Journal of Clinical Nursing最新文献

{"title":"Letter to the Editor 'Content and Effect of Introduction Programmes to Increase Retention and Decrease Turnover of Newly Graduated Nurses in Hospitals: Umbrella Review'.","authors":"Wenqing Kong, Siqing Wang, Jing Liu","doi":"10.1111/jocn.17777","DOIUrl":"https://doi.org/10.1111/jocn.17777","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812816","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}

{"title":"Pain Assessment and Management in Dementia Care: Qualitative Perspectives of People With Dementia, Their Families, and Healthcare Professionals.","authors":"Lihui Pu, Matthew Barton, Madushika Kodagoda Gamage, Mari Okada, Michael Todorovic, Wendy Moyle","doi":"10.1111/jocn.17771","DOIUrl":"https://doi.org/10.1111/jocn.17771","url":null,"abstract":"<p><strong>Aim: </strong>Pain is under-assessed and under-treated among people living with dementia. This study aims to explore the perspectives of people with dementia, family carers, and healthcare professionals regarding their experiences and needs for pain assessment and management.</p><p><strong>Design: </strong>A qualitative descriptive approach.</p><p><strong>Methods: </strong>Between May and August 2023, people with early-stage dementia (n = 6), their family carers (n = 7), and healthcare professionals (n = 10) from four Australian states participated in semi-structured interviews, online or by telephone. Most of the participants were female. Work experience of healthcare professionals and caring experience of carers ranged from 3-40 and 2-8 years, respectively. Following transcription, the data were analysed using inductive thematic analysis.</p><p><strong>Results: </strong>Four main themes and 10 subthemes were identified. Main themes were (1) communications to identify pain in people with dementia, (2) pain assessment in people with dementia, (3) pain management strategies, and (4) training in pain and dementia care. Healthcare professionals and family carers reported challenges in pain identification. People with dementia also mentioned their pain being unrecognised by carers. Facilitators included familiarity and communication with people with dementia and family carers. Non-verbal cues and unusual behaviours were commonly used to identify pain, and a personalised pain assessment approach was highlighted. Non-pharmacological strategies were used as the first-line therapy to manage pain. However, a lack of knowledge and training in pain and dementia care indicated the need for a training program (e.g., a self-paced online short course).</p><p><strong>Conclusions: </strong>Pain assessment and management in people with dementia is challenging, primarily due to communication barriers and a lack of skill training. Formal pain assessment and management training and efficient, easy-to-use pain assessment tools are needed to address this.</p><p><strong>Implications for the profession and/or patient care: </strong>Limited communication capacity in people with dementia and lack of training in carers are key challenges regarding pain assessment and management in people with dementia. Improved training in communication, pain assessment, and management skills may help to address these challenges.</p><p><strong>Impact: </strong>This study addressed a lack of knowledge and skills for healthcare professionals and family carers in effective pain assessment and management in people with dementia. Collaborative communication among different stakeholders and skills training may overcome the challenges and barriers.</p><p><strong>Reporting method: </strong>COREQ guidelines were followed when reporting this study.</p><p><strong>Patient or public contribution: </strong>Healthcare professionals, people with dementia, and family carers contributed to the des","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812823","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}

{"title":"Evidence-Based Closed-Loop System Development for Central Venous Catheter Management: Multidimensional Optimization Bridging Data Constraints to Clinical Implementation Letter on Evidence-Based Practice in Maintenance of Central Venous Catheters Among Intensive Care Unit Nurses: A Cross-Sectional Multi-Center Study et al.","authors":"Wei Xiong, Ting Zheng, Jie Liang","doi":"10.1111/jocn.17773","DOIUrl":"https://doi.org/10.1111/jocn.17773","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812815","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}

{"title":"Letter to the Editor 'Barriers and Facilitators to Evidence-Based Perioperative Hypothermia Management for Orthopaedic Patients: A Systematic Review'.","authors":"Dan Liu, Xiaoyi Yuan, Jing Meng","doi":"10.1111/jocn.17767","DOIUrl":"https://doi.org/10.1111/jocn.17767","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781763","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}

