Evidence-Based Practice Project Proposal Evaluation Plan NUR 590

Evidence-Based Practice Project Proposal Evaluation Plan NUR 590

Evidence-Based Practice Project Proposal Evaluation Plan NUR 590

Assessment Description

In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

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Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

  1. Discuss the expected outcomes for your evidence-based practice project proposal.

Evaluation Plan

Evaluation is one of the last phases of an evidence-based practice process. Therefore, it is important for the change implementers to formulate an appropriate evaluation plan that can be used in guiding the evaluation phase. Evaluation is important as it offers insight into how the project was effective in achieving the set objectives (Hopp & Rittenmeyer, 2021). In addition, it also helps in assessing how effective the methods applied in the project were toward achieving the project goals. It is important to let every stakeholder know of the evaluation plans in time so that they can have a better grasp of every aspect of the project. Therefore, the purpose of this assignment is to formulate an evaluation plan for the proposed EBP project.

The Expected Outcomes

The project focuses on using automated fall detectors to reduce the incidences of falls among elderly patients of sixty-five years and above. Therefore, there are various expected outcomes of the proposed EBP project. One of the expected outcomes is a reduction in the number of falls among elderly patients admitted to the facility (Bet et al.,2019). It is expected that the automated fall detectors will be able to help the nursing staff detect potential patient falls so that they be prevented. The project will also involve training the nursing staff on how to use the automated fall detectors. Therefore, another expected outcome regarding this project is improved knowledge among the nurses regarding the use of automated fall detectors to help prevent patient falls. It is also expected that the organization will adopt the solution to part of the normal or routine care of the elderly patients admitted to the facility.

  1. Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.

Choosing the right data collection tools is key in ensuring the right kind of data is collected since such data is used in evaluating the project’s efficacy. Therefore, various data collection tools will be used in this project. One of the tools is the electronic health records which will be used as a source of data regarding patient fall incidences, both before and after the implementation of the intervention. Another targeted tool is questionnaires (Linsley et al.,2019). Questionnaires will be key in determining the nurses’ knowledge regarding the use of automated fall detectors to control patient falls.

  1. Select a statistical test for your project and explain why it is best suited for the tool you choose.
  2. Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.
  3. Propose strategies that will be taken if outcomes do not provide positive or expected results.
  4. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
  5. Evidence-Based Practice Project Proposal Evaluation Plan NUR 590

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You must cite at least five peer-reviewed sources to complete this assignment. Sources must be published within the last five years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style, formatting criteria, and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines in the APA Style Guide in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Discuss the difference between statistically significant evidence and clinically significant evidence. How would each of these findings be used to advance an evidenced-based practice project?

Clinically significant and statistically significant evidence are related, but do not mean the same thing. Statistical significance utilizes the probability value (p-value), and it tells a researcher the probability or chance that the results from the study are a random occurrence versus an actual difference between the variables (Heavey, 2015).

Statistical significance also uses the alpha value and when the analysis of the results of the study are done and the p-value is less than the alpha value, it means that the data shows the results was real and did not occur by chance which makes the results statistically significant.

Regarding clinical significance, the researchers determine if the statistical significance is substantial enough to be clinically important and should be used to help direct the course of patient care (Heavey, 2015).

Sometimes the results may be statistically significant, although may not clinically significant meaning that the results do not show that it is helpful and should not be used to help guide clinical practice. However, statistical significance has to be established before clinical significance can be determined (Heavey, 2015).

These findings can be used to advance an evidence-based practice (EBP) project. Statistical significance helps to determine if something occurred by chance or not. If it did not occur by chance, that means it is statistically significant and can help determine the strength of the evidence against the null hypothesis (Armijo-Olivo, 2018).

Clinical significance can be used to advance EBP by determining whether the results of the study are meaningful to clinical practice in a way that the intervention that was tested, its effects are big enough to make the costs, any inconveniences, and harms worthwhile to improve clinical practice and patient care (Armijo-Olivo, 2018).

