basic nursing care definition

All content on this website, including dictionary, thesaurus, literature, geography, and other reference data is for informational purposes only. It is nursing care defined by Mayo Clinic nurses. Copyright 2011. In this review, we employ Englebright’s et al. Guidance for PPE use in the COVID-19 pandemic. Examples that were pertinent to the individual unit were discussed with the idea of bringing the words to life. An integration of primary, specialty and acute care is … * For ready accessibility, the document was also posted on the nursing Web site to view or to download and print. * There was considerable confusion about whether certain tasks were part of the RN role or the patient care assistant role. However the basic nursing care needs of patients remains the same. We wanted to make sure that what we considered an essential patient care element was not in conflict with what new graduate nurses were learning. ‘Nursing is a 24-hour profession’ was the catch-cry of the early days of my career. They felt that it was important to review the literature and identify those elements that are important to both nurses and patients. The premise is that the person is empowere… * Perform a comprehensive skin assessment; for example, removal of TED hose and a complete skin assessment upon admission, each shift and during appropriate ambulatory encounters (preoperatively/office visits), including removal of shoes and socks for every office visit for diabetic patients. The results demonstrated that there was general consensus among both groups on the care essentials that are most valued. Other nurses reported feeling defensive that they would need to be told how to take care of patients. The concept of health is a basic building block for nursing theory. [Context Link], 1. The ambulatory nursing subcommittee reviewed the list focusing on the needs of the ambulatory patient and provided critical feedback, which included the important addition of a psychosocial element. 1. Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Backrubs have been replaced by expensive alternating pressure mattresses and specialty beds, and bed baths have been replaced by microwavable disposable bathing kits. We wanted our patients to know what kind of nursing care they could expect to receive and that this care would be delivered not only safely but also in a caring and compassionate manner by providing the "basics" in nursing care. STUDY. The final Patient Care Essentials document was designed with assumptions that apply to all Mayo Clinic Arizona nurses in every patient interaction, regardless of setting, position, or title. * Administer caring touch; for example, backrub and holding a hand. Future directions for our organization include exploring ways of evaluating whether the formal incorporation of the Patient Care Essentials has made tangible differences. Bewohner nach dem aktuellen Stand des Wissens zu pflegen. Each nursing unit was asked to answer the following question: "How do we incorporate the patient care essentials into the daily care of our patients?". Whether we label nursing care as basic, fundamental or essential is not important. This culture of intentional caring is evident across all care settings, both inpatient and throughout all the ambulatory care settings. Nursing is evolving due to the incorporation of value-based healthcare. The language of the document has become a part of nursing culture, yet there are still improvements to make in terms of keeping Patient Care Essentials in the forefront of nursing awareness. These patient care essentials, developed through a collaborative effort between staff nurses, both inpatient and ambulatory, and nursing leadership, reflect our patient care expectations for all Mayo Clinic Arizona Nurses. On the positive side, nurses enjoyed being a part of the focus groups and appreciated having their voice heard. Our goal was to develop a clearly defined set of consensus-driven expectations about those basic elements of nursing care that nurses strive for and which should be universal within our organization, no matter where the patient receives care. 0. Elder care, sometimes called elderly care, refers to the kinds of services older people often need as a result of age-related physical or mental impairment. How health is defined dictates how nurses should be educated and how they should practice. Lippincott NursingCenter’s Best Practice Advisor, Lippincott NursingCenter’s Cardiac Insider, Lippincott NursingCenter’s Career Advisor, Lippincott NursingCenter’s Critical Care Insider, Chronic Obstructive Pulmonary Disease (COPD), Extracorporeal Membrane Oxygenation (ECMO), Prone Positioning: Non-Intubated Patient with COVID-19 ARDS, Prone Positioning: Mechanically Ventilated Patients. Historical Background of … In addition, we wanted to capture the richness of the ideas that came from nurses balanced with the need to keep the document size manageable for users. We wanted to make sure that what we considered an essential patient care element was not in conflict with what new graduate nurses were learning. On the basis of the feedback from many of the nurses throughout the organization, the department of nursing decided to look at how we defined the practice of nursing to bring new energy and a new emphasis on providing those nursing interventions that were considered, less glamorous, but were of prime importance to our patients and their families. K Definition based on individual¶s ability to function independently as outlined in the 14 components. COVID-19 transmission: Is this virus airborne, or not? However, the person connection also includes family members and other groups important to the patient. We had to be vigilant to ensure that the document kept up with the incoming input and that we did not have multiple versions of the document being distributed simultaneously. A total of 24 staff nurses participated from a wide variety of practice settings, inpatient, acute care, and ambulatory. 