Factors Influencing Nurse Job satisfaction and the Consequent Effects on Patient Care Quality: A Scoping Review

https://doi.org/10.56303/jhnresearch.v4i3.520

Authors

  • Nirmala Sunati Master of Nursing Study Program, Universitas Padjajaran, Bandung, Indonesia
  • Maria Komariah Department of Management Nursing, Universitas Padjajaran, Bandung, Indonesia
  • Hana Rizmadewi Agustina Department of Management Nursing, Universitas Padjajaran, Bandung, Indonesia

Keywords:

Job Satisfaction, Nurses, Patient Care, Patient Service Quality, Quality of Service

Abstract

Nurses play a pivotal role in determining the quality of healthcare services. Job satisfaction among nurses not only influences their professional performance but also directly affects the quality of patient care. Dissatisfaction may lead to burnout, errors, and decreased patient safety. This study aimed to identify and analyze the factors related to nurses’ job satisfaction and to explore how these factors impact the quality of patient services. A scoping review was conducted using the PRISMA-ScR guidelines. Literature searches were performed through PubMed, CINAHL, and Google Scholar based on the PCC framework. Articles were selected through a systematic screening process, and data were extracted and analyzed thematically. The review identified 25 key factors associated with nurses’ job satisfaction, categorized into four main domains: (1) organizational and leadership factors, (2) individual nurse characteristics, (3) work environment, and (4) professional development and practice. Supportive leadership, organizational commitment, and recognition were strongly associated with higher satisfaction. Improving nurses’ job satisfaction through targeted strategies is a critical component for ensuring high-quality patient care and favorable outcomes. Strategies such as enhancing work conditions, fostering leadership support, and providing development opportunities are vital for strengthening both nurses' well-being and patient outcomes.

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References

Siregar HK, Andini FT, Tahu SK, Supriyadi. Ilmu Keperawatan Dasar. Bandung: Media Sains Indonesia; 2022.

Kamalia LO, Said A, Risky S. Manajemen Keperawatan. Bandung: Media Sains Indonesia; 2020.

Kim J, Lee E, Kwon H, Lee S, Choi H. Effects of work environments on satisfaction of nurses working for integrated care system in South Korea: a multisite cross-sectional investigation. BMC Nurs. 2024;23(1).

Serewa K, Szpakow A. Job satisfaction of nurses and the determinants of organizational climate: insights from hospitals in Lubelskie Voivodeship. Pielegniarstwo XXI Wieku. 2024;13–9.

Sommer D, Wilhelm S, Wahl F. Nurses’ Workplace Perceptions in Southern Germany—Job Satisfaction and Self-Intended Retention towards Nursing. Healthc. 2024;12(2).

Fitzpatrick C, Buckingham T, Merrell J, McCooey C, Richardson D. Engaging nurses in research and quality improvement is associated with higher job satisfaction and lower rates of unscheduled time off work: A pilot study. Int J STD AIDS. 2020;31(7):702 – 704.

Oktizulvia C, Kesuma SI. Faktor-Faktor Kepuasan Kerja Perawat di Rumah Sakit Swasta Kota Padang Indonesia. J Ilm Univ Batanghari Jambi. 2023;23(2):2163.

Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol Theory Pract. 2005;8(1):19–32.

Nesbitt Katie, Champion Stephanie, Pearson Vincent, Gebremichael Lemlem G, Dafny Hila, Ramos Joyce S, et al. The effectiveness of interactive cardiac rehabilitation web applications versus usual care on programme completion in patients with cardiovascular disease: A systematic review and meta-analysis of randomised controlled trials. J Telemed Telecare [Internet]. 2023 Sep 28;31(4):475–86. Available from: https://doi.org/10.1177/1357633X231201874

Sojane JS, Klopper HC, Coetzee SK. Leadership, job satisfaction and intention to leave among registered nurses in the North West and Free State provinces of South Africa. Curationis. 2016;39(1):1–10.

Abella J. Determinants of Nurses Job Satisfaction and Quality of Nursing Care among Nurses in Private Hospital Setting. Patient Saf Qual Improv J. 2022;10(1):25–33.

