Objectives This study aimed to explore the research trends,thematic structures,and core competency domains in the field of nursing-related digital and artificial intelligence(AI)technologies.Methods A bibliometric ana...Objectives This study aimed to explore the research trends,thematic structures,and core competency domains in the field of nursing-related digital and artificial intelligence(AI)technologies.Methods A bibliometric analysis was conducted in accordance with the PRISMA 2020 statement.Peer-reviewed articles published in English from 2015 to 2025 were retrieved from Scopus,Web of Science,and PubMed.Thematic clustering was conducted using the Louvain algorithm and cosine similarity.A subset of 66 frequently cited articles was then qualitatively synthesized to capture core competencies across clusters.Results A total of 83,807 articles were included for bibliometric analysis.Of these,66 articles were chosen for thematic analysis.Five major thematic clusters were identified:remote care in primary settings,oncology and palliative care,nurse education and training,safety and quality in nursing practice,and geriatric and dementia care.Additionally,four competency domains were identified:telehealth and remote communication,health systems and informatics,digital tools in practice,and AI-powered decision support.A clear shift in research focus was observed,with the emphasis transitioning from foundational digital skills before the COVID-19 pandemic to more advanced competencies during the post-pandemic digital transformation,encompassing ethical reasoning,immersive technology use,and AI integration.Conclusions Integrating digital and AI technologies is reshaping nursing practice across various thematic areas and competency domains,highlighting a transition from foundational digital tasks to AI-supported decision-making and ethically informed technology use.This study provides a structured overview of evolving competencies in digital nursing and synthesizes evidence to support future research,curriculum design,and policy planning.展开更多
Arbitration is a key non-litigation commercial mechanism for the resolution of disputes, and the quality and credibility of its awards depend largely on the competency of the arbitrators. However, the selection and ev...Arbitration is a key non-litigation commercial mechanism for the resolution of disputes, and the quality and credibility of its awards depend largely on the competency of the arbitrators. However, the selection and evaluation systems for arbitrators in China have long faced challenges such as the vague criteria for competency and an unclear professionalization path for arbitrators. To address these issues, this study is grounded in the context of actual Chinese arbitration practice and based on the competency iceberg model. Through a methodological approach encompassing literature reviews, behavioral event interviews, expert revisions, and questionnaire surveys, a Chinese Arbitrator Competency Scale was developed and validated in this study. Examination of the findings indicated that the scale needed to consist of five dimensions—communication and coordination, cognitive skills, ethical conduct, work motivation, and personality traits—and possess a total of 28 specific indicators. Confirmatory analysis of the factors demonstrates a good fit for the five-dimensional model, with each of the dimensions exhibiting high reliability and validity. This scale is innovative in integrating the competency elements with Chinese characteristics, such as commercial acumen, crosscultural mediation skills, and adaptability to the local rule of law. This research not only enriches the competency theory in regard to the field of human resource management but also provides a scientific framework of standards and measurement tools for the selection, training, and evaluation of arbitrators. It thus has significant practical value for enhancing the professionalism and international competitiveness of China's arbitration system.展开更多
Within contemporary healthcare systems, professional identity among specialized nurses serves as a pivotal intrinsic factor influencing the development of their core competencies. This review synthesizes existing rese...Within contemporary healthcare systems, professional identity among specialized nurses serves as a pivotal intrinsic factor influencing the development of their core competencies. This review synthesizes existing research, revealing that professional identity positively impacts the development of core competencies through multiple pathways, including psychological drive, behavioral facilitation, teamwork, and career stability. Building on this analysis, this paper proposes systematic enhancement strategies from four dimensions: education and training, organizational environment, cultural development, and individual growth, aiming to provide a reference for nursing practice and professional development.展开更多
The iterative continuation task(ICT)requires English as a foreign language(EFL)learners to read a segment and write a continuation that aligns with the preceding segment of an English novel with successive turns,offer...The iterative continuation task(ICT)requires English as a foreign language(EFL)learners to read a segment and write a continuation that aligns with the preceding segment of an English novel with successive turns,offering exposure to diverse grammatical structures and opportunities for contextualized usage.Given the importance of integrating technology into second language(L2)writing and the critical role that grammar plays in L2 writing development,automated written corrective feedback provided by Grammarly has gained significant attention.This study investigates the impact of Grammarly on grammar learning strategies,grammar grit,and grammar competence among EFL college students engaged in ICT.This study employed a mixed-methods sequential exploratory design;56 participants were divided into an experimental group(n=28),receiving Grammarly feedback for ICT,and a control group(n=28),completing ICT without Grammarly feedback.Quantitative results revealed that both groups showed improvements in L2 grammar learning strategies,grit and competence.For the experimental group,significant differences were observed across all variables of L2 grammar learning strategies,grit,and competence between pre-and post-tests.For the control group,significant differences were only observed in the affective dimension of grammar learning strategies,Consistency of Interest(COI)of grammar grit,and grammar competence.However,the control group presented a significantly higher improvement in grammar competence.Qualitative analysis showed both positive and negative perceptions of Grammarly.The pedagogical implications of integrating Grammarly and ICT for L2 grammar development are discussed.展开更多
