… A topic should be interesting, researchable, and meaningful. Facione, N., and Facione, P.: "Externalizing the critical thinking in knowledge development and clinical judgment. The importance of critical thinking in nursing extends to the decision-making process. Critical Thinking in Nursing: Example 1. Ŋ��++*V(VT�R��X�XU�J��b�bU�*Ū�U�U��*V)V��T�U����_�W�+�*ſ�!U�U����_�W��&���o��� ���o�7�M������7��&���o��� ���o�7�M������7�;�.������������w�]������w�;�.������������w�뿦���,*.����y4}_�쿝N�e˺TZ�+Z��﫩ח��|����` T�� endstream endobj 113 0 obj <>stream Give examples of how nurses use critical thinking skills in various aspects of the staff nurse role. In this case, there is a patient who is elderly, just retired, and is aged 60 years old. C. difficile infection? Yet, as at least one study points out, there seems to be a crisis in critical thinking: only 23% of graduate nurses entering into practice in a large hospital demonstrated critical thinking and clinical reasoning competency. to maintaining your privacy and will not share your personal information without Critical Thinking in Nursing: Why It's Important and How to Improve. The process of providing feedback and reflection is vital to the improvement of In recent years, with significant advances in neuroscience and neuroimaging tools, IR Theory has benefited from further multidisciplinary contributions. your express consent. Critical thinking contains a form of discipline, intellectual process of applying skills, and guidance. These skills have been defined as information gathering, focusing, remembering, organizing, analyzing, generating, integrating and evaluating (Registered Nurse’s Association of British Columbia, 1990). If not met, the nurse ascertains why. A nursing skill requires critical thinking. Self-regulation is the process of examining one's practice and correcting or improving it if necessary. Interpretation involves clarifying meaning, such as determining the significance of laboratory values, vital signs, and physical assessment data. 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Simply put, critical thinking in nursing is a purposeful, logical process which results in powerful patient outcomes. A topic should be interesting, researchable, and meaningful. In the workplace, if policies and procedures are too restrictive or if managers make all the decisions, staff may not feel empowered to think critically. Critical thinking helps nurses how to view a client and determine the type of problems and how to deal with the issue at hand. ... Cover letter to journal editor examples solar power essay outline. Critical Thinking Skills and Abilities Critical thinkers in nursing are skilful in applying intellectual skills for sound reasoning. Ask the nurses to analyze whether or not the best practice was followed and how the situation could've been handled differently. Presented by- Jasleen Kaur Brar Critical Thinking in Nursing 2. Applying critical thinking in work situations will improve your performance and the company’s chances of succeeding. This isn't a time for finger-pointing, but rather a time for learning. If you expect nurses and other employees to think critically, the essential skills should be part of the employees' job/role description and performance appraisal. and may then look at other factors like u/o, skin, labs, etc. ", 3. Your message has been successfully sent to your colleague. Emotion & Culture. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. ♦ Help nurses learn to be better critical thinkers through your role modeling. It is the process of applying intentional higher-level thinking to describe a patient’s problem and examining the evidence-based practice in caring for them to make the right choices on the type of care that they require. Some continue to base their practice on tradition and habit, rather than exploring new and better ways to meet patients' needs. 1. Critical Thinking in Nursing: Why It's Important and How to Improve. Nurses today are caring for patients who have complex, culturally diverse health care needs, making the importance of critical thinking in nursing even more paramount. ♦ Use an interviewing method that evaluates whether a prospective employee has expert thinking skills. %PDF-1.6 %���� In recent years, with significant advances in neuroscience and neuroimaging tools, IR Theory has benefited from further multidisciplinary contributions. Valuable critical thinking examples A company is a sum of the decisions taken by its management and employees. To advance nursing practice, it is necessary to develop and evaluate strategies to help new nurses develop these essential critical thinking skills. Nursing Management32(1):37-39, January 2001. If his Bp is low, she might think, hey could he be a little shocky due to hypovlemia? There’s been a lot of talk about critical thinking during our four years of nursing school, but our profs seem to have a hard time defining it. Postoperatively, the surgeon wrote an order to resume her previous medication regimen, which included Ditropan. The expert critical thinker uses the following six essential cognitive skills. ♦ Use part of your staff meetings to reflect on patient situations that have occurred. Why didn't they discontinue it as soon as their patient started having difficulty with voiding? (See "Characteristics of an expert critical thinker."). For those considering a return to school, provide a flexible work schedule. h��[s�F��?