Rahnavard F, Kalateh Sadati A, Hemmati S, Ebrahimzade N, Sarikhani Y, Heydari ST, et al. The impact of environmental and demographic factors on nursing job satisfaction. Electron Physician. 2018;10(4):6712–7.

Havens DS, Gittell JH, Vasey J. Impact of Relational Coordination on Nurse Job Satisfaction, Work Engagement and Burnout: Achieving the Quadruple Aim. J Nurs Adm. 2018;48(3):132–40.

Munyewende PO, Rispel LC, Chirwa T. Positive practice environments influence job satisfaction of primary health care clinic nursing managers in two South African provinces. Hum Resour Health. 2014;12(1):1–14.

Suhaimi A, Mulud ZA, Sharoni SKA, Zainodin WHW. Factors Contributed To Job Satisfaction Among Nurses Working At Tertiary Hospitals in the Klang Valley: an Adaptation of the Hertzberg’S Theory. J Sustain Sci Manag. 2023;18(6):135–48.

Aloisio LD, Gifford WA, McGilton KS, Lalonde M, Estabrooks CA, Squires JE. Factors Associated With Nurses’ Job Satisfaction In Residential Long-term Care: The Importance of Organizational Context. J Am Med Dir Assoc. 2019;20(12):1611-1616.e4.

Ahmad MS, Barattucci M, Ramayah T, Ramaci T, Khalid N. Organizational support and perceived environment impact on quality of care and job satisfaction: a study with Pakistani nurses. Int J Work Heal Manag. 2022;15(6):677–93.

Déry J, Clarke SP, D’Amour D, Blais R. Scope of Nursing Practice in a Tertiary Pediatric Setting: Associations With Nurse and Job Characteristics and Job Satisfaction. J Nurs Scholarsh. 2018;50(1):56–64.

Gadirzadeh Z, Adib-Hajbaghery M, Matin Abadi MA. Job stress, job satisfaction, and related factors in a sample of Iranian nurses. Nurs Midwifery Stud. 2017;6(3):125.

Al-Bashaireh AM, Aljawarneh Y, Khraisat OMA, Alblooshi K, Almesmari M, Alsaadi M, et al. The Relationship Between Managers’ Leadership Styles and Registered Nurses’ Job Satisfaction and Work Engagement: A Cross‐Sectional Study in the United Arab Emirates. Green C, editor. Nurs Forum [Internet]. 2025 Jan 10;2025(1). Available from: https://onlinelibrary.wiley.com/doi/10.1155/nuf/3157747

Wong C, Walsh EJ, Basacco KN, Mendes Domingues MC, Pye DRH. Authentic leadership and job satisfaction among long-term care nurses. Leadersh Heal Serv [Internet]. 2020 Jan 1;33(3):247–63. Available from: https://doi.org/10.1108/LHS-09-2019-0056

Specchia ML, Cozzolino MR, Carini E, Di Pilla A, Galletti C, Ricciardi W, et al. Leadership Styles and Nurses’ Job Satisfaction. Results of a Systematic Review. Int J Environ Res Public Health [Internet]. 2021 Feb 6;18(4):1552. Available from: https://www.mdpi.com/1660-4601/18/4/1552

House S, Crandell J, Stucky C, Kitzmiller R, Jones C, Gittell JH. Relational Coordination as a Predictor of Job Satisfaction and Intent to Stay Among Nurses and Physicians in the Military Health System. Mil Med [Internet]. 2023 Jan 4;188(1–2):e316–25. Available from: https://academic.oup.com/milmed/article/188/1-2/e316/6432365

Falatah R, Conway E. Linking relational coordination to nurses’ job satisfaction, affective commitment and turnover intention in Saudi Arabia. J Nurs Manag [Internet]. 2019 May 10;27(4):715–21. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jonm.12735

Wiedermann CJ, Barbieri V, Engl A, Piccoliori G. Impact of Relational Coordination on Job Satisfaction and Willingness to Stay: A Cross-Sectional Survey of Healthcare Professionals in South Tyrol, Italy. Behav Sci (Basel) [Internet]. 2024 May 10;14(5):397. Available from: https://www.mdpi.com/2076-328X/14/5/397

