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Barriers to communication with people with developmental disabilities: A reflexive thematic analysis. 与发育障碍人士沟通的障碍:反思性专题分析。
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-03-01 DOI: 10.1111/nhs.13103
Andrew Cashin, Julia Morphet, Nathan J Wilson, Amy Pracilio

People with Intellectual Disability and/or autism internationally experience some of the worst health outcomes of any population group. Registered nurses have been identified as having educational deficits in this domain, which include knowledge of adjustments to communication. This study aimed to explore perceived barriers to communication with people with Intellectual Disability and/or autism. A thematic analysis of data from an open-ended free-text survey question exploring barriers to communicating in a cross-sectional survey of 279 Australian registered nurses conducted in 2020 was undertaken. Six interrelated themes were identified. Increased educational content in undergraduate and postgraduate level nursing courses is indicated. The findings identify the benefit of educational design based on the foundation of understanding the diversity in thinking and information processing represented by the forms of neurodiversity in Intellectual Disability and Autism Spectrum Disorder.

在国际上,智障和/或自闭症患者的健康状况是所有人群中最差的。注册护士被认为在这一领域存在教育缺陷,其中包括对沟通调整的了解。本研究旨在探讨与智障人士和/或自闭症患者沟通时遇到的障碍。在 2020 年对 279 名澳大利亚注册护士进行的横断面调查中,对一个探讨沟通障碍的开放式自由文本调查问题的数据进行了主题分析。确定了六个相互关联的主题。结果表明,应增加本科和研究生护理课程的教育内容。研究结果表明,在理解智力障碍和自闭症谱系障碍的神经多样性形式所代表的思维和信息处理多样性的基础上进行教育设计是有益的。
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引用次数: 0
Prediction of high visceral adipose tissue for sex-specific community residents in Taiwan. 台湾特定性别社区居民内脏脂肪组织高的预测。
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-03-01 DOI: 10.1111/nhs.13104
Yu-Hsuan Chang, Chin-Sung Chang, Chieh-Yu Liu, Yin-Fan Chang, Shiow-Ching Shun

Visceral adipose tissue accumulation is strongly linked with numerous chronic diseases; however, the accessibility for visceral adipose tissue measurement is limited. This study employed a cross-sectional design to determine the optimal strongest predictor of high visceral adipose tissue in each sex and identified the optimal cutoff value thereof. Purposive sampling was used to recruit 94 men and 326 women aged ≥40 years in southern Taiwan. Receiver operating characteristic curve analysis was used to explore the optimal predictor of high visceral adipose tissue (defined as ≥135 cm2 for men and ≥100 cm2 for women) in each sex. The waist-to-hip ratio was the strongest predictor for men, with a cutoff value of 0.96 yielding the maximum sensitivity (94.29%) and specificity (93.22%). By contrast, body mass index was the strongest predictor for women, with a cutoff value of 25.45 kg/m2 yielding the maximum sensitivity (87.18%) and specificity (87.55%). The results may serve as a reference for health policy-makers in screening for high visceral adipose tissue to identify individuals at high risk of developing chronic diseases for health promotion.

