Contemporary Nurse最新文献

{"title":"Strategies to encourage participation in debrief sessions with nursing students for whom English is an additional language: A qualitative study.","authors":"Caroline Havery","doi":"10.1080/10376178.2022.2123839","DOIUrl":"https://doi.org/10.1080/10376178.2022.2123839","url":null,"abstract":"<p><strong>Background: </strong>End-of-day debriefs are reported to offer students opportunities to reflect and consolidate learning. However, there is little evidence about how clinical facilitators encourage student participation that leads to refection and learning, particularly in debrief sessions with linguistically diverse students.</p><p><strong>Aim: </strong>This research investigated how the pedagogic practices of clinical facilitators enabled or constrained student participation during debrief.</p><p><strong>Design: </strong>This study used an ethnographic approach combined with linguistic analysis of audio recordings of debrief in two metropolitan hospitals in Australia.</p><p><strong>Results: </strong>The study found that several key factors contributed to student participation during debrief. Factors included: establishing a space that offered visual and aural privacy; using strategies that encouraged student talk; and adopting roles of expert teacher, facilitator, clinical expert, and therapeutic agent.</p><p><strong>Conclusion: </strong>Conducting debrief in appropriate settings and adopting strategies and roles that encourage student talk can lead to opportunities for students to reflect on their day, and for facilitators to make judgements about students' knowledge.</p><p><strong>Impact: </strong>Facilitators can enable student participation by using spaces that offer physical and aural privacy for debrief, focusing on knowledge within students' scope of practice, and using communication strategies that encourage talk.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10751046","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":"Oncology nurse perceptions about life expectancy discussions: a cross-sectional study exploring what patients want to know, and why doctors don't disclose.","authors":"Jamie Bryant,&nbsp;Breanne Hobden,&nbsp;Amy Waller,&nbsp;Rob Sanson-Fisher,&nbsp;Jan Shepherd","doi":"10.1080/10376178.2022.2147848","DOIUrl":"https://doi.org/10.1080/10376178.2022.2147848","url":null,"abstract":"<p><p><i>Background</i>: Sensitive and patient-centred discussion about life expectancy has clear benefits for patients with advanced cancer and their families. The perceptions of oncology nurses about disclosure of life expectancy, and the barriers to disclosure, have rarely been explored. <i>Objectives/Aims/Hypotheses</i>: To examine oncology nurses' perceptions of the: (1) proportion of patients with advanced cancer who want, receive and understand estimates of life expectancy; (2) reasons why doctors may not provide estimates of life expectancy. <i>Design</i>: Cross-sectional survey. <i>Methods</i>: Australian oncology nurses who were members of a professional society or worked at a participating metropolitan cancer centre were emailed a link to an anonymous online survey. Participants provided socio-demographic characteristics and their perceptions about the proportion of patients with advanced cancer who (a) want, (b) are provided with, (c) receive and (d) understand estimates of life expectancy, as well as the reasons estimates of life expectancy may not be provided. <i>Results</i>: A total of 104 nurses participated. While 51% of nurses perceived that most patients (>75%) want to be provided with an estimate of their life expectancy, 63% of nurses reported that <50% of patients were provided with an estimate. Further, 85% of nurses indicated that <50% of patients understand the estimate. The most frequent reason nurses perceived doctors did not provide an estimate of life expectancy was because the doctor didn't have an accurate idea of life expectancy (80.8%). Almost one-fifth of nurses (18.3%) thought that doctors did not provide estimates because they felt it was not their responsibility to do so. <i>Conclusions</i>: Strategies to ensure a patient-centred approach to life expectancy discussions with patients with advanced cancer are urgently needed. <i>Impact statement</i>: Oncology nurses perceive that many patients with advanced cancer are not provided with an accurate estimate of their life expectancy and few understand the information provided to them.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10754905","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":"Institutional racism: a discursive paper.","authors":"Van Thanh Danh Phan","doi":"10.1080/10376178.2022.2092521","DOIUrl":"https://doi.org/10.1080/10376178.2022.2092521","url":null,"abstract":"<p><p>The purpose of this paper is to provide discourse regarding awareness of institutional racism, from a non-Indigenous, Australian nursing student's perspective. The discussion has a focus on the presence of institutional racism in the Australian healthcare system, its impact on the health of First Nation Peoples and a commitment to ensuring culturally safe practice. It will be argued that institutional racism is pervasive in healthcare as a consequence of three factors: exclusion of First Nations Peoples from governance roles, inherent racism impacting on socio-cultural treatment bias, and institutional racism influencing key relationships in healthcare delivery.