Pub Date : 2025-03-01Epub Date: 2024-09-28DOI: 10.1177/08980101241281760
Rachel Joseph, Shanna W Akers, Jichan Kim, Lora Mullen
The purpose of the study was to explore how nurses' religious beliefs affect their ability to forgive themselves and others. Design: A descriptive correlational study was conducted. Methods: The data were collected using an online survey via Qualtrics using three validated tools Enright Forgiveness Inventory - 30 (to measure forgiveness of others), Enright Self-Forgiveness Inventory (to measure forgiveness of self), and Duke University Religious Index (to measure religiosity). Findings: Forgiveness of others was associated with both non-organized religious activities and intrinsic religiosity. After controlling for other variables, non-organized religious activities continued to predict forgiveness of others but organized religious activities negatively predicted forgiveness of others. Self-forgiveness was not associated with any of the religiosity indicators, and in the regression model, the seriousness of self-offense alone uniquely explained self-forgiveness. Conclusion: Stressed nurses become distracted, may miss effective job performance, and patient care may suffer. Emotional and spiritual health and better patient outcomes can be attributed to the nurse forgiving others and the self. Nurses must be self-aware to develop forgiveness strategies for their well-being and provide effective care. Faculty should teach "person-centered" care and educate students to forgive others and themselves for effective patient care.
{"title":"Forgiveness and Religiosity Among Nurses: A Correlational Descriptive Study.","authors":"Rachel Joseph, Shanna W Akers, Jichan Kim, Lora Mullen","doi":"10.1177/08980101241281760","DOIUrl":"10.1177/08980101241281760","url":null,"abstract":"<p><p>The purpose of the study was to explore how nurses' religious beliefs affect their ability to forgive themselves and others. <b>Design:</b> A descriptive correlational study was conducted. <b>Methods:</b> The data were collected using an online survey via Qualtrics using three validated tools Enright Forgiveness Inventory - 30 (to measure forgiveness of others), Enright Self-Forgiveness Inventory (to measure forgiveness of self), and Duke University Religious Index (to measure religiosity). <b>Findings:</b> Forgiveness of others was associated with both non-organized religious activities and intrinsic religiosity. After controlling for other variables, non-organized religious activities continued to predict forgiveness of others but organized religious activities negatively predicted forgiveness of others. Self-forgiveness was not associated with any of the religiosity indicators, and in the regression model, the seriousness of self-offense alone uniquely explained self-forgiveness. <b>Conclusion:</b> Stressed nurses become distracted, may miss effective job performance, and patient care may suffer. Emotional and spiritual health and better patient outcomes can be attributed to the nurse forgiving others and the self. Nurses must be self-aware to develop forgiveness strategies for their well-being and provide effective care. Faculty should teach \"person-centered\" care and educate students to forgive others and themselves for effective patient care.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"7-17"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332078","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}
Pub Date : 2025-03-01Epub Date: 2024-10-24DOI: 10.1177/08980101241294164
Jeff Clyde G Corpuz
{"title":"Forgiveness and Religiosity Among Nurses: A Holistic Perspective.","authors":"Jeff Clyde G Corpuz","doi":"10.1177/08980101241294164","DOIUrl":"10.1177/08980101241294164","url":null,"abstract":"","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"99-100"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512714","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}
Pub Date : 2025-03-01Epub Date: 2024-11-06DOI: 10.1177/08980101241297842
{"title":"<i>Corrigendum</i> to \"Forgiveness and Religiosity Among Nurses: A Correlational Descriptive Study\".","authors":"","doi":"10.1177/08980101241297842","DOIUrl":"10.1177/08980101241297842","url":null,"abstract":"","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"101"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591637","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}
The purpose of this research was to examine the holistic effects of combined complementary therapies in reducing stress in college students. This convergent mixed-method study provided aromatherapy, massage, and meditation music sessions to college students (N = 50) just before finals week. Paired t-tests analyzed pre-session and post-session perceived stress and anxiety as well as objective physiological measures, including salivary cortisol, heart rate, and blood pressure. There was a significant difference in the scores for perceived stress before and after the sessions, t(49) = 4.72, p < .001, as well as pre-anxiety and post-anxiety, t(49) = 10.27, p < .001. Additionally, salivary cortisol levels significantly reduced from pre-session to post-session t(49) = 2.76, p = .008; and a significant reduction in heart rate from pre-session to post-session, t(49) = 3.73, p < .001. This study demonstrates that 20 min of brief complementary interventions can alter students' subjective holistic health perspectives, with objective physiological data confirming changes that promote health and wellbeing.