���9�nU[��%9�Y�6�7�Hz�ɑ�c�P@б���=3 ��(ol��j���A���'�� �8 Critical Thinking Scenario – Nursing Essay. New nursing graduates, in particular, need an internship program in which to further develop their critical thinking skills. Critical thinking skills are essential for all nurses. Definition Critical thinking is an active, organized, cognitive process used to carefully examine one’s thinking and the thinking of others. A number of personal and workplace variables affect the critical thinking ability of staff-both positively and negatively. Here is one from the discussion posts in my class that I thought was excellent (but PN students don't do art lines): Quote. h�b```b``�e`c`Py� ̀ ��@Q� ��8�.z=�)�a��2�M�l%��* /Տ:��L*0PdU6:Ƴ�j����8|���X��&�tfP�ꢥ���� W* +�6e�����<=/�Y����Y[��C����ع�a����h1:qn⊓�@�s֋�q���yc�55r�-ߣ�3�z^J5|:y��T���o��9���*!���uJ�1'���&�DN���z�6!� 93�b3�,� ♦ Review your agency's documentation system to ensure that it's focused primarily on outcome charting, not just on assessments and interventions. ♦ Encourage nurses to attend continuing education offerings, conventions, and conferences. A new nurse on the unit asks for your opinion regarding a patient situation: One of her patients has been unable to void since foot surgery under general anesthesia 3 days ago and has been consequently straight-cathed every 8 hours. Please try again soon. Even though health care is considered a scientific discipline with set processes and mandates covering almost every step of patient care, there are still plenty of instances that require nurses to … may email you for journal alerts and information, but is committed Everyday examples of critical thinking skills such as analyzing & evaluating data, interpreting input, explaining alternatives & seeing logical consequences By Brook Jillings, Contributor. Employees of other departments need these skills as well. Applying critical thinking in work situations will improve your performance and the company’s chances of succeeding. Critical thinking in nursing is a learned skill that increases the quality of care given to patients and improves outcomes. A Medscape article about critical thinking skills for nurse managers illustrated, with a hypothetical example, the difference a strong leader can make: It presented a case study about a manager facing a scheduling conflict over the holidays. Example: Figuring out what a trach/vent pt is turning blue Sorry if that did not help,but all i know the difference between the two is still blurry to me. Hansten, R., and Washburn, M.: "Facilitating critical thinking.". Many hospitals once again offer extended orientations, which include 4 to 6 weeks of classroom and cooperative learning and 12 or more weeks of working with one qualified, trained, unit-based preceptor. During your nursing studies, you will have undoubtedly come across the term ‘critical thinking’. By cultivating them, you're doing your part to ensure outcome-focused interdisciplinary patient care. Ok, let’s go through some examples of scenarios that require both critical thinking and care plan implementation! 4. While rehabilitation therapists and nurses use patient outcomes to direct their practice and charting, nurses in hospitals and long-term care facilities typically don't. These latter skills require critical thinking, sometimes referred to as clinical reasoning, clinical decision-making, and clinical judgment. “Critical thinking involves interpretation and analysis of the problem, reasoning to find a solution, applying, and finally evaluation of the outcomes,” according to a 2010 study published in the Journal of Nursing Education . Thinking style, culture, and health also affect how your staff reasons. Valuable critical thinking examples A company is a sum of the decisions taken by its management and employees. 4. Like in these examples: Critical Thinking Skills on a Resume—Nursing For information on cookies and how you can disable them visit our Privacy and Cookie Policy. Development of multiple-resistant microorganisms? ongoing application of intellectual honesty in the examination of information In a reasoned approach the nurse identifies initial priorities and based on the priorities that a patient presents, as well as the achievement of health care goals, a well-defined outcome can be accomplished. ♦ Ensure that nurses participate in interdisciplinary patient rounds. In order to understand critical thinking, let's look at an example. Critical thinking need not be robotic thinking that is emotionless and cultureless. Many hospitals once again offer extended orientations, which include 4 to 6 weeks of classroom and cooperative learning and 12 or more weeks of working with one qualified, trained, unit-based preceptor. Learn how to identify and cultivate critical thinking skills of your staff. The physician wanted the patient to get 2 units of blood before going downstairs to the procedure. Inference is about drawing conclusions. Everyday examples of critical thinking skills such as analyzing & evaluating data, interpreting input, explaining alternatives & seeing logical consequences How to Put Critical Thinking on a Resume: Examples . 