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10742344","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":"ICU nurses' safety performance related to respect for safety and management commitment: A cross-sectional study.","authors":"Mohammad Al-Bsheish,&nbsp;Mu'taman Jarrar,&nbsp;Munauwar Bin Mustafa,&nbsp;Faraj Zubaidi,&nbsp;Mohd Azril Bin Ismail,&nbsp;Ahmed Meri,&nbsp;Mohammed Dauwed","doi":"10.1080/10376178.2022.2104740","DOIUrl":"https://doi.org/10.1080/10376178.2022.2104740","url":null,"abstract":"<p><strong>Background: </strong>Healthcare work is one of the most accident-prone occupations globally. Nurses, especially those who work in Intensive Care Units (ICU), are very likely to experience mishaps on the job due to the complicated duties they perform. Safety performance through compliance and participation in safety is a proactive approach and a critical tool to measure the protection of employees, like these, in the workplace. Although interest in this tool has increased among hospital administrators and managers, scientific research has been limited in this area.</p><p><strong>Aims: </strong>The study's purposes were twofold: (1) to explore the effect of perceived respect safety on the safety performance of ICU nurses and (2) to explore the mediation effect of Management Commitment to Safety (MCS) between the relationship of perceived respect safety and safety performance.</p><p><strong>Methods: </strong>Eight public hospitals from the Jordanian Ministry of Health (JMoH) were selected randomly using cluster sampling, and their ICU nurses were surveyed. A total of 285 nurses completed questionnaires. The SmartPLS3 bootstrapping technique was used to analyse data.</p><p><strong>Results: </strong>The results established that the perceived respect for the safety of nurses has a significant and positive effect on their safety compliance (β = .39, <i>p</i> < .01) and safety participation (β = .34, <i>p</i> < .01), and that MCS mediated these associations.</p><p><strong>Conclusion: </strong>The findings support the importance of developing and maintaining a culture of respect between management and employees, especially in terms of perceived respect for safety issues, and that culture will improve safety performance. The study explains the role of an active MCS, which contributes to understanding the research model fully. Practical implications for improving workplace safety also are added.</p><p><strong>Impact statement: </strong>Recognition of the study's findings by healthcare organisation managers would improve ICU nurses' safety and ultimately decrease undesirable outcomes.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10755141","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":"Misconceptions and the misappropriation of nursing: an ironic response.","authors":"Gemma McErlean","doi":"10.1080/10376178.2023.2166550","DOIUrl":"https://doi.org/10.1080/10376178.2023.2166550","url":null,"abstract":"N – Name it: ... it sounds like you’ve been worried about what’s going on... U – Understand the core message: ... if I understand you correctly, you are worried about what to say to your family and how they will react... R – Respect /Reassurance at the right time: ... I’m really impressed that you’ve continued to be independent... S – Support: ...would you like me to talk to your family about this... E – Explore: ... I notice that you’re upset, can you tell me what you’re thinking?","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9370639","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":"Development and psychometric testing of the gender misconceptions of men in nursing (GEMINI) scale among nursing students.","authors":"Jed Montayre,&nbsp;Ibrahim Alananzeh,&nbsp;Kasia Bail,&nbsp;Kate Barnewall,&nbsp;Tania Beament,&nbsp;Steve Campbell,&nbsp;Cathy Carmody,&nbsp;Alex Chan,&nbsp;Frank Donnelly,&nbsp;Jed Duff,&nbsp;Caleb Ferguson,&nbsp;Jo Gibson,&nbsp;Peta Harbour,&nbsp;Colin J Ireland,&nbsp;Xian-Liang Liu,&nbsp;Patricia Luyke,&nbsp;Della Maneze,&nbsp;Jo McDonall,&nbsp;Lauren McTier,&nbsp;Tameeka Mulquiney,&nbsp;Jane O'Brien,&nbsp;Lemuel J Pelentsov,&nbsp;Lucie M Ramjan,&nbsp;Natasha Reedy,&nbsp;Gina M Richards,&nbsp;Michael A Roche,&nbsp;Brandon W Smith,&nbsp;Jing-Yu Benjamin Tan,&nbsp;Karen A Theobald,&nbsp;Kathleen E Tori,&nbsp;Peter Wall,&nbsp;Emily Wallis,&nbsp;Luke Yokota,&nbsp;Joel Zugai,&nbsp;Yenna Salamonson","doi":"10.1080/10376178.2022.2107041","DOIUrl":"https://doi.org/10.1080/10376178.2022.2107041","url":null,"abstract":"<p><strong>Background: </strong>Misconceptions about men in nursing may influence recruitment and retention, further perpetuating the gender diversity imbalance in the nursing workforce. Identifying misconceptions and implementing early intervention strategies to address these deep-rooted stereotypes remain challenging but is considered critical to support students who are commencing a nursing career.