本研究的目的是检验综合补充疗法在减轻大学生压力方面的整体效果。这项融合混合方法的研究在期末考试前给50名大学生提供了芳香疗法、按摩和冥想音乐课程。配对t检验分析了治疗前和治疗后感知到的压力和焦虑,以及客观的生理指标,包括唾液皮质醇、心率和血压。治疗前后压力感知得分差异有统计学意义,t(49) = 4.72, p p = 0.008;从训练前到训练后,心率显著降低,t(49) = 3.73, p
{"title":"The Holistic Effect of Complementary Interventions in Reducing Stress in College Students.","authors":"Linda Cefo, Kellyann Navarre, Allyson Chicoski, Myrita Wilhite, Violet Cox, Sheryl Feeney","doi":"10.1177/08980101241312288","DOIUrl":"https://doi.org/10.1177/08980101241312288","url":null,"abstract":"<p><p>The purpose of this research was to examine the holistic effects of combined complementary therapies in reducing stress in college students. This convergent mixed-method study provided aromatherapy, massage, and meditation music sessions to college students (<i>N</i> = 50) just before finals week. Paired t-tests analyzed pre-session and post-session perceived stress and anxiety as well as objective physiological measures, including salivary cortisol, heart rate, and blood pressure. There was a significant difference in the scores for perceived stress before and after the sessions, t(49) = 4.72, <i>p</i> < .001, as well as pre-anxiety and post-anxiety, t(49) = 10.27, <i>p</i> < .001. Additionally, salivary cortisol levels significantly reduced from pre-session to post-session t(49) = 2.76, <i>p</i> = .008; and a significant reduction in heart rate from pre-session to post-session, t(49) = 3.73, <i>p</i> < .001. This study demonstrates that 20 min of brief complementary interventions can alter students' subjective holistic health perspectives, with objective physiological data confirming changes that promote health and wellbeing.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"8980101241312288"},"PeriodicalIF":2.0,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016053","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}
Pub Date : 2024-12-01Epub Date: 2024-07-23DOI: 10.1177/08980101241263131
Melanie Naone, Christina Ford, Katherine Finn Davis
Purpose: In response to the COVID-19 pandemic, holistic nurses at an academic level 1 trauma center in Hawaii utilized a novel holistic approach to combat stress and anxiety symptoms while promoting nurse's well-being. This assessment aimed to determine whether a brief session incorporating Reiki and meditation could decrease nurses' perceived stress and anxiety while increasing perceived happiness and coping ability. Methods: Two Reiki-certified holistic nurses developed a mobile 10-minute individual well-being session called "Zen Den." In each session, the holistic nurse provided hands-on Reiki concurrent with a meditation streamed by a free online application. Pre and post-self-assessments were measured using a Likert scale. Findings: Participants (N = 92) showed an average decrease in perceived stress by 46% and anxiety by 45%, and an increase in feelings of happiness by 17% and perceived coping ability by 18%. Conclusion: This novel approach to promote well-being in the workplace can be achieved using existing resources such as Reiki-trained staff, a quiet space, and a 10-minute well-being session with guided meditation using a free online application.
{"title":"Zen Den: A Novel Approach to Promote Well-Being in the Workplace.","authors":"Melanie Naone, Christina Ford, Katherine Finn Davis","doi":"10.1177/08980101241263131","DOIUrl":"10.1177/08980101241263131","url":null,"abstract":"<p><p><b>Purpose:</b> In response to the COVID-19 pandemic, holistic nurses at an academic level 1 trauma center in Hawaii utilized a novel holistic approach to combat stress and anxiety symptoms while promoting nurse's well-being. This assessment aimed to determine whether a brief session incorporating Reiki and meditation could decrease nurses' perceived stress and anxiety while increasing perceived happiness and coping ability. <b>Methods:</b> Two Reiki-certified holistic nurses developed a mobile 10-minute individual well-being session called \"Zen Den.\" In each session, the holistic nurse provided hands-on Reiki concurrent with a meditation streamed by a free online application. Pre and post-self-assessments were measured using a Likert scale. <b>Findings:</b> Participants (N = 92) showed an average decrease in perceived stress by 46% and anxiety by 45%, and an increase in feelings of happiness by 17% and perceived coping ability by 18%. <b>Conclusion:</b> This novel approach to promote well-being in the workplace can be achieved using existing resources such as Reiki-trained staff, a quiet space, and a 10-minute well-being session with guided meditation using a free online application.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"384-392"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749644","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}
Holistic nursing should be a goal for all nurses. Patients that receive holistic nursing feel acknowledged, valued, and appreciated. Caring for patients holistically requires student nurses to possess and display attributes of mindfulness and Ubuntu. Student nurses therefore need to be supported and taught how to provide caring holistically to patients while being aware, being present, and conscious in the caring moment. The purpose of this article was to describe the model developed as a frame of reference to facilitate holistic nursing through developing mindfulness and Ubuntu. A theory generative, exploratory, and contextual research design was followed. A diagrammatic structure was constructed after the concept analysis was conducted. The model consisted of three phases with an outcome of a student nurse who is caring holistically and mindfully. The model provides a framework of reference to facilitate holistic nursing through the development of mindfulness. This study adds a model of mindfulness and a lens of looking at mindfulness through an African philosophy of Ubuntu.
