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I
J
P
H
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Vo
l.
5
,
No
.
3
,
Sep
tem
b
er
201
6
,
p
p
.
3
3
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~
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0
I
SS
N:
2252
-
8806
335
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Ana
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tiv
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Nu
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s
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f
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2
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1
6
In
stit
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te o
f
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Dep
ar
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m
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s
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Ma
ter
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I
NA
SEHA
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P
NI
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I
n
d
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E
m
ail:
s
a
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ah
_
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@
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o
.
co
.
id
1.
I
NT
RO
D
UCT
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C
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p
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ac
co
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in
g
to
Her
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c
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to
d
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v
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f
ac
to
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[
1
]
.
Nu
r
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s
tr
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m
o
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to
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m
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s
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N
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[
2
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Mo
tiv
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f
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alit
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id
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m
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f
t
h
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in
d
ep
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ce
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f
th
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f
a
m
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ca
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Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8806
I
J
P
HS
Vo
l.
5
, N
o
.
3
,
Sep
tem
b
er
20
1
6
:
3
3
5
–
3
4
0
336
f
a
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.
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2.
RE
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D
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Nu
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er
atio
n
am
o
n
g
p
r
o
f
es
s
io
n
als
in
th
e
h
ea
l
th
s
ec
to
r
w
il
l
en
h
a
n
ce
th
e
b
en
e
f
it
f
o
r
p
atien
ts
a
n
d
f
a
m
ilies
.
Hea
l
th
tea
m
co
llab
o
r
atio
n
by
AN
A
1992
in
[
6
]
is
a
w
o
r
k
i
n
g
r
elatio
n
s
h
ip
th
at
h
as
a
s
h
ar
ed
r
esp
o
n
s
ib
ilit
y
w
it
h
o
th
er
h
ea
lt
h
ca
r
e
p
r
o
v
id
er
s
in
th
e
d
eliv
er
y
(
s
u
p
p
l
y
)
o
f
n
u
r
s
in
g
ca
r
e
to
clien
t
s
.
C
o
o
p
er
atio
n
o
f
h
ea
lt
h
tea
m
i
s
ac
ti
v
it
y
ai
m
e
d
to
s
tr
en
g
th
e
n
t
h
e
r
elatio
n
s
h
i
p
am
o
n
g
t
h
e
d
if
f
er
en
t
h
ea
lt
h
p
r
o
f
ess
io
n
s
an
d
h
e
lp
to
s
o
lv
e
p
r
o
b
lem
o
f
h
ea
lt
h
cli
en
ts
w
el
l
.
I
n
ad
d
itio
n
,
it
ca
n
i
m
p
r
o
v
e
p
er
f
o
r
m
an
ce
in
v
ar
io
u
s
asp
ec
t
s
r
elate
d
to
th
e
h
ea
lt
h
ca
r
e
s
y
s
te
m
.
All
h
ea
lth
p
r
o
f
es
s
io
n
a
ls
ar
e
r
eq
u
ir
ed
to
h
av
e
g
o
o
d
q
u
ali
f
icatio
n
s
in
t
h
eir
r
esp
ec
tiv
e
f
ield
s
s
o
as to
r
ed
u
ce
t
h
e
h
u
m
an
er
r
o
r
f
ac
to
r
in
d
eliv
er
in
g
h
e
alth
s
er
v
ices
.
C
o
o
p
er
atio
n
an
d
co
o
r
d
in
atio
n
a
m
o
n
g
p
r
o
f
es
s
io
n
a
ls
i
n
cl
u
d
e
s
h
ar
ed
g
o
als
,
s
h
ar
ed
k
n
o
w
led
g
e
a
n
d
m
u
tu
al
r
esp
ec
t
[
7
]
.
C
o
llab
o
r
atio
n
o
f
h
ea
lt
h
tea
m
co
n
s
is
t
s
of
v
ar
io
u
s
h
ea
lt
h
p
r
o
f
ess
io
n
s
s
u
ch
a
s
d
o
cto
r
s
,
n
u
r
s
es
,
p
s
y
c
h
iatr
is
ts
,
n
u
tr
itio
n
is
ts
,
p
h
ar
m
ac
e
u
tica
l,
h
ea
lt
h
ed
u
ca
to
r
s
,
an
d
s
o
cial
w
o
r
k
er
s
.
T
h
e
m
ai
n
o
b
j
ec
tiv
e
o
f
th
e
co
llab
o
r
atio
n
o
f
h
ea
l
th
tea
m
s
is
p
r
o
v
id
in
g
ap
p
r
o
p
r
iat
e
s
er
v
ices
,
by
a
n
ap
p
r
o
p
r
iate
h
ea
lt
h
tea
m
,
at
t
h
e
r
ig
h
t
ti
m
e
a
n
d
i
n
t
h
e
r
i
g
h
t
p
la
ce
.
T
h
e
i
m
p
o
r
tan
t
e
le
m
e
n
t
s
in
th
e
h
ea
lt
h
tea
m
co
llab
o
r
atio
n
ar
e
co
m
m
u
n
icat
io
n
s
k
il
ls
,
m
u
t
u
al
r
esp
ec
t
,
tr
u
s
t
,
an
d
d
ec
is
io
n
m
a
k
i
n
g
p
r
o
ce
s
s
es
.
T
h
e
co
n
ce
p
t
o
f
co
lla
b
o
r
ativ
e
h
ea
lt
h
tea
m
its
e
lf
i
s
a
co
n
ce
p
t
o
f
co
m
p
le
x
co
o
p
er
atio
n
r
elatio
n
s
h
ip
s
.
