Report on Nursing Profession: Health Issues and Practice Analysis

This report provides a detailed overview of the nursing profession, examining the historical development of the Australian healthcare system and its impact on nursing practice. It addresses health issues affecting Aboriginal and Torres Strait Islander people, primary health delivery, and the impact of ...Read More

WORKING IN NURSING PROFESSION

Table of Contents
Introduction .....................................................................................................................................5
TASK 1............................................................................................................................................5
Question 1 Historical development of Australian health care system........................................5
Question 2 Issues that impact the health of Aboriginal and Torres Strait Islander people ........5
Question 3 What does primary health delivery include .............................................................6
Question 4 Impact of client health and illness on nursing practice.............................................6
Question 5 Health and illness factors affecting people from countries other than Australia......6
Question 6 Health issues for Aboriginal and Torres Strait Islander people and its impact on
health care delivery ....................................................................................................................6
Question 7 Principles of wellness ..............................................................................................7
Question 8 Historical and current perspectives of nursing profession .......................................7
Question 9 Professional development strategies that could be used to develop skills and
knowledge in contemporary practice of nursing ........................................................................8
Question 10 How scope of nursing practice decision making framework assist the enrolled
nurses ..........................................................................................................................................8
Question 11. Employment opportunities.....................................................................................8
Question 12. Roles of nurses regulatory authorities, industrial and professional bodies...........9

Question 13. Nurse’s responsibilities relation to ethical guidelines...........................................9
Question 14. Understanding of organizational policies, procedures, guidelines and protocols..9
Question 15. Range of healthcare environment and speciality practice areas..........................10
Question 16. Ways to achieving effective team work...............................................................10
Question 17. Factors influence health related behaviour..........................................................10
Question 18. Communication strategies...................................................................................11
Question 19. Cultural and linguistic difference........................................................................11
Question 20. Reflective strategies.............................................................................................11
Question 21 Responsibility of enrolled nurses in OHS/ WHS policies ...................................12
TASK 2..........................................................................................................................................12
1. Nursing care for client...........................................................................................................12
2. What to do.............................................................................................................................12
3. Response and reason.............................................................................................................13
4. In case, intention are not achieved........................................................................................13
Scenario 2: Managing a clinical situation .......................................................................................1
1. What would you do initially....................................................................................................1
2. Who would you inform?.........................................................................................................1
3. What document would you complete?....................................................................................1

4. What risk assessments should be completed?.........................................................................1
TASK 3............................................................................................................................................1
CONCLUSION ...............................................................................................................................3
References .......................................................................................................................................4

INTRODUCTION
Nursing is a profession in the health care sector that focuses on care of individuals,
families and communities. Nurses could also regarded as differentiated from one health care
providers due to their approaches of patient care, training and scope of practice (Schwab and
Foundations, 2016). The present research study has been made with the purpose of showcasing
the impact of different health care concerns on nursing practices. Furthermore, discussion has
also been laid on those factors that leads to health and illness among Aboriginal and Torres Strait
Islander people. Besides this, researcher has also mentioned several principles of well being
along with different strategies to strengthen teamwork.
TASK 1
Question 1 Historical development of Australian health care system
From the last 30 years, there have been several major restructuring in the health care
system and probably that has brought major changes in the system. Australia’s health system is
complex and is also multi-faceted web of public and private providers who render different types
of health services (Harrison, 2016). The Australian Government and state and territory
government’s funds deliver a range of health care services which includes population health
programs, community health services and specific health services for Aboriginal and Torres
Strait Islander people. Several other segments have been added in the health care system in terms
of underpinning the service capabilities.
Question 2 Issues that impact the health of Aboriginal and Torres Strait Islander people
The environment in which Aboriginal and Torres Strait Islander people live have a
significant impact on their health. It is crucial to analyze health practices so that risk and harms
can be reduced (Ha, 2017). Risk factors have been increasing due to improper sewage disposal,
inadequate animal control measures and rubbish disposal collection methods. Major number of
health issues are increasing related to cardiovascular and cancer related diseases. In that area,
diseases spread and as a result, it affects the overall situation of the country. At the same time, it
is also enhancing the treatment costs.