Background:Artificial intelligence(AI)is transforming healthcare,demanding reevaluation of medical education.China's“New Medical Education”initiative urgently requires a standardized AI literacy framework for me...Background:Artificial intelligence(AI)is transforming healthcare,demanding reevaluation of medical education.China's“New Medical Education”initiative urgently requires a standardized AI literacy framework for medical students to address fragmented standards,rapid technological evolution,and insufficient localized ethical norms.Objective:To establish a Chinese expert consensus defining core AI competencies and a multi-modal assessment framework for medical students.Methods:A multidisciplinary(including medical education,clinical medicine,medical AI,public health,and medical ethics)expert group(n=32)developed an initial competency list based on the“Knowledge-Skills-Attitude”Medical Competency Model.Two Delphi rounds(100%response rate;consensus threshold:mean≥4.0,CV≤0.25)refined the framework.Core competencies were prioritized via Analytic Hierarchy Process(AHP).The final consensus document was established after multiple expert group meetings.Results:The consensus defines AI literacy for medical students as a comprehensive attribute for integrating AI into profes-sional knowledge,clinical practice,research,and health management.It comprises a 21-item Competencies of AI Proficiency(CAIP)list across knowledge(eight indicators),skills(seven indicators),and attitude(six indicators)dimensions.Key com-petencies prioritized include understanding AI's role in multidisciplinary knowledge integration(CAIP3),identifying AI output biases(CAIP4),understanding health data governance(CAIP2),maintaining physician-led AI-assisted diagnosis(CAIP16),and identifying AI diagnostic biases(CAIP12).A multi-modal assessment framework is recommended,including paper-based/computerized tests for knowledge,situational judgment tests(SJTs)for attitudes,and objective structured clinical examinations(OSCEs)with a specific“AI Clinical Decision Conflict Scoring Scale”for skills.A multi-stage dynamic assessment system(“Pre-enrollment-Pre-clinical-Post-clinical”)is proposed for longitudinal tracking.Educational integration pathways emphasize embedding AI literacy modularly from early undergraduate years,constructing an integrated curriculum covering fundamental principles,advanced large model applications(e.g.,prompt engineering,agent development),and ethical considerations,supported by a"digital twin hospital platform."Conclusion:This consensus provides authoritative,China-specific guidance for defining and assessing medical students'AI literacy,adhering to national policies and regulations.It offers a core action framework for optimizing AI integration into medical education,fostering future healthcare professionals proficient in both AI technology and medical humanism,with a commitment to dynamic updating to adapt to evolving AI advancements.展开更多
This study integrates explicit input enhancement into comparative continuation writing,defined as a task in which learners produce a continuation by comparing their own expression with an input text,aligning with its ...This study integrates explicit input enhancement into comparative continuation writing,defined as a task in which learners produce a continuation by comparing their own expression with an input text,aligning with its discourse structure and linguistic features,while developing their own ideas.It aims to examine whether English as a Foreign Language(EFL)learners in China exhibit differences in discourse competence and writing performance when completing comparative continuation writing combined with different input enhancement techniques,and whether the alignment effect occurs at the discourse level.Sixty first-year Chinese senior middle school students were divided into four groups:three groups engaged in comparative continuation writing with varying input enhancement,achieved by combining different techniques,while a control group performed a designated-topic writing task.The results revealed that three comparative continuation writing groups outperformed the designated-topic writing group in discourse competence,particularly in the use of temporal connectives.However,differences and some inconsistencies were observed among the comparative continuation writing groups across individual indices.The study highlights effective ways to incorporate comparative continuation writing into English instruction and demonstrates how explicit input enhancement can complement the task,simultaneously activating the alignment effect proposed by the xu-argument and enhancing discourse competence in writing.展开更多
Large language models(LLMs)show considerable potential to revolutionize healthcare through their performance across diverse clinical applications.Given the inherent constraints of LLMs and the critical nature of medic...Large language models(LLMs)show considerable potential to revolutionize healthcare through their performance across diverse clinical applications.Given the inherent constraints of LLMs and the critical nature of medical practice,a rigorous and systematic evaluation of their medical competence is imperative.This study presents a comprehensive review of the established methodologies and benchmarks for evaluating the medical competence of LLMs,encompassing a thorough analysis of current assessment practices across medical knowledge,clinical practice competence,and ethical-safety considerations.By integrating clinician competency assessment frameworks into LLMs evaluation,we propose a structured tri-dimensional framework that systematically organizes existing evaluation approaches according to medical theoretical knowledge,clinical practice ability,and ethical-safety considerations.Furthermore,this research provides critical insights into future developmental trajectories while establishing foundational frameworks and standardization protocols for the integration of LLMs into medical practice.展开更多
BACKGROUND Brain-computer interface(BCI)technology is rapidly advancing in psychiatry.Informed consent competency(ICC)assessment among psychiatric patients is a pivotal concern in clinical research.AIM To analyze the ...BACKGROUND Brain-computer interface(BCI)technology is rapidly advancing in psychiatry.Informed consent competency(ICC)assessment among psychiatric patients is a pivotal concern in clinical research.AIM To analyze the assessment of ICC and form a framework with multi-dimensional elements involved in ICC of BCI clinical research among psychiatric disorders.METHODS A systematic review of studies regarding ICC assessments of BCI clinical research in patients with six kinds of psychiatric disorders was conducted.A systematic literature search was performed using PubMed,ScienceDirect,and Web of Science.Peer-reviewed articles and full-text studies were included in the analysis.There were no date restrictions,and all studies published up to February 27,2025,were included.RESULTS A total of 103 studies were selected for this review.Fifty-eight studies included ICC factors,and forty-five were classified in ICC related ethical issues of BCI research in six kinds of psychiatric disorders.Executive function impairment is widely recognized as the most significant factor impacting ICC,and processing speed deficits are observed in schizophrenia,mood disorders,and Alzheimer’s disease.Memory dysfunction,particularly episodic and working memory,contributes to compromised ICC.Five core ethical issues in BCI research should be addressed:BCI specificity,vulnerability,autonomy,dynamic ICC,comprehensiveness,and uncertainty.CONCLUSION A Five-Dimensional evaluative framework,including clinical,ethical,sociocultural,legal,and procedural dimensions,is constructed and proposed for future ICC research in BCI clinical research involving psychiatric disorders.展开更多