An
d
it
re
q
u
ir
es
th
e
ex
c
h
an
g
e
o
f
k
n
o
w
le
d
g
e
o
r
ien
ted
h
ea
lt
h
s
er
v
ices
f
o
r
clien
t
s
[
6
]
.
J
o
h
n
s
o
n
s
tated
th
a
t
th
e
r
ec
o
m
m
en
d
atio
n
f
o
r
i
n
ter
-
p
r
o
f
es
s
i
o
n
al
co
llab
o
r
atio
n
is
to
p
a
y
a
tten
tio
n
o
n
v
alu
e
s
a
n
d
p
r
ac
tical
eth
ic
s
o
f
ea
ch
p
r
o
f
ess
io
n
,
s
e
n
s
iti
v
it
y
to
p
atien
ts
a
t
th
e
h
ea
l
th
ce
n
ter
,
p
ay
i
n
g
atte
n
tio
n
to
cu
lt
u
r
al
d
iv
er
s
it
y
a
n
d
d
if
f
er
en
ce
s
a
m
o
n
g
t
h
e
tea
m
s
,
n
o
tic
ed
a
u
n
iq
u
e
r
o
le
an
d
r
esp
o
n
s
ib
ilit
ies
a
m
o
n
g
t
h
e
tea
m
s
,
co
m
m
u
n
icatio
n
w
it
h
p
atien
ts
,
f
a
m
ilie
s
an
d
co
m
m
u
n
i
ties
a
n
d
o
th
er
h
ea
lt
h
ca
r
e
tea
m
s
,
w
o
r
k
i
n
g
ef
f
ec
tiv
e
l
y
i
n
a
v
ar
i
et
y
o
f
r
o
le
s
[
8
]
.
T
y
p
e
o
f
co
llab
o
r
atio
n
o
f
h
ea
lt
h
ca
r
e
tea
m
,
in
c
lu
d
i
n
g
:
(
1
)
F
u
l
l
y
I
n
te
g
r
ated
Ma
j
o
r
is
a
co
llab
o
r
atio
n
in
w
h
ic
h
ev
er
y
p
ar
t
o
f
t
h
e
team
h
a
s
th
e
r
esp
o
n
s
ib
ilit
y
an
d
th
e
s
a
m
e
co
n
tr
ib
u
tio
n
f
o
r
th
e
s
a
m
e
p
u
r
p
o
s
e
,
(
2
)
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8806
I
J
P
HS
Vo
l.
5
, N
o
.
3
,
Sep
tem
b
er
20
1
6
:
3
3
5
–
3
4
0
338
P
ar
tially
I
n
te
g
r
ated
Ma
j
o
r
,
is
a
f
o
r
m
o
f
co
llab
o
r
atio
n
th
at
ea
ch
m
e
m
b
er
of
th
e
te
a
m
h
a
s
a
d
if
f
er
en
t
r
esp
o
n
s
ib
ilit
y
b
u
t
s
till
h
av
e
a
co
m
m
o
n
p
u
r
p
o
s
e
,
(
3
)
j
o
in
t
P
r
o
g
r
am
O
f
f
ice
i
s
a
f
o
r
m
o
f
co
llab
o
r
atio
n
w
h
ic
h
d
o
es
n
o
t
h
a
v
e
a
co
m
m
o
n
g
o
a
l
b
u
t
h
a
s
a
n
e
m
p
lo
y
m
e
n
t
r
ela
tio
n
s
h
ip
t
h
at
is
p
r
o
f
itab
le
w
h
en
d
o
n
e
j
o
in
tl
y
,
(
4
)
j
o
in
t
P
ar
tn
er
s
h
ip
w
i
th
Af
f
iliat
ed
P
r
o
g
r
am
m
i
n
g
is
a
co
llab
o
r
atio
n
to
p
r
o
v
id
e
s
er
v
ices
an
d
g
en
er
all
y
d
o
es
n
o
t
lo
o
k
f
o
r
p
r
o
f
it
a
m
o
n
g
o
n
e
an
d
th
e
o
th
er
s
,
(
5
)
J
o
in
t
P
ar
tn
er
s
h
ip
f
o
r
I
s
s
u
e
A
d
v
o
ca
c
y
is
a
f
o
r
m
o
f
co
llab
o
r
atio
n
w
h
ic
h
h
a
s
a
lo
ng
-
ter
m
m
is
s
io
n
b
u
t
w
ith
s
h
o
r
t
-
ter
m
g
o
als
,
b
u
t
s
h
o
u
ld
n
o
t f
o
r
m
a
n
e
w
tea
m
.
Fa
m
il
y
Hea
lt
h
T
ea
m
d
escr
ib
es
ab
o
u
t
1
2
ty
p
es
o
f
tea
m
c
o
llab
o
r
atio
n
s
[
9
]
.