Question 3 What does primary health delivery include
Primary health care refers to essential health care system that is based on scientifically
sound and socially acceptable methods and technology. This is essential to adhere in all the
health care communities for enhancing the standard of services (Schwab and Foundations, 2016).
It includes all the areas that play major role in health development and it also provides
appropriate access to health services, environment and lifestyle. Primary health delivery includes
reduction in exclusion of social disparities in health sector. At the same time, it also organizes
health services around people’s needs and expectations. Henceforth, it can be said that
collaborative services should be given to the clients associated with quality facets.
Question 4 Impact of client health and illness on nursing practice
It is essential for the nurses to deliver proper services to the clients so that health care
standards can be increased. Nurses are entitled to render prominent care to the patients so that
capability and competency of the nurses could be enhanced (Duprez and et, al., 2016). Illness
and health factors of clients shows a great impact on nurse’s practice and at the same time it also
helps the nurses to adopt different practices for treating the clients in suitable manner. In terms of
impact, it can be said that sometimes nurses have to adopt different practices so that new
methods can be used for prominent delivery of services.
Question 5 Health and illness factors affecting people from countries other than Australia
The ratio of health and illness has been enhancing because of outbreak of different
diseases and along with that communicable diseases are also increasing in the countries. For
instance- when people migrate to different places, they usually come in contact with diverse
health diseases which sometimes affects other people as well (Yilmaz and et.al., 2016). This
changes the entire health standards of the community and as a result, it creates more issues.
There are several illness that comes from hereditary sources; hence this is yet another reason that
leads to development of other health problems.
Question 6 Health issues for Aboriginal and Torres Strait Islander people and its impact on
health care delivery
Health issues among Aboriginal and Torres Strait Islander people have been increasing
due to several aspects such as smoking, high blood cholesterol, diabetes, physical inability and
obesity. These are the major forces which increases health issues among Aboriginal and Torres

Strait Islander people (Saylor and Graber, 2016). These factors impacts health care delivery
through creating more burden on the service provision dimension. Moreover, people have to
spend a lot of resources in order to get appropriate access to health care services.
Question 7 Principles of wellness
 Social wellness is all about developing appropriate relationships among friends, families
and co-workers and it typically emphasizes on enhancing social wellness.
 Emotional wellness is useful to comprehend so that challenges prevailing in the life can
be reduced (Phelan and McCormack, 2016).
 Spiritual wellness establishes peace and harmony in the lives.
 Environmental wellness is essential wherein society people have to focus more on
developing quality environment.
 Occupational wellness is required wherein people should get satisfaction from the job
profiles so as to balance the life.
 Intellectual wellness helps the person to learn new concepts; hence this can improve the
pursuit of lifelong learning (Alghamdi and Urden, 2016).
 Physical wellness helps an individual to maintain a healthy quality of life and manage
physical fitness.
Question 8 Historical and current perspectives of nursing profession
Several advances have been occurred in nursing science and research and that particularly
impact upon nursing education and clinical practice (Working Together in the Nursing
Profession, 2012). Therefore, this increases new ways of looking at this phenomenon in which
traditional concepts are used to encourage the level of nursing. This evolving pattern of
intellectual growth holds importance in the realm of nursing through adding advancement of
knowledge based services in the practice of nursing. Currently, customer oriented approach has
been followed in nursing so that better amenities can be rendered to the patients.

Question 9 Professional development strategies that could be used to develop skills and
knowledge in contemporary practice of nursing
In order to deliver competent services to the patients, it is essential for the nurses to
develop several skills and abilities. Nurses must have to focus on time management strategies
wherein suitable schedules should be made so that all the patients can be delivered appropriate
services. Nurses are required to adopt different strategies so that they can enhance their service
delivery capability (Spetz, 2016). Further, nurses should also develop the capability to deal with
complex and challenging cases so they can underpin the practice of nursing. This is essential for
overall development of the health care services.
Question 10 How scope of nursing practice decision making framework assist the enrolled
nurses
The enrolled nurses of Western Australia developed the scope of Nursing practice
decision making framework in association with the nursing profession. This aims to provide
guidance for individual nurses and other health personnel which aids in enhancing the standards
of health care services (Raj, 2016). Implementation of the Framework and the use of the guiding
principles will assist enrolled nurses and employers to negotiate practice issues including
advancement and expansion of the scope of practice. It also aids the enrolled nurses to adopt
legal aspects so that scope of nursing could be enhanced. Nurses must be authorised to practice
their duties according to the legislative framework.
Question 11. Employment opportunities
There are different set of opportunities that a person has in context of nursing and they
are as follows: Dialysis nurse: They help people whose have issues with their kidneys, when they do not
perform properly. Nurse Midwife: They provide healthcare to females like family planning education,
delivering babies, gynaecological exams and postnatal care (Simon, Kümmerling and
Hasselhorn, 2013). Nurse Anaesthetist: They are the one who maintain and administer anaesthesia. Nurse care manager: They monitor the progress of patients. Further, they evaluate their
care and suggest alternative way for treatment.

