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Cancer … , 2009
Nosotros describe family caregiver (FCG) participation in a tailored coping and communication back up i... more than We describe family unit caregiver (FCG) participation in a tailored coping and communication back up intervention for avant-garde cancer patients and families. Preliminary descriptive data on characteristics and patterns of early engagement in the intervention for 132 FCGs are presented. Engagement assessed at an initial in-person meeting and the following half dozen weeks includes problems raised, strategies used, and initiation, frequency, and style of contact. A sizable proportion of FCGs were male, African American, and nonspouse. The FCGs had minor scores on a standard survey measure out of burden yet volunteered caregiving demands as their primary trouble. Other problems raised initially by more than than 40% of the sample included psychological, practical, and communication with healthcare providers. Few reported concrete and psychosocial difficulties. Engagement preferences expressed at the initial meeting largely mapped with actual engagement during the vi weeks of intervention. Near FCGs were actively engaged during follow-upwards. Some (14%) did not opt for coping and communication support during this early on treatment phase. This intervention is expected to affect quality of care and quality-of-life outcomes for FCGs over time from patient diagnosis to end of life. Findings volition guide modification and broadcasting of this intervention primarily in cancer clinics for the underserved.
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Holistic Nursing Exercise
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Periodical of Clinical Oncology
87 Background: Reiki is a complementary therapy that has been reported to decrease symptoms of st... more 87 Background: Reiki is a complementary therapy that has been reported to subtract symptoms of stress and promote relaxation. Standards for administrating Reiki have non been established. Additionally, patients with advanced cancer and their family caregivers (FCGs) come across challenges during the illness feel that preclude them from participating in stress reducing therapies offered exterior the home. The purpose of this study was to evaluate the feasibility and fidelity of an "at-home" reiki intervention performed by the FCG of patients with cancer. Methods: Twelve cancer patients and their FCGs were recruited from oncology outpatient facilities in the Greater Cleveland expanse. A certified Reiki educator provided two 4-hour courses for the FCGs to acquire the basics and practice. To develop and promote intervention fidelity, the FCG maintained a daily diary recording frequency, interval, time of 24-hour interval, and position of Reiki practise. The Reiki educator called the FCG weekly to moni...
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Holistic Nursing Practise
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Periodical of the American Psychiatric Nurses Clan
Groundwork: Violence on inpatient psychiatric settings has significant consequences for patients ... more Background: Violence on inpatient psychiatric settings has significant consequences for patients and staff. Research is needed to determine if Brøset Violence Checklist (BVC) is an authentic predictor of violence. AIMS: The written report aims were to make up one's mind the human relationship between BVC scores and incidence of vehement beliefs within 24 hours, to compare scores amidst those requiring high-level nursing interventions for violence, and to investigate the bear on of scores on length of stay (LOS) and xxx day-readmission rates. METHOD: Retrospective cohort study. RESULTS: Logistic regression indicates 3.4 times greater risk of violence for every additional bespeak on admission BVC (odds ratio = 3.4, 95% confidence interval = [2.29, five.08], p < .0001). Patients requiring high-level interventions for violence had higher hateful BVC scores on both Solar day 1 and 2 of admission. Pearson correlation was meaning for positive association between BVC on admission and LOS ( p < .001). Findings did non esta...
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Journal of Clinical Oncology
174 Background: Complementary care modalities are needed for residential patients and family unit care... more 174 Background: Complementary care modalities are needed for residential patients and family unit caregivers, in addition to traditional cancer treatments, to effectively convalesce associated symptoms. Reiki is i of the biofield free energy modalities which is by and large known to provide non-invasive, non-pharmacological, and beneficial relaxation. It has been commonly practiced to cancer patients in clinical and cancer support facilities. However, petty is known about providing Reiki at home especially by breezy caregivers. This written report aims to describe and sympathize the perceptions of an in-dwelling Reiki practise as experienced by patients with cancer and their family unit caregivers. Research Question: What are the perceptions of patients and caregivers of their experiences with an in-home Reiki do? Methods: A descriptive phenomenological approach (Husserl) was used to explore the perceptions of cancer patients and family caregivers of an in-home Reiki practice through narratives of six d...