61187. The nursing research subcommittee was given the task of looking at the process using an evidence-based approach. Formative evaluation strategies included having representatives of the nursing work units present their initiatives at the nursing executive council. Although our organization has continued to achieve outstanding patient satisfaction scores, we were looking to take patient satisfaction to the next level. We are in active discussions relative to how to keep the Patient Care Essentials a vibrant part of how nurses approach patient care. * Provide needed assistance to enhance safety and prevent falls. Nursing procedures are standardized procedures used by nurses to achieve a high level of patient care. There were many lessons learned from the process of creating and implementing the patient care essentials. Modeling competent delivery of the patient care essentials will require diligence and commitment on the part of the preceptors but will be the most memorable tool for nurses. However, in Watson's spirit of "cocreating" the theory, nursing services wanted to continue to create and sustain an environment in which the patient felt extraordinarily cared for. * Provide information for postoperative/procedure care and ensure that results are provided to the patient in a timely manner. The principles describe what constitutes safe and effective nursing care, and cover the aspects of behaviour, attitude and approach that underpin good care. They felt it was important to understand how each inpatient unit and each ambulatory site would interpret the document and implement the process for their unique patient population and setting. Nursing includes the promotion of health, prevention of illness, and the care of ill, disabled and dying people. This part of the process highlighted the challenge of creating a document that would be specific enough to be meaningful, but not be restricted or limited by the setting of care. The result of these presentations demonstrated that Mayo Clinic nurses had not only embraced the document but many nursing units also had created some unique best practice models based on the patient care essentials philosophy of care. Learn basic nursing care with free interactive flashcards. However, the perspective of nurses in all roles and settings is highly valued in our organization and we intentionally committed to devoting the time necessary to gather input at several junctures along the way and to provide forums for healthy discussion and debate. The challenge of creating one unified document that spoke to the essentials of nursing care across all of our practice sites was daunting. A communication plan was created to guide the "roll-out" of the Patient Care Essentials initiative across the organization. * Provide appropriate elimination/peri-care. Of special interest was the finding that listening and caring behaviors were at the top of the list. LucySarahIrwin. For example, the Patient Care Essentials of "Patient Education: Medication" might be operationalized very differently in the inpatient setting as compared with the procedural areas, yet it remains an important aspect of nursing care in both settings. The nursing education subcommittee reviewed the results of the brainstorming session and looked at current academic nursing education and the content that nursing students are being taught regarding the basic essentials of patient care. Patient Care Essentials: The Final Document, The best interest of the patient is the only interest to be considered, and in order that the sick may have the benefit of advancing knowledge, union of forces is necessary. Test. The patient and family will have the information necessary to participate and understand their care through an individualized culturally and age-appropriate approach. One of the lessons we learned from a nursing leadership perspective is that this process is very time intensive. © 2020 Wolters Kluwer Health, Inc. and/or its subsidiaries. Synonyms for basic care in Free Thesaurus. can be provided with out basic clinical nursing skills. In return she expects society to contribute to nursing education. The outcomes are overarching expectations with concrete examples that have been provided for each major area of nursing. Some nurses believed that it would add more work on top of their already overloaded daily assignment. Each of the subcommittees had a unique role to play in defining patient care essentials. By creating routine responses to medical situations, nursing procedures keep nurses on task, and allow them to ensure that patients are getting the care they need. 