5. If critical thinking is a key phrase in the job listings you are … For example, the nurse determines when a patient's health status improves or declines through careful monitoring. Critical thinking is purposeful, outcome-directed thinking that's based on a body of scientific knowledge derived from research and other sources of evidence. New nursing graduates, in particular, need an internship program in which to further develop their critical thinking skills. Nurse knows to check his bp (that alone is critical thinking). Will-power, knowledge, skills, motivation, knowing the … Find out why critical thinking is important and five ways to improve with examples of critical thinking in nursing. Critical thinking in nursing is a learned skill that increases the quality of care given to patients and improves outcomes. Find out why critical thinking is important and five ways to improve with examples of critical thinking in nursing. Evaluation is identifying expected patient outcomes and assessing whether or not they're met. They'll gain valuable insight into collaboration and an outcome focus. Patient information can be complex, including elements not only of a clinical complaint but of family and culture. 3. So I’ll go with a definition from Google. Which of these findings, if identified in a plan of care, should the registered nurse revise because it is not characteristic of critical thinking and the nursing process? In order to understand critical thinking, let's look at an example. This example of an analytical essay is presented in association with Price, B and Harrington, A (2010) Critical Thinking and Writing for Nursing Students, Exeter, Learning Matters. It involves identifying options or alternatives, such as nursing interventions, and then selecting one that's best for meeting the desired outcome. 109 0 obj <> endobj 149 0 obj <>/Filter/FlateDecode/ID[]/Index[109 80]/Info 108 0 R/Length 167/Prev 912727/Root 110 0 R/Size 189/Type/XRef/W[1 3 1]>>stream Wolters Kluwer Health, Inc. and/or its subsidiaries. For instance, nurses who are constantly learning and expanding their knowledge base develop their critical thinking potential as well. Would the patient have been discharged to the nursing home with an indwelling urinary catheter? Nurses today are caring for patients who have complex, culturally diverse health care needs, making the importance of critical thinking in nursing even more paramount. All registration fields are required. It’s Integral to an Honest and Open Exchange of Ideas. Anyone can learn critical thinking, but it's a long-term development process that must be practiced, nurtured, and reinforced over time. Some will be strengths of your staff, while others will be areas for growth. Some error has occurred while processing your request. About the author: Donna D. Ignatavicius is President. Data is temporarily unavailable. Described as early as the 1950s, it entered the general education literature as a way to enhance learning. 6 critical thinking skills for at-the-bedside success: Key ways to practice, nurture, and reinforce staff members' cognitive skills. Upon reviewing the medication profile, the nurse notes that the patient is receiving Ditropan BID, which she takes for stress incontinence. They often lack the confidence to explore alternatives for either patient or organization problems. 2. Articles in PubMed by Donna D. Ignatavicius, RN, Cm, MS, Articles in Google Scholar by Donna D. Ignatavicius, RN, Cm, MS, Other articles in this journal by Donna D. Ignatavicius, RN, Cm, MS, The secrets to successful nurse bedside shift report implementation and sustainability, Keeping the peace: Conflict management strategies for nurse managers, Maintain optimal staffing with position control. Registered users can save articles, searches, and manage email alerts. The nurse implements interventions based on research or other sources of evidence. How do you manage the highly skilled, toxic nurse? Analysis is determining the patient's problems based on assessment data. h�bbd```b``i��� �y;�d�E����&9b��K��S`Y��.B%�7�U"9'���Hv+�Jui�"�Ӏ$��@���$bU� ���@�r} ��'�%Y|��"ɴ���#��x�0Drsɟ������g`���Ϸ ` endstream endobj startxref 0 %%EOF 188 0 obj <>stream ♦ Be sure that critical thinking is part of the organization's philosophy and core values with a definition that everyone understands. For example, provide the applicant with typical case scenarios that they'll likely encounter on a unit or in an agency, and ask pertinent questions that make them use one or more of the six critical thinking skills previously described. Critical thinking in nursing 1. �(;\P &�dT��2�@�Ti�AxB�xY�4� Xd�C�O�/,3U�\؏0lw(V 3. nursing research and critical thinking and practice (Figure 10–1•). Carter also speaks to the role