Curationis最新文献

{"title":"Nurses' perspectives on inpatient falls in a large academic hospital in South Africa.","authors":"Christine Rogers, Athene Irving","doi":"10.4102/curationis.v46i1.2479","DOIUrl":"10.4102/curationis.v46i1.2479","url":null,"abstract":"<p><strong>Background: </strong>Falls risk assessment tools, including the Morse Falls Scale, have been used for years, and yet falls remain key adverse events in hospitals. Nurses are key role players in falls prevention and can champion patient safety.</p><p><strong>Objectives: </strong>The aim of the study was to explore ward nurses' attitudes, knowledge and practices regarding the use of falls risk assessment tools, institutional falls policy and falls prevention.</p><p><strong>Methods: </strong>A survey design was used. All permanent ward nurses were eligible to participate, and a convenience sample was used.</p><p><strong>Results: </strong>Nurses endorsed the Morse Falls Scale, recommended by institutional policy, as effective in reducing falls and indicated that incident reporting measured progress on monitoring fall events. Falls prevention training was scanty; however, nurses were keen for further education of falls.</p><p><strong>Conclusion: </strong>Effective falls risk management needs to extend beyond promulgating policy and actively address nursing and patient education.Contribution: This study adds to the sparse literature regarding nursing practice and falls prevention in a developing country. Recommendations for change have been made.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e11"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10623479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71430217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost of wound dressing: Implication for enrollment into the National Health Insurance scheme, Nigeria.","authors":"Kolawole D Ogundeji,&nbsp;Patrone R Risenga,&nbsp;Gloria Thupayagale-Tshweneagae","doi":"10.4102/curationis.v46i1.2390","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2390","url":null,"abstract":"<p><strong>Background: </strong> Enrollment into the National Health Insurance scheme (NHIS) still poses a challenge in Nigeria despite the established Group, Individual and Family Social Health Insurance Programme (GIFSHIP) during the coronavirus disease 2019 (COVID-19) pandemic.</p><p><strong>Objectives: </strong> This study examined the direct cost of wound dressing and enrollment into the health insurance scheme among hospitalised patients.</p><p><strong>Method: </strong> A descriptive cross-sectional research design was utilised to investigate the cost of wound dressing and enrollment into health insurance scheme among hospitalised patients in three selected hospitals of South-West Nigeria. The study was conducted from March 2021 to June 2021, and 190 patients were recruited via an interviewer-administered questionnaire. Ethical approvals were obtained from the hospitals while COVID-19 preventive protocols and ethical principles of autonomy, confidentiality and non-maleficence were observed.</p><p><strong>Results: </strong> Majority of the respondents (91%) were not on any healthcare insurance scheme, only 4.2% were enrolled in NHIS while over 70% could not personally pay for their wound dressing. The minimum average cost of wound dressing materials per week and per acute care episode was ₦10 000.00 (Nigerian naira) and ₦50 000.00, respectively, while the minimum average cost for hospitalisation per week and per acute care episode was ₦18 000.00 and ₦130 000.00, respectively, ($1.00 equaled ₦600.00, June 2022).</p><p><strong>Conclusion: </strong> A lack of health insurance coverage is a precursor of 'out of pocket' payment. A political will is required to scale up enrollment of the indigenous population into the NHIS in Nigeria.Contribution: Many hospitalised patients are not enrolled in the NHIS and they are at a higher risk of catastrophic healthcare expenditure.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e6"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41164443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges experienced by nurse educators developing postgraduate nursing diploma curriculum programmes, Gauteng.","authors":"Nokuthula D Buthelezi,&nbsp;Khumoetsile D Shopo","doi":"10.4102/curationis.v46i1.2447","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2447","url":null,"abstract":"<p><strong>Background: </strong> Nursing education's positioning within higher education mandated public nursing education institutions to develop competent nurses to manage diverse disease profiles of the country. Nurse educators were tasked to develop a competency-based curriculum with emphasis on primary healthcare to help prepare nurses to be independent, leaders, researchers, and critical thinkers.</p><p><strong>Objectives: </strong> To explore and describe the challenges experienced by nurse educators in Gauteng when developing the curriculum for the postgraduate nursing diploma programmes.</p><p><strong>Method: </strong> An exploratory descriptive qualitative research design was used. Purposive sampling was followed to select the participants based on the inclusion criteria. Four focus group interviews were conducted, comprising of six participants each, leading to a sample of 30. Data collection were between March 2022 and April 2022. Thematic data analysis were performed following Tesch's eight steps of analysis.</p><p><strong>Results: </strong> Themes that emerged during data analysis were psychological and emotional impact, challenges with communication and interpersonal relations, nurse educators experienced transformation and empowerment, nurse educators encountered barriers that impacted on their allocated tasks, and, nurse educators demonstrated resilience with the curriculum development processes.