References:

Armijo-Olivo, S. (2018). The importance of determining the clinical significance of research results in physical therapy clinical research. Brazilian Journal of Physical Therapy, 22(3), 175-176. https://doi.org/10.1016/j.bjpt.2018.02.001

Heavey, E. (2015). Differentiating between statistical significance and clinical significance. American Nurse today, 10(5), 26-28. https://www.myamericannurse.com/wp-content/uploads/2015/05/ant5-Research-421.pdf

Evidence-Based Practice Project Proposal: Evaluation Plan – Rubric

Expected Outcomes for Evidence-Based Practice Project Proposal

Criteria Description

Expected Outcomes for Evidence-Based Practice Project Proposal

5. 5: Excellent

14.4 points

Expected outcomes for the evidence-based practice project proposal are discussed. Thorough explanations and vital supporting research are provided. Evidence-Based Practice Project Proposal Evaluation Plan NUR 590

4. 4: Good

13.25 points

Expected outcomes for the evidence-based practice project proposal are discussed. Some detail is needed for clarity or support.

3. 3: Satisfactory

12.67 points

Expected outcomes for the evidence-based practice project proposal are summarized. More information is needed.

2. 2: Less Than Satisfactory

11.52 points

Some expected outcomes for the evidence-based practice project proposal are only partially outlined.

1. 1: Unsatisfactory

0 points

The expected outcomes for the evidence-based practice project proposal are not discussed.

Data Collection Tools

Criteria Description

Data Collection Tools

5. 5: Excellent

12 points

A data collection tool is selected and a well-supported explanation for why the tool is valid, reliable, and applicable and would be effective for the research design is presented.

4. 4: Good

11.04 points

A data collection tool is selected, and an explanation for why the tool would be effective for the research design is presented. An explanation for the tool is valid, reliable, and applicable. Some detail is needed for clarity or support.

3. 3: Satisfactory

10.56 points

A data collection tool is selected, and a summary for why the tool would be effective for the research design is presented. A general explanation for the tool is valid, reliable, and applicable, but more information and support are needed. Evidence-Based Practice Project Proposal Evaluation Plan NUR 590

2. 2: Less Than Satisfactory

9.6 points

A data collection tool is selected, but it is unclear why the tool would be effective for the research design. A valid, reliable, and applicable explanation for the tool is incomplete.

1. 1: Unsatisfactory

0 points

A data collection tool is not discussed.

Statistical Test for Project

Criteria Description

Statistical Test for Project

5. 5: Excellent

12 points

A statistical test is selected, and a well-supported explanation for why the test is best suited for the tool is clearly presented.

4. 4: Good

11.04 points

A statistical test is selected, and an explanation for why the test is best suited for the tool is presented. Some detail is needed for clarity or support.

3. 3: Satisfactory

10.56 points

A statistical test is selected, and a summary for why the test is best suited for the tool is presented. More information or support is needed.

2. 2: Less Than Satisfactory

9.6 points

A statistical test is selected, but it is unclear why the test is best suited for the tool.

1. 1: Unsatisfactory

0 points

A statistical test is omitted.

Methods Applied to Data Collection Tool

Criteria Description

Methods Applied to Data Collection Tool

5. 5: Excellent

12 points

Methods that will be applied to the data collection are thoroughly discussed. A discussion of how the outcomes will be measured and evaluated based on the tool selected are presented.

4. 4: Good

11.04 points

Methods that will be applied to the data collection are discussed. A discussion of how the outcomes will be measured and evaluated based on the tool selected is presented. Some detail is needed for clarity or support.

3. 3: Satisfactory

10.56 points

Methods that will be applied to the data collection are outlined. A summary of how the outcomes will be measured and evaluated based on the tool selected is presented. More information or support is needed.

2. 2: Less Than Satisfactory

9.6 points

Methods that will be applied to the data collection tool partially discussed. It is unclear how the outcomes will be measured and evaluated based on the tool selected.

1. 1: Unsatisfactory

0 points

Methods that will be applied to the data collection tool are not discussed.

Strategies for Outcomes That Are Nonpositive

Criteria Description

Strategies for Outcomes That Are Nonpositive

5. 5: Excellent

14.4 points

Strategies for nonpositive outcomes are presented. Some detail is needed for clarity or support.

4. 4: Good

13.25 points

Clear and well-supported strategies for nonpositive outcomes are presented.

3. 3: Satisfactory

12.67 points

General strategies for nonpositive outcomes are presented. More information and support are needed.

2. 2: Less Than Satisfactory

11.52 points

Strategies for nonpositive outcomes are incomplete.

1. 1: Unsatisfactory

0 points

Strategies for nonpositive outcomes are not discussed.