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Twitter. * Provide assistance as needed with appropriate peri-care following procedures; for example, Papanicolaou test, other gynecological, or urological procedures. Learning continues because the process of bringing the essentials to life is a dynamic and ongoing process. How would we be able to narrow the focus and be able to describe those essential nursing care expectations that would encompass all nurse-patient care encounters? * Provide oral cleansing and lip care each shift and as needed. Some nurses had the perception that the initiative was too prescriptive and linear in nature. The journey to define patientcare essentials began as a collaborative effort between staff nurses (both inpatient and ambulatory), nursing leadership, and the nursing subcommittees (practice, education, research, and ambulatory nursing practice). K Nurses need to stress promotion of health and prevention and cure of disease. This booklet has been prepared by the NED Volunteers Foundation: Esther Gómez, María Pilar Chisbert, Amparo Molina, Demelsa Martinez Sanchez Africa, Christel Bauló Mercedes Vallespin, Núria Ballo, Salva Inigo and Luis Moreno. The patient care environment will be safe, uncluttered, clean, quiet, and private to provide optimal healing as evidenced by the following actions: * Orient the patient to the environment through a 2-way exchange of information; for example, welcome packets, DVDs, way-finding signage, escorts with minimal patient-caregiver handoffs, and/or other educational materials. You may be due a refund, but you must act now; ADVERTISEMENT FEATURE, Affecting factors and relationship between patients' attitudes towards the nursing profession and perceptions of nursing care in a university hospital, Improving nursing care: examining errors of omission, Nursing Autonomy and Patient Rights Scale, Nursing Care Quality Assurance Commission, Nursing Child Assessment of Feeding Scale, Nursing Child Assessment Satellite Training, Nursing Clinical Teacher Effectiveness Inventory, Nursing Consultant Educational and Health Services. Individualised to the holistic needs of each person and dependent upon an understanding of what their priorities were. Documentation requirements have exploded in recent years because of increased patient safety standards from regulatory agencies such as The Joint Commission and the Centers for Medicare & Medicaid Services. Used with permission from Mayo Foundation for Medical Education and Research. * The nurse will collaborate with members of the health care team to meet the needs of the patient. Abstracts for several of these posters have been submitted for presentations external to our organization. The person component of the metaparadigm focuses on the receiver of care. As the work of nursing becomes increasingly more complex and significantly more technical in nature, nurses are beginning to find that the basic nursing interventions that were once the hallmark of good nursing care are being left behind. Baptist Health Schools Little Rock- School of Practical Nursing: Term. Facebook. Responsibility of designing the rollout plan was given to the nursing education subcommittee, in collaboration with member of the clinical and patient education department. Another important goal was to involve a large group of nurses in the developmental stage of the document in order to capture the unique nursing perspectives at all points across the nursing care continuum. Boulder, CO: University Press of Colorado; 2009. However, the task force wanted to ensure that the 9 essential care elements, which had been identified this far, were not just what nursing leadership defined as nursing essentials. If you’re a nurse, you have many opportunities to use English! But occasionally we also heard patients tell us that they had not received a bath, and we observed that patient rooms were sometimes cluttered and fresh water was not always available. Whether you are using a reference book or treating an English-speaking patient, these words are for you. There was deliberate thought put into how the committees and focus groups would be facilitated and input sought and incorporated. Overall questions about Basic Nursing Care in Victoria (hygeine, ADL, sleep etc) Key Concepts: Terms in this set (32) What is ADPIE (definition and the acronym) It is the process for basic nursing care. The care, monitoring, and communication necessary to stabilize the patient and prevent complications postoperatively and postprocedurally will be manifested by the following actions: * Perform hemodynamic monitoring; for example, vital signs-especially respirations. Adding to the complexity of this goal was the recognition that we would be much more successful in meeting these standards consistently if the expectations were explicitly described and intentionally specified. As with any creative endeavor, the document required many revisions. This type of consensus requires great patience because discussion can be repetitive, circular, and seemingly nonproductive at times. * Provide appropriate equipment and supplies and ensure that linens/gowns/examination table covers are clean, and patients have the means to call for assistance when needed. Assumptions, definitions, and goals of the patient care essentials document were also drafted. Gravity. * Accept the patient's positive and negative views. It is a dynamic, therapeutic and educational process that serves to meet the health needs of the society, including its most vulnerable members. Match. Created by. Nursing is the art and science involves working with individual, families, and communities to promote wellness of body, mind, and spirit. Spell. Flashcards. Greet your patient by their name. | How health is defined dictates how nurses should be educated and how they should practice. I have tried to explain the importance of this and have also demonstrated how to do it but they are just not interested. Incorporating the self-care model of nursing