NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

Sample Answer for NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making Included After Question

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

By Day 3 of Week 8

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

By Day 6 of Week 8

Respond to at least two of your colleagues* posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

*Note: Throughout this program, your fellow students are referred to as colleagues.

A Sample Answer For the Assignment: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

Title: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

One portion of your post that stood out to me was the “health policy education in nursing based on stages of nursing professions” as I found a peer reviewed paper on the topic of nurse leader education involving political advocacy very similar to your proposed structure (Adelman-Mullally, et al., 2013). This would also contribute to addressing the challenge you pointed out of nurses lacking a presence in health policy advocacy. I am already able to see some parallels anecdotally to current day though, as policy was barely mentioned during my BSN education, but now pursuing a MSN at Walden, it is becoming more in the spotlight. My suspicion is that a DNP program will possibly contain even more content coverage on policy advocacy/involvement.

When reading about your statement about nurses having a ethical/moral duty to participate in policy making, it was similar to how i would describe being a patient advocate. An alternative view to help address the challenge of policy making effort is to see it as an extension of being a patient advocate (which is emphasized at the very basic levels of nursing education already) (Chiu, et al., 2021). We as nurses centrally want to participate in policy making to change the nursing practice itself for the better, but if changes in nursing practice are beneficial to patient outcomes, it is arguably very similar to patient advocacy — especially if the policies being changed are the same ones whose patient’s voices are being heard speaking about.

References

Adelman-Mullally, T., Mulder, C. K., McCarter-Spalding, D. E., Hagler, D. A., Gaberson, K. B., Hanner, M. B., … & Young, P. K. (2013). The clinical nurse educator as leader. Nurse education in practice, 13(1), 29-34. https://doi.org/10.1016/j.nepr.2012.07.006

Chiu, P., Cummings, G. G., Thorne, S., & Schick-Makaroff, K. (2021). Policy advocacy and nursing organizations: A scoping review. Policy, Politics, & Nursing Practice, 22(4), 276-296. https://doi.org/10.1177/15271544211050611

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A Sample Answer 2 For the Assignment: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

Title: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

RNs and APRNs play essential roles in health care that influence policy decisions. There are numerous chances for nurses and nurse practitioners to get involved in policy-making. House policy-making and evaluation are essential, but legislative and political advocacy is no less critical to advancing the profession and patient care (ANA,2020). Participating in creating these policies establishes and incorporates relevant criteria for providing care.

The first opportunity for APRNs to actively participate in policy-making is becoming a member of a professional nursing organization. Doing so allows an NP to gain access to the tools it might take to get involved with groups of others participating in policy-making. Although some may feel hesitant about joining a professional organization, induction is primarily expected in the nursing community (Echevarria, 2018). An example of a professional organization is the American Association of Nurse Practitioners. Being a part of the American Association of Nurse Practitioners (AANP) is more than just a membership; it is a real opportunity to make a measurable difference in the strength of your profession and the health of this country (American Association of Nurse Practitioners, 2022). This organization offers much insight into the education, advocacy, and practice. Being a member of the AANP will allow individuals to be educated and aware and allows RNs and APRNS to make a difference in patient care.

The second opportunity for APRNs and registered nurses to actively participate in policy-making is to continue education. WhileNURS 6050 Week 8 Discussion 2 The Role of the RN APRN in Policy-Making nurses can participate in policy-making at any educational level, pursuing an advanced degree is an effective way to get a seat at the nursing policy table. Earning a DNP demonstrates nurses’ expertise at the highest level of practice, represents their commitment to advancing health outcomes, and distinguishes them as a thought leader. The DNP has been recognized by the American Association of Colleges of Nursing as the most appropriate degree for advanced-practice registered nurses to enter practice (Marymount University,2021).

APRNs might face a challenge in policy-making is the lack of available resources and knowledge.   Some nurses felt as though they did not possess the right resources to be able to mobilize policy-making actions. Reviewing and developing policies can become overwhelming and intimidating. APRNs also felt they had a lack of knowledge pertaining to health policy development, thus making it difficult to move forward in the process. Nurses and nurse practitioners found that influencing policy development and the course of the health policy is mainly about securing resources for health care (Shariff,2014). To overcome this challenge, I recommend becoming a professional nursing organization member. Nursing organizations give nurses the tools they need to stay current on best practices, read the opinions of industry leaders, and get a peek at what other hospitals throughout the nation are doing to change patient care.