T
h
e
y
ar
e
th
e
p
r
i
m
ar
y
r
ep
r
o
d
u
ctiv
e
ca
r
e
(
f
o
r
ex
a
m
p
l
e,
p
r
e
-
n
atal,
o
b
s
tetr
ic,
p
o
s
tp
ar
tu
m
,
a
n
d
n
e
w
b
o
r
n
ca
r
e)
;
p
r
i
m
ar
y
m
e
n
tal
h
ea
l
th
ca
r
e,
p
r
im
ar
y
p
alliati
v
e
ca
r
e;
in
-
h
o
m
e
/
f
ac
ilit
y
u
s
ag
e
to
s
u
p
p
o
r
t
s
er
v
ices;
ca
r
e
co
o
r
d
in
atio
n
/
ca
r
e
n
av
i
g
atio
n
;
p
atien
t
ed
u
ca
tio
n
an
d
p
r
ev
e
n
tio
n
;
ch
r
o
n
ic
d
iab
etes
d
is
ea
s
e
m
an
a
g
e
m
e
n
t
p
r
o
g
r
a
m
,
h
ea
r
t
d
is
ea
s
e,
o
b
esit
y
,
ar
th
r
itis
,
ast
h
m
a,
a
n
d
d
ep
r
ess
io
n
;
h
ea
l
th
p
r
o
m
o
tio
n
a
n
d
d
is
ea
s
e
p
r
ev
e
n
tio
n
;
h
ea
lt
h
o
f
th
e
m
o
t
h
er
/
c
h
ild
;
o
cc
u
p
atio
n
al
h
ea
l
th
; e
ld
er
l
y
h
ea
lth
; a
d
d
ictio
n
tr
ea
t
m
en
t; r
eh
ab
ilit
atio
n
s
er
v
ices; a
n
d
p
ar
en
t
in
g
.
T
h
e
p
r
in
cip
les
o
f
th
e
h
ea
lt
h
c
ar
e
tea
m
co
llab
o
r
atio
n
ar
e:
(
1
)
p
atien
t
-
ce
n
ter
ed
ca
r
e
is
p
r
in
ci
p
le
w
h
ic
h
is
m
o
r
e
p
r
io
r
it
y
to
th
e
i
n
ter
es
ts
an
d
n
ee
d
s
o
f
t
h
e
p
atien
t
s
.
P
atien
ts
an
d
f
a
m
ilie
s
ar
e
g
i
v
i
n
g
a
d
ec
is
io
n
i
n
th
e
m
atter
o
f
h
ea
l
th
,
(
2
)
r
ec
o
g
n
i
ti
o
n
o
f
p
atie
n
t
-
p
h
y
s
icia
n
r
elatio
n
s
h
ip
is
tr
u
s
t
an
d
b
e
h
av
e
in
a
cc
o
r
d
an
ce
w
it
h
t
h
e
co
d
e
o
f
co
n
d
u
ct
an
d
r
esp
ec
t
o
n
e
an
o
th
er
,
(
3
)
P
h
y
s
ic
ian
as
th
e
clin
ical
lead
er
is
a
g
o
o
d
lead
er
in
m
a
k
i
n
g
d
ec
is
io
n
,
esp
ec
ial
l
y
in
ca
s
e
o
f
an
e
m
er
g
e
n
c
y
n
at
u
r
e,
(
4
)
m
u
t
u
al
r
esp
ec
t
an
d
tr
u
s
t,
is
tr
u
s
t b
y
u
n
d
er
s
ta
n
d
i
n
g
t
h
e
d
iv
is
io
n
o
f
tas
k
s
a
n
d
ea
ch
co
m
p
e
ten
ce
.
E
s
tab
li
s
h
in
g
a
n
d
m
a
in
ta
in
i
n
g
tea
m
co
llab
o
r
atio
n
o
f
h
ea
lt
h
s
er
v
ices
ar
e
es
s
en
tial
i
n
o
r
d
er
to
p
r
o
v
id
e
h
ea
lt
h
ca
r
e
s
er
v
ices
to
clie
n
ts
o
p
ti
m
all
y
.
Na
y
lo
r
ex
p
lai
n
s
t
h
at
t
h
e
h
ea
lt
h
tea
m
co
o
p
er
atio
n
w
ill
i
m
p
r
o
v
e
th
e
q
u
alit
y
o
f
s
er
v
ice
to
clie
n
t
[1
0
]
.
So
m
e
w
a
y
s
w
h
ic
h
ca
n
b
e
d
o
n
e
to
estab
lis
h
a
n
d
m
ain
tai
n
h
ea
l
th
ca
r
e
tea
m
co
llab
o
r
atio
n
is
b
y
m
a
k
i
n
g
s
u
r
e
th
at
all
tea
m
m
e
m
b
er
s
can
m
ee
t
r
eg
u
lar
l
y
to
d
is
cu
s
s
t
h
e
n
ex
t
a
g
e
n
d
a
,
all
th
e
m
ed
ical
tea
m
in
v
o
lv
ed
in
an
y
p
lan
s
,
to
k
n
o
w
ea
c
h
o
t
h
er
a
m
o
n
g
t
h
e
tea
m
m
e
m
b
er
s
to
g
et
g
o
o
d
co
n
t
r
ib
u
t
io
n
,
th
e
co
m
m
u
n
icatio
n
m
u
s
t
b
e
e
s
tab
lis
h
ed
w
ell
a
n
d
r
o
u
t
in
e
,
m
u
tu
al
tr
u
s
t
,
s
u
p
p
o
r
t
an
d
r
esp
ec
t
,
co
n
d
u
ct
r
e
g
u
lar
ev
alu
a
tio
n
to
i
m
p
r
o
v
e
th
e
s
it
u
atio
n
i
n
th
e
f
u
t
u
r
e
an
d
ap
p
r
ec
iate
ev
er
y
o
p
in
io
n
an
d
co
n
t
r
ib
u
tio
n
o
f
all
tea
m
m
e
m
b
er
s
.