{"title":"The Effectiveness of Nursing Interventions in Hospital: An Umbrella Review.","authors":"Elina Mattila, Paula Heikkilä, Eeva Harju, Tiina Kortteisto, Marja Kaunonen, Minna Sorsa, Elina Haavisto","doi":"10.1111/jocn.17766","DOIUrl":"https://doi.org/10.1111/jocn.17766","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this umbrella review was to summarise the existing evidence on the effectiveness of nursing interventions targeted at adult patients in hospitals.</p><p><strong>Design: </strong>Existing systematic reviews were synthesised.</p><p><strong>Data sources: </strong>The literature search was conducted in PubMed, CINAHL Complete, and the Cochrane Library by two of the authors until June 6th 2024 without a time limit.</p><p><strong>Methods: </strong>A total of 2652 records were identified. After screening the titles and abstracts, 2421 records were excluded. Then two records were excluded as they were not retrieved, and 125 records were excluded during full-text review as they did not meet the inclusion criteria. Finally, 11 reviews (141 original studies) were included in the quality assessment and were analysed narratively.</p><p><strong>Results: </strong>The most commonly used interventions were educational, followed by preventive, observative, or combinations of various interventions. All interventions were targeted at the care of somatic patients. The interventions lacked detailed descriptions of their content and duration. Nursing interventions were found to reduce anxiety, depression, disorder symptoms, pain intensity, length of hospital stay, serious adverse effects, mortality, infections and pressure ulcer prevalence.</p><p><strong>Conclusions: </strong>There is limited high-quality evidence on the effectiveness of nursing interventions used by nurses at hospital settings. While nursing interventions can improve hospital patient outcomes, more high-quality systematic reviews and meta-analyses are needed. Only preventive interventions (such as pressure ulcer prevention and use of early warning scores) consistently showed positive effects and are relatively easy to implement in hospital nursing practice. Other interventions are not yet widely integrated into standard care in hospitals. It is necessary to study the cost-effectiveness of nursing interventions.</p><p><strong>No patient or public contributions: </strong>This umbrella review did not include any patient or public involvement.</p><p><strong>Reporting method: </strong>This umbrella review of systematic reviews adheres to the PRISMA statement.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781772","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}

{"title":"Perceptions and Intentions to Prevent Diabetes Among At-Risk Individuals: A Qualitative Study Using the Theory of Planned Behaviour.","authors":"Jun Yi Claire Teo, Ying Jiang, Cheun Wei Alvin Seah, Tin Mei Yeo, Suan Tee Lim, Wenru Wang","doi":"10.1111/jocn.17764","DOIUrl":"https://doi.org/10.1111/jocn.17764","url":null,"abstract":"<p><strong>Aim: </strong>To explore the perceptions and factors that influence intentions to prevent diabetes among at-risk individuals.</p><p><strong>Design: </strong>A descriptive qualitative study design was used. The Consolidated criteria for Reporting Qualitative Research (COREQ) checklist guided the presentation of findings.</p><p><strong>Methods: </strong>Nine focus groups, including 47 individuals at risk of diabetes from the community in Singapore, were interviewed from April 2023 to January 2024. The semi-structured guide was developed on the basis of the theory of planned behaviour and validated by two content experts. Focus group interviews were audio-recorded, transcribed verbatim and analysed using Hsieh and Shannon's content analysis.</p><p><strong>Results: </strong>Six main categories emerged from the data analysis. Individual's perceptions of diabetes were associated with excessive sugar, and prediabetes a warning sign of impending diabetes. Participants were knowledgeable about the risk factors of diabetes but needed more actionable information. They also perceived that more awareness of diabetes is necessary. Participants' attitudes towards diabetes were individualistic, dependent on their sense of vulnerability and individual personalities. The subjective norms that influenced their behaviours were socio-cultural in nature. The main barriers impeding diabetes prevention were their commitment and responsibilities to family and work, accessibility to healthier lifestyle practices and internal struggles with the tediousness of diabetes prevention behaviours.</p><p><strong>Conclusion: </strong>To improve intentions to engage in diabetes prevention, a diabetes prevention programme needs to be hosted on a culturally appropriate mHealth platform for groups of like-minded individuals at risk of diabetes and their family and friends.</p><p><strong>Implications for nurses: </strong>Nurses possess the necessary skills and experience to develop and deliver diabetes prevention programmes, create awareness of existing government initiatives and resources, and improve chronic disease management in the clinical setting.</p><p><strong>Patient or public contribution: </strong>Members of the public assisted in recruitment. They also engaged in focus group discussions and provided the insights necessary for this study.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781767","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}

