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The effect of cognitive-behavioral group training of self-care skills on self-care in patients with schizophrenia 认知行为小组自我护理技能训练对精神分裂症患者自我护理的影响
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7327
Masoud Kashani Lotfabadi, M. H. Bayazi, A. Rajaei
Background & Aim: Self-care is one of the challenges of the health care system in patients with schizophrenia. It has been less studied due to these patients have no insight into the symptoms. This study aimed to determine the effect of cognitive-behavioral group training on self-care skills in patients with schizophrenia. Methods & Materials: This single-blind randomized controlled clinical trial (blinding of data analysts) was performed on 50 hospitalized schizophrenia patients by convenience sampling method and random block allocation to the intervention (n=26) and control (n=24) groups in Ebn-Sina Psychiatric Hospital of Mashhad, Iran from late July 2020 to mid-January 2021. The intervention group received cognitive-behavioral group training of self-care skills based on Kashani Lotfabadi et al. (2020) protocol in 10 sessions (two sessions per week). The control group was placed on a waiting list. Data collection tools included the Self-Care Requisites Scale (SCRS-H) and the Positive and Negative Syndrome Scale (PANSS). The data were analyzed by SPSS 25 version, repeated measures of ANOVA test. Results: 60 % (n=30) of participants were female, and 40% (n=20) were male with a mean age of 32.98±8.35 years. The results of repeated measures of ANOVA indicated a significant difference between the intervention and control groups in terms of descending mean score of total self-care during the test stages (p=0.001). Conclusion: Cognitive-behavioral group training of self-care skills could promote self-care behaviors in patients with schizophrenia. Therefore, we suggest using this intervention to strengthen self-care skills in patients with schizophrenia.
背景与目的:精神分裂症患者的自我护理是医疗保健系统面临的挑战之一。由于这些患者对症状没有深入了解,因此研究较少。本研究旨在确定认知行为小组训练对精神分裂症患者自我护理技能的影响。方法与材料:这项单盲随机对照临床试验(数据分析人员盲法)于2020年7月下旬至2021年1月中旬在伊朗马什哈德的Ebn Sina精神病医院采用方便抽样法和随机分组法对50名住院精神分裂症患者进行干预组(n=26)和对照组(n=24)。干预组接受了基于Kashani-Lotfabadi等人(2020)方案的认知-行为小组自我护理技能培训,共10次(每周两次)。对照组被列入等候名单。数据收集工具包括自我护理需求量表(SCRS-H)和阳性和阴性综合征量表(PANSS)。数据采用SPSS 25版本,重复测量方差分析检验。结果:60%(n=30)的参与者是女性,40%(n=20)是男性,平均年龄为32.98±8.35岁。ANOVA的重复测量结果表明,干预组和对照组在测试阶段的总自我护理平均得分下降方面存在显著差异(p=0.001)。结论:认知行为组自我护理技能训练可以促进精神分裂症患者的自我护理行为。因此,我们建议使用这种干预措施来加强精神分裂症患者的自我护理技能。
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引用次数: 0
A quantifiable nursing evaluation: The need within a forensic mental health setting 可量化的护理评估:法医心理健康环境中的需求
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7319
D. Varghese
The article's abstract is not available.  