{"title":"Facilitating Holistic Nursing Through the Development of Mindfulness: A Model for Student Nurses.","authors":"Lerato Matshaka, Charlene Downing, Nompumelelo Ntshingila","doi":"10.1177/08980101241245824","DOIUrl":"10.1177/08980101241245824","url":null,"abstract":"<p><p>Holistic nursing should be a goal for all nurses. Patients that receive holistic nursing feel acknowledged, valued, and appreciated. Caring for patients holistically requires student nurses to possess and display attributes of mindfulness and Ubuntu. Student nurses therefore need to be supported and taught how to provide caring holistically to patients while being aware, being present, and conscious in the caring moment. The purpose of this article was to describe the model developed as a frame of reference to facilitate holistic nursing through developing mindfulness and Ubuntu. A theory generative, exploratory, and contextual research design was followed. A diagrammatic structure was constructed after the concept analysis was conducted. The model consisted of three phases with an outcome of a student nurse who is caring holistically and mindfully. The model provides a framework of reference to facilitate holistic nursing through the development of mindfulness. This study adds a model of mindfulness and a lens of looking at mindfulness through an African philosophy of Ubuntu.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"409-419"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11590376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140864184","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}
Pub Date : 2024-12-01Epub Date: 2023-12-18DOI: 10.1177/08980101231219304
Tammy Sos, Bridget Melton
Purpose: The purpose of this study was to investigate the effectiveness of various mindfulness practices for reducing feelings of stress and burnout among healthcare staff. Study Design: This article contains the quantitative portion of a mixed-methods study. Methods: Healthcare workers (n = 48) were randomly assigned to one of three practices. Data were collected at three-time points (pre-intervention, mid-intervention, and three-weeks-post-intervention). Scores on the Perceived Stress Scale (PSS) and the Maslach Burnout Inventory for Human Services Survey (MBI-HSS) were recorded at each time point. Findings: Scores on the PSS reduced significantly (p < .05) across three time periods. Maslach Burnout Inventory for Human Services Survey EE subscale scores reduced significantly (p < .05) across three time periods. There was no significant difference between the intervention groups on PSS or MBI-HSS scores. Conclusions: All three mindfulness practices were effective in reducing perceived occupational stress and emotional exhaustion. There was no intervention that stood out from the others as the most effective in reducing scores on the PSS and MBI-HSS. This study demonstrated the effectiveness of mindfulness practices that are short in time and simple in implementation for relieving stress and burnout in healthcare staff.
研究目的:本研究旨在调查各种正念练习对减轻医护人员压力感和职业倦怠的效果。研究设计:本文包含一项混合方法研究的定量部分。方法:医护人员(n = 48)被随机分配到三种练习中的一种。在三个时间点(干预前、干预中和干预后三周)收集数据。在每个时间点记录感知压力量表(PSS)和马斯拉赫人类服务倦怠调查量表(MBI-HSS)的得分。研究结果感知压力量表(PSS)的得分明显降低(p p 结论):所有三种正念练习都能有效减少感知到的职业压力和情绪衰竭。在降低 PSS 和 MBI-HSS 分数方面,没有一种干预方法比其他干预方法更有效。这项研究表明,时间短、实施简单的正念练习对缓解医护人员的压力和职业倦怠非常有效。
{"title":"Comparison of Mindfulness Practices for Effectiveness of Stress and Burnout Reduction in Healthcare Staff.","authors":"Tammy Sos, Bridget Melton","doi":"10.1177/08980101231219304","DOIUrl":"10.1177/08980101231219304","url":null,"abstract":"<p><p><b>Purpose:</b> The purpose of this study was to investigate the effectiveness of various mindfulness practices for reducing feelings of stress and burnout among healthcare staff. <b>Study Design:</b> This article contains the quantitative portion of a mixed-methods study. <b>Methods:</b> Healthcare workers (<i>n </i>= 48) were randomly assigned to one of three practices. Data were collected at three-time points (pre-intervention, mid-intervention, and three-weeks-post-intervention). Scores on the Perceived Stress Scale (PSS) and the Maslach Burnout Inventory for Human Services Survey (MBI-HSS) were recorded at each time point. <b>Findings:</b> Scores on the PSS reduced significantly (<i>p</i> < .05) across three time periods. Maslach Burnout Inventory for Human Services Survey EE subscale scores reduced significantly (<i>p</i> < .05) across three time periods. There was no significant difference between the intervention groups on PSS or MBI-HSS scores. <b>Conclusions:</b> All three mindfulness practices were effective in reducing perceived occupational stress and emotional exhaustion. There was no intervention that stood out from the others as the most effective in reducing scores on the PSS and MBI-HSS. This study demonstrated the effectiveness of mindfulness practices that are short in time and simple in implementation for relieving stress and burnout in healthcare staff.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"333-343"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810495","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}
