Contemporary nurse最新文献

{"title":"Bridging historical understanding with culturally safe nursing and midwifery care for indigenous people: a scoping review's telling gap in literature.","authors":"Jacinta Mackay, Kathleen Clapham, Luke Molloy, Kylie Smith, Odette Best","doi":"10.1080/10376178.2025.2469564","DOIUrl":"https://doi.org/10.1080/10376178.2025.2469564","url":null,"abstract":"<p><strong>Aim: </strong>The purpose of this paper is to explore the need for historically informed, culturally safe nursing and midwifery literature about Australian Indigenous people.</p><p><strong>Background: </strong>The cultural safety framework, developed by Irihapeti Ramsden, has long identified the importance of historical literacy in delivering culturally safe nursing and midwifery care. However, little evidence is available exploring the links between these domains. In the Australian setting, this is particularly relevant due to the health gap and, therefore, life differentials between Indigenous and non-Indigenous Australians and the potential of culturally safe nursing and midwifery care to contribute to rectifying this.</p><p><strong>Methods: </strong>A scoping literature review was conducted by searching four databases for both articles and grey literature that explored historically informed, culturally safe nursing and midwifery practice for Indigenous people internationally. This search spanned from 2003 onwards and required discussion of clinical practice by registered nurses or midwives. A discursive method was utilised to analyse the discourse surrounding these domains.</p><p><strong>Results: </strong>The review found only two texts that explored the connection between Indigenous peoples, history, cultural safety, nursing and midwifery in depth. This highlights a large literature gap internationally. Following this review, a discursive argument was created that highlights how a lack of culturally safe, historically informed care in Australia has resulted in unsafe and racist health experiences for Indigenous people.</p><p><strong>Conclusions: </strong>Australian nurses, midwives, healthcare organisations and health academics are provided with recommendations on how they can create the mandated cultural safety through historically informed environments and care practices. These include but are not limited to, ongoing Indigenous-led professional development, appropriate remuneration for Indigenous knowledge holders, and professional development for all nursing and midwifery academics.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional survey of patient safety culture in an emergency medicine division.","authors":"Nicole Davies, Reem Omarit, Patrice Shelly, Lauren Davidson, Rochelle Wynne","doi":"10.1080/10376178.2025.2466477","DOIUrl":"https://doi.org/10.1080/10376178.2025.2466477","url":null,"abstract":"<p><strong>Background: </strong>In the emergency department (ED) a positive patient safety culture exhibits characteristics that include a shared understanding of the importance of safety, constructive communication, mutual trust and the ability to recognise and learn from adverse events.</p><p><strong>Methods: </strong>A cross-sectional survey of multidisciplinary staff from a major metropolitan emergency medicine and access (EMA) division was undertaken. The Australian Hospital Survey on Patient Safety Culture (Version 2.0) was distributed to all staff employed in the EMA Division; three emergency departments (ED), and six general medicine and specialty medicine inpatient wards.</p><p><strong>Results: </strong>There were 333 (29.3%) responses, and 61 surveys were excluded due to missing data for a final response rate of 24% (<i>n</i> = 272). The number of responses from staff in ED (<i>n</i> = 148, 54%) and in-patient wards (<i>n</i> = 124, 46%) was similar. The 'teamwork', 'communication openness' and 'supervisor/manager support for patient safety' subscales were highly scored. The lowest percentage positive scores were reported for items within the 'hospital management support for patient safety', 'handovers' and 'response to error' subscales.</p><p><strong>Conclusion: </strong>Teamwork and supervisor/manager support for patient safety were highly valued in this cohort. There is scope for improvement in how hospital level management supports patient safety culture.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative prediction models for postoperative delirium in cardiac surgery patients - a scoping review.","authors":"Mitti Blakoe, Dorte Baek Olsen, Marianne Wetendorff Noergaard","doi":"10.1080/10376178.2025.2473930","DOIUrl":"10.1080/10376178.2025.2473930","url":null,"abstract":"<p><strong>Background: </strong>Postoperative delirium is believed to be preventable in up to 40% of all cases. Researchers have proposed various preoperative risk prediction models for postoperative delirium in patients undergoing cardiac surgery, however, no consensus exists on which model is the most suitable.</p><p><strong>Aim: </strong>To identify and map existing preoperative risk prediction models, detecting cardiac surgery patients at elevated risk of developing postoperative delirium.</p><p><strong>Design: </strong>This scoping review considered cohort and case-control studies eligible if they developed or validated preoperative prediction models for postoperative delirium, in adult patients admitted for cardiac surgery via sternotomy.</p><p><strong>Data sources: </strong>The primary search was conducted on May 6th, 2022, and a secondary search was conducted on September 18th, 2024. We searched MEDLINE, CINAHL, Embase, and PsycINFO where 2126 references were identified and 15 were included for full-text analysis.