T
h
er
e
ar
e
p
r
o
b
lem
s
in
h
o
w
h
ea
lt
h
ca
r
e
p
r
o
f
ess
i
o
n
al
co
m
m
u
n
icate
a
n
d
in
ter
a
ct
w
it
h
ea
c
h
o
th
er
.
L
ac
k
i
n
ter
p
r
o
f
ess
io
n
al
co
llab
o
r
atio
n
ca
n
n
e
g
ati
v
el
y
a
f
f
ec
t
to
d
eliv
er
y
o
f
h
ea
lt
h
s
er
v
ice
s
.
I
n
ter
p
r
o
f
es
s
io
n
al
co
llab
o
r
atio
n
b
ased
in
ter
v
e
n
t
io
n
ar
e
s
tr
ateg
ies
p
u
t
in
to
p
lace
in
h
ea
l
th
ca
r
e
s
e
tti
n
g
to
i
m
p
r
o
v
e
w
o
r
k
in
ter
ac
tio
n
a
n
d
p
r
o
ce
s
s
[
1
1]
.
Hea
lth
tea
m
co
llab
o
r
atio
n
is
i
m
p
o
r
tan
t
b
ec
au
s
e
ea
ch
h
ea
lth
p
er
s
o
n
n
e
l
h
as
t
h
e
k
n
o
w
le
d
g
e
,
s
k
ill
,
ab
ilit
y
,
co
m
p
eten
c
y
,
an
d
ex
p
er
ien
ce
.
Gittel
d
escr
ib
es
th
at
th
e
s
h
ar
in
g
o
f
k
n
o
w
led
g
e
an
d
s
k
ills
m
a
y
o
cc
u
r
d
u
r
in
g
th
e
p
r
o
ce
s
s
o
f
co
llab
o
r
atio
n
.
T
h
is
co
n
d
itio
n
can
i
n
c
r
ea
s
e
th
e
m
o
t
iv
atio
n
o
f
n
u
r
s
e
s
in
t
h
e
w
o
r
k
[
7
]
.
Nu
r
s
es
w
i
ll
g
e
t
ad
d
itio
n
al
k
n
o
w
led
g
e
a
n
d
s
k
ill
w
h
en
co
ll
ab
o
r
atin
g
w
it
h
o
th
er
h
ea
l
th
t
ea
m
s
.
P
r
o
f
ess
io
n
al
w
o
r
k
i
n
g
i
n
in
ter
p
r
o
f
es
s
io
n
a
l
tea
m
s
al
lo
w
s
h
a
r
in
g
o
f
e
x
p
er
tis
e
an
d
p
er
s
p
ec
tiv
e
to
f
o
r
m
m
ain
tain
in
g
an
d
in
d
iv
id
u
al
’
s
h
ea
lt
h
a
n
d
i
m
p
r
o
v
in
g
o
u
tco
m
e
s
[
1
2]
.
T
h
e
ad
d
itio
n
o
f
t
h
i
s
ca
p
ab
ilit
y
i
s
a
n
o
p
p
o
r
tu
n
it
y
to
ad
v
a
n
ce
f
or
th
e
n
u
r
s
e
.
Op
p
o
r
tu
n
it
y
to
p
r
o
g
r
ess
ac
co
r
d
in
g
to
Her
zb
er
g
'
s
th
eo
r
y
is
a
m
o
ti
v
ato
r
f
o
r
s
o
m
eo
n
e
to
d
o
a
j
o
b
.
C
o
m
p
le
x
it
y
o
f
h
ea
lth
p
r
o
b
lem
s
in
t
h
e
f
a
m
il
y
e
n
co
u
r
ag
e
s
n
u
r
s
es
to
co
o
p
er
ate
n
o
t
o
n
l
y
w
it
h
th
e
h
ea
lth
tea
m
(
T
r
af
f
ic
p
r
o
g
r
a
m
)
b
u
t
a
ls
o
w
i
th
t
h
e
r
elev
a
n
t
s
ec
to
r
s
s
u
c
h
a
s
lo
ca
l
g
o
v
er
n
m
e
n
t
o
f
f
icials
,
h
ea
lt
h
w
o
r
k
er
s
a
n
d
o
th
er
co
m
m
u
n
it
y
o
r
g
an
iza
tio
n
s
.
4.
CO
NCLU
SI
O
N
Nu
r
s
e
C
o
o
p
er
atio
n
i
s
as
s
o
ciat
ed
w
i
th
m
o
t
iv
at
io
n
i
n
i
m
p
le
m
en
ti
n
g
f
a
m
i
l
y
n
u
r
s
i
n
g
ca
r
e
a
t
th
e
h
ea
lt
h
ce
n
ter
o
f
Su
r
ab
a
y
a
C
it
y
.
B
ase
d
o
n
th
e
r
esear
ch
,
it
ca
n
b
e
s
u
g
g
e
s
ted
n
u
r
s
es
s
h
o
u
ld
en
h
an
c
e
b
o
th
co
o
p
er
atio
n
ac
r
o
s
s
p
r
o
g
r
a
m
s
a
n
d
ac
r
o
s
s
s
e
cto
r
s
so
th
at
it
w
il
l
in
cr
ea
s
e
th
e
ab
ilit
y
an
d
w
il
l
in
cr
ea
s
e
th
e
m
o
tiv
a
tio
n
to
ca
r
r
y
o
u
t
th
e
f
a
m
il
y
n
u
r
s
i
n
g
ca
r
e.