</p><p><strong>Objective: </strong>To develop and evaluate the psychometric properties of the '<b>Ge</b>nder <b>Mi</b>sconceptions of me<b>N</b> in nurs<b>I</b>ng (GEMINI) Scale.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Methods: </strong>Pre-registration nursing students enrolled in undergraduate nursing programmes across 16 nursing institutions in Australia were surveyed from July to September 2021. The 17-item self-report GEMINI Scale measured the gender misconceptions of men in nursing.</p><p><strong>Results: </strong>Of the 1410 completed surveys, data from 683 (45%) women were used for exploratory factor analysis showing a one factor structure, while data from 727 men (47%) were used for confirmatory factor analysis of the 17-item GEMINI Scale, which showed a good model fit. The scale demonstrated high internal consistency (Cronbach's alpha of 0.892). Men were found to have higher gender misconceptions (<i>p</i> < 0.001) while respondents who: (a) identified nursing as their first career choice (<i>p</i> = 0.002); (b) were in their final year of programme enrolment (<i>p</i> = 0.016); and (c) engaged in health-related paid work (<i>p </i>= 0.002) had lower gender misconceptions.</p><p><strong>Conclusion: </strong>The GEMINI Scale is a robust, valid, reliable, and easy to administer tool to assess misconceptions about men in nursing, which may potentially influence academic performance and retention. Identifying and addressing specific elements of misconceptions could inform targeted strategies to support retention and decrease attrition among these students.</p><p><strong>Impact statement: </strong>Genderism harms nursing, as well as the men and women working in the profession. Recruitment and retention of men into nursing is needed to cultivate male role models and diversify the workforce, however this is impeded by negative portrayals in popular culture and misconceptions entrenched in society.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40540722","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":"An exploratory descriptive cohort study of 90-day prognosis after acute ischaemic stroke with mechanical thrombectomy.","authors":"Ling Feng,&nbsp;Yueyue He,&nbsp;Shuju Dong,&nbsp;Rui Wang,&nbsp;Shiyan Long,&nbsp;Li He","doi":"10.1080/10376178.2022.2107038","DOIUrl":"https://doi.org/10.1080/10376178.2022.2107038","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the relationship between nursing assessment findings at discharge and acute ischaemic stroke (AIS) patient prognosis after mechanical thrombectomy (MT).</p><p><strong>Methods: </strong>We analysed the characteristics of 144 AIS patients with MT treatment admitted to a university affiliated teaching hospital in Chengdu, Sichuan Province China, from January 2020 to December 2020. The modified Rankin Scale (mRS) score was used to assess outcomes 90-days after discharge. Exploratory analyses were undertaken using IBM SPSS Statistics (Version 26.0).</p><p><strong>Results: </strong>At 90-days, 47.9% (<i>n</i> = 69) had a good prognosis (mRS ≤ 2) including 22.2% (<i>n</i> = 32) fully recovered patients. There were 5 (3.5%) deceased patients and 48.6% (<i>n</i>  = 70) of patients had a poor prognosis (mRS ≥ 3). In univariate analysis, clinical prognosis correlated with the need for inpatient endotracheal intubation (<i>p</i> = 0.02), nasogastric tube (<i>p < </i>0.001), indwelling urinary catheter (<i>p < </i>0.001), central venous catheter (<i>p </i>= 0.03), health knowledge needs of pressure injury prevention (<i>p </i>= 0.03), National Institute of Health Stroke Scale (NIHSS) score (<i>p < </i>0.001) and Activities of Daily Living (ADL) score (<i>p < </i>0.001) at the time of discharge from hospital. The average hospitalization time of the 144 patients was 12[IQR, 9-25] days, and the average cost of hospitalization was $Y$21291.93 (SD 9165.01).</p><p><strong>Conclusion: </strong>Almost half of the surviving patients had a poor prognosis. In our country, this surgery and rehabilitation impose a significant financial burden that needs to be addressed. However, the longer length of hospital stay and higher costs at discharge may be contributing factors to worse outcomes. The outcomes of comprehensive nursing assessment of the patients, including nursing needs, activities of daily living, and neurological function, can predict their outcome.</p><p><strong>Impact statement: </strong>We recommend a comprehensive nursing assessment at discharge that predicts patient outcomes and can be used for subsequent targeted interventions. The prognosis of patients with acute ischaemic stroke after mechanical thrombectomy is poor, and the financial burden needs to be considered.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40344129","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":"A qualitative study exploring the support needs of newly qualified nurses and their experiences of an online peer support intervention.","authors":"Analisa Smythe,&nbsp;Catharine Jenkins,&nbsp;Sarah Bicknell,&nbsp;Peter Bentham,&nbsp;Jan Oyebode","doi":"10.1080/10376178.2022.2107036","DOIUrl":"https://doi.org/10.1080/10376178.2022.2107036","url":null,"abstract":"<p><strong>Background: </strong>In the transitional period following registration, newly qualified nurses may feel socially isolated and easily overwhelmed by increases in accountability, workplace pressures and the psychological demands of the role. Such experiences place them at risk of burnout and leaving the profession.