</p><p><strong>Conclusion: </strong> Participants reported positive and negative experiences they encountered during curriculum development. The findings revealed that nurse educators need support when involved in curriculum development, for instance, managerial, administrative, technological, financial, and most importantly capacitation, as this could enable them to work effectively without deterrents.Contribution: This study highlights the need to train and support nurse educators when developing a curriculum to equip them with the necessary competencies.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e10"},"PeriodicalIF":0.0,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of nursing students during their mental health clinical training at a general hospital in Namibia.","authors":"Daniel O Ashipala,&nbsp;Daniel Mbishi,&nbsp;Louise Pretorius","doi":"10.4102/curationis.v46i1.2441","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2441","url":null,"abstract":"<p><strong>Background: </strong> Clinical training is important because it constitutes more than half of the formal courses in nursing education. Accordingly, it is important for institutions of higher learning to continually explore the experiences of nursing students during their clinical placement. These experiences can be used to promote a positive clinical learning environment for students. However, the experiences of nursing students during their mental health clinical training in Namibia have not been extensively researched.</p><p><strong>Objectives: </strong> The aim of this study was to explore and describe the experiences of nursing students during their mental health clinical training at a general hospital in Namibia.</p><p><strong>Method: </strong> A qualitative, exploratory, descriptive and contextual research design was followed as the basis for conducting the study. A sample of 15 nursing students was conveniently selected from the target population of 73 nursing students. This sample size was determined by the saturation of data as reflected in repeating themes.</p><p><strong>Results: </strong> The following three themes emerged: collating theory and mental health practice experiences, facing challenges in clinical placements, and recommendations to ensure effective learning about mental health.</p><p><strong>Conclusion: </strong> The use of a general hospital for clinical placements within an undergraduate nurse training course led to some concerns regarding the relevance and appropriateness of such experience within a nursing programme.Contribution: The findings have important implications for the training of undergraduate nursing students in general hospitals. It can be utilised to develop strategies to improve positive clinical practice placement and develop clinical skills for undergraduate nursing students in general hospitals.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2023-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social determinants of health in non-communicable diseases prevention policies in South Africa.","authors":"Richard M Rasesemola,&nbsp;Rose M Mmusi-Phetoe,&nbsp;Yolanda Havenga","doi":"10.4102/curationis.v46i1.2387","DOIUrl":"https://doi.org/10.4102/curationis.v46i1.2387","url":null,"abstract":"<p><strong>Background: </strong> The South African government has developed many policies for the prevention and control of non-communicable diseases. However, non-communicable diseases remain among the major causes of morbidity and mortality in South Africa. Although these diseases are linked to interaction of multiple risk factors, many of which are modifiable, they continue to cause much suffering particularly among the marginalised and people from the lower socio-economic status.</p><p><strong>Objectives: </strong> The objective of this research was to explore and present the inclusion of social determinants of health in the policies meant for the prevention and control of non-communicable diseases in South Africa.</p><p><strong>Method: </strong> The qualitative document analysis approach was used to conduct policy analysis of purposefully selected policies for prevention and control of cancers, obesity and mental and behavioural disorders in South Africa.</p><p><strong>Results: </strong> The analysis revealed that policies for prevention and control of cancers, obesity and mental and behavioural disorders included policy intervention activities that focused on five social determinants of health: (1) governance, (2) social policies, (3) public policies, (4) material circumstances and (5) health system.</p><p><strong>Conclusion: </strong> Excluding most of the important social determinants of health in the policies for prevention and control of non-communicable diseases means that these policies would continue to fail in preventing these diseases from the root causes.Contribution: This article points out weaknesses in the policies meant for prevention and control of obesity, cancers and mental and behavioural disorders. This article further suggests policy improvement strategies that may be considered to effectively address these diseases.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"46 1","pages":"e1-e8"},"PeriodicalIF":0.0,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10476442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of midwives on shortage and retention of staff at a public hospital in Tshwane District.","authors":"Mosehle S Matlala,&nbsp;Thanyani G Lumadi","doi":"10.4102/curationis.v42i1.1952","DOIUrl":"https://doi.org/10.4102/curationis.v42i1.1952","url":null,"abstract":"<p><strong>Background: </strong> Midwifery is the backbone of women and child healthcare. The shortage of staff in maternity units is a crisis faced by many countries worldwide, including South Africa.