Plans to Maintain, Extend, Revise, and Discontinue Proposed Solution

Criteria Description

Plans to Maintain, Extend, Revise, and Discontinue Proposed Solution

5. 5: Excellent

13.2 points

Detailed and well-supported plans to maintain, extend, revise, and discontinue a proposed solution after implementation are presented.

4. 4: Good

12.14 points

Plans to maintain, extend, revise, and discontinue a proposed solution after implementation are presented. Some detail is needed for clarity or support.

3. 3: Satisfactory

11.62 points

General plans to maintain, extend, revise, and discontinue a proposed solution after implementation are presented. More information and support are needed.

2. 2: Less Than Satisfactory

10.56 points

Plans to maintain, extend, revise, and discontinue a proposed solution after implementation are incomplete.

1. 1: Unsatisfactory

0 points

Plans to maintain, extend, revise, and discontinue a proposed solution after implementation are not discussed.

Required Sources

Criteria Description

Required Sources

5. 5: Excellent

6 points

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

4. 4: Good

5.52 points

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

3. 3: Satisfactory

5.28 points

A number of required sources is met, but authorities are outdated or inappropriate.

2. 2: Less Than Satisfactory

4.8 points

The number of required sources is only partially met.

1. 1: Unsatisfactory

0 points

Sources are not included.

Thesis Development and Purpose

Criteria Description

Thesis Development and Purpose

5. 5: Excellent

8.4 points

The thesis is comprehensive and contains the essence of the paper. The thesis statement makes the purpose of the paper clear.

4. 4: Good

7.73 points

The thesis is clear and forecasts the development of the paper. The thesis is descriptive and reflective of the arguments and appropriate to the purpose.

3. 3: Satisfactory

7.39 points

The thesis is apparent and appropriate to the purpose.

2. 2: Less Than Satisfactory

6.72 points

The thesis is insufficiently developed or vague. The purpose is not clear.

1. 1: Unsatisfactory

0 points

The paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction

Criteria Description

Argument Logic and Construction

5. 5: Excellent

9.6 points

A clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

4. 4: Good

8.83 points

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

3. 3: Satisfactory

8.45 points

Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

2. 2: Less Than Satisfactory

7.68 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

1. 1: Unsatisfactory

0 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. 5: Excellent

6 points

The writer is clearly in command of standard, written, academic English.

4. 4: Good

5.52 points

The prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

3. 3: Satisfactory

5.28 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

2. 2: Less Than Satisfactory

4.8 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. The sentence structure is correct but not varied.

1. 1: Unsatisfactory

0 points

Surface errors are pervasive enough that they impede the communication of meaning. Wrong word choice or sentence construction is used.

Paper Format (Use of appropriate style for the major and assignment)

Criteria Description

Paper Format (Use of appropriate style for the major and assignment)

5. 5: Excellent

6 points

Template is fully used; There are virtually no errors in formatting style.

4. 4: Good

5.52 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

3. 3: Satisfactory

5.28 points

Template is used, and formatting is correct, although some minor errors may be present.

2. 2: Less Than Satisfactory

4.8 points

All format elements are correct.

1. 1: Unsatisfactory

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

Documentation of Sources

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. 5: Excellent

6 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. 4: Good

5.52 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. 3: Satisfactory

5.28 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

2. 2: Less Than Satisfactory

4.8 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

1. 1: Unsatisfactory

0 points

Sources are not documented.

Resources

 

Advanced Practice Nursing: Essential Knowledge for the Profession

Review Chapter 20 in Advanced Practice Nursing: Essential Knowledge for the Profession.


 

Reliability and Validity: Linking Evidence to Practice

Read “Reliability and Validity: Linking Evidence to Practice,” by Kamper, from Journal of Orthopaedic and Sports Physical Therapy

… 

 

 

Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative

Read “Evaluation of Bedside Shift Report: A Research and Evidence-Based Practice Initiative,” by Schirm, Banz, Swartz, and Richmond, from <

… 

 

 

Evidence-Based Practice Educational Intervention Studies: A Systematic Review of What Is Taught and How It I s Measured

Read “Evidence-Based Practice Educational Intervention Studies: A Systematic Review of What is Taught and How it is Measured,” by Albarqoun

… 

 

 

Comparing Clinical Significance and Statistical Significance – Similarities and Differences

Read “Comparing Clinical Significance and Statistical Significance – Similarities and Differences,” by Zbrog (2021), located on the MHA Onl

… 

 

 

A Practical Definition of Evidence-Based Practice for Nursing

Read “A Practical Definition of Evidence-Based Practice for Nursing,” by Stannard, from Journal of PeriAnesthesia Nursing (2019).<

… 

 

 

Advanced Nursing Research: From Theory to Practice

Review Chapter 25 in Advanced Nursing Research: From Theory to Practice.

