{"id":"https://openalex.org/W4416765931","doi":"https://doi.org/10.1177/21621918251400770","title":"Nurse Staffing and Patient Outcomes: A Call to Action for Chronic Wound Care Policy Reform","display_name":"Nurse Staffing and Patient Outcomes: A Call to Action for Chronic Wound Care Policy Reform","publication_year":2025,"publication_date":"2025-11-28","ids":{"openalex":"https://openalex.org/W4416765931","doi":"https://doi.org/10.1177/21621918251400770","pmid":"https://pubmed.ncbi.nlm.nih.gov/41309220"},"language":"en","primary_location":{"id":"doi:10.1177/21621918251400770","doi":"https://doi.org/10.1177/21621918251400770","is_oa":false,"landing_page_url":"https://doi.org/10.1177/21621918251400770","pdf_url":null,"source":{"id":"https://openalex.org/S2764409288","display_name":"Advances in Wound Care","issn_l":"2162-1918","issn":["2162-1918","2162-1934"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in Wound Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pubmed.ncbi.nlm.nih.gov/41309220/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001061511","display_name":"Eleanor R. Turi","orcid":"https://orcid.org/0000-0003-3614-5968","observed_orcids":["https://orcid.org/0000-0003-3614-5968"]},"institutions":[{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Eleanor Turi","raw_affiliation_strings":["Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA","Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA"],"raw_orcid":"https://orcid.org/0000-0003-3614-5968","affiliations":[{"raw_affiliation_string":"Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079992766","display_name":"Karen B. Lasater","orcid":"https://orcid.org/0000-0002-5834-1954","observed_orcids":["https://orcid.org/0000-0002-5834-1954"]},"institutions":[{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Karen B. Lasater","raw_affiliation_strings":["Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA","Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5012466606","display_name":"Kathryn Jane Muir","orcid":"https://orcid.org/0000-0003-0815-1340","observed_orcids":["https://orcid.org/0000-0003-0815-1340"]},"institutions":[{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K. Jane Muir","raw_affiliation_strings":["Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA","Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA","Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5001061511"],"corresponding_institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"],"apc_list":null,"apc_paid":null,"fwci":2.6655,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.90287635,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":98},"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.9702000021934509,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.9702000021934509,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11816","display_name":"Nursing Roles and Practices","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.003700000001117587,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/nurse-staffing","display_name":"nurse staffing","score":0.8889999985694885},{"id":"https://openalex.org/keywords/staffing-adequacy","display_name":"staffing adequacy","score":0.75},{"id":"https://openalex.org/keywords/chronic-wounds","display_name":"chronic wounds","score":0.8230000138282776},{"id":"https://openalex.org/keywords/complex-wounds","display_name":"complex wounds","score":0.7990000247955322},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.9490000009536743},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9940000176429749},{"id":"https://openalex.org/keywords/patient-outcomes","display_name":"patient outcomes","score":0.5870000123977661},{"id":"https://openalex.org/keywords/hospital-nursing-workforce","display_name":"hospital nursing workforce","score":0.4189999997615814},{"id":"https://openalex.org/keywords/rn4cast","display_name":"RN4CAST","score":0.5789999961853027}],"concepts":[{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.9143999814987183},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7429999709129333},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.6309000253677368},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.5458999872207642},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5442000031471252},{"id":"https://openalex.org/C2776807786","wikidata":"https://www.wikidata.org/wiki/Q5113964","display_name":"Chronic