Public Health Nursing最新文献

{"title":"Pandemic Perceptions of Future Health Professionals: An Examination of Turkish Nursing Students' Metaphorical Perceptions and Cognitive Structures of Monkeypox.","authors":"Sevda Uzun, Elif Güzide Emirza, Medine Şenses","doi":"10.1111/phn.70132","DOIUrl":"https://doi.org/10.1111/phn.70132","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to explore the metaphorical perceptions and cognitive structures of nursing students regarding Monkeypox.</p><p><strong>Methods: </strong>A qualitative study based on metaphor analysis was conducted with 40 nursing students enrolled at a public university in northern Türkiye. Data were collected between December 2024 and January 2025 using a Sociodemographic Information Form and the Monkeypox Data Collection Form, which incorporated two techniques: a metaphor elicitation technique using the prompt \"Monkeypox is like… because…\" and a drawing-writing technique. Content analysis and document analysis were employed to analyze the data. Inter-rater reliability was assessed using Miles and Huberman's formula (88%) and Cohen's kappa coefficient (0.88). The study was designed and reported in accordance with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist.</p><p><strong>Results: </strong>A total of 12 metaphors were identified through the writing technique and grouped under two categories: characteristics of Monkeypox (9 metaphors; e.g., wart, COVID-19, and chickenpox) and effects of Monkeypox (3 metaphors; e.g., lockdown, negative mental health impact). Three metaphors were identified through the drawing technique and categorized under considerations for appearance (bubbles, redness, and monkey).</p><p><strong>Technique: </strong>With the writing technique, they were analyzed under two categories: features and effects.</p><p><strong>Conclusion: </strong>Nursing students perceived Monkeypox as a threatening and destructive phenomenon, reflecting negative cognitive schemas shaped by limited knowledge and uncertainty. These findings highlight the need for nursing education programs that address both cognitive and psychosocial dimensions of emerging infectious disease preparedness.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators Perceived by Primary Healthcare Professionals About Physical Activity Prescription, a Meta-Ethnography.","authors":"Jesus Batuecas-Caletrio, Beatriz Rodriguez-Martin","doi":"10.1111/phn.70127","DOIUrl":"https://doi.org/10.1111/phn.70127","url":null,"abstract":"<p><strong>Objective: </strong>To examine qualitative evidence on the barriers and facilitators perceived by Primary Health Care professionals in prescribing physical activity, using the Social Ecological Model as the analytical framework.</p><p><strong>Methods: </strong>A qualitative systematic review using a meta-ethnographic approach was conducted. Searches were performed between 2013 and 2024 in Medline, Scopus, Web of Science, ProQuest, and The Cochrane Library Plus. Two independent reviewers screened studies, applied eligibility criteria, and coded findings according to the Social Ecological Model. Methodological quality was assessed using the Joanna Briggs Institute Qualitative Assessment and Review Instrument.</p><p><strong>Results: </strong>Barriers and facilitators to physical activity prescription were identified across all five domains of the Social Ecological Model. Key barriers included time constraints, insufficient training, lack of organizational and policy support, and limited referral pathways. Facilitators included professionals' willingness, interdisciplinary collaboration, community partnerships, and the availability of structured guidelines.</p><p><strong>Conclusions: </strong>Barriers to implementing physical activity prescription remain more prominent than facilitators. Effective implementation requires a comprehensive, system-level strategy involving healthcare organizations as well as local, regional, and national structures to support both the management and prevention of noncommunicable diseases.</p><p><strong>Trial registration: </strong>PROSPERO under the number CRD42024613298. https://www.crd.york.ac.uk/prospero/.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exposure to Tobacco Smoke and Beliefs About Smoking Among Nursing Students and Professionals in Spain.","authors":"Mario García-Suárez, Beatriz Ordás-Campos, Alicia Álvarez-Robles, Saúl Pérez-Núñez, Laura López-López, Marcos Vázquez-Díez, Juan Gómez-Salgado, Daniel Fernández-García","doi":"10.1111/phn.70086","DOIUrl":"10.1111/phn.70086","url":null,"abstract":"<p><strong>Introduction: </strong>Tobacco use and exposure to tobacco smoke are considered to be among the main risk factors in the development of diseases in both children and adults. The role of nurses in identifying a smoker and making them aware of the consequences of smoking to help them to quit is essential. The aim of this study was to analyze the number of students and professionals exposed to tobacco smoke and to determine their opinions on the role of professionals in the prevention and cessation of smoking.</p><p><strong>Methodology: </strong>A descriptive cross-sectional study was carried out using an anonymous self-administered questionnaire, previously validated, which was distributed to nursing students between March and June 2022 and to nursing professionals between January and March 2023.