This study aims to investigate the current status of AI competencies among Chinese high school students using quantitative research methods.By integrating UNESCO’s AI Competency Framework for Students with China’s e...This study aims to investigate the current status of AI competencies among Chinese high school students using quantitative research methods.By integrating UNESCO’s AI Competency Framework for Students with China’s educational practices,a questionnaire was developed.Altogether,300 students from eight high schools joined the research.SPSS 26.0 was used for reliability and validity tests,exploratory factor analysis,and group difference analysis.The results show that the questionnaire has good reliability and validity(Cronbach’sα=0.974,KMO=0.912,Bartlett’s test of sphericity was significant with p<0.001,cumulative variance explained 72.0%).Besides,Chinese high school students’AI competencies exhibit a typical pattern of“strong in technology,weak in ethics,and insufficient in creativity”,with technical application ability(mean=3.7)significantly higher than ethical assessment(mean=3.0)and system design(mean=2.8).What’s more,students in the eastern region have significantly better overall competencies than those in the central and western regions(p<0.05),with the largest gap in the technical application dimension(mean difference=0.7)and the smallest gap in the ethical dimension(mean difference=0.3).The study recommends optimizing high school curricula by adding modules for ethical debates and interdisciplinary projects and promoting equitable distribution of educational resources.This research empirically supports global AI education standardization and offers a scientific basis for AI education policies and curriculum design in China’s high schools.展开更多
In recent decades,researches on teacher’s competence has shifted from a singular macro perspective to a systematic micro view.This article explores the multifaceted domain of teachers’competence in China by utilizin...In recent decades,researches on teacher’s competence has shifted from a singular macro perspective to a systematic micro view.This article explores the multifaceted domain of teachers’competence in China by utilizing textual analysis.It critically analyzes the research content pertaining to the connotation,structural components,and empirical applications of teachers’multicultural abilities.It summarizes various definitions,structures,and empirical studies in the context of China and proposes some directions of future research.展开更多
BACKGROUND Children with critical acute abdominal conditions often undergo intestinal stoma surgery.AIM To explore the impact of a visual mobile terminal-based extended care model on caregiver competence for children ...BACKGROUND Children with critical acute abdominal conditions often undergo intestinal stoma surgery.AIM To explore the impact of a visual mobile terminal-based extended care model on caregiver competence for children with enterostomies.METHODS One hundred twenty children with enterostomies and their caregivers in a children's hospital in Beijing were divided into a control group and a study group.The control group(60 cases)received traditional telephone follow-up for continuity of care,while the study group(60 cases)used a visualization mobile terminal-based care model.The incidence of stoma-related complications,caregiver burden scale,and competence scores of children with stoma were compared between the two groups.RESULTS The primary caregiver burden score in the study group(37.22±3.17)was significantly lower than that in the control group(80.00±4.47),and the difference was statistically significant(P<0.05).Additionally,the caregiving ability score of the study group(172.08±3.49)was significantly higher than that of the control group(117.55±4.28;P<0.05).The total incidence of complications in the study group(11.7%,7/60)was significantly lower compared to the control group(33.3%,20/60;χ2=8.086,P=0.004).CONCLUSION The visual mobile terminal-based care model reduces caregiver burden,improves home care ability,lowers the incidence of complications and readmission rates,and supports successful second-stage reduction surgery for children with enterostomies.展开更多
BACKGROUND Given their responsibility for the well-being of individuals,nurses with advanced mental health literacy,along with strong holistic nursing competencies and professional self-efficacy,are better equipped to...BACKGROUND Given their responsibility for the well-being of individuals,nurses with advanced mental health literacy,along with strong holistic nursing competencies and professional self-efficacy,are better equipped to assess both the mental and physical health of their patients,leading to the provision of holistic nursing care.AIM To investigate the relationship between nurses’mental health literacy levels and their holistic nursing competencies,as well as their nursing professional selfefficacy.METHODS This study is cross-sectional,correlational research.The study sample consisted of a total of 261 volunteer nurses working in a training and research hospital and a state hospital between March 11,2024 and April 8,2024.Data were collected face to face with the“Descriptive Data Form”,“Mental Health Literacy Scale(MHLS)”,“Holistic Nursing Competence Scale(HNCS)”,and the“Nursing Profession Self-Efficacy Scale(NPSES)”.RESULTS The mean scale scores for the nurses were as follows:MHLS:95.88±11.67;HNCS:179.46±33.82;NPSES:64.79±11.24.A low-level positive correlation was found between the total scores of the MHLS,HNCS,and NPSES,and a moderate-level positive correlation was observed between the total scores of the HNCS and NPSES.These correlations were statistically significant(P<0.05).CONCLUSION It is recommended that initiatives be undertaken to enhance the mental health literacy and holistic nursing competencies of nurses and that similar studies be conducted with nurses in different institutions and with a larger number of nurses.展开更多
Objective: The importance of culture in nursing lies in its influence on patients’ health perceptions, behaviors, and responses to care. Despite the challenges posed by the complexity of studying culture, there remai...Objective: The importance of culture in nursing lies in its influence on patients’ health perceptions, behaviors, and responses to care. Despite the challenges posed by the complexity of studying culture, there remains a critical need to develop cultural competence in nursing. This study investigated how nursing students in rural Indonesia enhance their cultural competence through education and practice. Methods: This study employed a qualitative descriptive phenomenological approach. It conducted face-to-face interviews with 32 students across 6 regions, selected purposively. Thematic analysis was employed to evaluate the results. Results: Five themes emerge in this research: perceptions of cultural competence, learning cultural competence in the classroom, practical experience, learning expectations related to cultural competence, and cultural learning barriers. Conclusions: Enhancing cultural competence necessitates enriched curricula, adept clinical mentors, and continual student evaluation. This iterative assessment informs tailored strategies for nurturing cultural proficiency.展开更多