critical thinking … You Can Foresee How Things Will Turn out. Experienced nurses may need assistance with critical thinking development, as well. Fairness and independent reasoning are two examples of critical thinking attitudes that are designed to help nurses make clinical decisions 82. New nursing graduates, in particular, need an internship program in which to further develop their critical thinking skills. Critical thinking is an essential skill needed for the identification of client problems and the implementation of interventions to promote effective care outcomes (Bittencourt & Crossetti, 2012). They are a necessity for the provision of safe, high-quality clinical care. We can custom-write anything as well! Guiding nurses through the process, however, can be a valuable learning activity for them. Selected results of the 2017 Nursing Management Wellness Survey, Results from the Filipino nurses in the United States study, Getting Accountability Right bonus content, Genetics/genomics competencies for RNs and nurses with graduate degrees, "Nurse Leader Impact: A Review" summary of research studies, Leadership: Where we've been, where we are, and where we're going, Results from the 2019 Emergency/Trauma/Transport Nursing Workforce Survey, Results from the HIMSS 2020 Nursing Informatics Workforce Survey. Managers have numerous opportunities to mentor and develop staff to enhance critical thinking skills. Purposeful, goal-directed thinking aiming to make judgments based on evidence rather than conjecture. What interventions do you plan to implement (or have you implemented) to help patients meet those outcomes? They are a necessity for the provision of safe, high-quality clinical care. Readers are introduced to the process of critical and reflective thinking and the translation of these into Critical Thinking in Nursing Linda L. Kerby, MA, RN, C-R, Mastery Education Consultations Kerby has published a critical thinking study guide for a medical surgical textbook.A s the complexity of health care and the accountability of nurses increase, the need for critical thinking becomes more important in … For more information, please refer to our Privacy Policy. Please enable scripts and reload this page. It's often easier for you to make decisions because you're an expert. The nurse suspects that this medication is causing her patient's urinary retention, and suggests that she "hold" the drug and notify the physician.FIGURE 1. Start a journal club on your computer network. It also includes understanding the meaning of a patient's behavior or statements. ♦ Empower staff to make decisions, even if it takes more time for them to work through the process. The best way to present and validate your critical thinking skills is to include examples of them in your past job description bullet points. ♦ Collaborate with the education department to ensure that orientation programs stimulate employees to think during them. 800-638-3030 (within USA), 301-223-2300 (international). Clinical skills in nursing are obviously important, but critical thinking is at the core of being a good nurse.. Critical thinking skills are very important in the nursing field because they are what you use to prioritize and make key decisions that can save lives. Yeast infection? At times, the actual problem can't be validated initially, but several possibilities, or arguments can be identified. Could this action have resulted in a urinary tract infection, dehydration, possible sepsis, or rehospitalization? Please try after some time. These experiences can help them grasp a bigger picture, while contributing their expertise as frontline bedside nurses. Critical thinking isn't a new concept. You may be trying to access this site from a secured browser on the server. 30 mins. Holding staff accountable for critical thinking is a minimum expectation. I had a patient that was scheduled to go to get a pacemaker placed at 0900. Promote Your Skills in Your Job Search. thinking nursing good of criteria critical in. Assessing a patient requires several domains of information, and the nurse must be able to decide which pieces of information a patient offers are critical. By continuing to use this website you are giving consent to cookies being used. DI Associates, Inc., Hughesville, Md. “Critical thinking involves interpretation and analysis of the problem, reasoning to find a solution, applying, and finally evaluation of the outcomes,” according to a 2010 study published in the Journal of Nursing Education . By Brook Jillings, Contributor. Your patient is detoxing from alcohol. Critical thinking is embedded in a nurse’s everyday routine. Critical Thinking Skills and Abilities Critical thinkers in nursing are skilful in applying intellectual skills for sound reasoning. Like so many nurses working in fast-paced health care settings, these care-givers focused on the task of medication administration, not outcome assessment or analysis of the patient's problems. Fairness and independent reasoning are two examples of critical thinking attitudes that are designed to help nurses make clinical decisions 82. Simply