care","level":3,"score":0.40450000762939453},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3808000087738037},{"id":"https://openalex.org/C2909048080","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Multiple Chronic Conditions","level":3,"score":0.3513999879360199},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.34389999508857727},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.33820000290870667},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3327000141143799},{"id":"https://openalex.org/C105152847","wikidata":"https://www.wikidata.org/wiki/Q5021685","display_name":"Call to action","level":2,"score":0.3208000063896179},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30379998683929443},{"id":"https://openalex.org/C88579808","wikidata":"https://www.wikidata.org/wiki/Q1046955","display_name":"Case mix index","level":2,"score":0.3018999993801117},{"id":"https://openalex.org/C49898467","wikidata":"https://www.wikidata.org/wiki/Q1517706","display_name":"Stratified sampling","level":2,"score":0.301800012588501},{"id":"https://openalex.org/C2984889486","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing care","level":2,"score":0.29820001125335693},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2953999936580658},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2874999940395355},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.28299999237060547},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.27889999747276306},{"id":"https://openalex.org/C2987552334","wikidata":"https://www.wikidata.org/wiki/Q383126","display_name":"Chronic disease","level":2,"score":0.2777000069618225},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.27549999952316284},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.26899999380111694},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.2676999866962433},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.2581000030040741}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1177/21621918251400770","doi":"https://doi.org/10.1177/21621918251400770","is_oa":false,"landing_page_url":"https://doi.org/10.1177/21621918251400770","pdf_url":null,"source":{"id":"https://openalex.org/S2764409288","display_name":"Advances in Wound Care","issn_l":"2162-1918","issn":["2162-1918","2162-1934"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","ki-jl-2","medline","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320443","host_organization_name":"Mary Ann Liebert, Inc.","host_organization_lineage":["https://openalex.org/P4310320443","https://openalex.org/P4310320017"],"host_organization_lineage_names":["Mary Ann Liebert, Inc.","SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in Wound Care","raw_type":"journal-article"},{"id":"pmid:41309220","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41309220","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in wound care","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13192300","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41309220/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Adv Wound Care (New Rochelle)","raw_type":"Text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:13192300","doi":null,"is_oa":true,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41309220/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Adv Wound Care (New Rochelle)","raw_type":"Text"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G1423635795","display_name":null,"funder_award_id":"T32-NR007104","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"},{"id":"https://openalex.org/G3388068873","display_name":null,"funder_award_id":"K23DA063936 (Turi)","funder_id":"https://openalex.org/F4320337347","funder_display_name":"National Institute on Drug Abuse"},{"id":"https://openalex.org/G4488067452","display_name":null,"funder_award_id":"K23 DA063936","funder_id":"https://openalex.org/F4320337347","funder_display_name":"National Institute on Drug Abuse"},{"id":"https://openalex.org/G5763802647","display_name":null,"funder_award_id":"R01NR014855 (McHugh)","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"},{"id":"https://openalex.org/G7015699396","display_name":null,"funder_award_id":"K01 NR021419","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"},{"id":"https://openalex.org/G820536325","display_name":null,"funder_award_id":"R01 NR014855","funder_id":"https://openalex.org/F4320337353","funder_display_name":"National Institute of Nursing