Background:The Teaching Personal and Social Responsibility(TPSR)model in physical education(PE)has been shown to promote Social and emotional competence(SEC).However,the underlying mechanisms through which TPSR enhanc...Background:The Teaching Personal and Social Responsibility(TPSR)model in physical education(PE)has been shown to promote Social and emotional competence(SEC).However,the underlying mechanisms through which TPSR enhances SEC,particularly in university students within the Chinese context,remain unclear.This study aims to explore the effects of TPSR and the mediating roles of self-efficacy and grit in improving SEC.Methods:71 Chinese university students were in the TPSR group,and 39 in the Traditional Teaching Model(TTM)control group,assessed before and after a 14-week intervention.The Adapted Social and Emotional Competence Scale(ASECS),General Self-Efficacy Scale(GSES),and Short Grit Scale(SGS)were used for measurement.A mixed-design ANOVA assessed TPSR’s effects,with post-hoc t-tests for pre-post differences and mediation analysis for underlying mechanisms.Results:The mixed-design ANOVA revealed a significant interaction between time and intervention on SEC.The TPSR group showed significant improvement from pre-test to post-test(t(70)=−2.63,p=0.011,Cohen’s d=−0.31),whereas the TTM control group did not(t(38)=1.40,p=0.170,Cohen’s d=0.22).The TPSR group also showed a significant increase in self-efficacy(t(70)=−3.67,p<0.001,Cohen’s d=−0.44),while no change was observed in the TTM group(t(38)=0.62,p=0.540,Cohen’s d=0.10).No significant effects were found for grit(F=0.342,p=0.560).Mediation analysis confirmed that self-efficacy significantly mediated the effects of the TPSR intervention on SEC(95%CI:0.0277 to 0.2897).Conclusion:The TPSR intervention led to significant improvements in university students’SEC and self-efficacy,with no significant changes observed in grit.Self-efficacy served as a mediator in the relationship between the intervention and SEC.展开更多
Under the background of competency-based transformation of higher education,bioengineering major urgently needs to solve the problems such as the disconnect between practical teaching and industry needs and the lack o...Under the background of competency-based transformation of higher education,bioengineering major urgently needs to solve the problems such as the disconnect between practical teaching and industry needs and the lack of resources.This paper proposed supplementing traditional experimental teaching with video resources to construct a closed-loop model of"theoretical instruction,case analysis,video demonstration,and reflective application".Through the development of instructional videos covering core techniques such as PCR,Western blot,CRISPR-Cas9,cell culture,HPLC,GMP operations,and bioinformatics analysis,teaching costs can be reduced,spatiotemporal constraints can be overcome,and process visualization can be enhanced,thereby supporting students in mastering the entire workflow of modern biomanufacturing.The paper further explored resource development pathways,university-enterprise collaboration mechanisms,and curriculum integration strategies,offering actionable solutions for practical teaching reform.展开更多
With the rise of data-intensive research,data literacy has become a critical capability for improving scientific data quality and achieving artificial intelligence(AI)readiness.In the biomedical domain,data are charac...With the rise of data-intensive research,data literacy has become a critical capability for improving scientific data quality and achieving artificial intelligence(AI)readiness.In the biomedical domain,data are characterized by high complexity and privacy sensitivity,calling for robust and systematic data management skills.This paper reviews current trends in scientific data governance and the evolving policy landscape,highlighting persistent challenges such as inconsistent standards,semantic misalignment,and limited awareness of compliance.These issues are largely rooted in the lack of structured training and practical support for researchers.In response,this study builds on existing data literacy frameworks and integrates the specific demands of biomedical research to propose a comprehensive,lifecycle-oriented data literacy competency model with an emphasis on ethics and regulatory awareness.Furthermore,it outlines a tiered training strategy tailored to different research stages—undergraduate,graduate,and professional,offering theoretical foundations and practical pathways for universities and research institutions to advance data literacy education.展开更多
Graduate students universally struggle with vague topics,insufficient innovation,and logical gaps in research proposals,highlighting the need for structured scientific training.This study presents an innovative pedago...Graduate students universally struggle with vague topics,insufficient innovation,and logical gaps in research proposals,highlighting the need for structured scientific training.This study presents an innovative pedagogical model embedding scholarly literature’s logical architecture into LBL-RBL hybrid teaching,implemented in Kunming Medical University’s Neuropathophysiology course.Targeting the complexity of neurological disease mechanisms,the course integrates lecture-based learning(LBL)and research-based learning(RBL)through a small-cohort framework featuring personalized literature-logic embedding→targeted lecture reinforcement→multi-round proposal iteration.Faculty deconstructed domain literature to establish a three-phase training system(“Logic Demonstration-Methodology Mapping-Proposal Embedding”),systematically merging academic logic with research methodology over 9 weeks.Results demonstrate that this problem-driven approach creates authentic scientific inquiry scenarios,activating student knowledge co-construction and collaborative exploration.It successfully enables dynamic competency progression through“cognitive deconstruction→methodological practice→proposal refinement,”significantly enhancing proposal rigor and innovation.This study offers a scalable dual-track solution for cultivating advanced scientific capabilities in medical graduate education.展开更多
This study investigates the correlation between musical competence and English prosodic production as well as the associations among their internal components.Eighty Chinese EFL learners in college took the musical pe...This study investigates the correlation between musical competence and English prosodic production as well as the associations among their internal components.Eighty Chinese EFL learners in college took the musical perception test,musical production test and English prosodic production test in sequence.In order to take a closer look at the prosodic performance,taking native English speakers as a reference,we also conducted an in-depth acoustic analysis of the English prosody produced by six cases in both high and low musical competence groups with the aid of Praat and ToBI.Our results indicate that students with high musical competence tend to outperform those with low musical competence in English prosodic production.However,musical perception competence seems to have a greater correlation with English prosodic competence than musical production competence.In addition,beat alignment or tempo(related to time and stress)could be the most associated component in musical competence with English prosody,while melody in music was double confirmed to be unhelpful.It was also spotted that cases with high musical competence performed more native-like patterns of phrase accent,boundary tones,intonational phrases as well as placement of stress.The results have important theoretical implications for the construct interpretation of musical competence,and also suggest that rhythmic perception training could be the most effective way to transfer music achievement to English speech prosody.展开更多
基金supported by grants for development of new faculty staff,Ratchadaphiseksomphot Fund,Chulalongkorn University,Thailand.