Larsman P, Pousette A, Törner M. The impact of a climate of perceived organizational support on nurses’ well‐being and healthcare‐unit performance: A longitudinal questionnaire study. J Adv Nurs [Internet]. 2024 Dec 9;80(12):4921–32. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jan.16188

Chang CS. Moderating Effects of Nurses’ Organizational Support on the Relationship Between Job Satisfaction and Organizational Commitment. West J Nurs Res [Internet]. 2015 Jun 14;37(6):724–45. Available from: https://journals.sagepub.com/doi/10.1177/0193945914530047

Poghosyan L, Ghaffari A, Liu J, McHugh MD. Organizational Support for Nurse Practitioners in Primary Care and Workforce Outcomes. Nurs Res [Internet]. 2020;69(4). Available from: https://journals.lww.com/nursingresearchonline/fulltext/2020/07000/organizational_support_for_nurse_practitioners_in.6.aspx

Pahlevan Sharif S, Ahadzadeh AS, Sharif Nia H. Mediating role of psychological well‐being in the relationship between organizational support and nurses’ outcomes: A cross‐sectional study. J Adv Nurs [Internet]. 2018 Apr 5;74(4):887–99. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jan.13501

Assiri SM, Shehata SF, Assiri MM. Relationship of Job Satisfaction with Perceived Organizational Support and Quality of Care among Saudi Nurses. Health (Irvine Calif) [Internet]. 2020;12(07):828–39. Available from: https://www.scirp.org/journal/doi.aspx?doi=10.4236/health.2020.127060

Huang S shiung, Jen H fang, Tsay S luan, Wang Y jung, Tung H hsin. Organizational Culture and Trust Affect the Team-Based Practice and Job Satisfaction of Nurse Practitioners in Acute Care Hospitals : A National Survey. J Nurs Manag. 2026;2024.

Tsai Y. Relationship between Organizational Culture, Leadership Behavior and Job Satisfaction. BMC Health Serv Res [Internet]. 2011;11(1):98. Available from: https://doi.org/10.1186/1472-6963-11-98

Chung HJ, Ahn SH. Relationship between Organizational Culture and Job Satisfaction among Korean Nurses: A Meta-Analysis. J Korean Acad Nurs Adm [Internet]. 2019 Jun;25(3):157–66. Available from: https://doi.org/10.11111/jkana.2019.25.3.157

Wargo-sugleris M, Robbins W, Joy C, Linda L. Job satisfaction , work environment and successful ageing : Determinants of delaying retirement among acute care nurses. 2018;(October 2017):900–13.

Alzuman AS, Alzouman O. Nurses ’ Generational Differences Related to the Workplace and Leadership. 2023;7921:252–71.

Almazan J, Nadirbekova G, Seryakova K, Cruz JP, Colet P. Examining the Influence of Health-Related Quality of Life on Job Satisfaction Among Nurses in Kazakhstan. Int J Nurs Pract [Internet]. 2024; Available from: https://consensus.app/papers/examining-the-influence-of-healthrelated-quality-of-life-almazan-nadirbekova/4fd8fd9121255f19a615362febb5b3a4/

Ouyang YQ, Zhou WB, Xiong ZF, Wang R, Redding SR. A Web-based Survey of Marital Quality and Job Satisfaction among Chinese Nurses. Asian Nurs Res (Korean Soc Nurs Sci) [Internet]. 2019 Aug 1;13(3):216–20. Available from: https://doi.org/10.1016/j.anr.2019.07.001

Temel S, Yildiz T, Aslan FE. The effect of marital status on burnout levels of nurses : A meta-analysis study. J Clin Med KAZAKHSTAN. 2020;4(58):51–6.

Suminanto, Istiatin, Sudarwati. Effects of Credentials , Competence , Career Levels and Professionalism on the Satisfaction among Nurses in Psychiatric Hospital , Surakarta Central Java , Indonesia. J Heal Policy Manag. 2023;08:23–9.