</p><p><strong>Method: </strong>This scoping review was conducted in line with the Systematic Reviews and Meta-Analyses extension for Scoping Reviews (the PRISMA-ScR) guideline.</p><p><strong>Results: </strong>Twelve unique risk prediction models and three validation studies were included in this review, comprising between 77 and 45,744 participants. In total, 157 candidate prognostic variables were investigated of which 40 had a predictive value and thus, were included in the prediction models. The included models revealed an AUC from 0.68-0.93 in the derivation cohorts and 0.61-0.89 in the validation cohorts.</p><p><strong>Conclusions: </strong>Twelve unique prediction models and 3 validation studies were identified and mapped. Collectively, the models demonstrated an AUC ranging from 0.61-0.93, indicating a fair to good discrimination performance.</p><p><strong>Protocol registration: </strong>A protocol is registered at Open Science Framework (OSF) https://osf.io/wr93y/?view_only=d129c3bb6be04357bac35c2c41ba2a40.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing intravenous potassium infusion: a quality improvement study on clinician's beliefs and practice.","authors":"Jacqueline Colgan, Rebecca Balmer, Louise Allan, Claire McCormack, Kourouche Sarah","doi":"10.1080/10376178.2025.2469569","DOIUrl":"https://doi.org/10.1080/10376178.2025.2469569","url":null,"abstract":"<p><strong>Background: </strong>Hypokalemia is a frequently occurring electrolyte disorder in hospital patients and is often treated with intravenous (IV) potassium replacement. In Australia, most hospital departments use IV potassium replacement therapies, which are known anecdotally to cause pain. To our knowledge, there have been no studies on Australian clinicians' practices in managing IV potassium replacement.</p><p><strong>Aims: </strong>To investigate the management of IV potassium infusions by clinical staff in a regional Local Health District in New South Wales, Australia.</p><p><strong>Methods: </strong>An interprofessional team of clinicians was formed and utilised the Plan-Do-Study-Act (PDSA) cycle. An online case-based survey was created to collect infusion management issues from clinicians' perspectives. The survey utilised a fictional case study with multiple-choice questions. It aimed to investigate clinicians' self-reported clinical practice behaviours when managing potassium infusions, which were analysed descriptively. Data from open-ended questions about managing potassium infusion pain were analysed using inductive content analysis.</p><p><strong>Results: </strong>The study found that clinicians (<i>n</i> = 177) manage IV replacement, with two-thirds reporting multiple weekly instances. Clinicians observed that patients report pain during infusions. Factors such as potassium concentration (<i>n</i> = 130), patient anxiety (<i>n</i> = 118), peripheral administration (<i>n</i> = 109) and cannula sites in the lower arm (<i>n</i> = 102) were reported as pain risk factors. Clinicians reported using various strategies to manage infusion pain, including slowing the infusion, simple pain relievers, and topical applications. Severe potassium deficiency was a barrier to managing pain. Clinicians felt the management of pain to be challenging both clinically and ethically. Survey comments also suggest that IV potassium may be overused, presenting an opportunity for future improvement.</p><p><strong>Conclusion: </strong>The PDSA cycle structured the quality improvement initiative. This research explores how clinicians manage IV potassium infusions. Our findings uncover how frequently clinicians manage pain caused by IV potassium infusions, an area that is not well-documented. Further research is needed for pain management strategies.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engagement, satisfaction and motivation in online and hybrid learning environments among nursing students: a cross-sectional comparative study.","authors":"Esin Kavuran, Ayman M Hamdan-Mansour, Mirna Fawaz","doi":"10.1080/10376178.2025.2461541","DOIUrl":"https://doi.org/10.1080/10376178.2025.2461541","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has abruptly enforced the adoption of online learning approaches in nursing education, which have placed both students and educators under various challenges such as student academic achievement, reduced curricular completion, reduced teacher-student interaction, and decreased information retention.</p><p><strong>Aim: </strong>This study aimed to explore the engagement, satisfaction, and motivation in online and hybrid learning environments among Lebanese and Turkish nursing students.</p><p><strong>Methods: </strong>A sample of 650 Lebanese and 654 Turkish nursing students took part in this study. A quantitative cross-sectional research design was adopted.</p><p><strong>Results: </strong>The results of independent <i>T</i>-tests showed that Lebanese students scored significantly higher on the level of self-efficacy (5.49 ± .098), yet Turkish students scored higher on the level of distance learning satisfaction with connectivity (3.40 ± 0.72). The regression analysis showed that higher motivation (<i>p</i> < 0.001), lower satisfaction (<i>p</i> < 0.001), and the type of education (<i>p</i> = 0.001) were predictors of higher engagement. The effect of nationality on these outcomes needs to be further investigated, as the comparison showed association only in two subscales.