Pub Date : 2024-12-01Epub Date: 2024-05-07DOI: 10.1177/08980101241249792
Rita Cola Carroll, Jackie Murphy, Jennifer Myers
{"title":"Mindful Transformation: Investigating the Effects of a 10-Week Graduate-Level Mindfulness Course Among Nursing Students Through a Mixed Methods Approach.","authors":"Rita Cola Carroll, Jackie Murphy, Jennifer Myers","doi":"10.1177/08980101241249792","DOIUrl":"10.1177/08980101241249792","url":null,"abstract":"","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"393-408"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877929","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}
Pub Date : 2024-12-01Epub Date: 2024-05-08DOI: 10.1177/08980101241251508
Wei-Ting Lai, Min-Tao Hsu, Wan-Ru Chou, Pei-Yu Lee
Purpose: The aim of this study was to explore the essence of the lived experiences of palliative care professionals in cultivating mindfulness, with a focus on the meaning of mindfulness in their lives and how mindfulness is experienced throughout their process of caring for others. Design: This was a qualitative study using a phenomenological approach. Methods: Eleven palliative care professionals (three physicians, four nurses, three psychologists, and one spiritual care provider) partook in in-depth interviews. Data were collected from the in-depth interviews and analyzed according to the method of Giorgi. Findings: Two major themes emerged from this study. First, the palliative care professionals realized the need for self-care amid emotional burden, including recognizing their feelings of guilt and self-doubt, emotional contagion of grief, reflections of others' fragility on themself, and their self-imposed limitations. Second, they noticed the transformative impact of mindfulness on them, including detecting reconnection with their body, changes in their personal values, self-acceptance, and liberation. Conclusion: Palliative care professionals can cultivate self-acceptance and facilitate entirely new life experiences through the practice of mindfulness. For them, mindfulness is not merely a self-regulation technique but an existential epiphany, offering hope for self-care and empowerment.
{"title":"The Lived Experiences of Palliative Care Professionals in Cultivating Mindfulness: A Phenomenological Study.","authors":"Wei-Ting Lai, Min-Tao Hsu, Wan-Ru Chou, Pei-Yu Lee","doi":"10.1177/08980101241251508","DOIUrl":"10.1177/08980101241251508","url":null,"abstract":"<p><p><b>Purpose:</b> The aim of this study was to explore the essence of the lived experiences of palliative care professionals in cultivating mindfulness, with a focus on the meaning of mindfulness in their lives and how mindfulness is experienced throughout their process of caring for others. <b>Design:</b> This was a qualitative study using a phenomenological approach. <b>Methods:</b> Eleven palliative care professionals (three physicians, four nurses, three psychologists, and one spiritual care provider) partook in in-depth interviews. Data were collected from the in-depth interviews and analyzed according to the method of Giorgi. <b>Findings:</b> Two major themes emerged from this study. First, the palliative care professionals realized the need for self-care amid emotional burden, including recognizing their feelings of guilt and self-doubt, emotional contagion of grief, reflections of others' fragility on themself, and their self-imposed limitations. Second, they noticed the transformative impact of mindfulness on them, including detecting reconnection with their body, changes in their personal values, self-acceptance, and liberation. <b>Conclusion:</b> Palliative care professionals can cultivate self-acceptance and facilitate entirely new life experiences through the practice of mindfulness. For them, mindfulness is not merely a self-regulation technique but an existential epiphany, offering hope for self-care and empowerment.</p>","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"347-360"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877930","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}
Pub Date : 2024-12-01Epub Date: 2024-11-22DOI: 10.1177/08980101241299721
W Richard Cowling
{"title":"Holistic Nursing Knowledge: The Mindfulness and Meditation Universe.","authors":"W Richard Cowling","doi":"10.1177/08980101241299721","DOIUrl":"10.1177/08980101241299721","url":null,"abstract":"","PeriodicalId":51615,"journal":{"name":"Journal of Holistic Nursing","volume":" ","pages":"321-322"},"PeriodicalIF":2.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689136","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}