Rambur B, Mcintosh B, Palumbo MV, Reinier K. Profession and Society Education as a Determinant of Career Retention and Job Satisfaction Among Registered Nurses. J Nurs Scolarsh. 2003;

Jamal M, Baba V V. Shiftwork and department-type related to job stress , work attitudes and behavioral intentions : A study of nurses. J Organ Behav. 1992;13(December 1990).

Rashad G, Moteri A, Almutairi FS, Saud M, Alotaibi ZNM, Almutairi KR, et al. Exploring the Health and Well-being Impacts of Shift Work on Nurses: A Literature Review. Power Syst Technol. 2024;48(4):2–11.

Dewi DAP, Darnoto S, Setiyadi NA. Determinants of Nurse Job Satisfaction in Hospitals BT - Proceedings of the International Conference on Health and Well-Being (ICHWB 2021). In: Advances in Health Sciences Research [Internet]. Atlantis Press; 2022. p. 121–9. Available from: https://doi.org/10.2991/ahsr.k.220403.017

Zhao Y, Lu H, Zhu X, Xiao G. Job satisfaction among hospital nurses: An updated literature review. Int J Nurs Stud [Internet]. 2025;162:104964. Available from: https://www.sciencedirect.com/science/article/pii/S0020748924002773

Jacob J. Job Satisfaction Experienced by Nurses Working in Private Hospitals. AIMS Int J Manag. 2022;

Ball J, Day T, Murrells T, Dall’Ora C, Rafferty AM, Griffiths P, et al. Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures. BMC Nurs [Internet]. 2017;16(1):26. Available from: https://doi.org/10.1186/s12912-017-0221-7

Martinez J jon T, Tapia J. Exploring the Impact of Shift Duration on Nurses ’ Perceived Stress and Quality of Working Hours : A Comparative Study of 8-Hour Versus 12-Hour Shifts . Int J Res Innov Appl Sci. 2025;IX(2454).

Ora CD, Griffiths P, Ball J, Simon M, Aiken LH. Association of 12 h shifts and nurses ’ job satisfaction , burnout and intention to leave : fi ndings from a cross-sectional study of 12 European countries. BMJ Open. 2015;

Lu H qun, Xu Y, Lu J yu. Analysis of nursing staff job satisfaction and its influencing factors : a cross-sectional study of 38 hospitals / nursing homes in. Front Public Heal. 2025;(March):1–11.

Chand H. Job Preference and Satisfaction in Nursing Sector. Open J Bus Manag [Internet]. 2019;8. Available from: https://consensus.app/papers/job-preference-and-satisfaction-in-nursing-sector-chand/d7d7e4a83c5e5223a758bb1980e0d78d/

Tomaszewska K, Kowalczuk K, Majchrowicz B, Kłos A, Kalita K. Areas of professional life and job satisfaction of nurses. Front Public Heal [Internet]. 2024;Volume 12. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1370052

Zangaro GA, Soeken KL. A Meta-Analysis of Studies of Nurses ’ Job Satisfaction. Res Nurs Health. 2007;30:445–58.

Misni Y, Amaningrum N, A’la MZ. Subjective Workload Assessment among Nurses and Its Relationship with Work Quality Satisfaction: A Scoping Review. Indones J Glob Heal Res [Internet]. 2025 Jun 1;7(3 SE-Articles). Available from: https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/6078

Yanwarin JAC, Kunci K. Hubungan Beban Kerja Dengan Kepuasan Kerja Perawat Di Ruang Rawat Inap : Literature Review Relationship Between Workload And Job Satisfaction Of Nurses In The Hospitalization Room : Literature Review. Indones J Heal Serv. 2024;1(3):79–84.

Ruiz A, Javier F, Myriam A, Llor S, Dolores M, Mikla M. Relationship between Job Satisfaction and Workload of Nurses in Adult Inpatient Units. Int J Environ Res Public Health. 2022;

Flora ID. Job Satisfaction among the Nursing Staff. Int J Sci Res. 2023;12(12):2022–4.