The second challenge nurses and APRNs might face is a feeling of powerlessness to affect policy change. It is not uncommon to feel as though your voice is being ignored when you are a part of a significant movement. Front‐line nurses may believe it is impossible to create policy change at the national or even local level; many may think their role is too small to make a difference in health policy. However, the front-line engagement nurses have with patients, and other healthcare professionals, make them ideal healthcare policy advocates (Rafferty,2018). When decision-makers hear from nurses and practitioners, it will improve decisions on care coordination, regulatory changes, and health information technology. Knowledge is power in these situations.

One of the strategies I may implement is educating other nurses so they can be a part of policy-making. Until this class, I had no idea that I could affect policy-making. I would share facts, get people involved in a nursing organization that suits them, and increase awareness that we can make a change as nurses or APRNs. A second strategy I would use is to get the hospital I work at involved in policy reviews and nurse advocacy. I would create an in-house organization that makes nurses aware of their power to make change happen. I would collect a list of hospital issues we experience, see what we can do to change them, and collaborate with other hospitals to see if the issue is happening elsewhere.

American Association of Nurse Practitioners. (2022). Clinical Resources for Nurse Practitioners (NPS). American Association of Nurse Practitioners. Retrieved October 12, 2022, from https://www.aanp.org/practice/clinical-resources-for-nps

ANA. (2020, April 27). Advocacy. Practice Advocacy . Retrieved October 12, 2022, from https://www.nursingworld.org/practice-policy/advocacy/

Echevarria, I.  (2018).  Make connections by joining a professional nursing

organization.  Nursing,  48 (12),  35-38.  doi: 10.1097/01.NURSE.0000547721.84857.cb.

NURS 6050 Week 8 Discussion 2 The Role of the RN APRN in Policy-Making
NURS 6050 Week 8 Discussion 2 The Role of the RN APRN in Policy-Making

Marymount University.(2021, November 11). 5 ways nurses can shape policy. Marymount University Online. Retrieved October 12, 2022, from https://online.marymount.edu/blog/nursing-influence-on-health-care-policy

Rafferty A. M. (2018). Nurses as change agents for a better future in health care: the politics of drift and dilution. Health economics, policy, and law13(3-4), 475–491. https://doi.org/10.1017/S1744133117000482

Shariff N. (2014). Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development. BMC nursing13, 20. https://doi.org/10.1186/1472-6955-13-20

A Sample Answer 3 For the Assignment: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

Title: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

You mention that nurses can continue their education as a means to become involved in policy making.  If so, what are some specific opportunities that may arise either within your organization, locally, or on the national level?

Hello Hannah great post, you are absolutely right joining a professional nursing organization has a lot of perks and we forget to acknowledge it and don’t know how resourceful these can be. Some join to learn what’s going on and stay current in their field or specialty. Others want to network or enjoy the peer recognition that comes from being an active member of a major organization. (Greggs-McQuilkin, 2005). But I’d like to join American psychiatric nurses association. The fee for students to join is only $25 and it comes with benefits such as scholarships, they provide grants and networking opportunities.(American Association of Nurse Practitioners, 2022). Being a member like you said increases knowledge and provides  RNs and APRNs the opportunity to provide better patient care.

Resources

American Association of Nurse Practitioners. (2022). Clinical Resources for Nurse Practitioners (NPS). American Association of Nurse Practitioners. Retrieved October 18, 2022, from https://www.aanp.org/practice/clinical-resources-for-nps

Greggs-McQuilkin, D. (2005). Why join a professional nursing organization? : Nursing2022. LWW. Retrieved October 18, 2022, from https://journals.lww.com/nursing/Fulltext/2005/09001/Why_join_a_professional_nursing_organization_.6.aspx

A Sample Answer 4 For the Assignment: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

Title: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

Your post mentioned the challenge that a nurse’s voice may not be heard within such a large group. As a solution, I recommend that instead of viewing a nurse’s voice as getting lost in the crowd, utilize many nurses with a similar view on policy to encourage legislators to take your expert advice seriously. There is power in numbers. For example, there was a pay freeze, and nurses unionized to ensure the government prioritized their concerns (Lees-Galloway, 2021). If an individual nurse voiced their concerns, the government officials would likely not take their opinion as seriously as they would consider a union’s opinion.