</p><p><strong>Objectives: </strong> This study aims to explore the perceptions of midwives on the shortage and retention of staff at a public institution.</p><p><strong>Method: </strong> The study was conducted at one of the tertiary hospitals in Tshwane District, Gauteng Province. A total of 11 midwives were interviewed through face-to-face and focus group interviews. An explorative, descriptive generic qualitative design method was followed, and a non-probability, purposive sampling technique was used. Thematic coding analysis was followed for analysing data.</p><p><strong>Results: </strong> The impact of shortage of midwives was reported to be directly related to poor provision of quality care as a result of increased workload, leading to low morale and burnout. The compromised autonomy of midwives in the high obstetrics dependency units devalues the status of midwives.</p><p><strong>Conclusion: </strong> Midwives are passionate about their job, despite the hurdles related to their day-to-day work environment. They are demoralised by chronic shortage of staff and feel overworked. Staff involvement in decision-making processes is a motivational factor for midwives to stay in the profession. The midwives need to be in the centre of the decision-making processes related to their profession. The revision of the scope of practice and classification of midwifery profession away from general nursing complex by the South African Nursing Council (SANC) could place midwifery in its rightful status.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"42 1","pages":"e1-e10"},"PeriodicalIF":0.0,"publicationDate":"2019-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4102/curationis.v42i1.1952","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turnover of professional nurses at Mokopane Hospital in the Limpopo Province, South Africa: Experiences of nursing unit managers.","authors":"Mogale L Mmamma,&nbsp;Tebogo M Mothiba,&nbsp;Malema R Nancy","doi":"10.4102/curationis.v38i2.1566","DOIUrl":"https://doi.org/10.4102/curationis.v38i2.1566","url":null,"abstract":"<p><strong>Background: </strong>Staff turnover of professional nurses remains a concern for public and private hospitals management because it has an impact on the morale of nurses and it may also lead to poor patient care.</p><p><strong>Objectives: </strong>The objectives of this study were to explore and describe the experiences of nursing unit managers with regard to the turnover of professional nurses who were under their supervision.</p><p><strong>Method: </strong>A qualitative, explorative, descriptive research design was used to determine the experiences of nursing unit managers related to the turnover of professional nurses. Data collection was done by using semi-structured one-to-one interviews with professional nurses .Two groups of participants were interviewed: Those working day duty (n = 9) and those working night duty (n = 3) who were at work on the anticipated days for data collection.</p><p><strong>Results: </strong>The findings revealed that every unit was experiencing a shortage of professional nurses, which caused other nurses to work overtime with an inevitable increase in workload. That led to tiredness, conflict amongst professional nurses, job dissatisfaction, and absenteeism which compromised nursing care. This resulted in patient dissatisfaction and sometimes led to deaths that could have been prevented.</p><p><strong>Conclusion: </strong>It is recommended that staff turnover should be addressed by the hospital top management implementing several strategies. For example, top management could ensure that staff members work in a healthy environment with resources that they need during the provision of care, address the effects of the staff turnover, support the staff members and refrain from putting pressure on nursing unit managers whilst they are attending to problems.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"38 2","pages":"1566"},"PeriodicalIF":0.0,"publicationDate":"2015-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4102/curationis.v38i2.1566","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41149870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spirituality and spiritual care in in the context of nursing education in South Africa.","authors":"Sandhya Chandramohan,&nbsp;Raisuyah Bhagwan","doi":"10.4102/curationis.v38i1.1471","DOIUrl":"https://doi.org/10.4102/curationis.v38i1.1471","url":null,"abstract":"<p><strong>Background: </strong>In order for nursing education to prepare nurses for holistic patient care, it is critical that educators become more aware of the religious and spiritual dimensions in patient care and be able to provide adequate knowledge and skills for nurses to offer spiritually-based care in an ethical way. Furthermore, spiritual care is an essential component in the nursing context, as nurses have to care for patients who may often turn to the spiritual dimension to cope and heal. These aspects are important issues to be considered in planning what should be taught as part of spiritual care.</p><p><strong>Objectives: </strong>This paper presents findings from a study on nursing practitioners' views on the role of spiritual care in nursing practice and whether current nursing education has integrated this dimension into teaching.</p><p><strong>Method: </strong>A descriptive survey using a cross-sectional design with 385 nurses was conducted between December 2012 and February 2013. Participants were recruited through multistage random sampling. Data analysis was undertaken using SSPS 0.20.