这篇文章的摘要不可用。
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引用次数: 0
COVID-19 anxiety and organizational commitment among front-line nurses: Perceived role of nurse managers' caring behavior 一线护士新冠肺炎焦虑与组织承诺:护士管理者关怀行为的感知作用
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7328
Manar Ahmed Elbadawy Abdelrehem Faramawy, Aziza Ibrahim Abd El Kader
Background & Aim: Anxiety related to the COVID-19 is prevalent amongst the nursing workforce potentially affecting nurses’ well-being and their organizational commitment. The nurse manager’s caring behavior has been recognized as a crucial indicator of nurses' resilience with the COVID-19 pandemic. This study aimed to investigate the effect of COVID-19 anxiety on front-line nurses’ organizational commitment and their perception of nurse managers' caring behavior. Methods & Materials: This study utilized an explanatory research design; hence, a convenient sample consisted of 60 registered nurses working at three selected medical intensive care units located in one of the Cairo University Teaching hospitals, Egypt was selected. Data were collected using the Coronavirus Anxiety Scale, Nursing Staff Organizational Commitment Questionnaire, and Nurse Managers' Caring Behavior Questionnaire. Statistical Package for the Social Sciences (SPSS) version 20 was used for the data analysis where the descriptive statistics, Simple Linear, and Stepwise multiple regression analysis were applied. Results: The highest-rated anxiety problem of COVID-19 was appetite loss (x ̅=3.03, SD = ±0.88). Human respect as one of the perceived nurse managers caring behaviors emerged as a strong predictor (Partial R2 = 0.104, p= .017) in increasing the front-line nurses’ organizational commitment, while COVID-19 anxiety has a significant decreasing effect (Partial R2 = 0.435, p<0.001) on it. Conclusion: COVID-19 anxiety has affected the front-line nurses’ organizational commitment and their perceived nurse managers' caring behavior. COVID-19 anxiety should be addressed and rectified by providing appropriate managerial caring behavior and support to boost nurses ‘organizational commitment.
背景与目的:与新冠肺炎相关的焦虑在护理人员中普遍存在,可能影响护士的健康和组织承诺。护士经理的护理行为已被公认为护士应对新冠肺炎大流行的关键指标。本研究旨在探讨新冠肺炎焦虑对一线护士组织承诺和护士管理者关怀行为感知的影响。方法与材料:本研究采用解释性研究设计;因此,一个方便的样本包括60名注册护士,他们在埃及开罗大学教学医院的三个选定的医疗重症监护室工作。使用冠状病毒焦虑量表、护理人员组织承诺问卷和护士管理者关爱行为问卷收集数据。社会科学统计软件包(SPSS)版本20用于数据分析,其中应用了描述性统计、简单线性和逐步多元回归分析。结果:新冠肺炎焦虑问题最严重的是食欲下降(xŞ=3.03,SD=±0.88)。人的尊重作为护士管理者护理行为的感知之一,在增加一线护士的组织承诺方面具有很强的预测作用(部分R2=0.104,p=.017),而新冠肺炎焦虑对其有显著的降低作用(部分R2=0.435,p<0.001)。结论:新冠肺炎焦虑影响了一线护士的组织承诺和护士管理者的护理行为。新冠肺炎焦虑应通过提供适当的管理关怀行为和支持来解决和纠正,以提高护士的组织承诺。
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引用次数: 4
The effect of a comprehensive support program on the stress level of mothers in a neonatal intensive care unit 综合支持计划对新生儿重症监护室母亲压力水平的影响
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7331
Esra Goral, Emine Geçkil
Background & Aim: Parents of neonates hospitalized in the neonatal intensive care unit may experience a high level of stress. Although many approaches were applied to reduce stress, little is known about the effect of a comprehensive support program. This study aims to investigate the effect of a comprehensive supportive program on maternal stress levels in a NICU. Methods & Materials: This is a quasi-experimental study that lasted for about eleven months, 62 mothers whose premature neonates were hospitalized in a NICU in Edirne, Turkey, were selected and assigned into intervention and control groups non-randomly. A comprehensive support program was applied for the mothers in the intervention group, whereas the mothers in the control group received the standard routine care. Data were collected using the Parental Information Form, Newborn Information Form, and Parent Stress Scale in NICU and analyzed using SPSS software.    Results: The maternal stress level of the mothers in the intervention group (mean=2.95±.72) was found significantly lower than the control group (mean=3.74±.82) (p≤001) in the post-test. Similarly, the average scores obtained by the mothers in the intervention group in the Parent Stress Scale’s subcategories of images and sounds, neonates’ appearance, and change in parental roles were also found to be significantly lower than that obtained by the mother’s in the control group (p≤001). Conclusion: A comprehensive support program is significantly effective in reducing maternal stress levels. So, it is highly recommended that nurses use these comprehensive approaches in practice and especially support mothers by facilitating interaction between parents experiencing similar problems.
