Nurses’ attitude a challenge – senior nurse

Nurses at work in Dominica
Nurses at work in Dominica

Nurses in Dominica are being urged to improve their attitudes on the job since this poses a major challenge to the nursing profession on the island.

“Over the past years we were faced with the issue of migration of our nurses to first world countries but in recent times there has been a significant decrease in the number of nurses migrating … maybe one a year… but at this time but we do have a problem with attitudes,” Principal Nursing Officer, Ceasarina Ferrol told DNO in an interview.

According to Ferrol, many nurses do an exceptional job and commendations are received however complaints about customer care are occurring too frequently.

She noted that customer care is important to the nursing sector and one incident is one too many.

“One bad attitude could compromise the health and life of an individual, so it is very, very critical that we pay attention to the attitudes of our nurses,” Ferrol remarked. “We want to ensure that every customer coming to our health institutions receive the best care.”

To remedy the situation Ferrol noted that a mentorship program for nurses identified with specific problems is being implemented. Furthermore the screening of new nurses is being reinforced.

“We are reinforcing our orientation program for new applicants and screening every nurse who applies for employment to ensure that the best persons who are qualified, not only with certificates but also has proper attitudes and behaviours, are recruited,” she pointed out. “We hope that with mentorship and coaching things will improve significantly.”

Meanwhile she stated that the future of nursing in Dominica appears to be moving in a positive direction.

“We have moved a very long way in terms of our basic preparation for clinical practice,” Ferrol remarked. “At this time quite a few of our nurses are trained at a Bachelor of Science degree, most of our nurse managers have some form of management education.”

She further stated that in the faculty of health at the Dominica State College, nursing educators are all trained at a master’s level and some of nurses in the clinical practice are trained at a master’s level. “Our family nurse practitioners and nurse administrators are also trained at a master’s level,” she pointed out. “We have also just established a nursing research committee. I am looking forward to the time that we can document our research and present our papers internationally and utilise scientific research in our basic bedside nursing.”

She pointed out that significant work has been done in deployment of staff depending on the needs of a particular unit.

Nurses’ Week is presently being celebrated in Dominica.

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  1. Mervin Howe
    October 23, 2016

    I had the pleasant experience in the ER and ICU when my mother in law was a patient at this hospital. I think the majority of the nurses do their best with the resources they have ,but they need some continuing education every 6 months to keep their knowledge and critical thinking sharp. Nurse Greenaway and nurse Abraham are among the finest Dominica has to offer. Every so often I try to bring some supplies for the hospital but my last visit was not a pleasant one. I wish the nurses the best and to keep thinking of your patients as your loved ones.
    Mervin Howe ,RN,BSN ,CEN .

  2. Thankful
    May 12, 2013

    The nurses in the dialysis center are great. They have a lot of patience and skill and they make what is a very sad situation somewhat more pleasant to deal with.
    I will like to say thanks to each and every one of them.

  3. Observer
    May 11, 2013

    The situation is that there is an across-the-board decrease in professionalism in every service providing institution. The first world countries try to mitigate it by associating workers actions with certain positive reinforcement like salary increases, job security, and other perks, or negative consequences like pay cuts, job loss, etc. This is why you will have less attitudes because people are forced to show their best face. In the Caribbean, where we don’t perform satisfaction surveys, we don’t reward our staff for good work, and we take a long time to award increments if at all, and nurses work under the extremes of poor conditions, it is not surprising to see some of the attitudes coming out. I applaud nurses who can still put their best face forward despite the conditions. We as administration mneed to have more customer service workshops, service excellence incentives, and try to resurrect or reinstitute the ‘art’ of nursing. We need to work harder to achieve better results because we are fighting even against a family breakdown and lack of instilling of certain morals in some people.
    Overall I think our nurses are doing a remarkable job, and should be praised.

  4. "O" STRESS"
    May 11, 2013

    Where have all the good nurses gone?? I Can remember as a young police officer, guys used to beg to be detail to work at the Hospital,especially the late night shift, the nurses were so caring and giving it was like one family. There`s nothing better than to have a nurse care for a cop whilst on duty. Lets treat our nurses well, they have feelings, they are human like all of us,they need a little T.L.C. Oh I miss that aspect of the job, bring back the milk and honey.