内脏脂肪组织的积累与多种慢性疾病密切相关;然而,内脏脂肪组织测量的可及性却很有限。本研究采用横断面设计,以确定男女内脏脂肪组织含量高的最佳预测因子,并确定其最佳临界值。研究采用有目的的抽样方法,在台湾南部招募了 94 名男性和 326 名女性,年龄≥40 岁。采用接收者操作特征曲线分析来探索男女内脏脂肪组织高(男性定义为≥135 cm2,女性定义为≥100 cm2)的最佳预测指标。对男性而言,腰臀比是最强的预测指标,0.96 的临界值具有最高的灵敏度(94.29%)和特异性(93.22%)。相比之下,体重指数对女性的预测作用最强,25.45 kg/m2 的临界值可产生最高的灵敏度(87.18%)和特异性(87.55%)。研究结果可作为卫生政策制定者筛查高内脏脂肪组织的参考,以识别慢性病高风险人群,促进健康。
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引用次数: 0
Effectiveness of HealthTracker for post-caesarean section surgical site infection surveillance: An intervention study. HealthTracker 监测剖腹产后手术部位感染的效果:干预研究。
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-03-01 DOI: 10.1111/nhs.13108
Se Ok Ohr, Jean Ball, Erdahl Teber, John K Ferguson, Rachael Petherbridge, Michelle Giles

This intervention study aimed to implement and evaluate the effectiveness of HealthTracker, a post-discharge surgical site infection surveillance system. Participants were 730 women birthing by caesarean section at a large hospital over a 6-month period. Data were downloaded from clinical data systems and HealthTracker. Receiver operating characteristics were used to assess HealthTracker. Over a 6-month period, 382 women completed HealthTracker, with 83 scoring ≥6, indicating signs and symptoms of surgical site infection. Of this 83, 58 sought advice from health professionals, 29 returned to hospital, and 45 received antibiotics. A total of 20 infections from a total population of 730 were confirmed, with 14 out of 382 respondents confirmed via HealthTracker. Receiver operating characteristics identified HealthTracker as an excellent indicator of surgical site infection. HealthTracker is a feasible mHealth option for monitoring post-discharge surgical site infection post-caesarean section. In addition, by providing alerts, advising women to monitor their symptoms and seek treatment if necessary, HealthTracker has the potential to enhance self-efficacy for surgical wound monitoring at home.

这项干预研究旨在实施和评估出院后手术部位感染监控系统 HealthTracker 的有效性。参与者为一家大型医院的 730 名剖腹产产妇,为期 6 个月。数据从临床数据系统和 HealthTracker 中下载。采用接收者操作特征来评估 HealthTracker。在6个月的时间里,共有382名产妇填写了HealthTracker,其中83人得分≥6分,表明出现了手术部位感染的症状和体征。在这 83 人中,58 人向医疗专业人员寻求建议,29 人返回医院,45 人接受了抗生素治疗。在 730 名受访者中,共有 20 例感染得到确诊,其中 382 名受访者中有 14 例通过 HealthTracker 得到确诊。受试者操作特征表明,HealthTracker 是手术部位感染的极佳指标。HealthTracker 是监测剖腹产后出院手术部位感染的一种可行的移动医疗选择。此外,HealthTracker 还能提供警报,建议妇女监测自己的症状,并在必要时寻求治疗,因此有可能提高妇女在家监测手术伤口的自我效能。
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引用次数: 0
Identifying the impact of audit and feedback on the professional role of the nurse and psychological well-being: An integrative systematic review. 确定审计和反馈对护士专业角色和心理健康的影响:综合系统回顾。
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-03-01 DOI: 10.1111/nhs.13095
Gabriella Michl, Kasia Bail, Murray Turner, Catherine Paterson

This systematic review aimed to critically synthesis evidence to identify the impact that audit and feedback processes have on the professional role of the nurse and psychological well-being. Little is known about the extent to which audit and feedback processes can positively or negatively impact the professional role of the nurse and psychological well-being. An integrative systematic review was conducted. Covidence systematic review software was used to manage the screening process. Data extraction and methodological quality appraisal were conducted in parallel, and a narrative synthesis was conducted. Nurse participation and responsiveness to audit and feedback processes depended on self-perceived motivation, content, and delivery; and nurses viewed it as an opportunity for professional development. However, audit was reported to negatively impact nurses' psychological well-being, with impacts on burnout, stress, and demotivation in the workplace. Targeting framing, delivery, and content of audit and feedback is critical to nurses' satisfaction and successful quality improvement.