</p><p><strong>Results: </strong>The prevalence of smoking was found to be at 14.5% among nursing students and at 19.1% among nursing professionals. A total of 41.1% of the students and 19.4% of the professionals were continuously exposed to tobacco smoke. Furthermore, professionals showed little to no agreement with statements such as \"Not contributing to smoky environments\" as a reason to quit smoking, \"Health professionals act as social role models,\" and \"Smokers pay close attention to the recommendations made by health professionals\" with respect to students (p < 0.001, p = 0.003, p = 0.018, respectively).</p><p><strong>Conclusions: </strong>An association was found between tobacco use and exposure to environmental tobacco smoke, showing that the creation and maintenance of smoke-free spaces is essential. In addition, smoking students and professionals were found to be less inclined to provide smoking cessation advice to their patients. They further expressed a desire for further training to equip them with the necessary skills to offer such guidance.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"564-574"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insurance Coverage and Perceived Access to Care Among Rural Adults: A Cross-Sectional Study Using Andersen's Behavioral Model.","authors":"Christian Ketel, Lisa C Lindley","doi":"10.1111/phn.70091","DOIUrl":"10.1111/phn.70091","url":null,"abstract":"<p><strong>Background: </strong>Despite national efforts to improve insurance coverage, access to medical care in rural U.S. communities remains limited. While insurance is a well-established enabler of healthcare utilization, its relationship to perceived access among rural adults is underexplored.</p><p><strong>Objective: </strong>To examine whether insurance status is associated with perceived access to needed healthcare among rural adults in Connecticut, adjusting for predisposing, enabling, and need-based factors using Andersen's Behavioral Model of Health Services Use (ABMHSU).</p><p><strong>Methods: </strong>This cross-sectional secondary analysis used the 2012-2013 Connecticut Health Care Survey data. The analytic sample included 593 unweighted cases (weighted N = 256,725). Weighted logistic regression assessed the association between insurance and perceived access, adjusting for social and health covariates.</p><p><strong>Results: </strong>Insurance coverage was significantly associated with greater perceived access (OR = 1.38, 95% CI [1.35, 1.42], p < 0.001). Other significant predictors included gender, age, marital status, employment, and chronic conditions. The model explained 19.8% of the variance and correctly classified 76% of cases.</p><p><strong>Conclusions: </strong>Insurance is a critical enabling factor for perceived healthcare access among rural adults, but it alone cannot ensure equitable care. Addressing both insurance gaps and the broader structural challenges, such as provider shortages, transportation barriers, and system navigation, will be essential to achieving meaningful improvements in rural healthcare access and equity.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"585-594"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146260072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building a Unified Competency Framework for Public Health.","authors":"Mary Jo Stanley, Ann M Stalter","doi":"10.1111/phn.70069","DOIUrl":"10.1111/phn.70069","url":null,"abstract":"<p><strong>Background: </strong>To enhance workforce capacity and population health, a collaborative approach is necessary to identify and establish consistent benchmarks across community/public health nursing (C/PHN) practices and public health sectors, thereby standardizing skills, knowledge, and actions to ensure a unified level of safe, quality care.</p><p><strong>Methods: </strong>Five key competency documents were selected based on a literature review of public health competency tools and were reviewed according to primary focus, key themes and unique features, as noted by thematic highlights identifying key components.</p><p><strong>Results: </strong>Similarities and gaps revealed misalignment among competencies, informing a recommendation for a new model. The Public Health Outcomes through Equity, Navigation, Inclusion, and Cross-Sector Collaboration (PHOENIX) was developed, offering a universal competency framework that incorporates interdisciplinary competencies as well as nursing's' uniqueness to public health.</p><p><strong>Discussion: </strong>Public health envelops a collective representation of a broad workforce, where cross-disciplinary strategic thinking requires the leveling of competencies to create interdisciplinary unity for a broader workforce, which also acknowledges nursing's unique role identity in direct care and practice. PHOENIX is distinct in its nursing lens, yet broad enough to capture the dynamic disciplines of all public health partners.