{"title":"Negative Emotions Experienced on the Occurrence of Medication Errors by Nurses: A Mixed-Method Systematic Review.","authors":"Afifeh Khosravi, Sanu Mahat, Tiina Syyrilä, Marja Härkänen","doi":"10.1111/jocn.17761","DOIUrl":"https://doi.org/10.1111/jocn.17761","url":null,"abstract":"<p><strong>Aim: </strong>This study aims to explore the negative emotions experienced by nurses following medication errors.</p><p><strong>Design: </strong>Mixed-method systematic review.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, PsycINFO and Google Scholar for studies published in English between January 2013 and October 2024. The Joanna Briggs Institute critical appraisal tool was used to assess article quality and data were analysed through qualitative content analysis.</p><p><strong>Results: </strong>From 1619 screened studies, 19 were selected: 14 qualitative, 3 quantitative and 2 mixed-method. The negative emotions experienced by nurses, as second victims of medication errors, can be categorised into 8 groups: Fear, anger, disturbance, sadness, shame, guilt, low self-esteem and depression. Additionally, the following 11 types of fear were identified: Fear of judgement, disrespect, losing one's job, getting scolded and contempt, retaliation and punishment, reaction, consequences, disciplinary actions and lawsuits, patient's well-being, reporting a medication error and losing patient's/their families' trust. Furthermore, two types of shame were identified: Internal and external shame.</p><p><strong>Conclusions: </strong>The negative emotions that nurses experience as second victims can persist long after the error occurs. It underscores the need for structured psychological support systems to foster a culture of 'responsibility without blame'.</p><p><strong>Implications for the profession and patient care: </strong>Addressing nurses' emotional challenges as second victims enhances their well-being and improves global healthcare safety and quality.</p><p><strong>Impact: </strong>These findings highlight the need for healthcare leaders and policymakers to implement interventions that foster a supportive, non-punitive workplace with the aim of improving the emotional well-being of nurses following medication errors.</p><p><strong>Reporting method: </strong>The study adhered to PRISMA guidelines.</p><p><strong>Patient or public contribution: </strong>None.</p><p><strong>Trail registration: </strong>Prospero code: CRD42023439304.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781765","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}

{"title":"The Relationship Between the Level of Satisfaction of Maslow's Hierarchy of Needs and Loneliness, Happiness and Life Satisfaction in Elderly Individuals.","authors":"Eylül Gülnur Erdoğan, Sevinç Mersin","doi":"10.1111/jocn.17759","DOIUrl":"https://doi.org/10.1111/jocn.17759","url":null,"abstract":"<p><strong>Aims: </strong>To examine the relationship between the level of satisfaction of Maslow's hierarchy of needs and loneliness, happiness and life satisfaction in elderly individuals.</p><p><strong>Design: </strong>This cross-sectional, descriptive and correlational study was conducted with the elderly in Turkey.</p><p><strong>Method: </strong>Data were collected using the Personal Information Form, Maslow's Hierarchy of Needs Assessment Form, UCLA Loneliness Scale Short Form, Oxford Happiness Scale Short Form and Satisfaction with Life Scale. The STROBE checklist was used to guide the presentation of this study.</p><p><strong>Results: </strong>Participants generally exhibited a significant relationship between the satisfaction levels of Maslow's hierarchy of needs and indicators of mental well-being such as loneliness, happiness and life satisfaction. Key factors influencing the satisfaction of needs included educational level, marital status, economic status and living with a spouse. Moreover, higher levels of life satisfaction and happiness positively impacted overall needs satisfaction, whereas loneliness showed a negative relationship. These findings emphasise the interconnectedness of socio-demographic and psychological factors in shaping well-being in elderly individuals.</p><p><strong>Conclusions: </strong>The results of this study show that if the level of meeting the needs of the elderly is high, their loneliness decreases and their happiness and life satisfaction increase. Improving the socioeconomic levels of the elderly affects their health. Therefore, it is important for nurses to take a more active role in the development of policies to improve the health of the elderly.</p><p><strong>Public or patient contribution: </strong>By examining the effects of different levels of Maslow's hierarchy of needs on loneliness, happiness and life satisfaction of elderly individuals, determining important data to improve their psychological and emotional well-being contributes to the development of social support systems and policies that will improve the quality of life of the elderly in society.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781396","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}