Another challenge you identified is nurses’ lack of knowledge of the correct legislation format. One way to overcome this challenge is education. Nursing education in public policy and policymaking is equally vital as preparation to work in a clinical setting (Oether & Rosa, 2020). Nurses experience first-hand how laws and policy affects the nursing profession as well as patients and communities, it is essential to use this experience to educate legislators on the problems relating to health care and policy

References

Lees-Galloway, I. (2021). Pay freeze is bad policy and unions are fighting it. Kai Tiaki Nursing New Zealand, 27(5), 33.

Oerther, S., & Rosa, W. (2020). Advocating for equality: The backbone of the sustainable development goals. American Journal of Nursing, 120(12), 60-62. doi: 10.1097/01.NAJ.0000724256.31342.4b

A Sample Answer 5 For the Assignment: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

Title: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

RNs and APRNs play essential roles in health care that influence policy decisions. There are numerous chances for nurses and nurse practitioners to get involved in policy-making. House policy-making and evaluation are essential, but legislative and political advocacy is no less critical to advancing the profession and patient care (ANA,2020). Participating in creating these policies establishes and incorporates relevant criteria for providing care. 

The first opportunity for APRNs to actively participate in policy-making is becoming a member of a professional nursing organization. Doing so allows an NP to gain access to the tools it might take to get involved with groups of others participating in policy-making. Although some may feel hesitant about joining a professional organization, induction is primarily expected in the nursing community (Echevarria, 2018). An example of a professional organization is the American Association of Nurse Practitioners. Being a part of the American Association of Nurse Practitioners (AANP) is more than just a membership; it is a real opportunity to make a measurable difference in the strength of your profession and the health of this country (American Association of Nurse Practitioners, 2022). This organization offers much insight into the education, advocacy, and practice. Being a member of the AANP will allow individuals to be educated and aware and allows RNs and APRNS to make a difference in patient care. 

 The second opportunity for APRNs and registered nurses to actively participate in policy-making is to continue education. While nurses can participate in policy-making at any educational level, pursuing an advanced degree is an effective way to get a seat at the nursing policy table. Earning a DNP demonstrates nurses’ expertise at the highest level of practice, represents their commitment to advancing health outcomes, and distinguishes them as a thought leader. The DNP has been recognized by the American Association of Colleges of Nursing as the most appropriate degree for advanced-practice registered nurses to enter practice (Marymount University,2021). 

   APRNs might face a challenge in policy-making is the lack of available resources and knowledge.   Some nurses felt as though they did not possess the right resources to be able to mobilize policy-making actions. Reviewing and developing policies can become overwhelming and intimidating. APRNs also felt they had a lack of knowledge pertaining to health policy development, thus making it difficult to move forward in the process. Nurses and nurse practitioners found that influencing policy development and the course of the health policy is mainly about securing resources for health care (Shariff,2014). To overcome this challenge, I recommend becoming a professional nursing organization member. Nursing organizations give nurses the tools they need to stay current on best practices, read the opinions of industry leaders, and get a peek at what other hospitals throughout the nation are doing to change patient care. 

The second challenge nurses and APRNs might face is a feeling of powerlessness to affect policy change. It is not uncommon to feel as though your voice is being ignored when you are a part of a significant movement. Front‐line nurses may believe it is impossible to create policy change at the national or even local level; many may think their role is too small to make a difference in health policy. However, the front-line engagement nurses have with patients, and other healthcare professionals, make them ideal healthcare policy advocates (Rafferty,2018). When decision-makers hear from nurses and practitioners, it will improve decisions on care coordination, regulatory changes, and health information technology. Knowledge is power in these situations. 

One of the strategies I may implement is educating other nurses so they can be a part of policy-making. Until this class, I had no idea that I could affect policy-making. I would share facts, get people involved in a nursing organization that suits them, and increase awareness that we can make a change as nurses or APRNs. A second strategy I would use is to get the hospital I work at involved in policy reviews and nurse advocacy. I would create an in-house organization that makes nurses aware of their power to make change happen. I would collect a list of hospital issues we experience, see what we can do to change them, and collaborate with other hospitals to see if the issue is happening elsewhere. 

American Association of Nurse Practitioners. (2022). Clinical Resources for Nurse Practitioners (NPS). American Association of Nurse Practitioners. Retrieved October 12, 2022, from https://www.aanp.org/practice/clinical-resources-for-nps 

ANA. (2020, April 27). Advocacy. Practice Advocacy . Retrieved October 12, 2022, from https://www.nursingworld.org/practice-policy/advocacy/ 

Echevarria, I.  (2018).  Make connections by joining a professional nursing 

organization.  Nursing,  48 (12),  35-38.  doi: 10.1097/01.NURSE.0000547721.84857.cb. 