本系统综述旨在对证据进行批判性综合,以确定审计和反馈流程对护士专业角色和心理健康的影响。人们对审计和反馈流程在多大程度上会对护士的职业角色和心理健康产生积极或消极影响知之甚少。我们进行了一项综合性系统综述。Covidence 系统综述软件用于管理筛选过程。数据提取和方法质量评估同时进行,并进行了叙述性综合。护士对审核和反馈过程的参与度和响应度取决于自我感觉的动机、内容和实施情况;护士将其视为专业发展的机会。然而,据报告,审计对护士的心理健康产生了负面影响,对工作场所的职业倦怠、压力和积极性都有影响。有针对性地制定审计和反馈的框架、交付和内容对于护士的满意度和成功的质量改进至关重要。
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引用次数: 0
Discursive analysis of nursing care toward childhood fever and its contextual differences: An ethnomethodological study. 儿童发烧护理的话语分析及其背景差异:人种学研究。
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-03-01 DOI: 10.1111/nhs.13110
Francisco Vicens-Blanes, Jesús Molina-Mula, Rosa Miró-Bonet

Fever is the most common clinical sign during infancy. Nurses deal with fever in children most directly and it is an integral aspect of their role as pediatric nurses. The objective of this study is to analyze the perceptions, knowledge and attitudes toward childhood fever of nurses in three health contexts: pediatric hospitalization, pediatric emergency and primary care. To respond this objective, a qualitative study with ethnomethodological approach has been carried out. In-depth interviews were conducted and theoretical clinical cases were presented to nurses working in pediatrics in the three settings studied. After the analysis of the discourses, the codes were classified into three categories: static and number-centric knowledge, dependent nursing attitude, and unconscious model nurses. On the one hand, when we analyze and compare the perceptions, attitudes and knowledge of the nurses between the different contexts, we find differences that consist mainly of what the context requires of them. On the other hand, in general and regardless of the context, the nurses interviewed place themselves in a traditional framework when faced with the phenomenon of fever in children.

发烧是婴儿期最常见的临床症状。护士最直接地处理儿童发烧问题,这也是她们作为儿科护士不可或缺的角色。本研究旨在分析护士在儿科住院、儿科急诊和初级保健这三种医疗环境中对儿童发热的看法、知识和态度。为实现这一目标,本研究采用人种学方法开展了一项定性研究。研究人员进行了深入访谈,并向在所研究的三种环境中工作的儿科护士介绍了理论临床案例。在对话语进行分析后,将代码分为三类:静态和以数字为中心的知识、依赖性护理态度和无意识模式护士。一方面,当我们分析和比较不同环境下护士的观念、态度和知识时,我们发现差异主要在于环境对护士的要求不同。另一方面,总的来说,无论在何种情况下,受访护士在面对儿童发烧现象时都将自己置于传统的框架中。
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引用次数: 0
Prediction of liver metastasis and recommended optimal follow-up nursing in rectal cancer 直肠癌肝转移预测和推荐的最佳随访护理
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-02-25 DOI: 10.1111/nhs.13102
Yilin Yu, Junxin Wu, Haixia Wu, Jianjian Qiu, Shiji Wu, Liang Hong, Benhua Xu, Lingdong Shao
We aimed to analyze and investigate the clinical factors that influence the occurrence of liver metastasis in locally advanced rectal cancer patients, with an attempt to assist patients in devising the optimal imaging-based follow-up nursing. Between June 2011 and May 2021, patients with rectal cancer at our hospital were retrospectively analyzed. A random survival forest model was developed to predict the probability of liver metastasis and provide a practical risk-based approach to surveillance. The results indicated that age, perineural invasion, and tumor deposit were significant factors associated with the liver metastasis and survival. The liver metastasis risk of the low-risk group was higher at 6–21 months, with a peak occurrence time in the 15th month. The liver metastasis risk of the high-risk group was higher at 0–24 months, with a peak occurrence time in the 8th month. In general, our clinical model could predict liver metastasis in rectal cancer patients. It provides a visualization tool that can aid physicians and nurses in making clinical decisions, by detecting the probability of liver metastasis.