文摘Objectives This study aimed to explore the research trends,thematic structures,and core competency domains in the field of nursing-related digital and artificial intelligence(AI)technologies.Methods A bibliometric analysis was conducted in accordance with the PRISMA 2020 statement.Peer-reviewed articles published in English from 2015 to 2025 were retrieved from Scopus,Web of Science,and PubMed.Thematic clustering was conducted using the Louvain algorithm and cosine similarity.A subset of 66 frequently cited articles was then qualitatively synthesized to capture core competencies across clusters.Results A total of 83,807 articles were included for bibliometric analysis.Of these,66 articles were chosen for thematic analysis.Five major thematic clusters were identified:remote care in primary settings,oncology and palliative care,nurse education and training,safety and quality in nursing practice,and geriatric and dementia care.Additionally,four competency domains were identified:telehealth and remote communication,health systems and informatics,digital tools in practice,and AI-powered decision support.A clear shift in research focus was observed,with the emphasis transitioning from foundational digital skills before the COVID-19 pandemic to more advanced competencies during the post-pandemic digital transformation,encompassing ethical reasoning,immersive technology use,and AI integration.Conclusions Integrating digital and AI technologies is reshaping nursing practice across various thematic areas and competency domains,highlighting a transition from foundational digital tasks to AI-supported decision-making and ethically informed technology use.This study provides a structured overview of evolving competencies in digital nursing and synthesizes evidence to support future research,curriculum design,and policy planning.
基金Research on Problems and Countermeasures in Building the Capacity of the Grassroots International Chambers of Commerce in the Context of High-Quality Development (W2024H03841)a key research project of the China Council for the Promotion of International Trade in 2025。
文摘Arbitration is a key non-litigation commercial mechanism for the resolution of disputes, and the quality and credibility of its awards depend largely on the competency of the arbitrators. However, the selection and evaluation systems for arbitrators in China have long faced challenges such as the vague criteria for competency and an unclear professionalization path for arbitrators. To address these issues, this study is grounded in the context of actual Chinese arbitration practice and based on the competency iceberg model. Through a methodological approach encompassing literature reviews, behavioral event interviews, expert revisions, and questionnaire surveys, a Chinese Arbitrator Competency Scale was developed and validated in this study. Examination of the findings indicated that the scale needed to consist of five dimensions—communication and coordination, cognitive skills, ethical conduct, work motivation, and personality traits—and possess a total of 28 specific indicators. Confirmatory analysis of the factors demonstrates a good fit for the five-dimensional model, with each of the dimensions exhibiting high reliability and validity. This scale is innovative in integrating the competency elements with Chinese characteristics, such as commercial acumen, crosscultural mediation skills, and adaptability to the local rule of law. This research not only enriches the competency theory in regard to the field of human resource management but also provides a scientific framework of standards and measurement tools for the selection, training, and evaluation of arbitrators. It thus has significant practical value for enhancing the professionalism and international competitiveness of China's arbitration system.
文摘Within contemporary healthcare systems, professional identity among specialized nurses serves as a pivotal intrinsic factor influencing the development of their core competencies. This review synthesizes existing research, revealing that professional identity positively impacts the development of core competencies through multiple pathways, including psychological drive, behavioral facilitation, teamwork, and career stability. Building on this analysis, this paper proposes systematic enhancement strategies from four dimensions: education and training, organizational environment, cultural development, and individual growth, aiming to provide a reference for nursing practice and professional development.
文摘The iterative continuation task(ICT)requires English as a foreign language(EFL)learners to read a segment and write a continuation that aligns with the preceding segment of an English novel with successive turns,offering exposure to diverse grammatical structures and opportunities for contextualized usage.Given the importance of integrating technology into second language(L2)writing and the critical role that grammar plays in L2 writing development,automated written corrective feedback provided by Grammarly has gained significant attention.This study investigates the impact of Grammarly on grammar learning strategies,grammar grit,and grammar competence among EFL college students engaged in ICT.This study employed a mixed-methods sequential exploratory design;56 participants were divided into an experimental group(n=28),receiving Grammarly feedback for ICT,and a control group(n=28),completing ICT without Grammarly feedback.Quantitative results revealed that both groups showed improvements in L2 grammar learning strategies,grit and competence.For the experimental group,significant differences were observed across all variables of L2 grammar learning strategies,grit,and competence between pre-and post-tests.For the control group,significant differences were only observed in the affective dimension of grammar learning strategies,Consistency of Interest(COI)of grammar grit,and grammar competence.However,the control group presented a significantly higher improvement in grammar competence.Qualitative analysis showed both positive and negative perceptions of Grammarly.The pedagogical implications of integrating Grammarly and ICT for L2 grammar development are discussed.