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Cancer Nurs , 1992
Diversional activity deficit, a nursing diagnosis that occurs with prolonged hospital treatment, ... more Diversional activity deficit, a nursing diagnosis that occurs with prolonged hospital handling, requires artistic and practical means for nurses to support patients. A tool designed to appraise diversional needs is described. Benefits include improved relationships and enhanced patient coping with a minimum of cost and inconvenience.
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Nursing direction , 2015
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Oncology nursing forum
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Oncology nursing forum
Oncology nurses need to develop expert communication skills, especially when delivering bad news ... more Oncology nurses need to develop practiced advice skills, especially when delivering bad news to patients and families. Patients and families differ in their needs for levels of information, interpretation of information delivered to them, and responses to unfavorable news. When bad news is delivered in a sensitive and caring manner, morale tin exist maintained, and the process of coming to terms with illness or death is possible through realistic expectations and hope. It is valuable for nurses to elicit patients' or family members' understanding of what is happening to them, and what they demand is key in the process of communicating in a crisis time. Also, skill in responding to feelings and not the content of expression is necessary to the process of recovery. So many improved cancer treatments exist, merely the goal of effectively communicating bad news with respect and caring is just as of import as treating the person who happens to have cancer.
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SCI nursing: a publication of the American Association of Spinal Cord Injury Nurses
The purpose of this descriptive study is to describe the profile of individuals with spinal cord ... more than The purpose of this descriptive written report is to depict the profile of individuals with spinal cord injuries (SCI) who ofttimes use health care services in an unplanned style so that nursing interventions could be designed to decrease utilization. The medical records of 78 subjects with SCI were reviewed for demographic and injury-related variables, comorbid health conditions, discharge disposition, and health care utilization for five years. Based on the rate of unplanned utilization of health care services, three groups of users were identified: non-user, low-user, and loftier-user groups. Results indicated that loftier users, compared to non-users and low users, had a higher substance-apply rate, a higher unemployment rate at the time of the most recent wellness intendance visit, and more violent causes of their SCI. Findings advise four clinically meaningful trends that have practical implications for nurses related to marital status, substance utilize, employment status, and etiology of injury. R...
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Clinical interventions in crumbling , 2008
As our social club ages, increasing numbers of older Americans will exist diagnosed and eventually will ... more Equally our society ages, increasing numbers of older Americans will be diagnosed and eventually will die of cancer. To date, psycho-oncology interventions for advanced cancer patients have been more successful in reaching younger adult historic period groups and by and large have non been designed to answer to the unique needs and preferences of older patients. Theories and enquiry on successful aging (Baltes and Baltes 1990; Baltes 1997), health information processing style (Miller 1995; Miller et al 2001) and non-directive client-centered therapy (Rogers 1951, 1967), take guided the evolution of a coping and communication support (CCS) intervention. Key components of this age-sensitive and tailored intervention are described, including problem domains addressed, intervention strategies used and the role of the CCS practitioner. Age group comparisons in frequency of contact, issues raised and intervention strategies used during the first six weeks of follow upwards bespeak that older patients were ...
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The Nursing clinics of N America , 2001
Palliative intendance nurses can face up unique stressors and compassion fatigue working in their field. West... more than Palliative care nurses tin face unique stressors and compassion fatigue working in their field. Working with the dying and their families, communicating with other wellness intendance professionals, and handling ethical issues are often sources of stress in palliative care. The biochemistry and theory of stress are discussed. Various strategies to cope with caregiver stress are explained.
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Journal of Gerontological Nursing , 1993
1. Multiple falls and injuries are more prevalent among elderly over the age of 75 and are the se... more 1. Multiple falls and injuries are more prevalent among elderly over the age of 75 and are the 2nd leading crusade of adventitious death in the elderly. The adventure for falling is noted to be significantly greater in the hospitalized elderly. 2. Review of retrospective quality improvement chart audits revealed that peak fall times were associated with the patient&amp;amp;#39;s need for toileting, balance, and obtaining nutrition and hydration. 3. The MetroHealth Falls Prevention Plan is based on simple proactive measures to prevent falls in the elderly. 4. An constructive falls prevention program has several implications for gerontological nursing practice, including less restraint utilize, increased patient autonomy, and decreased loss of self-esteem. There is besides a sense of increased nursing control over patient safety and time management, besides as implications for farther nursing inquiry.