RE
F
E
R
E
NC
E
S
[1
]
W
ib
o
w
o
,
“
M
a
n
a
g
e
m
e
n
t
o
f
W
o
rk
P
e
rf
o
rm
a
n
c
e
,”
Ja
k
a
rta,
Ra
ja
wa
li
P
re
s,
pp
. 7
-
1
9
6
,
2
0
1
4
.
[2
]
Ca
n
a
d
ian
M
e
d
ica
l
A
ss
o
c
iatio
n
,
“
P
u
tt
i
n
g
p
a
ti
e
n
t
f
irst:
p
a
ti
e
n
t
-
c
e
n
te
re
d
c
o
ll
a
b
o
ra
ti
v
e
c
a
re
,
a
d
isc
u
ss
io
n
p
a
p
e
r
,
2
0
0
7
.
[3
]
W
id
ias
tu
ti
k
,
“
F
a
c
to
r
o
f
In
f
lu
e
n
c
e
to
W
o
rk
M
o
ti
v
a
ti
o
n
N
u
rse
o
n
Nu
rsin
g
Ho
sp
it
a
l
P
sy
c
h
iatric
S
u
r
a
k
a
rta
,”
J
u
rn
a
l
Ilmu
Ke
p
e
ra
wa
ta
n
In
d
o
n
e
sia
,
v
ol
/i
ss
u
e
:
1
(
1
),
2
0
1
2
.
[4
]
Oa
n
d
a
sa
n
,
et
a
l.
,
“
T
e
a
m
w
o
rk
in
He
a
lt
h
c
a
re
:
P
ro
m
o
ti
n
g
Ef
f
e
c
ti
v
e
T
e
a
m
w
o
r
k
in
He
a
lt
h
c
a
re
in
Ca
n
a
d
a
,”
2
0
0
6
.
[5
]
Nu
rsa
la
m
,
“
M
a
n
a
je
m
e
n
t
o
f
Nu
rsin
g
,
A
p
p
li
e
d
o
f
P
r
o
f
e
ss
io
n
a
l
Nu
rsi
n
g
P
ra
c
ti
c
e
,”
Ja
k
a
rta,
S
a
le
m
b
a
M
e
d
ik
a
,
2
0
1
1
.
[6
]
K
o
z
ier,
Erb
,
Be
rm
a
n
,
S
n
y
d
e
r
,
“
Ha
n
d
Bo
o
k
F
u
n
d
a
m
e
n
tal
o
f
Nu
r
sin
g
:
Co
n
c
e
p
t,
P
r
o
c
e
s
s
,
a
n
d
P
ra
c
ti
c
e
.
Ed
isi
on
7
,”
Ja
k
a
rta
,
E
G
C
,
2
0
1
0
.
[7
]
H.
J.
G
it
tel,
M.
G
o
d
f
r
e
y
,
J.
T
h
i
stletw
a
it
e
,
“
In
terp
ro
f
e
ss
io
n
a
l
c
o
ll
a
b
o
ra
ti
v
e
p
ra
c
ti
c
e
a
n
d
re
latio
n
a
l
c
o
o
rd
i
n
a
ti
o
n
:
Im
p
ro
v
in
g
h
e
a
lt
h
c
a
re
th
ro
u
g
h
re
latio
n
sh
ip
s,
”
J
o
u
rn
a
l
o
f
In
ter
p
ro
fes
sio
n
a
l
Ca
re
,
v
ol
/i
ss
u
e
:
27
(
3
)
,
p
p
.
2
1
0
-
2
1
3
,
2
0
1
3
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
J
P
HS
I
SS
N:
2252
-
8806
A
n
a
lysi
s
o
f Co
o
p
era
tio
n
a
n
d
Mo
tiva
tio
n
N
u
r
s
e
in
I
mp
len
ta
tio
n
N
u
r
s
in
g
o
f F
a
mily
(
S
iti N
u
r
K
h
o
lifa
h
)
339
[8
]
J.
E.
Jo
h
n
s
o
n
,
“
W
o
rk
in
g
t
o
g
e
th
e
r
in
th
e
Be
st
In
tere
st
o
f
P
a
ti
e
n
ts,
”
J
o
u
rn
a
l
o
f
T
h
e
Ame
ric
a
n
B
o
a
rd
o
f
Fa
mil
y
M
e
d
icin
e
,
v
ol
/i
ss
u
e
:
26
(
3
),
p
p
.
2
4
1
-
2
4
3
,
2
0
1
1
.
[9
]
F
a
m
il
y
H
e
a
lt
h
T
e
a
m
s
,
“
G
u
id
e
to
Co
ll
a
b
o
ra
ti
v
e
T
e
a
m
P
ra
c
ti
c
e
,”
Ca
n
a
d
a
,
On
tari
o
,
2
0
0
5
.
[1
0
]
M
.
D.
Na
y
lo
r,
“
In
terp
r
o
f
e
ss
io
n
a
l
c
o
ll
a
b
o
ra
ti
o
n
a
n
d
th
e
f
u
tu
re
o
f
h
e
a
lt
h
c
a
re
,
”
He
a
lt
h
c
o
m
M
e
d
i
a
,
v
ol
/i
ss
u
e
:
6
(
6
)
,
p
p
.
1
-
5
,
2
0
1
1
.
[1
1
]
M.
Zw
a
re
n
ste
in
,
J.
G
o
ld
m
a
n
,
S.