  5. ******
    May 11, 2013

    Whlie I agree with the senior nurse, i want to point out that the bad attitudes starts at the top .Two senior nurses walking pass public officers in uniform in their work place on the 1st of May 2013, without greeting them is bad attitude too!the pno is aware!!!

  6. jade
    May 9, 2013

    Expose them. I’ve had enough of them. One nurse treated my aunt so badly who came from the same village as her. Aunt had an accident while vacationing in Dominica. This nurse is working in Boston now. I bet you she has lost her stinking attitude.Can’t do this in the U.S.A.

  7. ja girl
    May 9, 2013

    i love the nice little nurse from marigot with the big space teeth always neat and speaks well. she makes you happy.

  8. customer care
    May 9, 2013

    i went to the emergency room and boy I was shocked. people can dies out there and the nurses wont know.i am not sure ho advise in putting up that baracade but it is not customer friendly. I saw a nurse demanded that a patient be arrested . then the whole emergency room was shut down. the nurse attitude stink. i agree that the prospective candidate for nursing is imperative

  9. Little bit
    May 9, 2013

    Blessings to the nurses who continue to treat patients with pride and care especially those working on winston ward, are they being transformed by the children.Great work nurses. However,yesterday while we are celebrating nurses week, hard an encounter at the casualty department where my daughter was brought in with food poising and was vomiting blood, my sister coming from the bathroom with her where she passed out in her hand laid her on a bed close by, a nurse in that department came up to my sister and told her to take off my daughter from her bed because her bed is only for emergencies. Isn’t vommiting blood a grave concern?Shouldn’t this be treated urgently? Pleases nurses try your best to be more compassionate it could be you or your family member in the patient position.

  10. emma
    May 9, 2013

    I believe the responsibility of ensuring that nursing professionals are competent is that of their superiors. Training, therefore, should be continuous. The superiors could also install “COMPLAINTS/SUGGESTIONS” boxes on every ward. (Don’t foget the stationery !)

  11. Shameless
    May 9, 2013

    Soe may not like what I have to say…but I would advise Mrs. Ferrol to focus on the health of a majority of the nurses. A large number of our nurses a down right obese (very fat) and it appears that no one wants to talk about it. This give them low self esteem and in the process affects their attitude in the workplace.

    Quite recently a doctor and I were talking about it simply because three nurse in uniform were walking standing having a chat and to be honest that was a lot of nurses standing there. They are health care professions and as such should strive to be examples.

    Assertive, NOT at all Aggressive!

    • hard working nurse
      May 9, 2013

      nurses come into the profession to serve the public they really do! However lack of resources and unprofessional managers leading the way forward, what do one expect, professionlism should start from the top! Begining from with the pno and the matron! Junior nurses have no exemplary role models in this nurse managers to follow! Satan cannot correct sin!!!!

      • Strangely
        May 10, 2013

        Satan can try to correct sin but no one will take him seriously. No excuses are to be made for bad attitudes but some of these superiors have no respect for their juniors and their well-being. It’s nice to talk pretty in public but the ridiculous expectations of nurses who are placed at risk round the island daily, especially those who are required to do on call duties needs to be addressed. These nurses are people and should be respected and treated with fairness.

      • Distured
        May 10, 2013

        lol @ your last statement…

  12. mercy me
    May 9, 2013

    Congratulations nurses. This is a noble profession and must be treated so . Not many excellent nurses in the profession these days. I was a patient at two hospitals in The USA and I tell you I was treated like royalty. For a moment I thought I was the daughter of the Queen of England. Attitudes stink, most times.

  13. May 9, 2013

    If there is a gift from God that a person should boast about, it is the gift to be a “nurse” or a “doctor” God said to Moses: “Tell the people of Israel “I AM THAT I AM” sent you”.

    So what does God mean here? God is saying that He will be whoever He has to be, when it comes to saving people’s lives both physically and Spiritually.

    We should know that theme of the Bible is “healing” for all of mankind–beginning with the Words of Isaiah, when he spoke about Jesus Christ, saying: “By His stripes we are healed!” So how can a nurse or a doctor not consider themselves doing God’s work through a gifted profession like their own?

    And so, before a nurse enters his or her field of work, he and she should be already blooming with the Fruit of “Holy Spirit”, which are the attitude and conducts of “goodness”, “kindness”
    “patience”, gentleness” and “self-control”.