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Rehabilitation Nursing , 1997
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The Nurse Practitioner , 2014
Abstract Abstract Confronting Medical Advice (AMA) discharges are associated with significant adverse... more Abstract Abstract Against Medical Advice (AMA) discharges are associated with significant adverse effects. The NP identifies patients who lack determination making capacity (DMC) and intervenes early to build the therapeutic relationship, brainwash, and review goals of care. The procedure for detaining the patient who lacks DMC for leaving AMA is discussed.
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Periodical of the American Geriatrics Gild , 2000
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JONA: The Journal of Nursing Administration , 2013
Nurse residency programs (NRPs) are an effective machinery for transitioning newly licensed regis... more than Nurse residency programs (NRPs) are an effective machinery for transitioning newly licensed registered nurses (NLRNs) to do. No studies take investigated how experienced nurses view NLRN performance after NRPs. The purpose of this quality initiative was to place experienced nurses&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; satisfaction with NLRN proficiency before and after implementation of an NRP using the Nursing Practice Readiness Tool. Findings point that experienced nurses are more satisfied with the operation of NLRNs after the new nurse participated in an NRP.
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Cancer Nursing , 2009
A randomized controlled trial of a nurse-delivered coping and communication support (CCS) interve... more A randomized controlled trial of a nurse-delivered coping and communication support (CCS) intervention tailored to the preferences of centre-aged and older patients with advanced cancer and their family unit caregivers is tested for its value in improving outcomes for quality cancer care. An intervention report must exist reliably delivered to approximate the accuracy of findings or brand valid conclusions about the outcomes of enquiry. The purpose of this article was to describe methodology for ensuring treatment allegiance in this patient-centered CCS intervention. Allegiance is maximized past ensuring that the CCS intervention is congruent with relevant theory, standardizing training and interventionist competence, and monitoring intervention delivery and documentation. Nosotros address unique challenges arising from using individualized interventions that preserve autonomy of the private and are responsive to shifts in patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#x27; needs and preferences over fourth dimension. The challenge of nursing inquiry on patient preference and coping communication requires both rigorous measurement of interventionist adherence to the intervention protocol and flexibility to allow for changing needs of patients and family caregivers.
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Cancer … , 2009
Nosotros describe family unit caregiver (FCG) participation in a tailored coping and advice support i... more We draw family caregiver (FCG) participation in a tailored coping and communication back up intervention for advanced cancer patients and families. Preliminary descriptive data on characteristics and patterns of early date in the intervention for 132 FCGs are presented. Appointment assessed at an initial in-person meeting and the following 6 weeks includes problems raised, strategies used, and initiation, frequency, and mode of contact. A sizable proportion of FCGs were male, African American, and nonspouse. The FCGs had minor scores on a standard survey measure of brunt all the same volunteered caregiving demands equally their chief problem. Other problems raised initially by more xl% of the sample included psychological, practical, and communication with healthcare providers. Few reported physical and psychosocial difficulties. Engagement preferences expressed at the initial meeting largely mapped with bodily date during the 6 weeks of intervention. Most FCGs were actively engaged during follow-up. Some (14%) did not opt for coping and communication support during this early treatment stage. This intervention is expected to touch on quality of care and quality-of-life outcomes for FCGs over time from patient diagnosis to end of life. Findings will guide modification and dissemination of this intervention primarily in cancer clinics for the underserved.
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Holistic Nursing Practice
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Periodical of Clinical Oncology
87 Background: Reiki is a complementary therapy that has been reported to decrease symptoms of st... more than 87 Groundwork: Reiki is a complementary therapy that has been reported to decrease symptoms of stress and promote relaxation. Standards for administrating Reiki have not been established. Additionally, patients with avant-garde cancer and their family caregivers (FCGs) encounter challenges during the illness feel that prevent them from participating in stress reducing therapies offered outside the home. The purpose of this study was to evaluate the feasibility and fidelity of an "at-home" reiki intervention performed by the FCG of patients with cancer. Methods: Twelve cancer patients and their FCGs were recruited from oncology outpatient facilities in the Greater Cleveland surface area. A certified Reiki educator provided 2 four-60 minutes courses for the FCGs to learn the basics and practice. To develop and promote intervention fidelity, the FCG maintained a daily diary recording frequency, interval, fourth dimension of day, and position of Reiki practice. The Reiki educator called the FCG weekly to moni...
