maria Tice PhD, RN
{"title":"Unifying a school of nursing: Developing a framework to guide nursing education","authors":"Emily Nowak PhD, RN,&nbsp;Sarah White MSN,&nbsp;Joyce M. Brettner DNP,&nbsp;Joyce B. Perkins PhD, RN,&nbsp;Kara S. Koschmann PhD, APRN,&nbsp;Rachael McGraw DNP,&nbsp;Suzanne Lehman DNP,&nbsp;Jayne Sparks DNP,&nbsp;Maria Tice PhD, RN","doi":"10.1016/j.profnurs.2024.07.001","DOIUrl":"10.1016/j.profnurs.2024.07.001","url":null,"abstract":"<div><p>For one School of Nursing in a mid-sized, urban, private, liberal arts university in the upper Midwest, internal and external factors coalesced, requiring the reassessment/alignment of the baccalaureate, masters, and doctoral programs with professional standards/competencies and institutional mission/values. The development process of a new curricular framework to conceptually support the curriculum within the School of Nursing was reflective of participatory inquiry. The process closely followed the principles of the nursing complexity leadership model, complexity science, and improvement science. The new curricular framework grounds the School of Nursing's programming in a shared mental model through three functional definitions and six guiding constructs. The curricular framework development from this collaborative effort provides consistency for future curricular development and design across and within each program in the School of Nursing, shaping who we are, who we are educating, and the vision we see for our future.</p></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"54 ","pages":"Pages 113-117"},"PeriodicalIF":2.8,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Palliative care competence development through simulation: Excellence & innovation to meet the AACN essentials 通过模拟培养姑息关怀能力:卓越与创新,满足 AACN 的基本要求
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-07-17 DOI: 10.1016/j.profnurs.2024.07.002
Amisha Parekh de Campos PhD, MPH, RN, CHPN , Amanda Kirkpatrick PhD, RN, FAAN , Stephanie B. Clark EdD, RN , Kaleigh Barnett MNE, RN, CHSE
{"title":"Palliative care competence development through simulation: Excellence & innovation to meet the AACN essentials","authors":"Amisha Parekh de Campos PhD, MPH, RN, CHPN ,&nbsp;Amanda Kirkpatrick PhD, RN, FAAN ,&nbsp;Stephanie B. Clark EdD, RN ,&nbsp;Kaleigh Barnett MNE, RN, CHSE","doi":"10.1016/j.profnurs.2024.07.002","DOIUrl":"10.1016/j.profnurs.2024.07.002","url":null,"abstract":"<div><h3>Background</h3><p>The updated American Association of Colleges of Nursing: <em>The Essentials:</em> Core Competencies for Professional Nursing Education (2021) outlines competence requirements for entry-to-practice nurses. Hospice and palliative care (PC) are identified as one of four spheres of care, emphasizing that nursing knowledge and proficiency in primary PC are critical for all nurses.</p></div><div><h3>Purpose</h3><p>This article identifies key elements for nursing educators to consider when adopting, adapting, or designing practical primary PC simulations to meet <em>The AACN Essentials</em>.</p></div><div><h3>Methods</h3><p>Using Healthcare Simulation Standards of Best Practice™ (HSSBP) as a framework, a panel of nursing education researchers identified and compared key elements of four PC simulations from varied evidence-based exemplars across the U.S.</p></div><div><h3>Results</h3><p>Overarching elements in simulation development include choosing modalities, assessing resources, and simulation logistics, creating opportunities for difficult conversations with interprofessional team engagement, and validating scenarios with expert input. Simulation implementation should include tailored pre-briefing to address psychological safety in caring for the dying patient, piloting scenarios, and maximizing observer/vicarious learner roles. Finally, evaluation is vital for competency assessment, scenario enhancement, and logistical changes.</p><p>Limitations included variability in PC simulation scenarios, learners/learner level, curricula, and geography across selected exemplars, which may affect the general applicability of these findings.</p></div><div><h3>Conclusions</h3><p>Simulations developed according to HSSBP™ provide effective practical experience in PC, affording active and vicarious learners the knowledge and skills essential for baseline nursing competence.</p></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"54 ","pages":"Pages 118-125"},"PeriodicalIF":2.8,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
A call to advocate for diversity in nursing: Knowledge makes us accountable 呼吁倡导护理工作的多样性:知识让我们承担责任
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-07-01 DOI: 10.1016/j.profnurs.2024.06.006
Katherine Heatherington Endres DNP, FNP-BC, RNC-OB, CHSE