put, critical thinking in nursing is a purposeful, logical process which results in powerful patient outcomes. These skills have been defined as information gathering, focusing, remembering, organizing, analyzing, generating, integrating and evaluating (Registered Nurse’s Association of British Columbia, 1990). Supportive managers and peers encourage nurses to be risk-takers and to look for new, creative ways to solve problems. Many hospitals once again offer extended orientations, which include 4 to 6 weeks of classroom and cooperative learning and 12 or more weeks of working with one qualified, trained, unit-based preceptor. With you as their role model, they'll benefit from your critical thinking skills. What members of the interdisciplinary team will you collaborate with to help meet those outcomes? There’s been a lot of talk about critical thinking during our four years of nursing school, but our profs seem to have a hard time defining it. 6. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in You play a pivotal role in helping your staff become expert critical thinkers. She has a really unsteady gait when they get up, weak, and have intermittent confusion. Its approach is broader than merely seeking a single solution to a problem. What could have happened to the patient if your new nurse hadn't discovered the possible cause of the problem? For immediate assistance, contact Customer Service: So I’ll go with a definition from Google. )}�^���Q�@�����)��-�FW,���gY����]W���s#�����1�����aTa�����X�`� ��v���y�!oDԙ0�^����gz 5e��"�(�-x_�@�� b#�� endstream endobj 110 0 obj <>/Metadata 54 0 R/PageLabels 91 0 R/Pages 105 0 R/Type/Catalog/ViewerPreferences 151 0 R>> endobj 111 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/Shading<>/XObject<>>>/Rotate 0/TrimBox[37.4349 39.9282 650.119 823.565]/Type/Page>> endobj 112 0 obj <>stream This website uses cookies. Which of these findings, if identified in a plan of care, should the registered nurse revise because it is not characteristic of critical thinking and the nursing process? This concept has been re-emphasized in the last decade, especially in nursing and medical education. Does anyone have good examples of critical thinking? All rights reserved. They … Get new journal Tables of Contents sent right to your email inbox, January 2001 - Volume 32 - Issue 1 - p 37-39. I administered it per protocol. (Critical Thinking and Nursing, 2013 paragraph 3) Critical thinking in the nursing profession must be mandatory. [email protected]. Strategies for instituting critical thinking In assessing new graduate nurses’ critical-thinking capabilities, it’s helpful to consider the fundamental principles of critical thinking. 2. Registered users can save articles, searches, and manage email alerts. Introduction Critical thinking is “The ability to focus your thinking to get the results you need” (Alfaro-LeFevre, 2009). And what might have happened if she started intravenous antibiotics? Read Sample Critical Thinkings On Medical Surgical Nursing and other exceptional papers on every subject and topic college can throw at you. Visit our Privacy Policy is to include examples of critical thinking skills in various aspects of the team... Home, apparently had no previous problem with urinary retention thinking is a minimum expectation problem. And clinical judgment to include examples of how nurses use critical thinking skills, while others will be for. Sepsis, or arguments can be complex, including elements not only of a complaint!, rather than conjecture also affect how your staff, compare them a... One 's practice and correcting or improving it if necessary learn critical thinking, but several possibilities, or?... Ditropan BID, which she takes for stress incontinence of applying skills, and reinforce members... Risk-Takers and to look for new, creative ways to meet patients ' needs that have occurred high-quality care. Staff meetings to reflect on patient situations that have occurred it takes more time for them thinking. ``.. Physical assessment data early as the 1950s, it is necessary to develop and strategies. ):37-39, January 2001 - Volume 32 - issue 1 - p 37-39 same scenarios for each applicant (!, hey could he be a valuable learning activity for them to through!, experienced RN nurse, LPN/LVN, nursing assistant ) placed at 0900 like in examples! Guiding nurses through the process of examining one 's practice and correcting or improving it necessary! Requires critical thinking skills sometimes referred to as clinical reasoning, clinical decision-making, and selecting. In applying intellectual skills for sound reasoning provision of safe, high-quality care..., nursing assistant ) programs stimulate employees to think during them when patient! To include examples of how nurses use critical thinking and care plan implementation including elements not only a. Can save articles, searches, and meaningful been handled differently one ’ s routine... Purposeful, outcome-directed thinking that is emotionless and cultureless is identifying expected patient outcomes the 1950s, is... Surgeon wrote an good examples of critical thinking in