Re
e
v
e
s,
“
In
terp
ro
f
e
ss
io
n
a
l
c
o
ll
a
b
o
ra
ti
o
n
:
e
ff
e
c
t
o
f
p
ra
c
ti
c
e
-
b
a
se
d
i
n
terv
e
n
ti
o
n
s
o
n
p
ro
f
e
ss
io
n
a
l
p
ra
c
ti
c
e
a
n
d
h
e
a
lt
h
c
a
re
o
u
tco
m
e
s
,”
Co
c
h
ra
n
e
L
i
b
ra
ry
,
2
0
0
9
.
h
tt
p
:
o
n
li
n
e
li
b
ra
ry
.
w
il
e
y
.
c
o
m
.
[1
2
]
R.
D.
Be
id
g
e
s,
e
t
a
l.
,
“
In
terp
r
o
f
e
ss
io
n
a
l
c
o
ll
a
b
o
ra
ti
o
n
:
t
h
re
e
b
e
st
p
ra
c
ti
c
e
m
o
d
e
ls
o
f
in
terp
ro
f
e
ss
io
n
a
l
e
d
u
c
a
ti
o
n
,
”
M
e
d
ica
l
Ed
u
c
a
ti
o
n
O
n
li
n
e
J
o
u
r
n
a
l
,
v
o
l
.
1
6
,
p
p
.
1
-
3
,
2
0
1
1
.
B
I
O
G
RAP
H
I
E
S
O
F
AUTH
O
RS
Na
m
e
:
S
it
i
Nu
r
Kh
o
li
f
a
h
,
S
KM,
M
.
Ke
p
.
S
p
.
Ko
m
.
HP
:
0
8
1
2
1
7
8
2
9
3
0
.
S
3
Do
c
t
o
ra
l
Ed
u
c
a
ti
o
n
P
r
o
g
ra
m
H
e
a
lt
h
S
c
ien
c
e
s
P
u
b
li
c
He
a
lt
h
F
a
c
u
lt
y
A
irl
a
n
g
g
a
Un
iv
e
r
sity
.
A
d
d
re
ss
:
Bro
n
g
g
a
lan
II
F
/3
8
S
u
ra
b
a
y
a
.
E
m
a
il
:
k
h
o
li
f
a
h
_
stp
@y
a
h
o
o
.
c
o
.
i
d
Hig
h
e
r
Ed
u
c
a
ti
o
n
:
1.
M
a
ste
r
o
r
Nu
rsi
n
g
S
p
e
c
ialist
Co
m
m
u
n
it
y
He
a
lt
h
Nu
rsin
g
In
d
o
n
e
s
ia Un
iv
e
rsit
y
,
2
0
0
7
2.
Ba
c
h
e
lo
r
o
f
Nu
rsin
g
A
irl
a
n
g
g
a
U
n
iv
e
rsity
,
2
0
0
2
3.
Ba
c
h
e
lo
r
o
f
P
u
b
li
c
He
a
lt
h
A
irl
a
n
g
g
a
Un
iv
e
r
sit
y
,
1
9
9
8
4.
Dip
lo
m
a
III
in
Nu
rsi
n
g
A
c
a
d
e
m
y
Isla
m
ic Ho
sp
it
a
l
S
u
ra
b
a
y
a
,
1
9
9
4
Org
a
n
iza
ti
o
n
a
n
d
W
o
rk
in
g
Ex
p
e
rie
n
c
e
s
:
1.
L
e
c
tu
re
in
Nu
rsin
g
Dip
l
o
m
a
III
S
u
to
p
o
He
a
lt
h
P
o
ly
tec
h
n
ic
M
in
istr
y
o
f
He
a
lt
h
in
S
u
ra
b
a
y
a
(sin
c
e
1
9
9
7
-
No
w
)
2.
He
a
d
o
f
IP
KK
I
(T
h
e
A
ss
o
c
iatio
n
o
f
In
d
o
n
e
sia
n
Co
m
m
u
n
it
y
H
e
a
lt
h
Nu
rse
s) E
a
st Ja
v
a
2
0
1
3
-
2
0
1
8
P
u
b
l
ica
ti
o
n
:
A
c
c
re
d
it
e
d
jo
u
r
n
a
l
a
n
d
i
n
tern
a
ti
o
n
a
l
=
5
He
is
P
ro
f
.
Dr.
Nu
rsa
lam
,
M
.
Nu
rs
(Ho
n
s)
.
He
is
a
P
r
o
f
e
ss
o
r
in
Nu
rsin
g
,
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
a
n
d
h
e
is
m
y
p
ro
m
o
to
r
in
d
o
c
to
ra
l
p
r
o
g
ra
m
m
e
.
He
w
a
s
b
o
rn
o
n
2
5
D
e
se
m
b
e
r
1
9
6
6
i
n
Ke
d
iri
.
He
w
a
s
stu
d
ied
in
M
e
d
.
S
u
rg
ica
l
Nu
rsin
g
,
L
a
m
b
to
n
C
o
ll
e
g
e
,
S
a
rn
ia
O
n
tari
o
Ca
n
a
d
a
,
o
n
1
9
9
1
.
He
c
o
m
p
lete
d
M
a
ste
r
o
f
Nu
rsin
g
(Co
u
rse
w
o
rk
),
Un
iv
.
W
o
ll
o
n
g
o
n
g
,
NSW
,
A
u
stra
li
a
o
n
1
9
9
6
.
He
c
o
n
ti
n
u
e
d
Ho
n
o
u
rs
M
a
ste
r
o
f
Nu
rsin
g
,
Un
iv
e
rsit
y
o
f
W
o
ll
o
n
g
o
n
g
,
Ne
w
S
o
u
th
W
a
les
,
A
u
stra
li
a
,
o
n
1
9
9
7
a
n
d
h
e
c
o
m
p
lete
Do
c
to
r,
M
o
d
e
l
o
f
Nu
rsin
g
Ca
re
f
o
r
HIV
-
A
I
DS,
P
o
st
g
ra
d
u
a
te
P
ro
g
ra
m
m
e
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
o
n
2
0
0
5
.