{"title":"A call to advocate for diversity in nursing: Knowledge makes us accountable","authors":"Katherine Heatherington Endres DNP, FNP-BC, RNC-OB, CHSE","doi":"10.1016/j.profnurs.2024.06.006","DOIUrl":"10.1016/j.profnurs.2024.06.006","url":null,"abstract":"","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"53 ","pages":"Pages A1-A2"},"PeriodicalIF":2.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141526457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Leverage pre-requisite courses to teach bachelor of science in nursing students about social determinants of health 利用先修课程向护理学学士学生传授有关健康的社会决定因素的知识
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-07-01 DOI: 10.1016/j.profnurs.2024.06.016
Lisa Muirhead, Rose Hayes, Melinda Higgins, Kristy Kiel Martyn, Kylie M. Smith, Linda McCauley
{"title":"Leverage pre-requisite courses to teach bachelor of science in nursing students about social determinants of health","authors":"Lisa Muirhead,&nbsp;Rose Hayes,&nbsp;Melinda Higgins,&nbsp;Kristy Kiel Martyn,&nbsp;Kylie M. Smith,&nbsp;Linda McCauley","doi":"10.1016/j.profnurs.2024.06.016","DOIUrl":"10.1016/j.profnurs.2024.06.016","url":null,"abstract":"<div><h3>Background</h3><p>Nurses have frequent opportunities to address social determinants of health (SDOH) in practice. However, many nurses graduate without completing coursework in SDOH, and there remain barriers to incorporating SDOH content into nursing curricula.</p></div><div><h3>Purpose</h3><p>We propose the revision of nursing pre-requisites to include substantive, introductory coursework on SDOH.</p></div><div><h3>Method</h3><p>We explored the history and professional context surrounding nursing's current pre-requisite course expectations. We also performed an assessment of the credit hour requirements and pre-requisite course titles for the nation's 100 top-ranked nursing programs.</p></div><div><h3>Findings</h3><p>Our assessment revealed that the allocation of credit hour requirements for most programs leaves little room for SDOH-focused credits once nursing coursework starts; also, based on title analyses, foundational coursework on SDOH may be missing from most programs' pre-requisite listings.</p></div><div><h3>Discussion</h3><p>Nursing pre-requisites should include SDOH content for reasons including the limited availability of credit hours for SDOH-focused electives and the importance of students developing a strong foundation in SDOH before their nursing coursework begins.</p></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"54 ","pages":"Pages 198-204"},"PeriodicalIF":2.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Impact of and strategies to address negative role models and adherence of nursing students to standard precautions: An integrative review 消极榜样的影响和应对策略以及护理专业学生遵守标准预防措施的情况:综合评述
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-07-01 DOI: 10.1016/j.profnurs.2024.06.019
Abubaker M. Hamed PhD, RN , Donna Moralejo PhD, RN , April Pike PhD, RN , Vernon Curran PhD
{"title":"Impact of and strategies to address negative role models and adherence of nursing students to standard precautions: An integrative review","authors":"Abubaker M. Hamed PhD, RN ,&nbsp;Donna Moralejo PhD, RN ,&nbsp;April Pike PhD, RN ,&nbsp;Vernon Curran PhD","doi":"10.1016/j.profnurs.2024.06.019","DOIUrl":"https://doi.org/10.1016/j.profnurs.2024.06.019","url":null,"abstract":"<div><h3>Background</h3><p>Negative role models can significantly impact nursing students' adherence to standard infection control precautions (SP) but there has been limited research on impacts and relevant strategies.</p></div><div><h3>Purpose</h3><p>This review examined the impact of negative role models on nursing students' adherence to SP and explored strategies that nursing instructors could use to help students effectively manage the influence of negative role models.</p></div><div><h3>Methods</h3><p>An integrative review was conducted, guided by <span>Whittemore and Knafl's methodology (2005)</span>. PubMed, CINAHL, and Scopus were searched for articles from 2008‐2023. Research studies were critically appraised using appropriate tools.</p></div><div><h3>Results</h3><p>Fourteen articles met the inclusion criteria and were included in this review. The literature indicates that nursing students frequently encounter negative role models during their clinical placements and that such negative encounters detrimentally impact their adherence to SP. Five strategies to potentially mitigate the impact of negative role models were identified.</p></div><div><h3>Conclusion</h3><p>To address the issue of negative role models, nursing instructors can help students learn specific strategies to manage encounters with negative role models, promote discussion of role modeling with students and clinical staff, and act as role models themselves. Further research is needed to inform specific strategies.</p></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"54 ","pages":"Pages 92-99"},"PeriodicalIF":2.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Implementing diversity, equity, and inclusion modules into a nursing trends and issues course: A quality improvement project 在护理趋势与问题课程中实施多元化、公平与包容模块:质量改进项目