背景与目的:新生儿重症监护病房新生儿的父母可能会经历高水平的压力。虽然许多方法被应用于减轻压力,但对综合支持计划的效果知之甚少。本研究旨在探讨综合支持方案对新生儿重症监护病房产妇压力水平的影响。方法与材料:本研究是一项为期11个月的准实验研究,选取土耳其埃迪尔内新生儿重症监护病房住院的62名早产儿母亲,非随机分为干预组和对照组。干预组采用综合支持方案,对照组采用标准的常规护理。采用NICU父母信息表、新生儿信息表和父母压力量表收集数据,采用SPSS软件进行分析。结果:干预组母亲后测应激水平(平均=2.95±0.72)显著低于对照组(平均=3.74±0.82)(p≤001)。同样,干预组母亲在父母压力量表的图像与声音、新生儿外貌、父母角色变化等子类别上的平均得分也显著低于对照组母亲(p≤001)。结论:综合支持方案对降低产妇应激水平有显著效果。因此,强烈建议护士在实践中使用这些综合方法,特别是通过促进经历类似问题的父母之间的互动来支持母亲。
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引用次数: 1
Nurses' exposure to verbal abuse at a university hospital in Crete, Greece 希腊克里特岛一所大学医院护士遭受言语虐待
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7334
N. Rikos, Demetra Telli, Athanasia Hatzinikolaou, Demetra Mantikou, Michael Rovithis, Maria Fourmouzi, M. Linardakis
Background & Aim: The current study aimed to investigate workplace bullying, specifically verbal abuse of working nurses, and its consequences on the physical and psychological levels. Methods & Materials: A cross-sectional study was designed and implemented in 151 nurses working at a university hospital. The survey was conducted in 2018 at a university hospital in Greece, and the Verbal Abuse Scale (G-AVQ v.0/2015) was used to assess the verbal abuse level. Multiple linear regression analysis was applied, and distributions were tested for their symmetry using Blom's method (QQ plot). Results: 88.1% were women as the mean age of all was 41.7 years and 16.1 years the mean length of employment. Almost all nurses (94.7%) reported experiencing verbal abuse, as 77.6% reported that the perpetrator was a patient's relative (p<0.05). Among cognitive assessment, coping, severity of effects, and strength of feeling, coping had the highest mean value the highest mean value, while severity of effects had the lowest (2.52 vs. 1.83, p<0.05). Multiple linear regression analysis showed that frequency of verbal abuse type has a significant correlation with higher coping (β=0.28, p=0.007) and strength of feeling values (β=0.29, p=0.010). Similarly, the severity of verbal abuse type has a significant correlation with higher strength of feeling values (β=0.30, p=0.014). Conclusion: Almost all the nurses reported experiencing verbal abuse as the 'patients' relatives were the main perpetrators. Although the nurses seem to cope with verbal abuse successfully, this fact is described as stressful. Moreover, the frequency, severity of verbal abuse, and consequences are correlated to the emotions that arise from it.