 Nurse educator: They implement, design and provide educational program for nurses.
Question 12. Roles of nurses regulatory authorities, industrial and professional bodies
Authority: The As per their authority, it is important that they make sure that proper
services are provided to clients. The issues that are faced by them are identified and accordingly
services are provided.
Industry: On industrial basis, the set of roles and responsibilities that has been provided
to them should be understood and they should treat all patients equally. Further, they should
support the firm in achieving their goals and objectives (Hoeve, Jansen and Roodbol, 2014).
Professional bodies: Confidentiality should be maintained and the information that is
provided by client should not be shared with anyone. Further, all patient should be treated
equally.
Question 13. Nurse’s responsibilities relation to ethical guidelines
There are certain guidelines that as to be followed by nurses among which few of the
areas are as follows: Confidentiality: All the information that is provided by patient should not be disclosed to
anyone until the patient permits. However, in case the life of patient is at risk, then they
can share the information to professional so as to reduce consequence. Duty of care: All the type of services should be provided to patient and they should not
be differentiated on any basis (Huston, 2013). On order words, all patients should be
treated equally.
 Public Liability: It protects them from various claims with respect of legal liabilities in
context of property damage and personal injury.
Question 14. Understanding of organizational policies, procedures, guidelines and protocols Admitting and discharging a client: Person is admitted when they require observation so
as to be diagnosed. Infection control and manual handling: Proper tools and equipment should be provided
to protect themselves. Supporting the cultural needs of clients: Clients should not be differentiated and they
need to be provided with proper respect and value.

 Access and equity: People of different culture, cast, racial or language should be treated
equally (Cañadas-De la Fuente, Vargas and Emilia, 2015). Dealing with clients who may have behavioural issues: There should be patients and
proper understanding of these people and services should be provided accordingly. Risk management: Proper evaluation be made and monitoring is important so that risk
can be reduced. Access to client’s health information: Documentation should be made every day so that
improvement can be determined. Reporting and recording client information: Personal information, issues faced and the
treatment that were taken previously.
 Sharing of client information with other health professionals: Confidentiality should be
maintained and it should not be shared with anyone.
Question 15. Range of healthcare environment and speciality practice areas
All they of health related issues are taken into consideration and adequate services are
provided to patients (Matthews, 2012). There are many areas that has to be considered by nurses.
In this context, it includes ambulatory care nursing, cardiac nursing, case management nurse,
dialysis nursing, critical car nursing, etc.
Question 16. Ways to achieving effective team work
Below given are the ways through which effective team work can be achieved in
healthcare:
Communication: There should be effective interaction with team members as it helps to
develop strong relationship with others. Further, one get to know other and the skills they
possess and they can learn from each other (Engeda, Birhanu and Alene, 2014).
Resolving conflicts: All the issues that are among team member should be discussed and
appropriate solution should be discussed to solve them.
Question 17. Factors influence health related behaviour
Factors that affect health related behaviour as follows:

 Life style: Changing lifestyle can be determined as a major factor as the changes in
consuming food and diet that people have highly affected health in negative manner
(Morberg, Lagerström and Dellve, 2012).
 Genetic: There are many health related issues that are caused because of genetic. Some of
them can be cured and some can not. These affects the health behaviour of people.
Question 18. Communication strategies
Below given are the different communication strategies that are applied to interact with
other health team members: Body language: Body language is very important for one to have so that other will be
able to understand that information properly. Facial expression: The face should speak the situation that one wants to convey to other
members so that they can understand the seriousness.
 Eye contact: TO have effective communication, it is essential that one have proper eye
contact as it provides attention of others (Butterworth and Faugier, 2013).
Question 19. Cultural and linguistic difference
Cultural and linguistic can be determined as a pattern of human behaviour. In this, it
includes thoughts, actions, language, values, ethic, customs, communication, religious, etc.
(Zamanzadeh, Valizadeh and Azadi, 2013). In other words, it is a set of congruent behaviour,
policies and attributes that fall together in professionals and help nurses or health care providers
to work effectively in situations of cross culture it is essential to make sure that nurses provide
patient or clients with proper services by considering all the factors.
Question 20. Reflective strategies
There are different type of self-reflect strategies that can be followed and they are as
follows: Observing: Different people have diverse set of skills and knowledge. In order to develop
once own skill, one can observe and work with others so that skills and capabilities can
be improved.

 Facing situation: In nursing different type of situation are faced and these are helpful to
know the areas and skills that are required to be improved (Van Bogaert, Kowalski and
Clarke, 2013). This will enable to develop the understanding and efficiency.
Question 21 Responsibility of enrolled nurses in OHS/ WHS policies
 Enrolled nurses are responsible to adopt measures to control the level of infection
prevailing in the hospitals. This is essential for promoting health care standards.
 Manual handling is also on up to enrolled nurses wherein they have to ensure that
appropriate standards are being used while using any tools and equipment (Raj, 2016).
 Enrolled nurses have to put efforts in managing risks prevailing in the health care setting
so that accidents and uncertainties can be minimized.
TASK 2
1. Nursing care for client
As per the case, there are certain set of actions that has to be taken in order to make sure
that proper care is provided to client. In this context, below given are few things that has to be
done:
Analysing health condition: The issue that is faced by client should be evaluated (Van
Bogaert, Kowalski, and Clarke, 2013). That information should be documented so that doctor
can provide different type of meditation as per the change in health condition.
Bowel movement: It is important that there is proper bowel movement so that issues faced
by patient can be solved.
2. What to do
In such type of condition, as a nurse, it is the responsibility to inform a care worker to
stand outside of the room and he/she will convey that services and being provided to the patient.
This way, the relatives can wait for few minutes until the care is properly provided to the patient
(Butterworth and Faugier, 2013). This way, the situation of visitors can be handled effectively
and efficiently.

3. Response and reason
As a nurse, it the responsibilities to make sure that all patient are provided with proper
care. In the given situation, I will call on for or staff members. In case they are not available,
then I will make sure that the patient who taken care by me is provided with all type of things
which may not have issue or negative impact over health. As a nurse, it is prime responsibilities
to make sure that patient should be taken cared and they are provided with the services as per
their requirements (Cañadas-De la Fuente, Vargas and Emilia, 2015). This way the issues as per
the case can be solved.
4. In case, intention are not achieved
In this type of situation, it is important that all the information that is missed out that has
to be performed by me. If they are not done, then it is my responsibility that all that information
is conveyed to other staff member who has their shift (Hoeve, Jansen and Roodbol, 2014). This
other staff will get to know about it and they will take appropriate steps to provide proper care.
In addition to this, doctor in charge should also be conveyed so that they will know it and take
proper actions.