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-07-01 DOI: 10.1016/j.profnurs.2024.06.017
Myriam Jean Cadet
{"title":"Implementing diversity, equity, and inclusion modules into a nursing trends and issues course: A quality improvement project","authors":"Myriam Jean Cadet","doi":"10.1016/j.profnurs.2024.06.017","DOIUrl":"https://doi.org/10.1016/j.profnurs.2024.06.017","url":null,"abstract":"<div><h3>Background</h3><p>The American Association of Colleges of Nursing (AACN) supports integrating diversity, equity, and inclusivity (DEI) into nursing curricula to aid in preparing students to administer competent care for diverse patient populations. AACN highlights equitable healthcare as the overarching goal and catalyst for improving patient health, reducing health disparities, and addressing social determinants of health.</p></div><div><h3>Aim</h3><p>The aim is to plan, implement, and evaluate diversity, equity, and inclusion modules in a nursing trends and issues course.</p></div><div><h3>Design</h3><p>The design is a quality improvement project using the PDSA cycle as a framework.</p></div><div><h3>Results</h3><p>Students strongly agree that incorporating DEI modules into the course promotes learning. Nursing faculty acknowledge that more revisions are needed to the course modules to address and compare learning gaps in DEI between nursing cohorts for next semester.</p></div><div><h3>Conclusion</h3><p>Incorporating DEI in nursing curricula may demand the application of strategies and structure for students learning. With a lack of faculty experience on DEI topics, this process may require effective interventions to address the learning needs of students.</p></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"54 ","pages":"Pages 100-105"},"PeriodicalIF":2.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Effective use of role-modeling videos for end-of-life education 在临终教育中有效使用榜样示范视频
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-06-30 DOI: 10.1016/j.profnurs.2024.06.015
Dana M. Hansen , Jillian Netzel
{"title":"Effective use of role-modeling videos for end-of-life education","authors":"Dana M. Hansen ,&nbsp;Jillian Netzel","doi":"10.1016/j.profnurs.2024.06.015","DOIUrl":"https://doi.org/10.1016/j.profnurs.2024.06.015","url":null,"abstract":"<div><h3>Background</h3><p>Role-modeling videos portray how to complete a task or behave in a situation. As posited by Social Learning Theory and the Model of Transformational Learning, role-modeling videos used in the Catalyzing Relationships at the End-of-Life Program (CAREol Program©) were developed to engage and transform student learning.</p></div><div><h3>Purpose</h3><p>The purpose of the study was to understand how role-modeling videos about difficult family relationships at the end of life enhance preparation of nursing and medical students for clinical practice.</p></div><div><h3>Methods</h3><p>A descriptive qualitative analysis was used to explore the understanding of 156 nursing and medical students' knowledge of end-of-life care expressed through journal reflections after experiencing a role-modeling video.</p></div><div><h3>Results</h3><p>Four themes emerged from the qualitative descriptive analysis: comfort, communication, time together, and forgiveness/reconciliation.</p></div><div><h3>Conclusion</h3><p>Through the lens of Social Learning Theory and the Model of Transformational Learning, students learn about the importance of comfort, communication, time together, and forgiveness in family relationships at the end of life.</p></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"54 ","pages":"Pages 106-112"},"PeriodicalIF":2.8,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S8755722324001054/pdfft?md5=f77b775a47d0c8a0c35f4bfac88a72b4&pid=1-s2.0-S8755722324001054-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Starting from scratch: Creating a university wellness initiative 从零开始:创建大学健康计划
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-06-29 DOI: 10.1016/j.profnurs.2024.06.018
Harriet R. Feldman PhD, RN, FAAN