我们旨在分析和研究影响局部晚期直肠癌患者发生肝转移的临床因素,以帮助患者制定基于影像学的最佳随访护理方案。2011年6月至2021年5月期间,本院对直肠癌患者进行了回顾性分析。我们建立了一个随机生存森林模型来预测肝转移的概率,并提供了一种实用的基于风险的监测方法。结果表明,年龄、神经周围侵犯和肿瘤沉积是与肝转移和生存相关的重要因素。低风险组的肝转移风险在6-21个月时较高,在第15个月时达到高峰。高危组的肝转移风险在0-24个月时较高,高峰期出现在第8个月。总的来说,我们的临床模型可以预测直肠癌患者的肝转移。它提供了一种可视化工具,通过检测肝转移的概率,帮助医生和护士做出临床决策。
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引用次数: 0
A latent profile analysis of resilience and the associations with flourishing in emergency nurses exposed to workplace violence in China 对遭受工作场所暴力的中国急诊护士的复原力及其与蓬勃发展的关系的潜在特征分析
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-31 DOI: 10.1111/nhs.13085
Zhiling Chen, Ningyuan Guo, Tangyu Chen, Liwen Liao, Sanlian Hu, Lin Wang
Workplace violence (WPV) exposure has been particularly prevalent in emergency nurses, coupled with negative mental health outcomes. Few explored resilience after WPV exposure using the perspective of positive mental health. We aimed to identify latent profiles of resilience and examine associations with flourishing in emergency nurses with WPV exposure. A total of 1241 Chinese emergency nurses were surveyed on the frequency of WPV exposure, resilience, and flourishing. Eight hundred and twenty five participants (90.1% female, 86.6% aged 20–39) reported WPV exposure at least once in the past 3 months. Latent profile analysis identified profiles of resilience as low resilience (15.0%), moderate decision respond and interpersonal link with low rational thought and flexible adaption (18.0%), moderate resilience (31.0%), high decision respond, interpersonal link, and rational thought with moderate flexible adaption (16.0%), and high resilience (20.0%). Higher flourishing was observed in profiles of moderate resilience, high decision respond, interpersonal link, and rational thought with moderate flexible adaption, and high resilience. We differentiated profiles of resilience and the associations with flourishing in emergency nurses with WPV exposure, which informed targeted interventions for promoting positive mental health.
在急诊护士中,遭受工作场所暴力(WPV)的情况尤为普遍,同时还伴随着负面的心理健康结果。很少有人从积极心理健康的角度探讨遭受 WPV 后的恢复力。我们的目的是识别抗逆力的潜在特征,并研究其与遭受 WPV 的急诊护士的蓬勃发展之间的关联。我们对 1241 名中国急诊护士进行了调查,内容包括接触 WPV 的频率、复原力和蓬勃发展。有 825 名参与者(90.1% 为女性,86.6% 年龄在 20-39 岁之间)表示在过去 3 个月中至少接触过一次 WPV。通过潜特征分析发现,复原力特征为低复原力(15.0%)、中度决策反应和人际联系与低理性思维和灵活适应(18.0%)、中度复原力(31.0%)、高决策反应、人际联系和理性思维与中度灵活适应(16.0%)以及高复原力(20.0%)。在中度抗逆力、高决策反应、人际联系、理性思维与中度灵活适应以及高度抗逆力的人群中,观察到较高的蓬勃发展程度。我们对接触过 WPV 的急诊护士的抗逆力特征及其与蓬勃发展的关联进行了区分,从而为促进积极心理健康的针对性干预措施提供了依据。
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引用次数: 0
The relationship between perceived teacher autonomy support, perceived competence in learning, and academic performance among nursing students 护理专业学生感知到的教师自主支持、感知到的学习能力与学习成绩之间的关系
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-29 DOI: 10.1111/nhs.13090
Abdulaziz Mofdy Almarwani, Fadiyah Jadid Alanazi, Hadeel Tayeb Lamphon, Sanaa Awwad Alsulami
Perceived teacher autonomy support in nurse education remains understudied in the literature. This study examined the relationship between students' perceived teacher autonomy support, perceived competence in learning, and academic performance. A cross-sectional correlation descriptive design was used for 225 participants, undergraduate nursing students studying in Saudi Arabia. Perceived teacher autonomy support, perceived competence in learning, and academic performance were measured using the Learning Climate Questionnaire, Perceived Competence Scale for Learning, and student grade point average, respectively. The results revealed a high level of perceived teacher autonomy support and perceived competence in learning among the nursing students, with students in the internship year (final year) reporting higher perceived teacher autonomy support than students in other years. There was a strong positive correlation between perceived teacher autonomy support and perceived competence in learning. Further, students' perceived teacher autonomy support predicted their academic performance, indicating that those with high perceived teacher autonomy support were more likely to have a higher grade point average. Nurse educators must prioritize student autonomy support for better learning and performance, especially upon enrollment in a nursing program.