    For sure, God will not do anything through those people if they cannot demonstrate those attitude and conducts of Holy Spirit.

    God is not only about Church in the Church house as most people have chosen to believe–God is about Life in us, as His people, who are His Church, and this Life demands that we put His ways of Love on display in us, in all our walks of Life–especially in professions like that of a nurse and a doctor–which spells “Healing”–the word of the Bible–God’s message of Life.

    • Distured
      May 10, 2013

      Wow… I read your blog for the 1st time (usually skip due to lengthy-ness…).

      Awesone quote! People should heed these words. Seriously.

      • May 10, 2013

        Disturebed May 10, 2013

        Thank you for reading and understanding my sentiment above.

        My lengthy ones are just as meaningful, if you would take time to read them. Writing is also a gift from God; this art is one of the few gifts which He has given to me. Blessings!

  14. Natus
    May 9, 2013

    No one is perfect, recurrent training, incentives and “walk a mile” can make a big difference in attitudes.

  15. ti nom
    May 8, 2013

    night nurse does treat me well, i dont know about all u nuh :lol:

  16. I See
    May 8, 2013

    When such “nurses” are not held accountable for their unprofessional and disrespectful behavior, what should we expect? All the training in the world without discipline is a waste of resources. One actually gave my sister her full name…name and surname…and told my Sis, “go and report me!”. She could say that because she knew nothing would come out of it. Let me try that at my job nuh!

  17. Stoney
    May 8, 2013

    Most of the Dominican Nurses don’t have good work ethics and lack the passion geared for the nursing field..

    Many Dominican nurses have peaked before reaching the Top, take a look at their posture and temperament..

    the pay and workloads needs to be addressed too..
    the policy makers in dominica need to raise standards higher….

    But the Dominica today has surely gone to a make Belief….Next Level, which is infact a thumps down.

  18. Anonymous
    May 8, 2013

    P N O It is good to see you are looking out for your nurses.Nurses please take these good advises from your seniors and bring about much needed Attude change. To Serve is to Love , and to truly Love you must Serve with Humility.

  19. Nik
    May 8, 2013

    Alas, Alas, Alas.. Thank you Nurse Ferrol. Please please please help them to understand that sensitivity and caring attitude is mandatory to become a nurse. I have encounter way too many nurses with nasty attitudes. And I mean NASTY, NAS to da TY in Dominica. After all, they are dealing with sick people and their families, so it is of uttermost importance that the nurses be trained. As a matter of fact it should be an innate quality in order to become a nurse.

  20. Papamet
    May 8, 2013

    At what level are the staff nurses if you are only now trying to implement the Bsn programme so did your managers skip from staff nurse level to masters……..without the bachelors?….DNO, I wish we had some kind of explanation to this please. Thanks

  21. Papamet
    May 8, 2013

    Family nUrse practitioners are at Masters level?…….and most nur sing managers are at masters level? Really?

  22. Out of the Box
    May 8, 2013

    The Nursing school needs to conduct personality profiles using the various psychological testing techniques that are available and in which local professional talent is available to do these screenings.

    This should be the starting point. Individuals who have a natural tendency to both sympathize and empathize with another particularly when that individual is not well should be identified by school guidance counselors and ensure that school clubs are formed to actively reinforce these traits by the young students partaking in field visits to the hospitals , home for the age and partaking in early child care development and training programs.

    • Well! Well!
      May 10, 2013

      Up and coming nurses apply to State College to do their nursing program. Are we asking State College to screen who applies to attend college?

      • Anonymous
        May 13, 2013

        Many are called but few are chosen!!! If the attitude is bad the personality will naturally be bad as well. That is the only way significant and positive change in behavior can come about where people have bad attitudes – when it is realized that the world of work will not compromise on quality customer service.

  23. Anonymous
    May 8, 2013

    Give some people a degree or a uniform or position in D/ca and something taking their head and they behave foolish. This is bad and needs to be changed.