Scenario 2: Managing a clinical situation
As per the scenario, it can be stated that at the time when I was sitting at the nurses
station a loud bang noise is heard and I found that patient has fallen out of bed.
1. What would you do initially
I would run to handle the client and provide them assistance so that he/she can be made
comfortable. Also, first aid needs to be provided so that they can overcome their injury.
2. Who would you inform?
Then, I would inform to the nurses and care practitioners regarding proper safety
measures so that they can manage the fall prevention of clients and provide them best care.
3. What document would you complete?
It requires different documents in order to prevent the fallen client out of bed. For
instance, filling its admission form and if any major injury occurs then they need to shift in
particular ward so that proper treatment can be provided.
4. What risk assessments should be completed?
Proper risk assessment plan needs to be prepared so that they can identify the potential
risk that could be faced by client fallen from bed. Further, identifying different measures to
protect them from falling helps in improving their safety concerns.
TASK 3
Enrolled nurses are considered as the care practitioners which are working under the
direction and delegation of a registered care worker and thus they need to improve their skills
and knowledge while practising as an enrolled nurse. However, health care nurses work across
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their lifespan within different environment such as acute care, community care, mental health,
aged care and medical/surgical treatment (Hoeve, Y.T., Jansen, and Roodbol, 2014). Thus, it is
essential for enrolled nurse to improve their skills and knowledge in relation to improve their
health status. Enrolled nurse is required to directly report to the registered nurse as well as
provide them effective training which would help them to improve their skills and capabilities.
Also, enrolled nurses are of great significance and thus contribute towards nursing assessments,
care planning, implementation and evaluation of care for health consumers and their families.
Thus, enrolled nurses are working under the overall responsibility of registered nurse. They are
given the responsibility to identify the daily living of patients, observe their needs and report
directly to the registered nurse. Thus, it would help them to improve their skills and knowledge
and which could be used later. They should also possess the skills of working in a team and
coordination with other health care assistants under the direction and delegation of a registered
nurse. Enrolled nurses possess the skills of working in a team and thus gain proper direction and
authority to render best care facilities to workers in order to provide best care planning and
facilities so that patient can overcome their needs (Flinkman and Salanterä, 2015).
Further, another skill possess by enrolled nurses is that they need to be accountable for
their nursing actions and practising competently as per the legislation as per their knowledge and
experience. They also possess specific skills in relation to learn technology and thus aids in
improving the talent so that appropriate care could be provided to care users. Hence, learning
proper skills and knowledge would be helpful for practising enrolled nurse so that they can carry
out varied range of health care environments such as acute care, community care, mental health
and aged care (Arsalani and et. al., 2014). Thus, gaining skills for working in all such care role
helps them to get skilled talented. They undertake appropriate skills which helps them to handle
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the difficulties and issues of various patient so that health status of such people can be improved.
However, an enrolled nurse with specific skills and knowledge could work in different
environments i.e. acute care, community care, mental health and aged care. Here, needs of every
patient is different and thus enrolled nurses could improve their skills through dealing with all
such patients so that they can attain desired results in the future. It is essential for enrolled nurses
to have skills, knowledge and competency so that they can underpin effective superior
performance and thus perform professionally within HSC (Rajacich and et. al., 2013).
There are different health care environments such as acute care, community care, mental
health and aged care etc. in which enrolled nurse can work in. Therefore, it would help in
improving their overall skills and knowledge and thus enhance efficiency so that nursing
practices could be carried out efficiently.
CONCLUSION
IT CAN BE CONCLUDED FROM THE STUDY THAT NURSING PROFESSION WITHIN HSC HELPS
INDIVIDUALS, FAMILIES AND COMMUNITIES TO IMPROVE THEIR PROFESSION AND THUS ATTAIN
SUCCESS. NURSES ARE REGARDED AS DIFFERENT FROM HEALTH CARE PROVIDERS AD THUS THEY
NEED TO BE EFFECTIVELY TRAINED SO THAT BETTER CARE FACILITIES CAN BE PROVIDED TO
THEM. HERE, SKILLS AND KNOWLEDGE OF ENROLLED NURSES SHOULD BE EFFICIENT WHICH
WOULD HELP THEM TO IMPROVE THEIR TALENT AND COMPETENCY SO THAT THEY CAN WORK IN
DIFFERENT HEALTH CARE ENVIRONMENTS AND RENDER THE BEST QUALITY SERVICES TO
PATIENTS. HENCE, OBTAINING EFFECTIVE SKILLS AND CAPABILITIES WOULD RESULT IN
IMPROVING THEIR EFFICIENCY AND ATTAIN OVERALL RESULTS.
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REFERENCES
Alghamdi, M. G. & Urden, L. D. (2016). Transforming the nursing profession in Saudi
Arabia. Journal of nursing management. 24(1). pp.E95-E100.
Arsalani, N. & et. al., (2014). Musculoskeletal disorders and working conditions among Iranian
nursing personnel. International Journal of Occupational Safety and Ergonomics. 20(4).
pp.671-680.
Butterworth, T. & Faugier, J. (2013). Clinical supervision and mentorship in nursing. Springer.
Cañadas-De la Fuente, G. A., Vargas, C. and Emilia, I., 2015. Risk factors and prevalence of
burnout syndrome in the nursing profession. International journal of nursing studies.
52(1). pp.240-249.
Duprez, V., Vandecasteele, T., Verhaeghe, S., Beeckman, D. & Van Hecke, A. (2016). The
effectiveness of interventions to enhance self‐management support competencies in the
nursing profession: a systematic review. Journal of Advanced Nursing.
Engeda, E. H., Birhanu, A. M. & Alene, K. A. (2014). Intent to stay in the nursing profession
and associated factors among nurses working in Amhara Regional State Referral Hospitals,
Ethiopia. BMC nursing. 13(1). pp.1.
Flinkman, M. & Salanterä, S., (2015). Early career experiences and perceptions–a qualitative
exploration of the turnover of young registered nurses and intention to leave the nursing
profession in Finland. Journal of nursing management. 23(8). pp.1050-1057.
Ha, E. H. (2017). How clinical nurses in South Korea perceive the status of the nursing
profession: AQ‐methodological approach. International Journal of Nursing Practice.
Harrison, T. (2016). Triage pioneer: Quality in Care Cancer Nurse of the Year 2016 Philippa
Jones has undertaken pioneering work in developing a triage tool for patients with cancer.
Here, she talks about her role as a Macmillan associate acute oncology nurse adviser at
Royal Wolverhampton NHS Trust and what prompted her to join the nursing
profession. Cancer Nursing Practice. 15(4). pp.40-40.
Hoeve, Y. T., Jansen, G. & Roodbol, P. (2014). The nursing profession: public image, self‐
concept and professional identity. A discussion paper. Journal of advanced nursing. 70(2).
pp.295-309.
4