 

 

Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice

Read Chapter 4 and review Chapter 3 in Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice.

 

 

Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters

Read “Research, Evidence-Based Practice, and Clinical Improvement/Innovation Posters” (2015), from AORN Journal.

 

https://lopes.idm.oclc.o

Assessment Description

Discuss the difference between statistically significant evidence and clinically significant evidence. How would each of these findings be used to advance an evidenced-based practice project?

Statistically, significant evidence is defined as a result when it is determined that an occurrence is different from the theoretical by coincidence. Statistical significance focuses on the null hypothesis (no association or change), p-value (probability), and significance level (data collected previous to study).

Statistics help researchers, businesses, and other entities to comprehend the extent of the findings of an experiment, survey, or poll (Ranganathan et al., 2017). Statistical importance is intended to ensure that an impact occurs. Decision-makers can use the results of specific research as a helpful tool. Nevertheless, truth, effectiveness, or relevance should not be the prime determinant.

Clinically significant evidence is defined as a result is granted where actual and measurable results have been achieved through intervention. Clinical significance depends on the affected size (correlating multiple variables), the number needed to treat (the affected sample size), and the Jacobson-Truax (calculates reliability change index).

In practice, significant clinical results may be reproduced to a considerably higher degree than just significant statistical findings and can thus be utilized in the circumstances with more significant stakes when even a slim margin of mistake is too high (MHA, 2021). The clinical relevance aims at understanding the extent and extent of an impact. This is a vital tool for policymakers working on the pharmacological, psychological, and medical fields of high interest.

In evidence-based research practice, statistical importance must always be considered prior to clinical significance. The evidence-based clinical importance of the research project will be utilized to promote good projects findings that correspond with statistically significant results.

MHA. (2021). Clinical Significance vs. Statistical Significance – Side-by-Side Comparison. Mhaonline. https://www.mhaonline.com/faq/clinical-vs-statistical-significance

Ranganathan, P., Pramesh, C., & Buyse, M. (2017). Common pitfalls in statistical analysis: Clinical versus statistical significance. Perspectives in Clinical Research6(3), 169. https://doi.org/10.4103/2229-3485.159943

Evaluation Plan

Evaluation is one of the last phases of an evidence-based practice process. Therefore, it is important for the change implementers to formulate an appropriate evaluation plan that can be used in guiding the evaluation phase. Evaluation is important as it offers insight into how the project was effective in achieving the set objectives (Hopp & Rittenmeyer, 2021). In addition, it also helps in assessing how effective the methods applied in the project were toward achieving the project goals. It is important to let every stakeholder know of the evaluation plans in time so that they can have a better grasp of every aspect of the project. Therefore, the purpose of this assignment is to formulate an evaluation plan for the proposed EBP project.

The Expected Outcomes

The project focuses on using automated fall detectors to reduce the incidences of falls among elderly patients of sixty-five years and above. Therefore, there are various expected outcomes of the proposed EBP project. One of the expected outcomes is a reduction in the number of falls among elderly patients admitted to the facility (Bet et al.,2019). It is expected that the automated fall detectors will be able to help the nursing staff detect potential patient falls so that they be prevented. The project will also involve training the nursing staff on how to use the automated fall detectors. Therefore, another expected outcome regarding this project is improved knowledge among the nurses regarding the use of automated fall detectors to help prevent patient falls. It is also expected that the organization will adopt the solution to part of the normal or routine care of the elderly patients admitted to the facility.

Data Collection Tools

Choosing the right data collection tools is key in ensuring the right kind of data is collected since such data is used in evaluating the project’s efficacy. Therefore, various data collection tools will be used in this project. One of the tools is the electronic health records which will be used as a source of data regarding patient fall incidences, both before and after the implementation of the intervention. Another targeted tool is questionnaires (Linsley et al.,2019). Questionnaires will be key in determining the nurses’ knowledge regarding the use of automated fall detectors to control patient falls.