背景与目的:本研究旨在调查职场欺凌,特别是对在职护士的言语虐待,及其在生理和心理层面的影响。方法与材料:对一所大学医院的151名护士进行了横断面研究。该调查于2018年在希腊一所大学医院进行,使用言语虐待量表(G-AVQ v.0/2015)评估言语虐待水平。应用多元线性回归分析,并使用Blom方法(QQ图)测试分布的对称性。结果:88.1%为女性,平均年龄41.7岁,平均工作年限16.1岁。几乎所有护士(94.7%)都报告经历过言语虐待,77.6%的护士报告施暴者是患者的亲属(p<0.05)。在认知评估、应对、影响严重程度和感觉强度中,应对的平均值最高,平均值最高,多元线性回归分析显示,言语虐待类型的频率与较高的应对能力(β=0.28,p=0.007)和感觉强度值(β=0.29,p=0.010)显著相关,言语虐待类型的严重程度与较高的感觉强度值显著相关(β=0.30,p=0.014)。尽管护士们似乎成功地应对了言语虐待,但这一事实被描述为压力很大。此外,言语虐待的频率、严重程度和后果与由此产生的情绪有关。
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引用次数: 1
The effect of rosemary ointment on the pressure ulcer healing in patients admitted to the intensive care unit: A randomized clinical trial 迷迭香软膏对重症监护病房患者压疮愈合的影响:一项随机临床试验
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7321
Fatemeh Khoshoei Parizi, T. Sadeghi, S. Heidari
Background & Aim: Pressure ulcers have been identified as one of the most important and challenging issues in patient’s well-being. Based on the evidence, rosemary extract compounds can affect wound healing. The aim of this study was to determine the effect of rosemary ointment on pressure ulcer healing in patients admitted to the intensive care unit. Methods & Materials: In this single-blind randomized parallel clinical trial, 70 patients who met the inclusion criteria were selected purposefully and assigned to the groups by stratified randomization method. In the intervention group, rosemary ointment was applied once a day for seven days. The control group received routine care. Data were collected using the Pressure Ulcer Scale for Healing before the intervention and on the third and seventh days after the intervention. Data were analyzed using independent t-test, chi-square test, and two-way repeated measurements ANOVA with SPSS 18 software. Results: The mean scores of Pressure Ulcer Scale for Healing decreased significantly in the intervention group while remained unchanged in the control group (P=0.001) one week after the intervention. The effect of time and interaction effect was also significant (P=0.001). Comparison of the ratio of complete ulcer healing in the two groups showed a significant difference between the two groups (p=0.004). Conclusion: Rosemary ointment facilitated healing and prevented the progression of grade І pressure ulcers in the Intensive Care Unit. Therefore, the use of this ointment as a low-risk, uncomplicated, available, and inexpensive intervention, is recommended in such patients.
背景与目的:压疮已被确定为影响患者健康的最重要和最具挑战性的问题之一。根据证据,迷迭香提取物化合物会影响伤口愈合。本研究的目的是确定迷迭香软膏对入住重症监护室的患者压疮愈合的影响。方法与材料:在这项单盲随机平行临床试验中,有目的地选择70名符合纳入标准的患者,并采用分层随机化方法将其分组。干预组采用迷迭香软膏,每天1次,疗程7天。对照组接受常规护理。在干预前和干预后的第三天和第七天使用压疮愈合量表收集数据。数据采用独立t检验、卡方检验和双向重复测量方差分析,并使用SPSS 18软件进行分析。结果:干预组压疮愈合量表的平均得分在干预一周后显著下降,而对照组的平均得分保持不变(P=0.001)。时间和相互作用的影响也很显著(P=0.001)。两组溃疡完全愈合率的比较显示,两组之间有显著差异(P=0.004)。结论:迷迭香软膏促进了重症监护室I级压疮的愈合,阻止了压疮的进展。因此,建议在此类患者中使用这种软膏作为一种低风险、无并发症、可用且廉价的干预措施。
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引用次数: 1
Experts' views on the implementation of the prenatal screening decision aid in Iran: A qualitative study 专家对伊朗产前筛查辅助决策实施的看法:一项定性研究
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7333
R. Zahedi, Leila Nemati-Anaraki, Shahram Sedghi, M. Shariat
Background & Aim: Patient decision aids are detailed and personalized health education materials that assist patients in decision making. According to expert viewpoints, this study aimed to determine important factors in implementing the prenatal screening decision aid in Iran. Methods & Materials: In this qualitative study, 24 experts, including seven obstetricians, four information scientists, five managers or policymakers, and eight midwives, were selected using purposive and snowball sampling approaches. Semi-structured interviews were conducted to collect the data between January 2020 and June 2020 in Tehran, Iran. A prenatal screening decision aid was presented to the participants, and we asked them to raise their concerns and thoughts regarding the factors influencing the implementation of patient decision aids. We used MAXQDA 10 and applied conventional content analysis for data analysis. Results: Two organizational and personal factors themes were identified to implement Iran's prenatal screening decision aids. Conclusion: We identified the viewpoints of experts regarding major factors in patient decision aids implementation for prenatal screening. Before implementing prenatal screening decision aids in Iran, it would be helpful to consider these organizational and personal factors. Prenatal screening decision aids can provide better information for pregnant women and strengthen their decision-making ability.
