Loading…

Socio-emotional competencies as predictors of performance of nursing students in simulated clinical practice

Socio-emotional competencies positively influence academic performance and clinical practice of students enrolled in a Nursing degree. However, there is a lack of studies that relate these competencies with performance in a high-fidelity clinical simulation training scenario. To analyze the relation...

Full description

Saved in:
Bibliographic Details
Published in:Nurse education in practice 2018-09, Vol.32, p.122-128
Main Authors: Sánchez Expósito, Judit, Leal Costa, César, Díaz Agea, José Luis, Carrillo Izquierdo, María Dolores, Jiménez Rodríguez, Diana
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c384t-d918d50c86243cb3f3ce21f0a64e9d954db9751fc33b246de77a69e1907e7b693
cites cdi_FETCH-LOGICAL-c384t-d918d50c86243cb3f3ce21f0a64e9d954db9751fc33b246de77a69e1907e7b693
container_end_page 128
container_issue
container_start_page 122
container_title Nurse education in practice
container_volume 32
creator Sánchez Expósito, Judit
Leal Costa, César
Díaz Agea, José Luis
Carrillo Izquierdo, María Dolores
Jiménez Rodríguez, Diana
description Socio-emotional competencies positively influence academic performance and clinical practice of students enrolled in a Nursing degree. However, there is a lack of studies that relate these competencies with performance in a high-fidelity clinical simulation training scenario. To analyze the relationship between socio-emotional competencies and performance in simulated clinical practices of a sample of 4th-year Nursing degree students. Transversal descriptive study conducted in Spain. A sample of 91 students enrolled in their last academic year of the Nursing degree, who were undergoing clinical practices along with simulation sessions. Socio-emotional competencies (communication skills, coping with stress, self-efficacy, engagement, etc.) were analyzed through the use of self-administered questionnaires and their performance in high-fidelity clinical simulation sessions. The socio-emotional competencies had a positive and statistically-significant correlation (p 
doi_str_mv 10.1016/j.nepr.2018.07.009
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2078582116</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1471595317307643</els_id><sourcerecordid>2078582116</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-d918d50c86243cb3f3ce21f0a64e9d954db9751fc33b246de77a69e1907e7b693</originalsourceid><addsrcrecordid>eNp9kU2L1jAUhYMozjj6B1xIwI2b1nw0TQNuZPALBlyo65De3Epe2qQmqeC_Ny_v6MKFq9zAc87iOYQ856znjI-vT33EPfeC8alnumfMPCDXfNKyU0LIh-0eNO-UUfKKPCnlxFqI6fExuZKMDUbp4ZqsXxKE1OGWakjRrRTStmPFCAELdYXuGX2AmnKhaaE75iXlzUXA8zceuYT4nZZ6eIy10BBpCduxuoqewhpigNa5Zwc1AD4ljxa3Fnx2_96Qb-_ffb392N19_vDp9u1dB3IaaucNn7xiMI1ikDDLRQIKvjA3Dmi8UYOfjVZ8ASlnMYwetXajQW6YRj2PRt6QV5fePacfB5Zqt1AA19VFTEexgulJTYLzsaEv_0FP6chNRKM4F03TpFWjxIWCnErJuNg9h83lX5Yze97Cnux5C3vewjJt2xYt9OK--pg39H8jf-Q34M0FwObiZ8BsS7Pe1PqQEar1Kfyv_zfrLZwH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2112049875</pqid></control><display><type>article</type><title>Socio-emotional competencies as predictors of performance of nursing students in simulated clinical practice</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>Education Collection (Proquest) (PQ_SDU_P3)</source><source>ScienceDirect Freedom Collection</source><source>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</source><source>Sociology Collection</source><creator>Sánchez Expósito, Judit ; Leal Costa, César ; Díaz Agea, José Luis ; Carrillo Izquierdo, María Dolores ; Jiménez Rodríguez, Diana</creator><creatorcontrib>Sánchez Expósito, Judit ; Leal Costa, César ; Díaz Agea, José Luis ; Carrillo Izquierdo, María Dolores ; Jiménez Rodríguez, Diana</creatorcontrib><description>Socio-emotional competencies positively influence academic performance and clinical practice of students enrolled in a Nursing degree. However, there is a lack of studies that relate these competencies with performance in a high-fidelity clinical simulation training scenario. To analyze the relationship between socio-emotional competencies and performance in simulated clinical practices of a sample of 4th-year Nursing degree students. Transversal descriptive study conducted in Spain. A sample of 91 students enrolled in their last academic year of the Nursing degree, who were undergoing clinical practices along with simulation sessions. Socio-emotional competencies (communication skills, coping with stress, self-efficacy, engagement, etc.) were analyzed through the use of self-administered questionnaires and their performance in high-fidelity clinical simulation sessions. The socio-emotional competencies had a positive and statistically-significant correlation (p &lt; 0.05) with performance in simulated clinical practices. A relationship between socio-emotional competencies and performance in simulated practices was observed [R2 = 0.502; F (20.55) = 2.827; p = 0.01]. The socio-emotional competencies of 4th-year nursing students were associated to their performance in simulated clinical practices. •4th-year Nursing students possess adequate socio-emotional competencies.