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The Statistical Tests

Statistical tests are key in expressing the targeted project outcomes and interpreting the efficacy of the interventions. One of the tests that will be key is paired sample t-test. Paired sample t-tests have been shown to be effective for pre and post-interventions (Grove & Cipher, 2019). Since this project will focus on exploring the rates of patient falls before implementing the automated fall detectors and after the intervention. As such, the paired sample t-test will help in determining the difference between the two phases to determine the efficacy of the intervention.

Methods to Be Applied To Data Collection Tool

It is key to check the data collected for completeness. Therefore, two different individuals will determine the completeness of the data by checking the questionnaires with the main focus of ensuring that all the questions have been answered. Data will also be extracted from both the electronic health records and the questionnaires for analysis to determine the efficacy of the intervention. Therefore as part of the plan, the extracted data will be analyzed using statistical software. As part of the evaluation process, process and outcome measures will be used. While the outcome measures will explore whether the expected results have been realized or not, the process measures will focus on determining whether the applied project intervention was efficacious or not.

Strategies to Use If Outcomes Do Not Give Expected or Positive Results

In some cases, the project outcomes may not be in line with the expected results. As such, one of the strategies to apply is a reexamination of the intervention applied in the project. Such a process can be key to offering insights into potential areas of weakness and the strategies that can be used to improve the areas of weakness (Melnyk, B. M., & Fineout-Overholt, 2019). The project’s timeline can also be extended. An extension allows the use of potential corrective measures or interventions, which can then be monitored to enhance the effectiveness of the project.

Plans for Maintaining, Extending, Revising, and Discontinuing the Proposed Solution

In the event that the outcomes are as expected and positively impact the clinical practice, then the project will be maintained. In addition, the project will be maintained if it is cost-effective. The extension route will be taken if the outcomes are inconclusive. Such an extension helps in obtaining more data that can be used in evaluating the project (Melnyk, B. M., & Fineout-Overholt, 2019). Project revision will be considered if strategies are not aligned with the outcomes. As such, a revision will offer a chance to improve the interventions to enhance the chances of the project succeeding. Finally, the project will be discontinued in case it causes harm to the patients and the staff working in the facility.

Conclusion

Evaluation is one of the most important parts of the evidence-based practice project. Therefore, it is key to formulate a plan. As such, this write-up has explored evaluation strategies to use in the proposed project. It will reflect how effective the project is in achieving the aims and how effective the implemented strategies were.

Evidence-Based Practice Project Proposal Evaluation Plan NUR 590 Reference

Bet, P., Castro, P. C., & Ponti, M. A. (2019). Fall detection and fall risk assessment in older person using wearable sensors: A systematic review. International Journal of Medical Informatics130, 103946. https://doi.org/10.1016/j.ijmedinf.2019.08.006

Grove, S. K., & Cipher, D. J. (2019). Statistics for Nursing Research: A Workbook for EvidenceBased Practice. Elsevier.

Hopp, L., & Rittenmeyer, L. (2021). Introduction to Evidence-Based Practice: A Practical Guide for Nursing. F.A. Davis.

Linsley, P., Kane, R., & Barker, J. H. (2019). Evidence-based Practice for Nurses and

Healthcare Professionals. SAGE.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing &

Healthcare: A Guide to Best Practice. Wolters Kluwer.

Clinically significant evidence leans more toward some treatment or practice having genuine positive and quantifiable effects, whereas statistically significant evidence is when some treatment or practice and anything related to that treatment or practice is found to be unlikely to have occurred by chance. Clinically significant evidence focuses on the application of medical and non-medical research. The clinically significant evidence can be applied to clinical and non-clinical settings, that can be measured and quantified. Statistical evidence can be applied to a broader context where it evaluated whether something happened by chance. This is collected through surveys or polls and market research. Clinically significant evidence can be used and practiced in situations with higher stakes, where even a margin of error would be too high, whereas statistical evidence is one aspect that allows researchers and scientists to determine the result of statistical evidence that can influence the decision made. In my evidence-based practice project, statistical evidence reveals that Hospital Acquired pressure injuries are a major issue in acute care centers. Statistical evidence alludes to the fact that the Braden skin risk stratification tool is very valid and reliable. Clinical evidence findings suggest that using a valid and reliable skin risk tool, by the frontline staff allows for better implementation of pressure injury prevention and management measures and reduces hospital-acquired pressure injuries. This clinical evidence is only known when a study is implemented on real people in the real world, with data collected and evaluated by statistical means.

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