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"776-786"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146203577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Status Quo of Knowledge, Attitudes, and Practice of Tuberculosis Latent Infection Screening Techniques in Community Nurses and Analysis of Influencing Factors.","authors":"Xiaoling Liu, WenHui Wang, Rong Wang, Yan Song, Hui Sun","doi":"10.1111/phn.70090","DOIUrl":"10.1111/phn.70090","url":null,"abstract":"<p><strong>Objective: </strong>Tuberculosis (TB) remains a global health threat, with latent tuberculosis infection (LTBI) serving as a critical reservoir for active TB transmission. Community nurses play a pivotal role in LTBI screening, yet their knowledge, attitudes, and practices (KAP) remain insufficiently studied. This study aimed to assess the KAP levels regarding LTBI screening among community nurses.</p><p><strong>Methods: </strong>A stratified random sampling study was conducted among 180 community nurses from eight districts in Nanjing between September 2023 and October 2023. Participants completed a digital questionnaire consisting of two sections: a general information section that collected demographic and occupational data (age, gender, educational level, work experience, TB screening experience, and training frequency) and a KAP assessment section that evaluated LTBI screening competencies through 25 knowledge items, 7 attitude items and 18 practice items. Observation indicators included knowledge scores (0-25; passing ≥ 20), attitude scores (7-35; passing ≥ 28), and practice scores (18-90; passing ≥ 72). Statistical associations between demographic variables and KAP scores were analyzed using independent t-tests, analysis of variance, and multivariate logistic regression.</p><p><strong>Results: </strong>A total of 172 valid questionnaires were analyzed (response rate: 95.56%). Community nurses demonstrated moderate knowledge scores (median: 19/25, passing rate: 45.35%), strong positive attitudes (median: 34/35, passing rate: 90.69%), and excellent practical adherence (median: 90/90, passing rate: 97.09%). Univariate analysis revealed significant differences across age groups, educational levels, work experience, TB screening exposure, and training frequency (p < 0.05). Multivariate regression identified training frequency, age, TB screening experience, and education as key predictors of competency (p < 0.05).</p><p><strong>Conclusion: </strong>Community nurses demonstrated strong adherence to LTBI screening practices but exhibited critical knowledge gaps, particularly regarding novel diagnostic tools, such as recombinant TB fusion protein. By aligning training with evolving clinical demands, this study contributes actionable insights to enhance community-level TB control and strengthen global efforts to eradicate TB.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"807-816"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Healthcare Professionals' Attitudes Toward Artificial Intelligence in Turkey: A Cross-Sectional Study.","authors":"Aysun Yerköy Ateş, Gülbahar Çetin","doi":"10.1111/phn.70080","DOIUrl":"10.1111/phn.70080","url":null,"abstract":"<p><strong>Objectives: </strong>To assess healthcare professionals' attitudes toward artificial intelligence (AI) in healthcare and to identify personal and professional factors shaping these attitudes.</p><p><strong>Design: </strong>A cross-sectional, descriptive study conducted in accordance with the STROBE checklist.</p><p><strong>Sample: </strong>The study sample consisted of 329 healthcare professionals working in Turkey.</p><p><strong>Measurements: </strong>Data were collected between October and December 2024 using Google Forms and a snowball sampling approach. The Personal and Professional Information Form and the General Attitudes Toward AI Scale were used.</p><p><strong>Results: </strong>Healthcare professionals' attitudes toward AI were found to be moderately positive overall. Physicians demonstrated more favorable attitudes than nurses, while younger participants, those with higher educational attainment, and male participants reported more positive attitudes toward AI.</p><p><strong>Conclusions: </strong>While physicians generally demonstrated positive attitudes toward AI, substantial knowledge gaps and concerns remain among other healthcare professionals, particularly nurses. These findings underscore the need for policy-driven integration of AI competencies into undergraduate health sciences curricula and structured continuing professional development programs. Establishing ethical governance frameworks and standardized educational strategies is essential to ensure responsible use, safeguard data privacy, and promote equitable integration of AI across all healthcare roles.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"693-705"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying the Public Health Nursing Intervention Wheel to a Paternal Perinatal Mental Health Case Study.","authors":"Lloyd Frank Philpott, Helen Mulcahy","doi":"10.1111/phn.70099","DOIUrl":"10.1111/phn.70099","url":null,"abstract":"<p><strong>Background: </strong>Adverse paternal perinatal mental health is recognized as a serious public health concern due to the negative implications for fathers, their families, and wider society. However, in the Irish healthcare system there is no evidence that the assessment and management of paternal perinatal mental health is part of current public health nursing practice.