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Holistic Nursing Practise
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Journal of the American Psychiatric Nurses Association
Background: Violence on inpatient psychiatric settings has significant consequences for patients ... more BACKGROUND: Violence on inpatient psychiatric settings has significant consequences for patients and staff. Research is needed to determine if Brøset Violence Checklist (BVC) is an accurate predictor of violence. AIMS: The study aims were to determine the relationship between BVC scores and incidence of violent behavior within 24 hours, to compare scores among those requiring loftier-level nursing interventions for violence, and to investigate the impact of scores on length of stay (LOS) and 30 day-readmission rates. METHOD: Retrospective cohort study. RESULTS: Logistic regression indicates iii.4 times greater run a risk of violence for every additional indicate on admission BVC (odds ratio = 3.4, 95% confidence interval = [2.29, five.08], p < .0001). Patients requiring high-level interventions for violence had college mean BVC scores on both Day 1 and 2 of access. Pearson correlation was pregnant for positive association between BVC on admission and LOS ( p < .001). Findings did not esta...
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Journal of Clinical Oncology
174 Background: Complementary care modalities are needed for residential patients and family care... more 174 Groundwork: Complementary care modalities are needed for residential patients and family unit caregivers, in add-on to traditional cancer treatments, to effectively alleviate associated symptoms. Reiki is ane of the biofield energy modalities which is generally known to provide non-invasive, not-pharmacological, and beneficial relaxation. It has been commonly practiced to cancer patients in clinical and cancer support facilities. However, little is known about providing Reiki at home especially past informal caregivers. This written report aims to draw and understand the perceptions of an in-home Reiki do every bit experienced past patients with cancer and their family caregivers. Enquiry Question: What are the perceptions of patients and caregivers of their experiences with an in-abode Reiki practice? Methods: A descriptive phenomenological arroyo (Husserl) was used to explore the perceptions of cancer patients and family unit caregivers of an in-habitation Reiki practice through narratives of six d...
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Cancer Nurs , 1992
Diversional action deficit, a nursing diagnosis that occurs with prolonged infirmary treatment, ... more Diversional activity deficit, a nursing diagnosis that occurs with prolonged hospital handling, requires creative and practical ways for nurses to back up patients. A tool designed to assess diversional needs is described. Benefits include improved relationships and enhanced patient coping with a minimum of cost and inconvenience.
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Nursing direction , 2015
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Oncology nursing forum
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Oncology nursing forum
Oncology nurses need to develop adept communication skills, particularly when delivering bad news ... more than Oncology nurses need to develop skilful communication skills, particularly when delivering bad news to patients and families. Patients and families differ in their needs for levels of information, interpretation of data delivered to them, and responses to unfavorable news. When bad news is delivered in a sensitive and caring style, morale can be maintained, and the process of coming to terms with illness or death is possible through realistic expectations and hope. It is valuable for nurses to elicit patients' or family unit members' understanding of what is happening to them, and what they need is key in the process of communicating in a crisis time. Likewise, skill in responding to feelings and not the content of expression is necessary to the procedure of recovery. So many improved cancer treatments exist, but the goal of finer communicating bad news with respect and caring is just equally of import every bit treating the person who happens to accept cancer.
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SCI nursing: a publication of the American Association of Spinal Cord Injury Nurses
The purpose of this descriptive study is to draw the profile of individuals with spinal cord ... more The purpose of this descriptive report is to draw the profile of individuals with spinal cord injuries (SCI) who frequently utilize health care services in an unplanned manner so that nursing interventions could be designed to decrease utilization. The medical records of 78 subjects with SCI were reviewed for demographic and injury-related variables, comorbid health weather, belch disposition, and health care utilization for five years. Based on the rate of unplanned utilization of health care services, three groups of users were identified: non-user, low-user, and high-user groups. Results indicated that high users, compared to non-users and depression users, had a college substance-utilise charge per unit, a higher unemployment rate at the time of the most contempo wellness intendance visit, and more fierce causes of their SCI. Findings suggest four clinically meaningful trends that accept applied implications for nurses related to marital status, substance use, employment status, and etiology of injury. R...