文献中对护士教育中感知到的教师自主支持的研究仍然不足。本研究探讨了学生感知到的教师自主支持、感知到的学习能力和学习成绩之间的关系。本研究采用横截面相关描述性设计,共有 225 名参与者,均为在沙特阿拉伯学习的护理专业本科生。分别使用学习氛围问卷、感知学习能力量表和学生平均学分绩点对感知到的教师自主支持、感知到的学习能力和学习成绩进行了测量。结果显示,护理专业学生的感知教师自主支持和感知学习能力水平较高,其中实习年级(最后一年)学生的感知教师自主支持水平高于其他年级学生。感知到的教师自主支持与感知到的学习能力之间存在很强的正相关。此外,学生感知到的教师自主支持预示着他们的学业成绩,表明那些感知到教师自主支持较高的学生更有可能获得较高的平均学分绩点。护士教育者必须优先考虑学生的自主支持,以提高学生的学习成绩和表现,尤其是在护理专业入学时。
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引用次数: 0
The association between team cohesion and performance: A network analysis of nurses 团队凝聚力与绩效之间的关系:护士网络分析
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-29 DOI: 10.1111/nhs.13089
Huimin Wei, Simeng Zhang, Wenran Qu, Mengqi Liu, Zeping Yan, Xiaorong Luan
Team cohesion, as a necessary condition for the cooperation and development of a team, has been shown to have a strong association with team performance. However, the mechanism of this internal correlation is unclear and more in-depth studies are lacking. The study aimed to explore the complex links between the dimensions of team cohesion and performance in nurses. A total of 1639 practice nurses from 118 nursing teams were included in this cross-sectional study. Data were collected using the Team Cohesion Scale (including consistency of affection, behavior, and cognition) and the Team Effectiveness Scale (including cooperation satisfaction, and task performance). Using network analysis, the team cohesion and performance network was constructed, and the strength and bridge strength of nodes were calculated. The results showed that the edges between team cohesion and performance dimensions were all positively correlated. Cooperation satisfaction and consistency of affection are the core variables in the network. Interventions targeting cooperation satisfaction and consistency of affection need to be developed at the team level to maximize team cohesion and performance among nurses.