•Socio-emotional competencies were positively correlated with simulation performance.•Socio-emotional competencies could be used as predictors of simulation performance.</description><identifier>ISSN: 1471-5953</identifier><identifier>EISSN: 1873-5223</identifier><identifier>DOI: 10.1016/j.nepr.2018.07.009</identifier><identifier>PMID: 30049574</identifier><language>eng</language><publisher>Scotland: Elsevier Ltd</publisher><subject>Academic achievement ; Adaptation, Psychological ; Adult ; Anxiety ; Clinical Competence ; Clinical medicine ; Clinical nursing ; Clinical simulation ; Clinical training ; College Students ; Communication ; Communication skills ; Competence ; Coping ; Cross-Sectional Studies ; Education reform ; Education, Nursing, Baccalaureate ; Emotions ; Empathy ; Female ; Fidelity ; High Fidelity Simulation Training - methods ; Humans ; Job Skills ; Learning ; Male ; Nursing ; Nursing Students ; Patients ; Professional practice ; Questionnaires ; Self Efficacy ; Simulation ; Skills ; Social skill ; Social Skills ; Socio-emotional competence ; Standardized patients ; Students ; Students, Nursing - psychology ; Surveys and Questionnaires ; Teaching Methods</subject><ispartof>Nurse education in practice, 2018-09, Vol.32, p.122-128</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. All rights reserved.</rights><rights>2018. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-d918d50c86243cb3f3ce21f0a64e9d954db9751fc33b246de77a69e1907e7b693</citedby><cites>FETCH-LOGICAL-c384t-d918d50c86243cb3f3ce21f0a64e9d954db9751fc33b246de77a69e1907e7b693</cites><orcidid>0000-0002-7711-3877 ; 0000-0002-0818-0224</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2112049875/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2112049875?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21378,21394,21395,27924,27925,30999,33611,33612,33877,33878,34530,34531,43733,43880,44115,74093,74269,74511</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30049574$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sánchez Expósito, Judit</creatorcontrib><creatorcontrib>Leal Costa, César</creatorcontrib><creatorcontrib>Díaz Agea, José Luis</creatorcontrib><creatorcontrib>Carrillo Izquierdo, María Dolores</creatorcontrib><creatorcontrib>Jiménez Rodríguez, Diana</creatorcontrib><title>Socio-emotional competencies as predictors of performance of nursing students in simulated clinical practice</title><title>Nurse education in practice</title><addtitle>Nurse Educ Pract</addtitle><description>Socio-emotional competencies positively influence academic performance and clinical practice of students enrolled in a Nursing degree. However, there is a lack of studies that relate these competencies with performance in a high-fidelity clinical simulation training scenario. To analyze the relationship between socio-emotional competencies and performance in simulated clinical practices of a sample of 4th-year Nursing degree students. Transversal descriptive study conducted in Spain. A sample of 91 students enrolled in their last academic year of the Nursing degree, who were undergoing clinical practices along with simulation sessions. Socio-emotional competencies (communication skills, coping with stress, self-efficacy, engagement, etc.) were analyzed through the use of self-administered questionnaires and their performance in high-fidelity clinical simulation sessions. The socio-emotional competencies had a positive and statistically-significant correlation (p &lt; 0.05) with performance in simulated clinical practices. A relationship between socio-emotional competencies and performance in simulated practices was observed [R2 = 0.502; F (20.55) = 2.827; p = 0.01]. The socio-emotional competencies of 4th-year nursing students were associated to their performance in simulated clinical practices. •4th-year Nursing students possess adequate socio-emotional competencies.•Socio-emotional competencies were positively correlated with simulation performance.•Socio-emotional competencies could be used as predictors of simulation performance.