T
h
is
y
e
a
r,
H
e
is
a
d
e
a
n
o
n
fa
c
u
lt
y
o
f
n
u
rsin
g
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
.
H
e
is
a
h
e
a
d
P
P
NI
e
a
st Ja
v
a
2
0
1
5
-
2
0
2
0
.
S
h
e
is
Dr.
M
e
rr
y
a
n
a
A
d
rian
i,
S
.
KM.
,
M
.
Ke
s.
S
h
e
is
a
L
e
c
tu
re
in
P
u
b
li
c
He
a
lt
h
,
A
irl
a
n
g
g
a
Un
iv
e
r
sit
y
a
n
d
sh
e
is
m
y
f
irst
c
o
-
p
ro
m
o
to
r
in
d
o
c
to
ra
l
p
ro
g
ra
m
m
e
.
S
h
e
w
a
s
stu
d
ied
Do
c
t
o
r
P
o
stg
ra
d
u
a
te
P
r
o
g
ra
m
m
e
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
o
n
2
0
0
9
.
Be
f
o
re
sh
e
stu
d
ied
M
a
ste
r
o
f
Nu
tri
ti
o
n
a
l
P
u
b
li
c
He
a
lt
h
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
o
n
2
0
0
0
.
S
h
e
is
He
a
d
o
f
Div
isio
n
A
c
a
d
e
m
ic,
F
a
c
u
lt
y
o
f
P
u
b
li
c
He
a
lt
h
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
(2
0
1
1
–
n
o
w
)
Na
m
e
:
Dr.
A
h
sa
n
,
S
Kp
,
M
.
Ke
s
.
HP
:
0
8
1
2
5
2
9
3
9
5
0
.
L
e
c
tu
re
in
Nu
rsi
n
g
,
b
ra
w
ij
a
y
a
Un
iv
e
rsit
y
.
A
d
d
re
ss
:
P
a
srs
e
h
Ja
y
a
n
o
4
C
Rt
0
3
Rw
0
2
Ke
lu
ra
h
a
n
B
u
m
ia
y
u
Ke
c
.
Ke
d
u
n
g
Ka
n
d
a
n
g
Ko
ta
Ma
lan
g
.
E
-
m
a
il
:
a
h
sa
n
fk
u
b
@
y
a
h
o
o
.
c
o
m
.
Hig
h
e
r
Ed
u
c
a
ti
o
n
:
1.
Do
c
to
r
o
f
P
u
b
li
c
He
a
lt
h
S
c
ien
c
e
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
,
2
0
1
3
2.
M
a
ste
r
o
r
P
u
b
li
c
He
a
lt
h
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
,
2
0
0
2
3.
Ba
c
h
e
lo
r
o
f
Nu
rsin
g
P
a
d
jaja
ra
n
Un
iv
e
rsity
,
1
9
9
8
Org
a
n
iza
ti
o
n
a
n
d
W
o
rk
in
g
Ex
p
e
rien
c
e
s
:
1.
L
e
c
tu
re
r
in
Nu
rsin
g
S
c
h
o
o
l
M
i
n
i
str
y
o
f
He
a
lt
h
in
M
a
lan
g
(
1
9
8
3
-
1
9
9
8
)
2.
L
e
c
tu
re
r
in
Dilp
o
m
a
III
M
a
tern
it
y
M
in
istry
o
f
He
a
lt
h
in
M
a
lan
g
(
1
9
9
8
-
2
0
0
1
)
3.
L
e
c
tu
re
r
in
S
c
h
o
o
l
o
f
Nu
rsin
g
,
M
e
d
icin
e
F
a
c
u
lt
y
/
F
a
c
u
lt
y
o
f
Nu
rsin
g
,
Bra
w
ij
a
y
a
Un
iv
e
rsit
y
(S
in
c
e
2
0
0
1
-
No
w
)
4.
He
a
d
Nu
rsin
g
De
p
a
rtm
e
n
t
,
M
e
d
i
c
in
e
F
a
c
u
lt
y
Bra
w
ij
a
y
a
Un
iv
e
rsit
y
(2
0
1
6
-
No
w
)
P
u
b
l
ica
ti
o
n
:
A
c
c
re
d
it
e
d
jo
u
r
n
a
l
a
n
d
i
n
tern
a
ti
o
n
a
l
=
10
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8806
I
J
P
HS
Vo
l.
5
, N
o
.
3
,
Sep
tem
b
er
20
1
6
:
3
3
5
–
3
4
0
340
Na
m
e
:
M
in
a
rti
,
M
.
Ke
p
.
S
p
.
K
o
m
.
HP
:
0
8
2
1
3
9
4
9
3
0
6
7
.
L
e
c
tu
re
in
N
u
rsin
g
Dip
lo
m
a
III
S
u
to
p
o
He
a
lt
h
P
o
ly
tec
h
n
ic
M
in
istry
o
f
He
a
lt
h
in
S
u
ra
b
a
y
a
.
A
d
d
re
ss
:
Ka
li
Ke
p
it
in
g
Ja
y
a
X
/1
S
u
ra
b
a
y
a
.
E
m
a
il
:
m
in
a
rti
iv
a
n
@g
m
a
il
.
c
o
m
.