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Clinical interventions in aging , 2008
As our society ages, increasing numbers of older Americans volition be diagnosed and eventually will ... more than Equally our order ages, increasing numbers of older Americans will be diagnosed and eventually will die of cancer. To date, psycho-oncology interventions for advanced cancer patients have been more successful in reaching younger developed age groups and generally have not been designed to respond to the unique needs and preferences of older patients. Theories and enquiry on successful aging (Baltes and Baltes 1990; Baltes 1997), health information processing style (Miller 1995; Miller et al 2001) and non-directive client-centered therapy (Rogers 1951, 1967), have guided the development of a coping and communication support (CCS) intervention. Key components of this historic period-sensitive and tailored intervention are described, including problem domains addressed, intervention strategies used and the role of the CCS practitioner. Historic period grouping comparisons in frequency of contact, bug raised and intervention strategies used during the offset six weeks of follow upward point that older patients were ...
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The Nursing clinics of N America , 2001
Palliative care nurses tin can confront unique stressors and compassion fatigue working in their field. W... more Palliative care nurses tin can face unique stressors and pity fatigue working in their field. Working with the dying and their families, communicating with other health care professionals, and handling upstanding problems are ofttimes sources of stress in palliative intendance. The biochemistry and theory of stress are discussed. Diverse strategies to cope with caregiver stress are explained.
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Journal of Gerontological Nursing , 1993
1. Multiple falls and injuries are more than prevalent among elderly over the age of 75 and are the se... more i. Multiple falls and injuries are more than prevalent amidst elderly over the historic period of 75 and are the second leading cause of adventitious expiry in the elderly. The take a chance for falling is noted to exist significantly greater in the hospitalized elderly. 2. Review of retrospective quality improvement chart audits revealed that peak fall times were associated with the patient&amp;amp;#39;southward need for toileting, rest, and obtaining diet and hydration. 3. The MetroHealth Falls Prevention Program is based on simple proactive measures to prevent falls in the elderly. iv. An constructive falls prevention program has several implications for gerontological nursing practice, including less restraint apply, increased patient autonomy, and decreased loss of self-esteem. At that place is also a sense of increased nursing control over patient rubber and time management, as well as implications for further nursing inquiry.
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Rehabilitation Nursing , 1997
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The Nurse Practitioner , 2014
ABSTRACT Abstract Against Medical Advice (AMA) discharges are associated with pregnant adverse... more than ABSTRACT Abstruse Confronting Medical Advice (AMA) discharges are associated with significant agin effects. The NP identifies patients who lack determination making capacity (DMC) and intervenes early to build the therapeutic relationship, brainwash, and review goals of care. The process for detaining the patient who lacks DMC for leaving AMA is discussed.
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Journal of the American Geriatrics Society , 2000
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JONA: The Journal of Nursing Administration , 2013
Nurse residency programs (NRPs) are an constructive mechanism for transitioning newly licensed regis... more Nurse residency programs (NRPs) are an effective mechanism for transitioning newly licensed registered nurses (NLRNs) to practice. No studies have investigated how experienced nurses view NLRN performance afterwards NRPs. The purpose of this quality initiative was to identify experienced nurses&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; satisfaction with NLRN proficiency before and after implementation of an NRP using the Nursing Practise Readiness Tool. Findings bespeak that experienced nurses are more satisfied with the performance of NLRNs after the new nurse participated in an NRP.
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Cancer Nursing , 2009
A randomized controlled trial of a nurse-delivered coping and communication support (CCS) interve... more than A randomized controlled trial of a nurse-delivered coping and advice support (CCS) intervention tailored to the preferences of middle-aged and older patients with advanced cancer and their family caregivers is tested for its value in improving outcomes for quality cancer care. An intervention report must be reliably delivered to estimate the accuracy of findings or make valid conclusions near the outcomes of research. The purpose of this article was to describe methodology for ensuring handling fidelity in this patient-centered CCS intervention. Fidelity is maximized by ensuring that the CCS intervention is congruent with relevant theory, standardizing grooming and interventionist competence, and monitoring intervention commitment and documentation. We address unique challenges arising from using individualized interventions that preserve autonomy of the individual and are responsive to shifts in patients&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#x27; needs and preferences over fourth dimension. The challenge of nursing enquiry on patient preference and coping communication requires both rigorous measurement of interventionist adherence to the intervention protocol and flexibility to allow for changing needs of patients and family caregivers.
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