基金Science and Technology Innovation 2030 Major Project,Grant/Award Number:2023ZD0508506。
文摘Background:Artificial intelligence(AI)is transforming healthcare,demanding reevaluation of medical education.China's“New Medical Education”initiative urgently requires a standardized AI literacy framework for medical students to address fragmented standards,rapid technological evolution,and insufficient localized ethical norms.Objective:To establish a Chinese expert consensus defining core AI competencies and a multi-modal assessment framework for medical students.Methods:A multidisciplinary(including medical education,clinical medicine,medical AI,public health,and medical ethics)expert group(n=32)developed an initial competency list based on the“Knowledge-Skills-Attitude”Medical Competency Model.Two Delphi rounds(100%response rate;consensus threshold:mean≥4.0,CV≤0.25)refined the framework.Core competencies were prioritized via Analytic Hierarchy Process(AHP).The final consensus document was established after multiple expert group meetings.Results:The consensus defines AI literacy for medical students as a comprehensive attribute for integrating AI into profes-sional knowledge,clinical practice,research,and health management.It comprises a 21-item Competencies of AI Proficiency(CAIP)list across knowledge(eight indicators),skills(seven indicators),and attitude(six indicators)dimensions.Key com-petencies prioritized include understanding AI's role in multidisciplinary knowledge integration(CAIP3),identifying AI output biases(CAIP4),understanding health data governance(CAIP2),maintaining physician-led AI-assisted diagnosis(CAIP16),and identifying AI diagnostic biases(CAIP12).A multi-modal assessment framework is recommended,including paper-based/computerized tests for knowledge,situational judgment tests(SJTs)for attitudes,and objective structured clinical examinations(OSCEs)with a specific“AI Clinical Decision Conflict Scoring Scale”for skills.A multi-stage dynamic assessment system(“Pre-enrollment-Pre-clinical-Post-clinical”)is proposed for longitudinal tracking.Educational integration pathways emphasize embedding AI literacy modularly from early undergraduate years,constructing an integrated curriculum covering fundamental principles,advanced large model applications(e.g.,prompt engineering,agent development),and ethical considerations,supported by a"digital twin hospital platform."Conclusion:This consensus provides authoritative,China-specific guidance for defining and assessing medical students'AI literacy,adhering to national policies and regulations.It offers a core action framework for optimizing AI integration into medical education,fostering future healthcare professionals proficient in both AI technology and medical humanism,with a commitment to dynamic updating to adapt to evolving AI advancements.
文摘This study integrates explicit input enhancement into comparative continuation writing,defined as a task in which learners produce a continuation by comparing their own expression with an input text,aligning with its discourse structure and linguistic features,while developing their own ideas.It aims to examine whether English as a Foreign Language(EFL)learners in China exhibit differences in discourse competence and writing performance when completing comparative continuation writing combined with different input enhancement techniques,and whether the alignment effect occurs at the discourse level.Sixty first-year Chinese senior middle school students were divided into four groups:three groups engaged in comparative continuation writing with varying input enhancement,achieved by combining different techniques,while a control group performed a designated-topic writing task.The results revealed that three comparative continuation writing groups outperformed the designated-topic writing group in discourse competence,particularly in the use of temporal connectives.However,differences and some inconsistencies were observed among the comparative continuation writing groups across individual indices.The study highlights effective ways to incorporate comparative continuation writing into English instruction and demonstrates how explicit input enhancement can complement the task,simultaneously activating the alignment effect proposed by the xu-argument and enhancing discourse competence in writing.
基金Guangzhou Science and Technology Program,Grant/Award Numbers:2025B03J0110,2024A03J1074,2024A03J0927。
文摘Large language models(LLMs)show considerable potential to revolutionize healthcare through their performance across diverse clinical applications.Given the inherent constraints of LLMs and the critical nature of medical practice,a rigorous and systematic evaluation of their medical competence is imperative.This study presents a comprehensive review of the established methodologies and benchmarks for evaluating the medical competence of LLMs,encompassing a thorough analysis of current assessment practices across medical knowledge,clinical practice competence,and ethical-safety considerations.By integrating clinician competency assessment frameworks into LLMs evaluation,we propose a structured tri-dimensional framework that systematically organizes existing evaluation approaches according to medical theoretical knowledge,clinical practice ability,and ethical-safety considerations.Furthermore,this research provides critical insights into future developmental trajectories while establishing foundational frameworks and standardization protocols for the integration of LLMs into medical practice.
基金Supported by the Ministry of Science and Technology of the People's Republic of China(2021ZD0201900)Project 5,No.2021ZD0201905Capital’s Funds for Health Improvement and Research,No.CFH 2022-2-4115.
文摘BACKGROUND Brain-computer interface(BCI)technology is rapidly advancing in psychiatry.Informed consent competency(ICC)assessment among psychiatric patients is a pivotal concern in clinical research.AIM To analyze the assessment of ICC and form a framework with multi-dimensional elements involved in ICC of BCI clinical research among psychiatric disorders.METHODS A systematic review of studies regarding ICC assessments of BCI clinical research in patients with six kinds of psychiatric disorders was conducted.A systematic literature search was performed using PubMed,ScienceDirect,and Web of Science.Peer-reviewed articles and full-text studies were included in the analysis.There were no date restrictions,and all studies published up to February 27,2025,were included.RESULTS A total of 103 studies were selected for this review.Fifty-eight studies included ICC factors,and forty-five were classified in ICC related ethical issues of BCI research in six kinds of psychiatric disorders.Executive function impairment is widely recognized as the most significant factor impacting ICC,and processing speed deficits are observed in schizophrenia,mood disorders,and Alzheimer’s disease.Memory dysfunction,particularly episodic and working memory,contributes to compromised ICC.Five core ethical issues in BCI research should be addressed:BCI specificity,vulnerability,autonomy,dynamic ICC,comprehensiveness,and uncertainty.CONCLUSION A Five-Dimensional evaluative framework,including clinical,ethical,sociocultural,legal,and procedural dimensions,is constructed and proposed for future ICC research in BCI clinical research involving psychiatric disorders.
基金supported by Research Project on Humanities and Social Sciences in Higher Education Institutions of Guizhou Provincial Department of Education(No.24RWZX060).