</p><p><strong>Aims: </strong>To explore newly qualified nurses' support needs and their experiences of an online peer support intervention.</p><p><strong>Method: </strong>Eighteen newly qualified nurses participated in online peer support groups. After 3 months participants took part in interviews exploring their support needs and experiences of the groups. Eight one-to one interviews were conducted between October 2019 and January 2020. Qualitative thematic analysis was used.</p><p><strong>Findings: </strong>Two themes identified were; \"The Support needs of newly qualified nurses\" with two subthemes, \"The role of the newly qualified nurse\" and \"Unmet support needs\"; \"The online experience\" with three subthemes, \"Barriers to participation\", \"Anticipated benefits\" and \"Unmet expectations\".</p><p><strong>Conclusion: </strong>Our findings suggested that there is insufficient support for newly qualified nurses. The newly qualified nurses wanted to use online support to help manage their stress. However, the organisation of online peer support needs careful consideration to ensure participation can be beneficial.</p><p><strong>Impact statement: </strong>Online support requires careful design and clear support from employing organisations to promote improved transition experiences. Further research should focus on evaluating adjusted online support interventions.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40569235","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 clinical neglect of vital signs' assessment: an emerging patient safety issue?","authors":"Malcolm Elliott,&nbsp;Ruth Endacott","doi":"10.1080/10376178.2022.2109494","DOIUrl":"https://doi.org/10.1080/10376178.2022.2109494","url":null,"abstract":"<p><p><i>Objectives:</i> Vital signs assessment is a critical component of acute clinical care. Despite this, research has consistently found that the assessment of these signs is often neglected in clinical practice. This paper highlights three recent cases reported in the media where the neglect of vital signs assessment resulted in patient mortality.<i>Results:</i> Recent media reports highlighted the potentially devastating consequences of vital signs not being rigorously assessed, including avoidable death. The public needs to be confident they will receive safe, quality health care when they are admitted to hospital.<i>Conclusion:</i> The neglect of vital signs assessment places patients at risk of poor outcomes. Early detection of clinical deterioration via the assessment of vital signs facilitates prompt medical intervention. Factors contributing to the neglect of vital signs assessment need to be identified and corrective action is taken to improve the safety of clinical care.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40582047","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":"Validation of a vision-screening tool for use by nurses and other non-eye care health practitioners on stroke survivors.","authors":"Michelle Courtney-Harris,&nbsp;Neryla Jolly,&nbsp;Fiona Rowe,&nbsp;Kathryn Rose","doi":"10.1080/10376178.2022.2104334","DOIUrl":"https://doi.org/10.1080/10376178.2022.2104334","url":null,"abstract":"<p><p><i>Purpose</i>: To validate a vision-screening tool for use by nurses and other non-eye care health practitioners (NECHP) to aid identification of visual deficits and ocular conditions in stroke survivors.<i>Material and Methods</i>: Stroke survivors were recruited from two metropolitan Sydney public hospitals who had no access to on-site eye care professionals. Those admitted for 3 days and who were able to provide clear responses were randomly allocated into two groups. All were assessed by a NECHP using a purposely designed bedside vision-screening tool to assess their visual function. In Group 1, the orthoptist repeated the assessment with the same vision-screening tool, in Group 2 they performed a comprehensive orthoptic assessment. Levels of agreement and sensitivity and specificity for key outcomes were assessed.<i>Findings</i>: Levels of agreement for most items analyzed for Group 1 reached 80%. Comparison of the screening tool to a comprehensive orthoptist assessment (Group 2), demonstrated high (88.57-91.12%) sensitivity and specificity for detecting pre-existing and acquired visual problems.<i>Conclusion</i>: The vision-screening tool is a valid instrument for use by NECHP, for the detection of vision defects in stroke survivors. Improved detection of eye conditions may facilitate timely identification and management of visual conditions in stroke survivors, potentially improving patient care and rehabilitation outcomes.</p>","PeriodicalId":55633,"journal":{"name":"Contemporary Nurse","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10739539","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}