{"title":"The Effects of Augmented Reality on Rehabilitation of Stroke Patients: A Systematic Review and Meta-Analysis With Trial Sequential Analysis.","authors":"Chanyi Jia, Xiaoxia Liu, Lianzhen Ning, Lina Ge","doi":"10.1111/jocn.17730","DOIUrl":"https://doi.org/10.1111/jocn.17730","url":null,"abstract":"<p><strong>Aims: </strong>Stroke incidence has increased recently, causing functional impairments in most patients. Augmented reality(AR) is frequently employed as an interactive and repetitive technology to facilitate functional rehabilitation. Therefore, this study aimed to examine the current evidence in the effect of AR for stroke rehabilitation.</p><p><strong>Design: </strong>Systematic review with meta-analysis.</p><p><strong>Data sources: </strong>Seven electronic databases including PubMed, Medline, CINAHL, Web of Science, Scopus, Embase and Cochrane were searched by MeSH terms and keywords such as 'Stroke' 'Augmented reality' up to December 1, 2024.</p><p><strong>Methods: </strong>The Cochrane Risk of Bias tool was used to evaluate potential bias. Meta-analysis and Trial Sequence Analysis were used to analyse by the datastata15.0 software and TSA v0.9 software.</p><p><strong>Results: </strong>We searched 11 studies in a systematic review and 8 in a meta-analysis. The AR training group exhibited a significantly superior Berg Balance Scale scores(BBS) to those of the traditional training group. The Z-value curve of the sixth study crossed the traditional and TSA boundary values. Subgroup analysis revealed that BBS was significantly influenced in the hospital compared to the home intervention. The Timed Up and Go Test scores(TUG) and the 10-Meter Walk Test scores(10MWT) were similar in the AR and traditional training groups.</p><p><strong>Conclusion: </strong>AR technology is beneficial for the lower limb balance functional rehabilitation of stroke patients. However, further exploration and verification are necessary due to an insufficient number of trials.</p><p><strong>Implications for the profession and/or patient care: </strong>The findings provide clinical references for implementing AR in rehabilitation interventions for stroke patients.</p><p><strong>Impact: </strong>This paper is helpful for nurses in the rehabilitation training process of stroke patients, to make personalised plans for their rehabilitation, implement rehabilitation, provide health education and address other aspects of efforts, to provide patients with comprehensive support and help, to promote the functional recovery of patients and improve the quality of life.</p><p><strong>Reporting method: </strong>PRISMA guidelines.</p><p><strong>Trial and protocol registration: </strong>PROSPERO number: CRD42024533761.</p><p><strong>Patient or public contribution: </strong>MJEditor (www.mjeditor.com) provided English editing services during the preparation of this manuscript.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780228","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}

{"title":"The Effectiveness of Picture Books on Reducing Preoperative Anxiety in Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.","authors":"Chengyang Li, Qionghong Chen, Xueting Zhuang, Yong Wu, Rong Hu","doi":"10.1111/jocn.17747","DOIUrl":"https://doi.org/10.1111/jocn.17747","url":null,"abstract":"<p><strong>Background: </strong>Children experience significant psychological and physical stress during medical procedures. Picture books can help reduce anxiety by familiarising children with their upcoming procedures.</p><p><strong>Aim: </strong>To synthesise and evaluate the effectiveness of picture books on reducing preoperative anxiety in children and their parents.</p><p><strong>Design: </strong>A systematic review and meta-analysis of randomised controlled trials reported following the PRISMA guidelines.</p><p><strong>Methods: </strong>PubMed, CINAHL, EMBASE, Cochrane Library, China National Knowledge Infrastructure (CNKI) and Wanfang databases were searched from inception to January 1, 2024. This review includes randomised controlled trials published in Chinese or English that evaluate the efficacy of picture book interventions in reducing preoperative anxiety among children undergoing elective surgery. Studies were excluded if: (1) they were conference abstracts, protocols or repetitive publications; (2) they were not available in full text; (3) the data reported in the study could not be obtained from the authors; and (4) they were not published in Chinese or English. The Cochrane Risk of Bias Tool version 2.0 was used to assess the risk of bias of the included studies. Meta-analysis was conducted using Review Manager 5.4.</p><p><strong>Results: </strong>Five studies with a total of 418 patients were included in the analysis. Picture books can significantly reduce children's preoperative anxiety (SMD = -0.57, 95% CI = -0.76 to -0.37; p < 0.001). The certainty of the evidence for the effectiveness of picture books on preoperative anxiety was considered moderate.</p><p><strong>Conclusions: </strong>Picture books can effectively reduce preoperative anxiety in children by familiarising them with the unknown. It has shown the potential to serve as preoperative educational material for paediatric patients.</p><p><strong>Patient or public contribution: </strong>Not applicable.</p><p><strong>Relevance to clinical practice: </strong>This meta-analysis highlights the effectiveness of picture books in reducing preoperative anxiety in children undergoing medical procedures. Healthcare professionals should consider integrating these interventions into preoperative health education.</p><p><strong>Trial registration: </strong>CRD42023435105 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023435105).</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781775","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}