文摘This study aims to investigate the current status of AI competencies among Chinese high school students using quantitative research methods.By integrating UNESCO’s AI Competency Framework for Students with China’s educational practices,a questionnaire was developed.Altogether,300 students from eight high schools joined the research.SPSS 26.0 was used for reliability and validity tests,exploratory factor analysis,and group difference analysis.The results show that the questionnaire has good reliability and validity(Cronbach’sα=0.974,KMO=0.912,Bartlett’s test of sphericity was significant with p<0.001,cumulative variance explained 72.0%).Besides,Chinese high school students’AI competencies exhibit a typical pattern of“strong in technology,weak in ethics,and insufficient in creativity”,with technical application ability(mean=3.7)significantly higher than ethical assessment(mean=3.0)and system design(mean=2.8).What’s more,students in the eastern region have significantly better overall competencies than those in the central and western regions(p<0.05),with the largest gap in the technical application dimension(mean difference=0.7)and the smallest gap in the ethical dimension(mean difference=0.3).The study recommends optimizing high school curricula by adding modules for ethical debates and interdisciplinary projects and promoting equitable distribution of educational resources.This research empirically supports global AI education standardization and offers a scientific basis for AI education policies and curriculum design in China’s high schools.
基金supported by grants from Social Science Fund of Xinjiang Autonomous Region(2023VZJ017)Humanities and Social Science Fund of the Education Ministry(23YJA740050)+1 种基金Sino-Foreign Cooperation Project of the Center for Language Education and Cooperation(22YH41ZW)Think Tank Key Project of Xinjiang Normal University(ZK2024B02).
文摘In recent decades,researches on teacher’s competence has shifted from a singular macro perspective to a systematic micro view.This article explores the multifaceted domain of teachers’competence in China by utilizing textual analysis.It critically analyzes the research content pertaining to the connotation,structural components,and empirical applications of teachers’multicultural abilities.It summarizes various definitions,structures,and empirical studies in the context of China and proposes some directions of future research.
基金Supported by Project of the Health Bureau of the Logistics and Security Department of the Central Military Commission,No.145BHQ090003076XMilitary Family Planning Special Fund,No.21JSZ18.
文摘BACKGROUND Children with critical acute abdominal conditions often undergo intestinal stoma surgery.AIM To explore the impact of a visual mobile terminal-based extended care model on caregiver competence for children with enterostomies.METHODS One hundred twenty children with enterostomies and their caregivers in a children's hospital in Beijing were divided into a control group and a study group.The control group(60 cases)received traditional telephone follow-up for continuity of care,while the study group(60 cases)used a visualization mobile terminal-based care model.The incidence of stoma-related complications,caregiver burden scale,and competence scores of children with stoma were compared between the two groups.RESULTS The primary caregiver burden score in the study group(37.22±3.17)was significantly lower than that in the control group(80.00±4.47),and the difference was statistically significant(P<0.05).Additionally,the caregiving ability score of the study group(172.08±3.49)was significantly higher than that of the control group(117.55±4.28;P<0.05).The total incidence of complications in the study group(11.7%,7/60)was significantly lower compared to the control group(33.3%,20/60;χ2=8.086,P=0.004).CONCLUSION The visual mobile terminal-based care model reduces caregiver burden,improves home care ability,lowers the incidence of complications and readmission rates,and supports successful second-stage reduction surgery for children with enterostomies.
文摘BACKGROUND Given their responsibility for the well-being of individuals,nurses with advanced mental health literacy,along with strong holistic nursing competencies and professional self-efficacy,are better equipped to assess both the mental and physical health of their patients,leading to the provision of holistic nursing care.AIM To investigate the relationship between nurses’mental health literacy levels and their holistic nursing competencies,as well as their nursing professional selfefficacy.METHODS This study is cross-sectional,correlational research.The study sample consisted of a total of 261 volunteer nurses working in a training and research hospital and a state hospital between March 11,2024 and April 8,2024.Data were collected face to face with the“Descriptive Data Form”,“Mental Health Literacy Scale(MHLS)”,“Holistic Nursing Competence Scale(HNCS)”,and the“Nursing Profession Self-Efficacy Scale(NPSES)”.RESULTS The mean scale scores for the nurses were as follows:MHLS:95.88±11.67;HNCS:179.46±33.82;NPSES:64.79±11.24.A low-level positive correlation was found between the total scores of the MHLS,HNCS,and NPSES,and a moderate-level positive correlation was observed between the total scores of the HNCS and NPSES.These correlations were statistically significant(P<0.05).CONCLUSION It is recommended that initiatives be undertaken to enhance the mental health literacy and holistic nursing competencies of nurses and that similar studies be conducted with nurses in different institutions and with a larger number of nurses.
基金supported by an internal grant from Universitas Citra Bangsa(Number 6/VI/LP3M/UCB/22).
文摘Objective: The importance of culture in nursing lies in its influence on patients’ health perceptions, behaviors, and responses to care. Despite the challenges posed by the complexity of studying culture, there remains a critical need to develop cultural competence in nursing. This study investigated how nursing students in rural Indonesia enhance their cultural competence through education and practice. Methods: This study employed a qualitative descriptive phenomenological approach. It conducted face-to-face interviews with 32 students across 6 regions, selected purposively. Thematic analysis was employed to evaluate the results. Results: Five themes emerge in this research: perceptions of cultural competence, learning cultural competence in the classroom, practical experience, learning expectations related to cultural competence, and cultural learning barriers. Conclusions: Enhancing cultural competence necessitates enriched curricula, adept clinical mentors, and continual student evaluation. This iterative assessment informs tailored strategies for nurturing cultural proficiency.
基金funded by the 2023 Scientific Research Platforms and Projects of Guangdong Provincial Education Department,Grant Number 2023WQNCX079.