Alzoubi FA, Jaradat D, Abu Juda A. Verbal abuse among newly hired registered Jordanian nurses and its correlate with self-esteem and job outcomes. Heliyon [Internet]. 2021 Apr 1;7(4). Available from: https://doi.org/10.1016/j.heliyon.2021.e06929

Jaradat Y, Nielsen MB, Kristensen P, Nijem K, Bjertness E, Bast-Pettersen R. Mental distress and job satisfaction in Palestinian nurses exposed to workplace aggression: a cross-sectional study. Lancet [Internet]. 2018 Feb 21;391:S37. Available from: https://doi.org/10.1016/S0140-6736(18)30362-3

Yesilbas H, Kantek F. Relationship between structural empowerment and job satisfaction among nurses: A meta-analysis. Int Nurs Rev. 2024 Sep;71(3):484–91.

Ning S, Zhong H, Libo W, Qiujie L. The impact of nurse empowerment on job satisfaction. J Adv Nurs. 2009 Dec;65(12):2642–8.

Dahinten VS, Lee SE, MacPhee M. Disentangling the relationships between staff nurses’ workplace empowerment and job satisfaction. J Nurs Manag. 2016 Nov;24(8):1060–70.

Li H, Shi Y, Li Y, Xing Z, Wang S, Ying J, et al. Relationship between nurse psychological empowerment and job satisfaction: A systematic review and meta-analysis. J Adv Nurs. 2018 Jun;74(6):1264–77.

Gu L, Wang L, Pan B. Psychological empowerment and job satisfaction in nurses: A systematic review and meta-analysis. Front Public Heal [Internet]. 2022;Volume 10. Available from: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.1022823

Orlowska A, Laguna M. Structural and Psychological Empowerment in Explaining Job Satisfaction and Burnout in Nurses: A Two-Level Investigation. J Nurs Manag [Internet]. 2023;2023. Available from: https://api.semanticscholar.org/CorpusID:259319242

Wong FMF. Job satisfaction in nursing: A qualitative inquiry into novice and experienced nurses’ perspectives. Nurse Educ Pract [Internet]. 2024;78:104018. Available from: https://www.sciencedirect.com/science/article/pii/S1471595324001471

NAWAZ R, PERVEEN T, NAZAR K. LEVEL OF JOB SATISFACTION AMONG REGISTERED NURSES WORKING IN CLINICAL AREA AT TEACHING HOSPITAL: A STUDY FROM LOCAL POPULATION. Biol Clin Sci Res J [Internet]. 2024 Mar 10;2024(1 SE-Original Research Articles):748. Available from: https://bcsrj.com/ojs/index.php/bcsrj/article/view/748

Singh A, Chakradhar R, Joshi N. Job Satisfaction among Nurses Working in a Tertiary Level Government Hospital. Med J Shree Birendra Hosp [Internet]. 2021 Feb 2;20(1 SE-Original Articles):30–5. Available from: https://www.nepjol.info/index.php/MJSBH/article/view/28777

Saputri E, Pasinringi SA, Ake J. THE RELATIONSHIP BETWEEN CAREER LADDER AND NURSES JOB SATISFACTION AT A HOSPITAL. Indones J Heal Adm (Jurnal Adm Kesehat Indones [Internet]. 2021 Apr 22;9(1 SE-Original Articles):55–66. Available from: https://e-journal.unair.ac.id/JAKI/article/view/18940

Yamashita M. Job satisfaction in Japanese nurses. J Adv Nurs. 1995 Jul;22(1):158–64.

Hu H, Wang C, Lan Y, Wu X. Nurses’ turnover intention, hope and career identity: the mediating role of job satisfaction. BMC Nurs [Internet]. 2022;21(1):43. Available from: https://doi.org/10.1186/s12912-022-00821-5

BLEGEN MA. Nurses’ Job Satisfaction: A Meta-Analysis Of Related Variables. Nurs Res [Internet]. 1993;42(1). Available from: https://journals.lww.com/nursingresearchonline/fulltext/1993/01000/nurses__job_satisfaction__a_meta_analysis_of.7.aspx

Ayalew E, Workineh Y, Abate A, Zeleke B, Semachew A, Woldegiorgies T. Intrinsic motivation factors associated with job satisfaction of nurses in three selected public hospitals in Amhara regional state, 2018. Int J Africa Nurs Sci [Internet]. 2021;15:100340. Available from: https://www.sciencedirect.com/science/article/pii/S2214139121000639

Ahmari R Al, Qannass S Al, Govallen P, Moorkan N. The Impact of Nurses Recognition , and Empowerment Related to Nurses Job Satisfaction at KFSH-D. Open J Nurs. 2023;81–94.