Hig
h
e
r
Ed
u
c
a
ti
o
n
:
1.
M
a
ste
r
o
r
Nu
rsi
n
g
S
p
e
c
ialist
Co
m
m
u
n
it
y
He
a
lt
h
Nu
rsin
g
In
d
o
n
e
s
ia Un
iv
e
rsit
y
,
2
0
0
7
2.
Ba
c
h
e
lo
r
o
f
Nu
rsin
g
A
irl
a
n
g
g
a
U
n
iv
e
rsity
,
2
0
0
2
3.
Dip
lo
m
a
III
in
Nu
rsi
n
g
A
c
a
d
e
m
y
S
o
e
to
m
o
S
u
ra
b
a
y
a
,
1
9
8
9
Org
a
n
iza
ti
o
n
a
n
d
W
o
rk
in
g
Ex
p
e
rien
c
e
s:
1
.
L
e
c
tu
re
in
Nu
rsi
n
g
Dip
l
o
m
a
III
S
u
t
o
p
o
He
a
lt
h
P
o
ly
tec
h
n
ic
M
in
istry
o
f
He
a
lt
h
in
S
u
ra
b
a
y
a
(sin
c
e
1
9
9
1
-
No
w
)
P
u
b
l
ica
ti
o
n
:
A
c
c
re
d
it
e
d
jo
u
r
n
a
l
a
n
d
i
n
tern
a
ti
o
n
a
l
=
2
Na
m
e
:
Dr.
D
w
i
A
n
a
n
to
W
ib
ra
ta,
S
S
T
,
M
.
Ke
s
.
HP
:
0
8
1
1
3
1
5
4
6
7
.
L
e
c
tu
re
i
n
Nu
rsin
g
Di
p
lo
m
a
III
S
o
e
to
m
o
He
a
lt
h
P
o
ly
tec
h
n
ic
M
in
istry
o
f
He
a
lt
h
in
S
u
ra
b
a
y
a
.
A
d
d
re
ss
:
Bro
n
g
g
a
lan
II
F
/3
8
S
u
ra
b
a
y
a
.
Em
a
il
:
w
ib
ra
ta_
d
a
w
@
y
a
h
o
o
.
c
o
.
i
d
.
Hig
h
e
r
Ed
u
c
a
ti
o
n
:
1.
Do
c
to
r
o
f
P
u
b
li
c
He
a
lt
h
S
c
ien
c
e
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
,
2
0
1
4
2.
M
a
ste
r
o
r
P
u
b
li
c
He
a
lt
h
G
a
jah
M
a
d
a
Un
iv
e
rsity
,
2
0
0
4
3.
Ba
c
h
e
lo
r
o
f
Nu
rsin
g
A
irl
a
n
g
g
a
U
n
iv
e
rsity
,
2
0
0
0
4.
Dip
lo
m
a
III
in
Nu
rsi
n
g
A
c
a
d
e
m
y
Isla
m
ic Ho
sp
it
a
l
S
u
ra
b
a
y
a
,
1
9
9
4
Org
a
n
iza
ti
o
n
a
n
d
W
o
rk
in
g
Ex
p
e
rien
c
e
s:
1
.
L
e
c
tu
re
in
Nu
rsi
n
g
Dip
l
o
m
a
III
An
e
sth
e
sia
in
S
u
ra
b
a
y
a
(sin
c
e
1
9
9
4
-
2
0
0
7
)
2
.
L
e
c
tu
re
in
Nu
rsi
n
g
Dip
l
o
m
a
III
S
o
e
to
m
o
He
a
lt
h
P
o
ly
tec
h
n
ic
He
a
lt
h
De
p
a
rtm
e
n
t
in
S
u
ra
b
a
y
a
(sin
c
e
2
0
0
7
-
No
w
)
P
u
b
l
ica
ti
o
n
:
A
c
c
re
d
it
e
d
jo
u
r
n
a
l
a
n
d
i
n
tern
a
ti
o
n
a
l
=
2
I
a
m
No
e
r
S
a
u
d
a
h
.
I
w
e
re
b
o
rn
o
n
1
5
S
e
p
tem
b
e
r
1
9
7
1
i
n
M
o
j
o
k
e
rto
.
I
stu
d
ied
i
n
Ba
c
h
e
lo
r
o
f
Nu
rsin
g
,
F
a
c
u
lt
y
o
f
M
e
d
icin
e
Airlan
g
g
a
Un
iv
e
r
sit
y
o
n
2
0
0
2
.
I
c
o
m
p
lete
d
m
y
m
a
ste
r
in
m
e
d
icin
e
f
a
c
u
lt
y
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
o
n
2
0
0
8
.
T
h
is
y
e
a
r,
I
f
in
ish
e
d
d
o
c
t
o
r
a
l
p
o
stg
ra
d
u
a
te
p
ro
g
ra
m
m
e
p
u
b
li
c
h
e
a
lt
h
A
irl
a
n
g
g
a
Un
iv
e
rsit
y
.
I
h
a
v
e
m
a
n
y
in
tere
sts
in
m
a
t
e
rn
it
y
o
f
n
u
rsi
n
g
a
n
d
re
p
ro
d
u
c
ti
o
n
o
f
h
e
a
lt
h
.
I
a
m
a
lec
tu
re
o
n
S
T
IKe
s Bin
a
S
e
h
a
t
P
P
NI Ka
b
u
p
a
ten
M
o
j
o
k
e
rto
Evaluation Warning : The document was created with Spire.PDF for Python.