</p><p><strong>Case presentation: </strong>The authors designed a hypothetical case study and used it with the public health nursing intervention wheel to analyze and illustrate how public health nursing practice is more likely to focus on maternal and infant health outcomes.</p><p><strong>Findings: </strong>The case illustrated that there are opportunities to integrate applicable interventions such as assessment, screening, consultation, counseling, health teaching, referral, and follow-up at paternal and family level, as well as outreach, advocacy, and social marketing at community level. Evidence from the research-based literature is used to discuss how these interventions can result in beneficial outcomes for fathers, families and population health.</p><p><strong>Conclusion: </strong>Furthermore, it illustrates how case studies can enhance teaching in relation to public health nursing education.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"800-806"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Virtual Reality in Reproductive Health and Family Planning Education: A Randomized Controlled Trial: A Different Method In Reproductive Health And Family Planning Education: Virtual Reality.","authors":"Sümeyye Betül Sönmez, Nihan Türkoğlu","doi":"10.1111/phn.70082","DOIUrl":"10.1111/phn.70082","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the effectiveness of reproductive health and family planning (FP) education given to women using face-to-face (F2F) training and virtual reality (VR) methods.</p><p><strong>Design and methods: </strong>This study is a three-group, pretest-posttest, randomized, controlled experimental study. The study was conducted between September 2022 and July 2024. As a result of the power analysis to determine the sample size, the study was completed with two experimental groups, one control group, and 40 patients in each group, totaling 120 patients. \"Sociodemographic Information Form,\" \"Scale for Determining Reproductive Health Protective Attitudes of Women,\" and \"Family Planning Attitude Scale\" were used to collect the data. The data were analyzed using SPSS 27.0 software. Descriptive statistics, Chi-square, One-Way ANOVA, and repeated measures analysis of variance were used to evaluate the research data.</p><p><strong>Results: </strong>Compared with F2F training and control groups, the VR + F2F group showed significantly greater improvements across reproductive health protective attitudes and FP attitudes at both follow-up and post-test. While F2Feducation also improved scores compared to the control group, the VR-augmented intervention resulted in the most substantial gains. The findings indicate that VR reinforcement significantly enhances the effectiveness of traditional education in improving women's attitudes toward reproductive health and FP.</p><p><strong>Conclusion: </strong>As a result, it was determined that the training given to women using VR applications increased reproductive health and FP knowledge and attitudes compared to F2F training and the control group.</p><p><strong>Trial registration: </strong>NCT05678829.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"787-799"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of a Home Visiting Program on First-Time Parents' Parental Self-Efficacy in Norway and Associations between Parental Self-Efficacy, Depressive Symptoms and Perception of Sleep.","authors":"Kristin Marie Sæther, Milada Cvancarova Hagen, Bettina Holmberg Fagerlund, Kari Glavin, Malene Brekke, Beate Solberg, Anne-Martha Utne Øygarden, Nina Jøranson","doi":"10.1111/phn.70098","DOIUrl":"10.1111/phn.70098","url":null,"abstract":"<p><strong>Objective: </strong>To examine the impact of the New Families (NF) home visiting program on first-time parents' parental self-efficacy (PSE) assessed at six weeks and three months postnatally and to explore associations between PSE and the selected possible predictors \"depressive symptoms\" and \"perception of sleep\".</p><p><strong>Design: </strong>A prospective nonrandomized controlled trial.</p><p><strong>Sample: </strong>The intervention group (N = 142 mothers/121 fathers at baseline) received NF and standard care (traditional child health program). The control group (N = 86 mothers/76 fathers) received standard care.</p><p><strong>Measures: </strong>PSE was measured by the Perceived maternal parental self-efficacy tool (PMP S-E).</p><p><strong>Results: </strong>In a socioeconomic low-risk sample, we found a statistically significant positive impact of NF on fathers' PSE at six weeks. No statistically significant impact was detected among fathers at three months or at any time point among mothers. Depressive symptoms and perception of insufficient sleep were associated with lower PSE in mothers.</p><p><strong>Conclusion: </strong>NF shows potential for reaching out to fathers and should be further investigated because there is a need for interventions supporting fathers postnatally. Despite the lack of impact on mothers' PSE, further investigation of how to reach mothers with depressive symptoms and sleep issues would be of interest.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov (NCT04162626).</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"653-666"},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}