Alahiane L, Zaam Y, Abouqal R, Belayachi J. Factors associated with recognition at work among nurses and the impact of recognition at work on health-related quality of life, job satisfaction and psychological health: a single-centre, cross-sectional study in Morocco. BMJ Open [Internet]. 2023;13(5). Available from: https://bmjopen.bmj.com/content/13/5/e051933

Thomas JB, Lee MA. Factors influencing the transition of foreign-educated nurses to the US healthcare setting: A systematic review. Int Nurs Rev. 2024 Sep;71(3):440–56.

Polat Ş, Terzi B. Identification of the Burnout and Job Satisfaction Levels of the Beginner Nurses who were in the Process of Orientation. Int J Med Res Heal Sci [Internet]. 2018;7:156–63. Available from: https://api.semanticscholar.org/CorpusID:86829053

Alshammari MH, Alenezi A. Nursing workforce competencies and job satisfaction: the role of technology integration, self-efficacy, social support, and prior experience. BMC Nurs [Internet]. 2023;22(1):308. Available from: https://doi.org/10.1186/s12912-023-01474-8

Beckmann S, Schmid-Mohler G, Spichiger E, Eicher M, Nicca D, Ullmann-Bremi A, et al. Mapping advanced practice nurses’ scope of practice, satisfaction, and drivers of role performance. Pflege. 2025 Apr;38(2):83–92.

Déry J, Paquet M, Boyer L, Dubois S, Lavigne G, Lavoie-Tremblay M. Optimizing nurses’ enacted scope of practice to its full potential as an integrated strategy for the continuous improvement of clinical performance: A multicentre descriptive analysis. J Nurs Manag. 2022 Jan;30(1):205–13.

Aron S. Cornerstone : A Collection of Scholarly and Creative Works for Minnesota State University , Mankato Relationship between Nurses ’ Job Satisfaction and Quality of Healthcare They Deliver. Cornerstone Minnesota State Univ. 2015;

Albishri AM, Albshri BM, Albshr FA, Albshri TA, Albeshri TN, Alkhattabi AS, et al. The Relationship between Nurse Burnout, Job Satisfaction, and Patient Care Quality. J Med Sci Clin Res. 2023;11(11):65–9.

Al Sabei SD, Labrague LJ, Miner Ross A, Karkada S, Albashayreh A, Al Masroori F, et al. Nursing Work Environment, Turnover Intention, Job Burnout, and Quality of Care: The Moderating Role of Job Satisfaction. J Nurs Scholarsh an Off Publ Sigma Theta Tau Int Honor Soc Nurs. 2020 Jan;52(1):95–104.

Putra KR, Andayani T, Ningrum EH. Job Satisfaction and Caring Behavior among Nurses in a Military Hospital: A Cross-Sectional Study. J Public health Res [Internet]. 2021 Apr 15;10(2):jphr.2021.2212. Available from: https://doi.org/10.4081/jphr.2021.2212

De Simone S, Planta A, Cicotto G. The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses’ turnover intention and patient satisfaction. Appl Nurs Res [Internet]. 2018;39:130–40. Available from: https://www.sciencedirect.com/science/article/pii/S0897189717302410

Samad A, Memon SB, Kumar M. Job satisfaction among nurses in Pakistan: The impact of incivility and informal climate. Glob Bus Organ Excell [Internet]. 2020;39:53–9. Available from: https://api.semanticscholar.org/CorpusID:216337033

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01-12-2025

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Sunati N, Komariah M, Agustina HR. Factors Influencing Nurse Job satisfaction and the Consequent Effects on Patient Care Quality: A Scoping Review . J. Health Nutr. Res [Internet]. 2025 Dec. 1 [cited 2025 Dec. 3];4(3):1082-96. Available from: https://www.journalmpci.com/index.php/jhnr/article/view/520

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