文摘Background:The Teaching Personal and Social Responsibility(TPSR)model in physical education(PE)has been shown to promote Social and emotional competence(SEC).However,the underlying mechanisms through which TPSR enhances SEC,particularly in university students within the Chinese context,remain unclear.This study aims to explore the effects of TPSR and the mediating roles of self-efficacy and grit in improving SEC.Methods:71 Chinese university students were in the TPSR group,and 39 in the Traditional Teaching Model(TTM)control group,assessed before and after a 14-week intervention.The Adapted Social and Emotional Competence Scale(ASECS),General Self-Efficacy Scale(GSES),and Short Grit Scale(SGS)were used for measurement.A mixed-design ANOVA assessed TPSR’s effects,with post-hoc t-tests for pre-post differences and mediation analysis for underlying mechanisms.Results:The mixed-design ANOVA revealed a significant interaction between time and intervention on SEC.The TPSR group showed significant improvement from pre-test to post-test(t(70)=−2.63,p=0.011,Cohen’s d=−0.31),whereas the TTM control group did not(t(38)=1.40,p=0.170,Cohen’s d=0.22).The TPSR group also showed a significant increase in self-efficacy(t(70)=−3.67,p<0.001,Cohen’s d=−0.44),while no change was observed in the TTM group(t(38)=0.62,p=0.540,Cohen’s d=0.10).No significant effects were found for grit(F=0.342,p=0.560).Mediation analysis confirmed that self-efficacy significantly mediated the effects of the TPSR intervention on SEC(95%CI:0.0277 to 0.2897).Conclusion:The TPSR intervention led to significant improvements in university students’SEC and self-efficacy,with no significant changes observed in grit.Self-efficacy served as a mediator in the relationship between the intervention and SEC.
基金Supported by Undergraduate Education and Teaching Reform Research Project of Chengdu University(XJJG-20242025228)Sichuan Genuine Medicinal Materials and Traditional Chinese Medicine Innovation Team(SCCXTD-2025-19)Sichuan Science and Technology Program(2021YFYZ0012).
文摘Under the background of competency-based transformation of higher education,bioengineering major urgently needs to solve the problems such as the disconnect between practical teaching and industry needs and the lack of resources.This paper proposed supplementing traditional experimental teaching with video resources to construct a closed-loop model of"theoretical instruction,case analysis,video demonstration,and reflective application".Through the development of instructional videos covering core techniques such as PCR,Western blot,CRISPR-Cas9,cell culture,HPLC,GMP operations,and bioinformatics analysis,teaching costs can be reduced,spatiotemporal constraints can be overcome,and process visualization can be enhanced,thereby supporting students in mastering the entire workflow of modern biomanufacturing.The paper further explored resource development pathways,university-enterprise collaboration mechanisms,and curriculum integration strategies,offering actionable solutions for practical teaching reform.
文摘With the rise of data-intensive research,data literacy has become a critical capability for improving scientific data quality and achieving artificial intelligence(AI)readiness.In the biomedical domain,data are characterized by high complexity and privacy sensitivity,calling for robust and systematic data management skills.This paper reviews current trends in scientific data governance and the evolving policy landscape,highlighting persistent challenges such as inconsistent standards,semantic misalignment,and limited awareness of compliance.These issues are largely rooted in the lack of structured training and practical support for researchers.In response,this study builds on existing data literacy frameworks and integrates the specific demands of biomedical research to propose a comprehensive,lifecycle-oriented data literacy competency model with an emphasis on ethics and regulatory awareness.Furthermore,it outlines a tiered training strategy tailored to different research stages—undergraduate,graduate,and professional,offering theoretical foundations and practical pathways for universities and research institutions to advance data literacy education.
基金The Educational Research Project of Kunming Medical University(2023-JY-Y-024 and 2022-JY-Y-011)Special Research Project for Introduced Talent of Kunming Medical University(J13395001)。
文摘Graduate students universally struggle with vague topics,insufficient innovation,and logical gaps in research proposals,highlighting the need for structured scientific training.This study presents an innovative pedagogical model embedding scholarly literature’s logical architecture into LBL-RBL hybrid teaching,implemented in Kunming Medical University’s Neuropathophysiology course.Targeting the complexity of neurological disease mechanisms,the course integrates lecture-based learning(LBL)and research-based learning(RBL)through a small-cohort framework featuring personalized literature-logic embedding→targeted lecture reinforcement→multi-round proposal iteration.Faculty deconstructed domain literature to establish a three-phase training system(“Logic Demonstration-Methodology Mapping-Proposal Embedding”),systematically merging academic logic with research methodology over 9 weeks.Results demonstrate that this problem-driven approach creates authentic scientific inquiry scenarios,activating student knowledge co-construction and collaborative exploration.It successfully enables dynamic competency progression through“cognitive deconstruction→methodological practice→proposal refinement,”significantly enhancing proposal rigor and innovation.This study offers a scalable dual-track solution for cultivating advanced scientific capabilities in medical graduate education.
文摘This study investigates the correlation between musical competence and English prosodic production as well as the associations among their internal components.Eighty Chinese EFL learners in college took the musical perception test,musical production test and English prosodic production test in sequence.In order to take a closer look at the prosodic performance,taking native English speakers as a reference,we also conducted an in-depth acoustic analysis of the English prosody produced by six cases in both high and low musical competence groups with the aid of Praat and ToBI.Our results indicate that students with high musical competence tend to outperform those with low musical competence in English prosodic production.However,musical perception competence seems to have a greater correlation with English prosodic competence than musical production competence.In addition,beat alignment or tempo(related to time and stress)could be the most associated component in musical competence with English prosody,while melody in music was double confirmed to be unhelpful.It was also spotted that cases with high musical competence performed more native-like patterns of phrase accent,boundary tones,intonational phrases as well as placement of stress.The results have important theoretical implications for the construct interpretation of musical competence,and also suggest that rhythmic perception training could be the most effective way to transfer music achievement to English speech prosody.