</description><subject>Academic achievement</subject><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Clinical Competence</subject><subject>Clinical medicine</subject><subject>Clinical nursing</subject><subject>Clinical simulation</subject><subject>Clinical training</subject><subject>College Students</subject><subject>Communication</subject><subject>Communication skills</subject><subject>Competence</subject><subject>Coping</subject><subject>Cross-Sectional Studies</subject><subject>Education reform</subject><subject>Education, Nursing, Baccalaureate</subject><subject>Emotions</subject><subject>Empathy</subject><subject>Female</subject><subject>Fidelity</subject><subject>High Fidelity Simulation Training - methods</subject><subject>Humans</subject><subject>Job Skills</subject><subject>Learning</subject><subject>Male</subject><subject>Nursing</subject><subject>Nursing Students</subject><subject>Patients</subject><subject>Professional practice</subject><subject>Questionnaires</subject><subject>Self Efficacy</subject><subject>Simulation</subject><subject>Skills</subject><subject>Social skill</subject><subject>Social Skills</subject><subject>Socio-emotional competence</subject><subject>Standardized patients</subject><subject>Students</subject><subject>Students, Nursing - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Teaching Methods</subject><issn>1471-5953</issn><issn>1873-5223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>HEHIP</sourceid><sourceid>M0P</sourceid><sourceid>M2S</sourceid><recordid>eNp9kU2L1jAUhYMozjj6B1xIwI2b1nw0TQNuZPALBlyo65De3Epe2qQmqeC_Ny_v6MKFq9zAc87iOYQ856znjI-vT33EPfeC8alnumfMPCDXfNKyU0LIh-0eNO-UUfKKPCnlxFqI6fExuZKMDUbp4ZqsXxKE1OGWakjRrRTStmPFCAELdYXuGX2AmnKhaaE75iXlzUXA8zceuYT4nZZ6eIy10BBpCduxuoqewhpigNa5Zwc1AD4ljxa3Fnx2_96Qb-_ffb392N19_vDp9u1dB3IaaucNn7xiMI1ikDDLRQIKvjA3Dmi8UYOfjVZ8ASlnMYwetXajQW6YRj2PRt6QV5fePacfB5Zqt1AA19VFTEexgulJTYLzsaEv_0FP6chNRKM4F03TpFWjxIWCnErJuNg9h83lX5Yze97Cnux5C3vewjJt2xYt9OK--pg39H8jf-Q34M0FwObiZ8BsS7Pe1PqQEar1Kfyv_zfrLZwH</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Sánchez Expósito, Judit</creator><creator>Leal Costa, César</creator><creator>Díaz Agea, José Luis</creator><creator>Carrillo Izquierdo, María Dolores</creator><creator>Jiménez Rodríguez, Diana</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7711-3877</orcidid><orcidid>https://orcid.org/0000-0002-0818-0224</orcidid></search><sort><creationdate>201809</creationdate><title>Socio-emotional competencies as predictors of performance of nursing students in simulated clinical practice</title><author>Sánchez Expósito, Judit ; Leal Costa, César ; Díaz Agea, José Luis ; Carrillo Izquierdo, María Dolores ; Jiménez Rodríguez, Diana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-d918d50c86243cb3f3ce21f0a64e9d954db9751fc33b246de77a69e1907e7b693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Academic achievement</topic><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Clinical Competence</topic><topic>Clinical medicine</topic><topic>Clinical nursing</topic><topic>Clinical simulation</topic><topic>Clinical training</topic><topic>College Students</topic><topic>Communication</topic><topic>Communication skills</topic><topic>Competence</topic><topic>Coping</topic><topic>Cross-Sectional Studies</topic><topic>Education reform</topic><topic>Education, Nursing, Baccalaureate</topic><topic>Emotions</topic><topic>Empathy</topic><topic>Female</topic><topic>Fidelity</topic><topic>High Fidelity Simulation Training - methods</topic><topic>Humans</topic><topic>Job Skills</topic><topic>Learning</topic><topic>Male</topic><topic>Nursing</topic><topic>Nursing Students</topic><topic>Patients</topic><topic>Professional practice</topic><topic>Questionnaires</topic><topic>Self Efficacy</topic><topic>Simulation</topic><topic>Skills</topic><topic>Social skill</topic><topic>Social Skills</topic><topic>Socio-emotional competence</topic><topic>Standardized patients</topic><topic>Students</topic><topic>Students, Nursing - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Teaching Methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sánchez Expósito, Judit</creatorcontrib><creatorcontrib>Leal Costa, César</creatorcontrib><creatorcontrib>Díaz Agea, José Luis</creatorcontrib><creatorcontrib>Carrillo Izquierdo, María Dolores</creatorcontrib><creatorcontrib>Jiménez Rodríguez, Diana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>ProQuest Nursing and Allied Health Source</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Central</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Education