 Marymount University.(2021, November 11). 5 ways nurses can shape policy. Marymount University Online. Retrieved October 12, 2022, from https://online.marymount.edu/blog/nursing-influence-on-health-care-policy 

Rafferty A. M. (2018). Nurses as change agents for a better future in health care: the politics of drift and dilution.Health economics, policy, and law, 13(3-4), 475–491. https://doi.org/10.1017/S1744133117000482 

Shariff N. (2014). Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development. BMC nursing, 13, 20. https://doi.org/10.1186/1472-6955-13-20

A Sample Answer 6 For the Assignment: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

Title: NURS 6050 Week 8 Discussion 2: The Role of the RN/APRN in Policy-Making

When talking about the healthcare professionals, the roles of nurses, either the registered nurses (RNs) or the advanced nurse practitioners APRNs) can not be underrated. Nurses offer a unique, expert perspective on every aspect of the health care system and have an important voice in efforts to improve health (American Nurses Association [ANA], n.d.). Based on this, their involvement in the policy-making process is very paramount. The participation of the nurses in policy-making will facilitate patient care delivery. RNs’ and APRNs’ influence in health policies protects patient safety, increases the quality of care, facilitates their access to the required resources, and promotes quality health care (Arabi et al., 2014).

 Nursing organizations promote active participation by nurses in policymaking. For instance, the American Association of Colleges of Nursing emphasizes the role of nursing in the policy. For example, many educational programs incorporate policymaking into their curriculum. The National League for Nursing and the American Nurses Association also expect nurses to address policy as part of their professional role (Burke, 2016a).

How Nurses Can Partake in Policy-Making Process

A few of the numerous ways a nurse can partake in policymaking process are reading through pieces of literature and learning how policy is developed. Also, one should seek out policy areas one wants to influence, search the internet, research, and contact nursing organizations that participate in policy development. Nursing organizations and organizations such as AARP have multiple user-friendly internet sites that provide information about participating in policymaking activities (Burke, 2016b). Another way to become actively involved in policymaking is to meet with both local and state legislatures. Also, nurses can become actively involved in policymaking by becoming a nursing organization member such as American Nurses Association (ANA) or any other nursing professional organization (ANA, n.d.).

Challenges in Policy-Making Process

As there are many opportunities to get involved in the policymaking process, so are some challenges. One of those challenges includes difficulty in getting the ideas/agenda to the floor of the house. To overcome this challenge, one must be sure that he/she is knowledgeable with evidence-based facts regarding the issue before presenting to the policymakers. Involving the media is another way to get one’s agenda to the floor of the house and finally passed into law. Disseminating the information through social media brings the issue to the public’s awareness, which in turn pressurizes the law makers. Social media can support nursing campaigns and help the profession build relationships with key stakeholders to influence policy and political processes (O’Connor & Holloway, 2019).

 

References

American Nurses Association. (n.d.). Health Policy. Retrieved January 17, 2021 from https://www.nursingworld.org/practice-policy/health-policy/

Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis. Iranian journal of nursing and midwifery research, 19(3), 315–322.

Burke S. (2016). Influence through policy: Nurses have a unique role. Retrieved January 17, 2021 from https://nursingcentered.sigmanursing.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role

 

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Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

  • Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions
  • Evaluates literature resources to develop a comprehensive analysis or synthesis.
  • Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion
  • Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions.
  • Evaluates information from source(s) to develop a coherent analysis or synthesis.
  • Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis.
  • Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion.
  • Demonstrates little or no understanding of the topic.
  • Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions.
  • Information is taken from source(s) without any interpretation/evaluation.
  • The posting uses information that is not valid, relevant, or reliable
  • No evidence of the use of scholarly inquiry to inform or change professional or academic decisions.
  • Information is not valid, relevant, or reliable
Performance Category  10 9 8 4 0
Application of Course Knowledge –

Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations

  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
  • Applies concepts to personal experience in the professional setting and or relevant application to real life.
  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources.
  • Applies concepts to personal experience in their professional setting and or relevant application to real life
  • Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content
  • Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson.
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Does not demonstrate a solid understanding of the principles and concepts presented in the lesson
  • Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
  • Posts are superficial and do not reflect an understanding of the lesson content
  • Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life
  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
  • No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days.
  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.

  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
  • Does not post to the thread
  • No connections are made to the topic
  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
  • Writing style does not facilitate communication.
  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost       -5 points lost
Total Participation Requirements

per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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