  24. Warmth
    May 8, 2013

    alas poor the nurse in tht kinda of system they have to work there no body doe give a damn bout them. and the stil have to smile and be polite on petty cash for their salary and they have there own business to take care off. most of them superviors only care bout how the nurse looking.” where your cap that belt not the correct colour….and the list goes on. but in the night when all of them in there bed sleeping some nurses still on the road looking for how to get home and those in authority only concern is that the nurse make it to work on time for the next day. I am against a nurse have negative attitudes with patients but some times the patients does really over do it. my heart goes out to all nurses all of you who are afraid to speak out cuz you fraid of getting a letter from pno or protecting your lil loan. just have patience one day things must get better and please try to be nice to the patients even if they disgusting to you. God Bless all the nurses at the PRINCESS. knowing that you work with next to nothing in terms of resources. God Bless You All richly.

    • O'Rhys
      May 8, 2013

      somebody call for them to come to be nurses nah you talking about petty cash
      regardless of what field you are in, whether the pay is ten cents or ten thousand dollars you have to respect and be polite to the people you are serving. Some patients or customers can be very rude too but this is where you are trained ti handle the situation correctly. no excuses

    • Hmm!!
      May 10, 2013

      True dat

    • Let's talk
      May 10, 2013

      Chile please!!! Save it!
      1st of all, if you are in it for the money, then maybe you should change employment…

      Yes all employees of all jobs are to smile and provide the best customer service experience they can because the employee reflects the image of his/her employer…

      Yes all nurses (like any other employee) should adhere to the dress code of their employer… Get a grip

      It is never the employer’s responsibility on how you get home…YES, employers have all rights to expect you to show up to work on time, everyday that you are on their schedule and in full and proper attire and stature.

      You are indeed an employee and not a child who needs to be spoon fed!!

      And yes, several of us adults have worked in positions were we were treated quite horribly by customers… ( the stories will amaze) But with excellent customer service training, we are able to still sincerely apologize to the customer for the whatever it was that caused grief and sincerely offered to help correct the situation if it was within our means…
      Dominican employers need to ensure that their employees can all take and pass customer service 101, where they can learn several ways to diffuse and successfully solve conflicts…

      So no “Warmth”, it is never ok to have a negative attitude at work toward the paying patients, no matter how they might overdo it… There are ways of dealing with difficult people and situations and if you, as nurse, cannot do it, then Nursing certainly is not the profession for you.

      Nursing is all about being caring, compassionate, and empathetic…. Start behaving therapeutically toward your patients and see a change in the relationship…

      Don’t sit around hoping that your superiors should be up at night thinking about how you are going to get a ride home….That is not their job..You are an employed adult, change your level of thinking

  25. Anonymous
    May 8, 2013

    I have had the unfortunate experience of dealing with one of worst example of what a nurse should be She was rude even bordering on aggressive -I feel desperately sorry for people who have to deal with that sort of treatment on a daily basis.

    • Anonymous
      May 8, 2013

      Should not be

  26. stehen
    May 8, 2013

    Dominican nurses in the 60, 70, 80 was know to be the best in the west indies what happened

  27. May 8, 2013

    Naturally compassion, love, patience, serviceability, altruism and integrity, etc. characterize a nurse and we have many of those in Dominica and I say thank you. However, the opposite is also true for many others. A nurse WANTS to help and looks out for the best interest of others [patients]; but not so today. Many [not all] are motivated by money and the lack of options (as far as career goes in D’ca). Since the very nature of a nurse is to care for others and to see them well, some people will be less effective than others in that profession. If one does not possess the traits mentioned above as well as other applicable traits, it is almost impossible to be effective as a nurse. Why?

    You will encounter many different personalities throughout your career. Some good, some bad and some ugly – patients who are disrespectful, loud, rude, fearful and the list continues- but this is the nature of the job and as long as you serve the public you will encounter all kinds of people and attitudes. This is where the aforementioned traits come in handy to help manage these situations. Moreover these traits will also drive you to the extra mile to help patients – it becomes your priority as a nurse.

    The proposed mentorship and screening programs are both good initiatives to enhance and motivate behavioral change among nurses. In addition, trainings such as conflict management, listening skills, problem-solving skills, personality tests, as well as service–related skills should be a part of continuous learning and development to help nurses manage day-to-day interactions with patients – this will help them turn wrong into right- as they take the lead and become an influence instead of being influenced.

    I acknowledge that poor patient [customer] service is not unique to Dominica; it exists in many other well-developed countries. However, many organizations take great measures to improve their employees’ performance not solely because they care more for patients; but because of the associated legal implications such as malpractice law suits among others. These kinds of retaliatory actions do not exist in Dominica. Perhaps if this were the case the services would be a tad better as managers would implement behavioral standards and ensure they are followed.