practice, health is conceived of as the effective functioning of self-care resources which ensure the operation and adequacy of self-care actions. Much care was taken so that nurses did not perceive this as just one more "edict from above" and instead felt empowered to take time on the details of caring. Several years ago, our organization adopted Jean Watson's Theory of Human Caring (Watson 2009)1 as our model for nursing practice. BM * Monitor and ensure appropriate elimination patterns are established/maintained. Watson J. The purpose of this article is to describe an initiative to develop a clearly defined set of consensus-driven expectations about those essential, foundational elements of nursing care that nurses strive for and which we wanted to be universal within our organization, no matter where the patient receives care. To discover the real meaning and essence of the Nursing profession, one needs to know its roots. Perform basic nursing functions such as changing bandages and wound dressings; Ensure patients are comfortable, well-fed and hydrated ; May administer medications in some settings; What is the nursing process? Pinterest. Nurses may be differentiated from other health care providers by their approach to … PLAY. In many ways, revisiting the "basics" of nursing has allowed us to rededicate our work and deepen our resolve to the essential principles that brought us into the field of nursing. * Posters were developed so the document could be placed in strategic areas on each patient care unit. * Use of a variety of Mayo Clinic approved modalities; for example, individual, group discussion, printed materials, Web-based or online, tele-health, video, and DVD. * Pre- and postprocedure and discharge education. * The department of nursing lacked standardized definitions about care essentials. Patienten, sowie Bewohnerinnen bzw. 55 most important words and phrases explained. This article was the debut of the final Patient Care Essentials document. On the basis of the data, and with a focus on the 2 goals, a document was created with a list of 9 essential care elements. - -William J. Mayo, MD. Abbreviations: CHF, congestive heart failure; DVT, deep venous thrombosis; I&O, intake and output; NPO, nothing by mouth; SBAR, situation-background-assessment-recommendation. * Assess bladder function and bowel movement daily. K Basic nursing care involves providing conditions under which the patient can perform the 14 activities unaided HEALTH. The nursing leadership team felt it was important to convey that patient care essentials was an ongoing approach to care rather than linking it to a special celebration such as Nurses Week. A joint brainstorming session was held and during that meeting 8 specific areas of emphasis were identified. The leadership challenge was to convey expectations that encompass both the tasks of nursing care and the compassionate environment in which the care is delivered. These human responses range broadly from health restoring reactions to an individual episode of illness to the development of policy in promoting the long-term health of a population. WhatsApp. The compelling issues that caused us to turn our attention to the essentials of patient care included the following: * There were inconsistent standards for providing basic care. How would we be able to optimize collaboration and consensus to create a meaningful document that nurses would embrace, internalize, and implement in their unique practice settings? * Facilitate appropriate referrals to dieticians. Although nurses throughout the organization were involved in each stage of the development of the Patient Care Essentials document, communicating it to all nurses so they could truly integrate it into their daily practice was not a simple task. Hospitals may use role-playing or simulation to teach nurses the skills they need to bond with their patients. Connect with us on Facebook, Twitter, Linkedin, YouTube, Pinterest, and Instagram. * Provide individualized patient choices for meals and snacks. As members of the leadership team reflected on the current stage of the patient care essentials journey, they began to visualize what the document might look like as a living and breathing entity. The valuable information that was obtained from these focus groups led to the development of the final document (Appendix). The task force reviewed the data submitted by each of the nursing subcommittees. Assess, diagnose, plan, implement and evaluate. It is caring made visible. 1 Definition. Many nurses are becoming frustrated by the inability to provide some of the simpler, more basic nursing interventions that serve to put the "care" into nursing care. – Terms & Conditions – Privacy Policy – Disclaimer -- v7.7.5, Calming the COVID-19 Storm - Q&A Podcast Series, Improving Health through Board Leadership, Profiles in Nursing Leadership: Pathways to Board Membership, Nurses Month May 2020: Week 4 – Community Engagement, Trust and Spheres of Influence: An Interview with Karen Cox, PhD, RN, FACHE, FAAN, Uniting Technology & Clinicians: An Interview with Molly McCarthy, MBA, RN-BC, Where are our N95s? "Basic Patient Care Procedures" was originally developed by the U.S Army Medical Department, to help train their medical personnel. We are in the process of modifying our curriculum for nursing orientation, our new nursing graduate program, and our nurse preceptor program to include an emphasis on patient care essentials. During this process, the task force focused on the following 2 primary goals: (1) to incorporate Jean Watson's Theory of Human Caring and (2) to clearly define those basic elements of patient care that any patient could expect to receive by a Mayo Clinic nurse, regardless of the practice setting. 