Hoeve, Y.T., Jansen, G. & Roodbol, P., (2014). The nursing profession: public image, self‐
concept and professional identity. A discussion paper.Journal of advanced nursing. 70(2).
pp.295-309.
Huston, C. J. (20130. Professional issues in nursing: Challenges and opportunities. Lippincott
Williams & Wilkins.
Matthews, J. (2012). Role of professional organizations in advocating for the nursing profession.
Online J Issues Nurs. 17(3).
Morberg, S., Lagerström, M. & Dellve, L. (2012). The school nursing profession in relation to
Bourdieu’s concepts of capital, habitus and field. Scandinavian journal of caring sciences.
26(2). pp.355-362.
Phelan, A. & McCormack, B. (2016). Exploring nursing expertise in residential care for older
people: a mixed method study. Journal of advanced nursing
Raj, M. A. K. (2016). Job stress among staff nurses working in critical care units and their
Socio-demographic correlates: A cross sectional survey.Global Journal For Research
Analysis. 4(12).
Rajacich, D. & et. al., (2013), January. If they do call you a nurse, it is always a “male nurse”:
Experiences of men in the nursing profession. In Nursing forum. 48(1). pp. 71-80.
Saylor, J. & Graber, J. (2016). Influence Through Lifelong Learning: Membership Engagement
Advances the Nursing Profession.
Schwab, E. M. C. & Foundations, A. H. (2016). Foundation Funding For The Nursing
Profession. Health Affairs. 35. pp.7.
Simon, M., Kümmerling, A. & Hasselhorn, H. M., (2013). Work-home conflict in the European
nursing profession. International journal of occupational and environmental health.
Spetz, J. (2016). The Nursing Profession, Diversity, and Wages. Health services research.
Van Bogaert, P., Kowalski, C. & Clarke, S. P. (2013). The relationship between nurse practice
environment, nurse work characteristics, burnout and job outcome and quality of nursing
care: a cross-sectional survey. International journal of nursing studies. 50(12). pp.1667-
1677.
Working Together in the Nursing Profession, (2012). [Online]. Available through:
<http://www.nursetogether.com/working-together-nursing-profession>. [Accessed on 14th
January 2017].
5

Yilmaz, A. A., Ilce, A., Cicek, S. C., Yuzden, G. E. & Yigit, U. (2016). The effect of a career
activity on the students' perception of the nursing profession and their career plan: A
single-group experimental study. Nurse education today. 39. pp.176-180.
Zamanzadeh, V., Valizadeh, L. & Azadi, A. (2013). Factors influencing men entering the
nursing profession, and understanding the challenges faced by them: Iranian and developed
countries’ perspectives. Nursing and midwifery studies. 2(4). pp.49.
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