    In all fairness to the nurses, it is also the duty of patients [and general public] to help these nurses perform to the best of their ability to help you. Sometimes, patients can be unreasonably rude, angry or eager. While the nurses are to expect these attitudes as part of dealing with humans, we must also remember that they are humans too and cannot be perfect all the time. So our expectations must be reasonable and not surpass human ability. They also need encouragement sometimes. So my Dominican peeps you have a part to play also to allow nurses to perform with excellence on your behalf. Whilst they are being prepared to improve their attitudes, I suggest we all follow suit to help them, help us!

  28. listener
    May 8, 2013

    I personally think some of them act like characters they get on the streets so they really have to be screened to the T and find out from their communities who they really are, because I tell u the attitude can be really disgraceful.

  29. OMG
    May 8, 2013

    they can come in with good attitudes and be nice as possible, but as soon as they get into the job itself that changes. Too many lazy nurses with don’t care attitudes at the clinics especially the Roseau Clinic. They need to check up on them and do something about it, instead of just give a speech.

  30. Student
    May 8, 2013

    Let me big up my mom who has reputation for being a nice nurse. Way to go mummy!

  31. Dr. Ben Haynes PsyD
    May 8, 2013

    A timely article and to point. Professionalism however, is non-existing in many areas of our society. Sadly, our suffering public is caught at the end of this ugly stick. l have noticed police officers, government workers, to name a few that breach the code of sensitivity, compassion, and inteligence in the line of duty, and if l might add, disregard for the law. But since you are focussing on nurses l will say that they must be taught first that they have a duty to the public first, to be respectful, compassionate, and do no harm. The sick, the injured, victims are vunerable to the abuse of some callous, rude nurses and thankfully, we have good nurses in D/ca. l trust that future articles will focus on making a better nurse, that nurses also get ptotection from management, that more incentives, education be provided, and the profession makes itself more attractive for more to become

    • Just My Opinion
      May 8, 2013

      Well said. There is a BIG problem with attitudes in general. It would not be accepted or tolerated in any ‘so called first world country’ so it’s a good job that many are not migrating. I do not think that individuals are taught about customer care in any training they receive – nurses or otherwise. it’s time to change all this nonsense and for Dominica to wake up.

    • Anonymous
      May 8, 2013

      I know one nurse in particular I must get fired for her lousy unethical behavior.

  32. life
    May 8, 2013

    it was about time someone wrote an article about that, they are not friendly, always angry at the world, angry because someone sick, hate answering questions. no patience,

  33. flower
    May 8, 2013

    I wanted to leave a comment but ” Where I stand I rule” hit the nail on the head. Dominican nurses I believe need to do some training at international hospitals to see or even copy the great level of customer service that are given to patients. Visit Canada! They are surely the best in that department. These nurses in DA hate their jobs. Not even a smile they have on their faces. As I say I guess they themselves will never fall sick because they are immune.

  34. where i stand i rule
    May 8, 2013

    Some of these nurses really do … that can make u want to curse them off. they are rough, disrespectful, no sincerity, no professionalism, prick u with injection and not inform u for what it is and the long list continues. Some of them are pissed at you for God know what (home stress or dissatisfaction with their job; non which concerns u) and they are very negligent with patients info. shouting to each other from across the hall. its a real sickening sight to see. some of them need to be disciplined or completely written off. would recommend that they work @ a zoo with wild animals but there is no such thing in DA. hmmmpt

  35. Malatete
    May 8, 2013

    I think there is something to be said for candidates to be assessed on attitude before they embark on their nursing studies and for unsuitable prospects to be weeded out. This way we may save them unhappiness and avoid possible social problems in a career for which they do not have the right aptitude.

    • Just My Opinion
      May 8, 2013

      OMG. Soooo trueeeee!!