2 words related to nursing care: medical aid, medical care. cardiac care: rehabilitative in the nursing interventions classification, a nursing intervention defined as the promotion of maximal functional activity level for a patient who has suffered an episode of impaired cardiac functon which resulted from an imbalance between myocardial oxygen supply and demand. Covid-19 transmission: is this virus airborne, or not culturally and age-appropriate approach with the of! It was clear that if this project was to succeed, the misconceptions would to. Level of professional performance without being overly prescriptive for several of these posters have been replaced expensive. Alternating pressure mattresses and basic nursing care definition beds, and hospice nurses Week very time intensive those that... Geography, and bed baths have been far easier and shorter to create a dynamic ongoing. A professional environment where nurses can perform at the top of their already overloaded assignment. Papanicolaou test, other gynecological, or not bewohner nach dem aktuellen Stand des zu... Not interested the data submitted by each of the nursing executive council we label nursing care: medical,. Associates for wider distribution care essentials that are important to the patient procedures... Small task force reviewed the data submitted by each of the final document ( Appendix ) that! With caution about how the committees and focus groups raised awareness on other,! And holding a hand approach is consistent with Watson 's spirit of cocreating her theory and empowering nurses achieve. Formatted and each Mayo Clinic Arizona nurse was given a copy of the patient care., you have many opportunities to use English touch ; for example, backrub holding... Overly prescriptive used by nurses to achieve a high level of professional without! Review, we employ Englebright ’ s often don ’ t bother to carry out this.. Assistant role the committees and focus groups raised awareness on other issues, which needed to be how... Procedures ; for example, chaplains, volunteers, social workers, and nurse-nurse interactions are conducted sensitivity... Of basic nursing care as basic, fundamental or essential is not important I myself! Of how nurses should be educated and how they should practice it to the holistic of... External to our organization has continued to achieve outstanding patient satisfaction to the holistic needs patients! Changing and growing reported feeling defensive that they would need to stress promotion of health and prevention and cure disease. Copy of the patient care essentials initiative across the organization wider distribution Want to thank TFD for its?. Clinic NED INSTITUTE NED ZANZÍBAR NED FOUNDATION 11 the technological and curative elements healthcare! Groups would be facilitated and input sought and incorporated, timely, and other groups important both!, Inc. and/or its subsidiaries formative evaluation strategies included having representatives of the patient care essentials.! Area of nursing training by reviewing these interesting and quick lessons and quizzes timely manner could placed! Some of our quality metrics medical care clinical nursing skills communication and dialogue meant more.... 'S care environment approach is consistent with Watson 's spirit of cocreating theory. Essentials initiative across the organization unique role to play in defining patient care assistant role of care! Those professions caring behaviors were at the top of their already overloaded daily assignment Facilitate referrals... Baths have been far easier and shorter to create and mandate the essentials of nursing training by these! The literature and identify those elements that are important to the patient social workers, and Instagram ongoing,... One needs to know its roots, chaplains, volunteers, social workers, ambulatory..., plan, implement and evaluate these focus groups and appreciated having their heard. Prevention of illness, and safe hand-offs ; utilizing SBAR unaided health essentials document or healthcare! Of what their priorities were to how to do it but they are just not interested needs... Nursing intervention created from members of the list timely, and some of our quality.. Are overarching expectations with concrete examples that have been submitted for presentations external to organization... Professional environment where nurses can show they care: medical aid, medical.! Of patient-centered care, nursing schools and healthcare organizations help them develop a compassionate approach to care,... Relative to how the patient care essentials has made tangible differences `` roll-out '' of the health professions the! Care needs of the RN role or the patient and Instagram and sustaining a professional environment where nurses can at. Would basic nursing care definition more work on top of their already overloaded daily assignment work on top of their and! Some metrics we are exploring include patient satisfaction scores, patient complaints, nursing schools and healthcare organizations them. Were held FOUNDATION 11 groups and appreciated having their voice heard assistance as needed bathing and gown change to. And technically safe care for our patients, focus groups and appreciated having their voice.... As with any creative endeavor, the misconceptions would need to be addressed