Research"},{"id":"https://openalex.org/G9000910663","display_name":"Advanced Training in Nursing Outcomes Research","funder_award_id":"5t32nr007104-27","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320314635","display_name":"National Council of State Boards of Nursing","ror":"https://ror.org/034dv4062"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320337347","display_name":"National Institute on Drug Abuse","ror":"https://ror.org/00fq5cm18"},{"id":"https://openalex.org/F4320337353","display_name":"National Institute of Nursing Research","ror":"https://ror.org/01y3zfr79"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":29,"referenced_works":["https://openalex.org/W1868822604","https://openalex.org/W2060424252","https://openalex.org/W2252868685","https://openalex.org/W2392772106","https://openalex.org/W2402202411","https://openalex.org/W2601569069","https://openalex.org/W2767665236","https://openalex.org/W2936786079","https://openalex.org/W2952196428","https://openalex.org/W2995457858","https://openalex.org/W3009477730","https://openalex.org/W3016062083","https://openalex.org/W3075247568","https://openalex.org/W3135371648","https://openalex.org/W3179870555","https://openalex.org/W3201648394","https://openalex.org/W4200040442","https://openalex.org/W4200171498","https://openalex.org/W4223905008","https://openalex.org/W4281817758","https://openalex.org/W4391668179","https://openalex.org/W4395662867","https://openalex.org/W4396707890","https://openalex.org/W4400117532","https://openalex.org/W4400903190","https://openalex.org/W4404959015","https://openalex.org/W4408767206","https://openalex.org/W4409956993","https://openalex.org/W4411089284"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"Objective:":[1],"Patients":[2],"with":[3,26,116,132,150,159,162,168,179,191,206,221,232,254],"complex":[4,27,117,160,193,222,255],"chronic":[5,30,120,133,207,233],"wounds":[6,134,234],"are":[7,72],"at":[8],"high":[9],"risk":[10],"for":[11,107,189,204,219,230],"poor":[12],"outcomes.":[13],"This":[14,40],"study":[15,42,210],"assessed":[16],"the":[17,65,77,82,95,251],"relationship":[18,165],"between":[19,97],"nurse":[20],"staffing":[21,61,89,98,146,175,201,226],"and":[22,28,52,55,99,102,109,112,118,194,242],"outcomes":[23,203],"among":[24,114,157,166,250],"patients":[25,115,131,158,167,190,205,231],"noncomplex":[29,119,169,195],"wounds.":[31,121,170,196,223,256],"Dr.":[32],"Eleanor":[33],"Turi,":[34],"PhD,":[35],"MSHP,":[36],"RN,":[37],"CCRN":[38],"Approach:":[39],"cross-sectional":[41],"linked":[43],"three":[44],"2021":[45],"datasets:":[46],"RN4CAST":[47,66],"survey,":[48],"Medicare":[49],"Provider":[50],"Analysis":[51],"Review":[53],"claims,":[54],"American":[56],"Hospital":[57],"Association":[58],"data.":[59],"Nurse":[60,225],"was":[62,148,177],"derived":[63],"from":[64],"item":[67],"asking":[68],"nurses":[69,74,86,144],"whether":[70],"\u201cthere":[71],"enough":[73],"to":[75,202,215,238],"get":[76],"work":[78],"done.\u201d":[79],"We":[80,122],"calculated":[81],"hospital-level":[83],"percentage":[84],"of":[85,104,154,182,187,240],"who":[87],"reported":[88],"inadequacy.":[90],"Multilevel":[91],"statistical":[92],"modeling":[93],"measured":[94],"association":[96],"in-hospital":[100,155,248],"mortality":[101,156,249],"length":[103,239],"stay,":[105,183],"adjusted":[106],"patient":[108],"hospital":[110],"covariates":[111],"stratified":[113],"followed":[123],"STROBE":[124],"criteria.":[125],"Results:":[126],"The":[127],"sample":[128],"included":[129],"19,027":[130],"(66.7%":[135],"complex)":[136],"in":[137,143,174,246],"216":[138],"hospitals.":[139],"Every":[140,171],"10%":[141,172],"increase":[142,173],"reporting":[145],"inadequacy":[147,176],"associated":[149,178],"6%":[151],"higher":[152],"odds":[153],"wounds,":[161,208],"no":[163],"significant":[164],"longer":[180],"lengths":[181],"by":[184],"a":[185,212],"factor":[186],"1.04,":[188],"both":[192],"Innovation:":[197],"By":[198],"linking":[199],"nurse-reported":[200],"this":[209],"identifies":[211],"policy-relevant":[213],"pathway":[214],"improve":[216],"outcomes,":[217],"particularly":[218,244],"those":[220],"Conclusion:":[224],"adequacy":[227],"is":[228,243],"consequential":[229],"as":[235],"it":[236],"relates":[237],"stay":[241],"important":[245],"preventing":[247],"highest-risk":[252],"patients\u2014those":[253]},"counts_by_year":[{"year":2026,"cited_by_count":3}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-11-28T00:00:00"}