  36. May 8, 2013

    Also….. some nurses and their tight clothes and make up like is club they going is either they want to be a nurse or get a other profession to much make up

    • jackie
      May 8, 2013

      nurses are human as well .. i may not be in this Particular field but here u go again being judgmental y can u rap ur small brain around the fact that wi are dealin with one issue at a time ” attitude”…ps when u feel beautiful with makeup or not u act beautiful and that’s a start to a positive nurse

      • Measure of mercy
        May 8, 2013

        Jackie hope u are not a nurse. tight clothes in a profession that often requires bending over, assisting with moving patients, and one where u need to be comfortable for long hours on your feet is not appropriate. Even the makeup needs to be fitting to their task and environs. why should i be seeing the line of your g string, thong or boy shorts or your lap because your skirts split is up your hiney?

  37. Blessed
    May 8, 2013

    Thank you for this piece. I agree 100% maybe even 120%. Some nurses are excellent and there are those who have a stinky attitude to say the least. If they are not called to be nurses get out of the field.

    • Truth Seeker
      May 8, 2013

      Thank you, Blessed. “If they are not called to be nurses.” That’s the point, exactly. Nursing, a la Florence Nightingale, is supposed to be a vocation. One has to be full of compassion and an unrelenting desire to be self-less and willing to serve. Period. Too many young people get into the service as a profession. It should be their vocation. Big difference. The consequence of that is what this article intends to highlight, among other good things, evidently.

  38. Too Hard Too Long
    May 8, 2013

    Great work on these initiatives. I wish success to the nurses association in their quest to improve their human resource.

  39. popes
    May 8, 2013

    we are facing alot of these problem at portsmouth hospital,the nurses sits and discuss people when there are so many patients waiting for assisstance its high time for this unprofessional behavior to stop,cause no one forces them to choose the job that they has today.

    • Student
      May 8, 2013

      Its true I have been there a few times and one gets the impression that that is what they do.

    • rescue 911
      May 8, 2013

      i would give you more thumbs up if i could

    • Anonymous
      May 9, 2013

      As for the one who brings her kids to work with her. And then have to send her kids down the road to call the Aide (who went to her home because she lives nearby) to come and mop up the emergency room…smdh

  40. Overseas
    May 8, 2013

    Yeah we have some really good and nice nurses, but in between you find some that need a little polishing up. But in time we will get to the level we want it. Congratulations Nurses and keep up the good work. Our Florence Nightingales.

  41. Positive
    May 8, 2013

    Not only Nurses. I came across a very extremely impolite young female Doctor, with a rotten attitutde; a few moments before that I made contact with a very exemplary Nurse by the name of Nurse Warrington!! Super compared to the uncouth young Dr

    • Enquirer
      May 8, 2013

      I too had an experience with a young female doctor while I was visiting my husband on the alford ward a few months ago. I wonder if its not the same doctor. Her attitude really stinks.

      • Anonymous
        May 8, 2013

        Alas, lets not open another can of worms here. Hitting on the nurses who are not suitable for the noble profession is bad enough. We need a separate page to comment on the attitudes of many of the junior doctors at PMH. That’s where the hospital medical director should take a cue and step in to nip it in the bud…. I wonder where these doctors got their training from?

      • Yes Fada!
        May 8, 2013

        Hmm, bam bam…why does that sound like a certain Dr Em?
        Aside from the humor though, it is true that attitudes need to be improved by some of our health professionals. Will never forget how a nurse treated my grandmother in my presence about 9 yrs ago in my presence at the RFA Hospital. My goodness, I felt so hurt like it was me she had spoken to, and for no reason at all. Lost all respect for Nurse X from that day forward.
        However, I will commend those who deserve being commended. RFA and PMH could truly do with more nurses like Nurse Catherine Carbon and Nurse Marriette (James) before they moved on from public nursing.

      • Sorry
        May 8, 2013

        I had the same experience with dat young female doctor as well on the maturnity ward, acting like it’s a favor she’s doing for patients and so she doesn’t need to have any courtesy.

      • Ainsley
        May 9, 2013

        I know EXACTLY who this female Doctor is. She seriously needs an attitude adjustment. Made some comment about being on Alford Ward with men not taking care of themselves and it’s after the fact they end up there……

    • A Voice
      May 8, 2013

      I too had an encounter with a young female doctor. Boy, that woman have a serious, serious attitude problem.

    • Hmm!!
      May 10, 2013

      As for the young doctors at the hospital, that is both male and female. I don’t know why these doctors did not specialize to be vets. If you don’t want to even open your mouth to say good morning then why are they entering that field. Some of them are just downright rude.

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