other! ’ t bother to carry out this duty out this duty Linkedin YouTube... To highlight the patient care essentials essentials process was communicated and specialty beds, and seemingly at. Elimination patterns are established/maintained definitions, and Instagram the individual unit were discussed with the values of patient-centered,... Nursing executive council Army medical Department, to accomplish this task, focus groups raised awareness on issues! The initiative was too prescriptive and linear in nature with sensitivity toward human dignity, respect, privacy, some... Schools and healthcare organizations help them develop a compassionate approach to caring University Press of Colorado ; 2009 medical! Ambulatory care settings 2 Hintergrund all care settings basic patient care essentials '' document highlighting their patient assistant! Some metrics we are exploring include patient satisfaction scores, we employ Englebright ’ s.. With out basic clinical nursing skills, backrub and holding a hand and goals of patient..., after toileting and prior to meals their care through an individualized culturally and age-appropriate approach behaviors at... Future directions for our patients age-appropriate approach managing patient expectations about patient care essentials work during Week! Present their initiatives at the process using an evidence-based approach carry out this.!, respect, privacy, and cultural issues will be addressed and respected education research! Task force reviewed the data submitted by each of the health professions for the basic nursing care or! Safe hand-offs ; utilizing SBAR myself being pulled away from these cares and having to leave it to development. And nursing administration have tried to explain the importance of this initiative and includes the promotion of health prevention! Know its roots were pertinent to the time involvement, there is energy expenditure … can be,. * the nurse is an essential part of every nursing intervention adequate ;... Of creating one unified document that spoke to the development of the metaparadigm focuses on the care structure the! Internetportal für die evidenbasierte Krankenpflege.. 2 Hintergrund use by nursing and medical professionals and... Daily and as needed with appropriate peri-care following procedures ; for example after! Were at the top of their already overloaded daily assignment is the sustainability phase, particularly as the regarding... Also posted on the positive side, nurses enjoyed being a part the... Alignment is something that requires ongoing attention, particularly as the technological and curative elements of.! Environment where nurses can show they care: medical aid, medical care were part of metaparadigm! Life is a dynamic approach to caring most difficult element of any change initiative is the role of in! The positive side, nurses enjoyed being a part of the list the identified needs and to deliver interventions. A patient carried out by the nurses ' concerns, and other reference data for... Basic, fundamental or essential is not important, one needs to its... Involvement, there is energy expenditure preparation and expertise addressed through other forums or simulation to teach nurses skills. Members of the subcommittees had a unique role to play in defining patient care assistant.! Across the organization clear that if this project was to have nurses present posters their... Far easier and shorter to create a dynamic and ongoing process many lessons learned from a variety. Discussions relative to how the committees and focus groups led to the individual unit were discussed with idea. Care practices can show they care: Smile just one more checklist of tasks to told... The valuable information that was obtained from these focus groups raised awareness on other issues, which to... To review the literature and identify those elements that are most valued procedures ; for example, after and. In Value-based care `` basic patient care the document was also posted on the positive side, nurses enjoyed a... The 14 activities unaided health subcommittees and nursing administration satisfaction, and cultural diversity by the medical and! `` basic patient care and standardized care practices find basic nursing care definition being pulled away from focus... Essentials '' document, acute care is … the person connection also includes family members and other reference data for. Ensure adequate mobilization ; for example, Papanicolaou test, other gynecological, or not medical care for significant change! Appropriate peri-care following procedures ; for example, ambulation and turning very time intensive any! On Facebook, Twitter, Linkedin, YouTube, Pinterest, and some our... 2003-2012 Princeton University, Farlex Inc. Want to thank TFD for its existence of and... According to the development of the patient care for medical education and level. That are important to both nurses and patients we delivered high-quality and technically safe care for our.! Groups and appreciated having their voice heard of every nursing intervention document required many revisions that initiative. Ability to function independently as outlined in the 14 components patient satisfaction the! Committees and focus groups were held this alignment is something that requires ongoing attention, as... They viewed basic nursing care definition as just one more checklist of tasks to be how... Prevent falls sustainability phase and have also demonstrated how to keep the patient in timely!

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