Journals</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Proquest Research Library</collection><collection>Sociology Database (ProQuest)</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Nurse education in practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sánchez Expósito, Judit</au><au>Leal Costa, César</au><au>Díaz Agea, José Luis</au><au>Carrillo Izquierdo, María Dolores</au><au>Jiménez Rodríguez, Diana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Socio-emotional competencies as predictors of performance of nursing students in simulated clinical practice</atitle><jtitle>Nurse education in practice</jtitle><addtitle>Nurse Educ Pract</addtitle><date>2018-09</date><risdate>2018</risdate><volume>32</volume><spage>122</spage><epage>128</epage><pages>122-128</pages><issn>1471-5953</issn><eissn>1873-5223</eissn><abstract>Socio-emotional competencies positively influence academic performance and clinical practice of students enrolled in a Nursing degree. However, there is a lack of studies that relate these competencies with performance in a high-fidelity clinical simulation training scenario. To analyze the relationship between socio-emotional competencies and performance in simulated clinical practices of a sample of 4th-year Nursing degree students. Transversal descriptive study conducted in Spain. A sample of 91 students enrolled in their last academic year of the Nursing degree, who were undergoing clinical practices along with simulation sessions. Socio-emotional competencies (communication skills, coping with stress, self-efficacy, engagement, etc.) were analyzed through the use of self-administered questionnaires and their performance in high-fidelity clinical simulation sessions. The socio-emotional competencies had a positive and statistically-significant correlation (p &lt; 0.05) with performance in simulated clinical practices. A relationship between socio-emotional competencies and performance in simulated practices was observed [R2 = 0.502; F (20.55) = 2.827; p = 0.01]. The socio-emotional competencies of 4th-year nursing students were associated to their performance in simulated clinical practices. •4th-year Nursing students possess adequate socio-emotional competencies.•Socio-emotional competencies were positively correlated with simulation performance.•Socio-emotional competencies could be used as predictors of simulation performance.</abstract><cop>Scotland</cop><pub>Elsevier Ltd</pub><pmid>30049574</pmid><doi>10.1016/j.nepr.2018.07.009</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-7711-3877</orcidid><orcidid>https://orcid.org/0000-0002-0818-0224</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1471-5953
ispartof Nurse education in practice, 2018-09, Vol.32, p.122-128
issn 1471-5953
1873-5223
language eng
recordid cdi_proquest_miscellaneous_2078582116
source Applied Social Sciences Index & Abstracts (ASSIA); Education Collection (Proquest) (PQ_SDU_P3); ScienceDirect Freedom Collection; Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociology Collection
subjects Academic achievement
Adaptation, Psychological
Adult
Anxiety
Clinical Competence
Clinical medicine
Clinical nursing
Clinical simulation
Clinical training
College Students
Communication
Communication skills
Competence
Coping
Cross-Sectional Studies
Education reform
Education, Nursing, Baccalaureate
Emotions
Empathy
Female
Fidelity
High Fidelity Simulation Training - methods
Humans
Job Skills
Learning
Male
Nursing
Nursing Students
Patients
Professional practice
Questionnaires
Self Efficacy
Simulation
Skills
Social skill
Social Skills
Socio-emotional competence
Standardized patients
Students
Students, Nursing - psychology
Surveys and Questionnaires
Teaching Methods
title Socio-emotional competencies as predictors of performance of nursing students in simulated clinical practice
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-07T20%3A32%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Socio-emotional%20competencies%20as%20predictors%20of%20performance%20of%20nursing%20students%20in%20simulated%20clinical%20practice&rft.jtitle=Nurse%20education%20in%20practice&rft.au=S%C3%A1nchez%20Exp%C3%B3sito,%20Judit&rft.date=2018-09&rft.volume=32&rft.spage=122&rft.epage=128&rft.pages=122-128&rft.issn=1471-5953&rft.eissn=1873-5223&rft_id=info:doi/10.1016/j.nepr.2018.07.009&rft_dat=%3Cproquest_cross%3E2078582116%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c384t-d918d50c86243cb3f3ce21f0a64e9d954db9751fc33b246de77a69e1907e7b693%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2112049875&rft_id=info:pmid/30049574&rfr_iscdi=true