</p><p><strong>Conclusion: </strong>This implies that nurse educators are encouraged to investigate the factors that increase nursing student satisfaction thus to increase their engagement. This research encourages further educational and psychological research among nursing students to explore the factors and predictors of academic achievement in online and hybrid learning environments.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A contemporary approach to improve understanding of the midwifery student continuity of care experience: designing an infographic using appreciative inquiry.","authors":"Olivia Tierney, Vidanka Vasilevski, Leigh Kinsman, Linda Sweet","doi":"10.1080/10376178.2025.2469555","DOIUrl":"https://doi.org/10.1080/10376178.2025.2469555","url":null,"abstract":"<p><strong>Background: </strong>Continuity of Care Experience is a mandated inclusion in all Australian degrees leading to registration as a midwife.</p><p><strong>Aim: </strong>Translating the objectives and learning outcomes of the midwifery student Continuity of Care Experience learning model into practice via an infographic.</p><p><strong>Design: </strong>Underpinned by an Appreciative Inquiry approach, this process used a strengths-based approach to engage participants to develop the design of an infographic.</p><p><strong>Method: </strong>Participants were Australian midwives working in a healthcare clinical or academic setting and were invited to provide feedback via an online survey on the design elements to inform the development of an infographic.</p><p><strong>Results: </strong>An expert midwifery panel included 11 participants representing midwives in clinical practice and academic positions. Content analysis of the survey identified strengths such as flow and visual appeal and what design elements needed improvement to enhance the sense-making of the infographic.</p><p><strong>Discussion: </strong>This study describes a process that engages participants meaningfully to contribute to how research findings are communicated. The process used in this study engaged participants meaningfully to develop an infographic for the midwifery student Continuity of Care Experience. This infographic provides a visual representation of learning objectives and outcomes for this learning model to aid translation into practice.</p><p><strong>Conclusion: </strong>Infographics are an effective tool in education and healthcare settings. Engaging participants in how an infographic is depicted can enhance the translation of learning outcomes and objectives of the midwifery student Continuity of Care Experience in education settings.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring first nations nursing and midwifery leadership development: an international scoping review.","authors":"Odette Best, Catelyn Richards, Lynne Stuart, Linda Deravin, Aletha Ward","doi":"10.1080/10376178.2025.2461556","DOIUrl":"https://doi.org/10.1080/10376178.2025.2461556","url":null,"abstract":"<p><strong>Background: </strong>The development of First Nations nurses and midwives is crucial to addressing health inequities stemming from systemic injustices. However, this workforce is significantly underrepresented globally. Understanding the reasons for this underrepresentation and identifying key challenges and opportunities for leadership is necessary.</p><p><strong>Aim: </strong>This scoping review aimed to explore the challenges and opportunities in leadership development of First Nations nursing and midwifery professionals internationally.</p><p><strong>Design: </strong>A scoping review was conducted following the framework developed by Arksey and O'Malley (2005).</p><p><strong>Data sources: </strong>Six databases including PubMed, CINAHL, Scopus, PsychInfo, Proquest and Australian Indigenous Health<i>InfoNet</i> were searched.</p><p><strong>Methods: </strong>The search was performed on 30 January 2024. Items were included if the research focus was on First Nations nursing and midwifery leadership. Full texts were then thematically analysed for overarching themes, and extracted data was charted. After charting, key findings were reviewed, and emerging themes were grouped into common categories.</p><p><strong>Results: </strong>The scoping review identified a paucity in the contemporary literature, with only ten articles retrieved. Analysis revealed five main theses: (1) systemic injustices impacting leadership opportunities, (2) complex responsibilities beyond typical roles, (3) underrepresentation in leadership positions, (4) shifting from colonial leadership models and (5) effective methods for leadership development. Opportunities identified included promoting equitable leadership, fostering integrated relationships, building cultural resilience and emphasising community-orientated leadership approaches.</p><p><strong>Conclusion: </strong>Promoting adequate representation and developing culturally safe leadership models are essential steps towards empowering First Nations nurses and midwives in their leadership development. The study highlights the need for targeted leadership development strategies for First Nations nurses and midwives to enhance representation and impact within healthcare systems globally.