背景与目的:患者决策辅助工具是一种详细的、个性化的健康教育材料,可以帮助患者做出决策。根据专家观点,本研究旨在确定在伊朗实施产前筛查决策援助的重要因素。方法与材料:在本定性研究中,采用有目的和滚雪球抽样的方法,选择24名专家,包括7名产科医生,4名信息科学家,5名管理人员或政策制定者,8名助产士。在2020年1月至2020年6月期间,在伊朗德黑兰进行了半结构化访谈以收集数据。我们向参与者提供了产前筛查决策辅助工具,并请他们就影响患者决策辅助工具实施的因素提出他们的担忧和想法。我们使用MAXQDA 10进行数据分析,采用传统的内容分析。结果:确定了实施伊朗产前筛查决策辅助的两个组织和个人因素主题。结论:我们确定了专家关于患者决策辅助实施产前筛查的主要因素的观点。在伊朗实施产前筛查决策辅助之前,考虑这些组织和个人因素将是有帮助的。产前筛查辅助决策可以为孕妇提供更好的信息,增强其决策能力。
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引用次数: 1
Psychometric evaluation of the nine-item heart failure self-care behavior scale (9-EHFScBS) 九项心力衰竭自我照顾行为量表(9-EHFScBS)的心理测量学评价
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7330
R. Negarandeh, E. Ghasemi, L. Janani
Background & Aim: Self-care in patients with heart failure can improve multiple outcomes and reduce mortality. Measuring self-care requires valid and reliable tools. This study aimed to determine the psychometric properties of the 9-items European Heart Failure Self-Care Behavior Scale. Methods & Materials: The present study is a psychometric evaluation. The original version of the tool was translated from English to Persian using the standard Backward-Forward method. The questionnaire's validity was assessed using face, content, criterion (the Self-Care of Heart Failure Index v.6 as a criterion), and construct validity.  An exploratory factor analysis approach was used to construct validity with a sample of 216 patients with chronic heart failure referred to Dr. Shariati and Imam Khomeini Hospital's heart clinics in Tehran; and Ayatollah Mousavi Hospital in Zanjan. The reliability of the questionnaire was evaluated by internal consistency and stability methods. Results: After the validation process (validity and reliability), all 9 items of the questionnaire were approved and remained. The content validity index of the total content of the questionnaire was calculated to be 0.96. Based on factor analysis, only one factor was confirmed for the questionnaire. The correlation between the present questionnaire and the Self-Care of Heart Failure Index v.6 was positive and significant (p<0.001, r=0.753). Internal consistency (α=0.728) and stability (0.897) of the questionnaire were also confirmed. Conclusion: The European Heart Failure Self-Care Behavior Scale is valid and reliable for measuring Iranian patients' self-care behaviors with heart failure.