</p><p><strong>Results: </strong>All the participants (n = 385) concurred that spiritual care was a salient component of holistic patient care. They however stated that the primary barriers to providing spiritual care related to uncertainty on how to provide this type of care, and a lack of educational preparedness for this role.</p><p><strong>Conclusion: </strong>The study found that nurses were very accepting of the need for spiritual care as part of their nursing role but that nursing education had not paid adequate attention to integrating this dimension into the nursing curriculum.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4102/curationis.v38i1.1471","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using mobile phones and social media to facilitate education and support for rural-based midwives in South Africa.","authors":"Jennifer Chipps,&nbsp;Christoph Pimmer,&nbsp;Petra Brysiewicz,&nbsp;Fiona Walters,&nbsp;Sebastian Linxen,&nbsp;Thandi Ndebele,&nbsp;Urs Gröhbiel","doi":"10.4102/curationis.v38i2.1500","DOIUrl":"https://doi.org/10.4102/curationis.v38i2.1500","url":null,"abstract":"Background Empirical studies show the value of mobile phones as effective educational tools to support learning in the nursing profession, predominantly in high income countries. Problem statement The rapidly increasing prevalence of mobile phone technology in Africa nourishes hopes that these tools could be equally effective in lowly resourced contexts, specifically in efforts to achieve the health-related Millennium Development goals. The purpose of this study was to investigate the perception and use of mobile phones as educational and professional tools by nurses in lowly resourced settings. Methodology A quantitative survey using self-administered questionnaires was conducted of rural advanced midwives. Results Fifty-six nurses (49.6%) from the 113 rural-based midwives attending an advanced midwifery training programme at the University of KwaZulu-Natal, South Africa, filled in a questionnaire. The results showed that, whilst nurses regarded their technology competences as low and although they received very little official support from their educational and professional institutions, the majority frequently used mobile functions and applications to support their work and learning processes. They perceived mobile devices with their voice, text, and email functions as important tools for the educational and professional activities of searching for information and engaging with facilitators and peers from work and study contexts. To a lesser extent, the use of social networks, such as WhatsApp and Facebook, were also reported. Conclusion and recommendation It is concluded that educational institutions should support the appropriate use of mobile phones more systematically; particularly in relation to the development of mobile network literacy skills.","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"38 2","pages":"1500"},"PeriodicalIF":0.0,"publicationDate":"2015-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4102/curationis.v38i2.1500","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41165221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work-family and family-work conflicts amongst African nurses caring for patients with AIDS.","authors":"Lehlogonolo Makola,&nbsp;Solomon Mashegoane,&nbsp;Legesse K Debusho","doi":"10.4102/curationis.v38i1.1436","DOIUrl":"https://doi.org/10.4102/curationis.v38i1.1436","url":null,"abstract":"<p><strong>Background: </strong>South African nursing environments are marked by various incapacitating stressors. This study explores work-family (W-F) and family-work (F-W) conflicts as aspects of stress amongst nurses working with patients who have AIDS.</p><p><strong>Objectives: </strong>The study sought to determine the value of W-F and F-W conflicts as predictors of work and family satisfaction, as well as turnover intentions and the moderating role of supervisor and significant other support, amongst nurses caring for patients with AIDS in public hospitals within the Capricorn and Mopani districts, Limpopo Province.</p><p><strong>Methods: </strong>The study used a cross-sectional design, with data collected at one point only. Ninety-one nursing staff provided the data for the study by completing structured, self-administered surveys. Analysis involved computing correlations of all study variables. Thereafter, associated variables were used as predictors. In each predictive analysis, the nurses' stress served as a control variable, W-F and F-W conflicts were the independent variables and significant others and supervisor supports were moderators. Interaction terms were derived from independent and moderator variables.</p><p><strong>Results: </strong>Although the findings of the study were not generally supportive of the hypotheses advanced, they nevertheless showed, amongst other findings, that F-W conflict predicted work satisfaction whilst W-F conflict predicted turnover intentions. Moreover, significant other support had a direct effect on family satisfaction whilst supervisor support moderated reports of W-F conflict and experiences of work satisfaction.</p><p><strong>Conclusions: </strong>The study showed that inter-role models that appear to be established in the context of developed societies require some further investigations in South Africa.</p>","PeriodicalId":93959,"journal":{"name":"Curationis","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4102/curationis.v38i1.1436","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41143330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}