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate-fuelled disasters and perinatal health: the catch 22 when undertaking research within an under-resourced health sector.","authors":"Adelle McArdle, Julie Willems, Eleanor Mitchell, Rochelle Hine","doi":"10.1080/10376178.2025.2459703","DOIUrl":"https://doi.org/10.1080/10376178.2025.2459703","url":null,"abstract":"<p><strong>Background: </strong>Climate-fuelled disasters are increasing in frequency and duration, with impacts known to disproportionately affect vulnerable populations, such as perinatal women and young families. Local healthcare workforce engagement into planning responses is required to ensure improved healthcare for these populations. One important component of perinatal care in Australia occurs through the maternal and child health nurses (MCHN). Attempted research engagement with the maternal child health nurse sector regarding the impact of disasters on the care of perinatal women during times of disaster has encountered structural barriers.</p><p><strong>Aim: </strong>To understand the structural barriers that impact the research engagement of rural MCHN particularly during times of disasters.</p><p><strong>Methods: </strong>A facilitated focus group with semi-structured questions was conducted with five participant-researchers. The focus group discussion underwent reflexive thematic analysis.</p><p><strong>Results: </strong>Identified themes were <i>Rationale for Research into Care of Families in the Perinatal Period, Perinatal Health and Service Provision</i> and <i>The Overlay of Disasters.</i> An overarching fourth theme <i>Implications for future Research</i> identified elements that may improve the research engagement of primary healthcare staff, including MCHN.</p><p><strong>Conclusion: </strong>There is a need to overcome structural challenges to MCHN engagement in meaningful research around the impacts of multiple disasters. Appropriate research design, including utilising co-design, adequate resourcing, and planned and considered participant communication may help to improve participant engagement for this important research. With improved sector engagement, the ongoing care of perinatal women in the current environment of multiple and compounding climate-fuelled disasters will be improved.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-17"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring nurses' experiences of caring for older adults with cancer: a meta-synthesis of qualitative evidence.","authors":"Huoba Li, Cheng Cheng, Huan Yu, Qingling Wang, Martin Christensen","doi":"10.1080/10376178.2025.2459695","DOIUrl":"https://doi.org/10.1080/10376178.2025.2459695","url":null,"abstract":"<p><p>Nurses' important role in cancer treatment shows the need to explore their experiences caring for older adults with cancer, an area where previous research has identified a research gap.</p><p><p>This review aimed to synthesize the existing qualitative findings on nurses' experiences of caring for older adults with cancer.</p><p><p>Meta-synthesis.</p><p><p>A systematic search of four electronic databases was conducted using relevant keywords, from January 2000 to April 2024, with an update in July 2024.</p><p><p>A meta-synthesis using thematic analysis was employed to integrate the primary qualitative findings. The reporting of this review adhered to the ENTREQ guidelines.</p><p><p>Four analytical themes emerged: (1) unpacking the emotional and psychological toll, (2) facilitating effective connections with patients, (3) addressing practical and logistical challenges, and (4) navigating role dynamics in cancer care.</p><p><p>This meta-synthesis identified the need of prioritizing nurses' emotional, psychological, and practical well-being in cancer care, particularly when caring for older adults. By acknowledging and addressing the emotional and psychological strain, fostering meaningful patient connections, managing practical challenges, and navigating role dynamics, healthcare systems can enhance the quality of care for older cancer patients and support the well-being of nurses in this critical role.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering nurses - a practical guide to artificial intelligence tools in healthcare settings: discussion paper.","authors":"Pauletta Irwin, Sabih-Ur Rehman, Shanna Fealy, Rachel Kornhaber, Annabel Matheson, Michelle Cleary","doi":"10.1080/10376178.2025.2459701","DOIUrl":"https://doi.org/10.1080/10376178.2025.2459701","url":null,"abstract":"<p><strong>Background: </strong>The rapid growth of artificial intelligence in healthcare is transforming how nurses deliver care and make clinical decisions. From supporting diagnostics to providing virtual health assistants, artificial intelligence offers new ways to enhance patient outcomes and streamline healthcare processes. However, these advancements also bring challenges, particularly around ethics, potential biases, and ensuring technology complements rather than replaces human expertise.</p><p><strong>Methods: </strong>A discussion paper designed to break down key artificial intelligence terms and demonstrate real-world applications to guide nurses to develop the skills needed to navigate this evolving technological landscape.</p><p><strong>Findings: </strong>This discussion emphasises the importance of maintaining the critical role of human clinical judgment, highlighting that artificial intelligence should support nurses' expertise rather than diminish it. The need for continuous education to keep nurses equipped with the knowledge to effectively integrate artificial intelligence into their practice is argued. With an inclusive approach, artificial intelligence has the potential to become a powerful tool that supports nurses in improving patient care while preserving the essential human touch in healthcare.</p>","PeriodicalId":93954,"journal":{"name":"Contemporary nurse","volume":" ","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}