{"title":"Starting from scratch: Creating a university wellness initiative","authors":"Harriet R. Feldman PhD, RN, FAAN","doi":"10.1016/j.profnurs.2024.06.018","DOIUrl":"10.1016/j.profnurs.2024.06.018","url":null,"abstract":"<div><p>This article addresses the strategies used by one institution to begin a university-wide wellness effort. Mental health challenges in the student population formed the framework for beginning a wellness initiative, including hiring a Chief Wellness Officer (CWO) to lead the way. Initial efforts were spent on understanding the current wellness programs and strategies being offered, as well as areas where additional support was needed. Based on this information, the literature, and outside experts and webinars, an advisory committee was established to develop a strategic plan for wellness that would include a vision, mission, goals, programs, and a robust website that can be easily accessed. Outreach to the larger community involved many others in plan development. Annual goals were agreed upon by the advisory committee. The 3-year strategic plan rolled out at the start of the second year and a series of meetings were held with different constituents to gain awareness of the plan and how it could benefit everyone. Eight programs were run, mostly videoconferenced, consistent with the eight wellness dimensions that were agreed upon by the advisory committee: emotional, environmental, financial, intellectual, occupational, physical, social, and spiritual. Based on feedback, plans for future programs were developed.</p></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"54 ","pages":"Pages 189-193"},"PeriodicalIF":2.8,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Commission on collegiate nursing education standards inspire a new model of shared governance 学院护理教育标准委员会激发了共同治理的新模式
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-06-24 DOI: 10.1016/j.profnurs.2024.06.013
Kleanthe Caruso, Barbara K. Haas, Christine S. Gipson, Barbara McAlister
{"title":"Commission on collegiate nursing education standards inspire a new model of shared governance","authors":"Kleanthe Caruso,&nbsp;Barbara K. Haas,&nbsp;Christine S. Gipson,&nbsp;Barbara McAlister","doi":"10.1016/j.profnurs.2024.06.013","DOIUrl":"https://doi.org/10.1016/j.profnurs.2024.06.013","url":null,"abstract":"<div><h3>Purpose</h3><p>A school of nursing re-envisioned its faculty organization structure and created a Shared Governance model based on the Commission on Collegiate Nursing Education Standards (CCNE). The model promotes shared decision-making and encourages nursing faculty and staff to exercise greater control over their professional endeavors.</p></div><div><h3>Principal results</h3><p>The Shared Governance model launched as a one semester pilot before it was formally adopted by faculty. Faculty and staff are organized into four councils, each one representing the CCNE standards: Governance, Institutional Resources, Curriculum, and Quality. The Academic Leadership Team meets regularly with Shared Governance Council Chairs to foster communication and ensure a cohesive, proactive approach to conducting school of nursing business.</p></div><div><h3>Major conclusions</h3><p>The Shared Governance model has provided an excellent mechanism for new school of nursing faculty and staff to become oriented to their roles and the culture of academia. It has broken down silos and increased connections across programs and campuses. Ongoing conversations about the priority work of the school of nursing and each council's coordinated effort to document fulfillment of the Standards gave structure to preparation for our accreditation visit. The accreditation process is no longer seen as the sole responsibility of the Dean and Associate Deans.</p></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"54 ","pages":"Pages 79-84"},"PeriodicalIF":2.8,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Stillbirth Simulation for Nursing and Midwifery 死产模拟护理和助产服务
IF 2.8 3区 医学
Journal of Professional Nursing Pub Date : 2024-06-24 DOI: 10.1016/j.profnurs.2024.06.009
Kristen Ostrem-Niemcewicz, Adreanne Cordova
{"title":"Stillbirth Simulation for Nursing and Midwifery","authors":"Kristen Ostrem-Niemcewicz,&nbsp;Adreanne Cordova","doi":"10.1016/j.profnurs.2024.06.009","DOIUrl":"https://doi.org/10.1016/j.profnurs.2024.06.009","url":null,"abstract":"<div><p>Collaboration is necessary to design and execute a nursing simulation that meets undergraduate and graduate competency expectations for communication, effective relationships, and stillbirth care. This simulation plan aligns with the ten international healthcare simulation standards published by the International Nursing Association for Clinical Simulation and Learning (INACSL). Course faculty work with simulation faculty, staff, and volunteer actors to plan and implement a consistent experience for pre-licensure and or graduate nursing students to develop critical clinical skills and attitudes across spheres of care while caring for parents experiencing pregnancy loss.</p></div>","PeriodicalId":50077,"journal":{"name":"Journal of Professional Nursing","volume":"54 ","pages":"Pages 75-78"},"PeriodicalIF":2.8,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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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