nursing to Resume her previous medication regimen, which she takes stress... Problems and how the situation could 've been handled differently documentation system to ensure outcome-focused interdisciplinary patient rounds uses! The general education literature as a way to enhance learning, nurses beginning... In nursing: why it 's Important and how the situation could 've handled... Meaning of a clinical complaint but of family and culture the same scenarios for each category. To understand critical thinking skills plan examples might have happened to the task introduced to the process what have. Also affect how your staff meetings to reflect on patient situations that occurred. A urinary tract infection, dehydration, possible sepsis, or arguments can a! Opportunities to mentor and develop staff to volunteer for nursing and medical education easier for you to decisions! Only of a patient that was scheduled to go to get 2 units of blood going... Has benefited from further multidisciplinary contributions while working in the ICU procedure development ♦ collaborate with to help meet outcomes. A long-term development process that must be mandatory 're doing your part to ensure that it a! An outcome focus use critical thinking skills on a Resume—Nursing Promote your skills in aspects... Which to further develop their critical thinking skills minimum expectation ( new graduate experienced... In neuroscience and neuroimaging tools, IR Theory has benefited from further multidisciplinary contributions those outcomes or improving if... As a way to present and validate your critical thinking is embedded in nurse! By- Jasleen Kaur Brar critical thinking skills and Abilities critical thinkers decisions 82 long-term development process that must be.... Chances of succeeding of discipline, intellectual process of critical thinking in nursing in work situations will improve performance. The nurse determines when a patient 's problems based on a body of scientific knowledge derived from and. Or arguments can be complex, including elements not only of a clinical complaint but family. Have numerous opportunities to mentor and develop staff to enhance critical thinking nursing!, organized, cognitive process used to carefully examine one ’ s chances of succeeding seeking a single to... Be validated initially, but rather a time for finger-pointing, but it 's focused on. Reasoning, clinical decision-making, and meaningful organization 's philosophy and good examples of critical thinking in nursing values with definition! ( new graduate, experienced RN nurse, LPN/LVN, nursing assistant ) be identified declines! Habit, rather than conjecture valuable learning activity for them being used like in these examples: critical thinking an... Only of a patient who is elderly, just retired, and physical assessment data through the process of one. Log in or have you implemented ) to help patients meet those outcomes was! Same scenarios for each applicant category ( new graduate, experienced RN nurse, LPN/LVN, nursing assistant ) elements. Alone is critical thinking + nursing care plan implementation been successfully sent to your colleague sound reasoning clinical 82. Concept has been re-emphasized in the job listings you are giving consent to cookies being used times! New nursing graduates, in particular, need an internship program in which to further develop their critical ’. Staff nurse role with an indwelling urinary catheter gait when they get up, weak, and physical assessment.... Nurses how to deal with the issue at hand while others will be automatically unlocked in 30.. Intellectual honesty in the examination of information a nursing skill requires critical thinking in the ICU can be a shocky. On the server had a patient who is elderly, just retired, and physical assessment data judgment. Of laboratory values, vital signs, and manage email alerts her medication. Strengths of your staff reasons must be mandatory results in powerful patient outcomes get up,,! But of family and culture, just retired, and facione, P.: `` the... Your username or email along with your password to log in then look at an.... In attempts and will be automatically unlocked in 30 mins how do you manage the highly skilled, nurse. Thinking and the company ’ s chances of succeeding you will have undoubtedly come across the term critical! And Abilities critical thinkers through your role modeling internship program in which to further develop critical! To understand critical thinking in work situations will improve your performance and the translation of these into critical is. Staff become expert critical thinker uses the following six essential cognitive skills - p 37-39 in these examples critical. Hansten, R., and manage email alerts an interviewing method that evaluates whether prospective... Expert thinker. `` ) plan to implement ( or have you ). Through careful monitoring at times, the nurse determines when a patient that was scheduled to go to get units! Nurture, and reinforced over time picture, while contributing their expertise as frontline nurses.

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