团队凝聚力作为团队合作与发展的必要条件,已被证明与团队绩效有着密切的联系。然而,这种内部关联的机制尚不清楚,也缺乏更深入的研究。本研究旨在探索护士团队凝聚力与绩效之间的复杂联系。这项横断面研究共纳入了来自 118 个护理团队的 1639 名执业护士。研究使用团队凝聚力量表(包括感情、行为和认知的一致性)和团队效率量表(包括合作满意度和任务绩效)收集数据。通过网络分析,构建了团队凝聚力与绩效网络,并计算了节点强度和桥接强度。结果表明,团队凝聚力与绩效维度之间的边均呈正相关。合作满意度和感情一致性是网络中的核心变量。需要在团队层面制定针对合作满意度和感情一致性的干预措施,以最大限度地提高护士的团队凝聚力和绩效。
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引用次数: 0
An application of the reasoned action approach to clinical students' intention toward a career in geriatrics 将合理行动法应用于临床学生对老年医学职业的意向研究
IF 2.7 3区 医学 Q2 NURSING Pub Date : 2024-01-21 DOI: 10.1111/nhs.13076
Grace Karikari, David K. Lohrmann, Lesa Huber, Margaret Adamek, Oghenekaro Omodior
Guided by the reasoned action approach, this study examined select individual, information, and social factors that influence intention toward pursuing a career in geriatrics among 314 clinical medical and nursing students in Ghana. A Poisson regression showed attitude toward older persons was a significant influencing factor of intention to choose a career in geriatrics for medical students (B = 0.015, SE = 0.0048, p = 0.002) but not nursing students (B = 0.009, SE = 0.0145, p = 0.512). Personal interest was, however, a significant influencing factor for both medical and nursing students (B = 0.462, SE = 0.0592, p = 0.000) and (B = 0.015, SE = 0.0048, p = 0.002), respectively. Nursing students with moderate to strong interest were 1.6 times more likely to express an intention to specialize in geriatrics, and medical students were 1.5 times more likely to express an intention to specialize in geriatrics. The results show that the most important factor influencing geriatric career intention is students' personal interest in the field. Evidence-based interventions such as early educational and practice exposure to the field and interactions with older adults are recommended.
在合理行动法的指导下,本研究对影响加纳 314 名临床医学和护理专业学生从事老年医学职业意向的特定个人、信息和社会因素进行了研究。泊松回归显示,对老年人的态度是医科学生选择老年医学职业意向的重要影响因素(B = 0.015,SE = 0.0048,p = 0.002),但不是护理专业学生的重要影响因素(B = 0.009,SE = 0.0145,p = 0.512)。然而,个人兴趣对医学生和护理学生分别是一个重要的影响因素(B = 0.462,SE = 0.0592,p = 0.000)和(B = 0.015,SE = 0.0048,p = 0.002)。具有中度到强烈兴趣的护理专业学生表示有意专攻老年医学的可能性是其他专业学生的 1.6 倍,而医科学生表示有意专攻老年医学的可能性是其他专业学生的 1.5 倍。结果表明,影响老年医学职业意向的最重要因素是学生个人对该领域的兴趣。建议采取以证据为基础的干预措施,如在早期教育和实践中接触该领域并与老年人互动。
{"title":"An application of the reasoned action approach to clinical students' intention toward a career in geriatrics","authors":"Grace Karikari, David K. Lohrmann, Lesa Huber, Margaret Adamek, Oghenekaro Omodior","doi":"10.1111/nhs.13076","DOIUrl":"https://doi.org/10.1111/nhs.13076","url":null,"abstract":"Guided by the reasoned action approach, this study examined select individual, information, and social factors that influence intention toward pursuing a career in geriatrics among 314 clinical medical and nursing students in Ghana. A Poisson regression showed attitude toward older persons was a significant influencing factor of intention to choose a career in geriatrics for medical students (<i>B</i> = 0.015, SE = 0.0048, <i>p</i> = 0.002) but not nursing students (<i>B</i> = 0.009, SE = 0.0145, <i>p</i> = 0.512). Personal interest was, however, a significant influencing factor for both medical and nursing students (<i>B</i> = 0.462, SE = 0.0592, <i>p</i> = 0.000) and (<i>B</i> = 0.015, SE = 0.0048, <i>p</i> = 0.002), respectively. Nursing students with moderate to strong interest were 1.6 times more likely to express an intention to specialize in geriatrics, and medical students were 1.5 times more likely to express an intention to specialize in geriatrics. The results show that the most important factor influencing geriatric career intention is students' personal interest in the field. Evidence-based interventions such as early educational and practice exposure to the field and interactions with older adults are recommended.","PeriodicalId":49730,"journal":{"name":"Nursing & Health Sciences","volume":"41 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139517698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Nursing & Health Sciences
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