背景与目的:心力衰竭患者的自我护理可以改善多种结果并降低死亡率。衡量自我保健需要有效和可靠的工具。本研究旨在确定9项欧洲心力衰竭自我护理行为量表的心理测量特性。方法与材料:本研究是一项心理测量评估。该工具的原始版本使用标准的向后-向前方法从英语翻译成波斯语。问卷的有效性使用面孔、内容、标准(心力衰竭自我护理指数第6版作为标准)和结构有效性进行评估。采用探索性因素分析方法,以216名慢性心力衰竭患者为样本构建有效性,这些患者被转诊至Shariati医生和Imam Khomeini医院位于德黑兰的心脏诊所;以及赞詹的Ayatollah Mousavi医院。采用内部一致性和稳定性方法对问卷的可靠性进行评价。结果:经过验证过程(有效性和可靠性),问卷的9个项目全部获得批准并保留。经计算,问卷总内容的内容有效性指数为0.96。基于因子分析,问卷只确定了一个因子。本问卷与心力衰竭自我护理指数v.6呈正相关(p<0.001,r=0.753)。问卷的内部一致性(α=0.728)和稳定性(0.897)也得到了证实。结论:欧洲心力衰竭自我护理行为量表用于测量伊朗心力衰竭患者的自我护理行为是有效和可靠的。
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引用次数: 2
Co-creation: Advancing the objectives of health care organizations during the COVID-19 pandemic 合作:在新冠肺炎大流行期间推进卫生保健组织的目标
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7318
S. Salavati, Flora Rahimaghaee, K. Seylani
The article's abstract is not available.
这篇文章的摘要不可用。
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引用次数: 0
Comparison of the effectiveness of Aloe Vera gel with 2% Nitrofurazone ointment on the healing of superficial partial-thickness burns: A randomized clinical trial study 芦荟凝胶与2%硝基呋喃酮软膏对浅表部分烧伤愈合效果的比较:一项随机临床试验研究
IF 1 Q4 NURSING Pub Date : 2021-10-03 DOI: 10.18502/npt.v9i1.7320
Parichehr Sabaghzadeh Irani, H. Ranjbar, S. Varaei, Sanaz Bostani, Omalbanin Akbari, Maryam Askarymahani
Background & Aim: Routine treatment of burn injuries is dressing with Nitrofurazone ointment. It has several complications, including sensitivity. Aloe Vera is a traditional treatment for wound healing.  This study aimed to compare the effectiveness of Aloe Vera gel with Nitrofurazone ointment in the healing of superficial partial-thickness burns. Methods & Materials: The present study was a split body controlled clinical trial which was carried out on 30 patients with superficial partial-thickness burns. The study was conducted in the Shafa Hospital in Kerman, Iran, in 2016. The sample was recruited from patients who had at least two burns, each burn on an alternate side of the body. On their burns, samples were allocated to two groups that received Aloe Vera gel or 2% Nitrofurazone ointment. Bates-Jensen Wound assessment tool was used to evaluate the healing of burns. Statistical analysis was conducted by SPSS-16 and using the repeated measure ANOVA. Results: The repeated measure ANOVA showed that there was a significant change in the score of BWAT in all areas during the intervention period (p=0.001), but the trend of healing in the two groups during the intervention period was not significantly different (p=0.098). Conclusion: Based on this study, it looks like Aloe vera gel is as effective as 2% Nitrofurazone ointment in healing wounds.
背景与目的:硝基呋喃酮软膏是烧伤的常规治疗方法。它有几个并发症,包括敏感性。芦荟是一种传统的伤口愈合疗法。本研究旨在比较芦荟凝胶与硝基呋喃酮软膏在浅表部分厚度烧伤愈合中的效果。方法与材料:对30例浅表部分厚度烧伤患者进行分离体对照临床试验。该研究于2016年在伊朗克尔曼的沙法医院进行。样本来自至少有两次烧伤的患者,每次烧伤在身体的另一侧。在他们的烧伤中,样本被分为两组,一组服用芦荟凝胶,另一组服用2%硝基呋喃酮软膏。采用Bates-Jensen创面评估工具评估烧伤愈合情况。统计学分析采用SPSS-16,采用重复测量方差分析。结果:重复测量方差分析显示,干预期间各部位BWAT评分均有显著变化(p=0.001),但两组干预期间愈合趋势无显著差异(p=0.098)。结论:根据本研究,芦荟凝胶在伤口愈合方面与2%硝基呋喃酮软膏一样有效。
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引用次数: 2
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Nursing Practice Today
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