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Mapping research trends and competency domains in nursing-related digital and artificial intelligence technologies:A bibliometric analysis
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作者 Kanjanee Phanphairoj Wasinee Wisesrith Sutthisan Chumwichan 《International Journal of Nursing Sciences》 2026年第1期36-44,I0003,I0004,共11页
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
关键词 Artificial intelligence competence Bibliometric analysis Digital competence Nursing competency domains Post-pandemic digital transformation
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Developing and Assessing the Reliability–Validity of the Chinese Arbitrator Competency Scale
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作者 Jiang Jindong Wei Ping 《Contemporary Social Sciences》 2026年第1期123-139,共17页
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
关键词 arbitrators competency scale scale development reliability-validity assessment
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Informed consent competency assessment for brain-computer interface clinical research and application in psychiatric disorders:A systematic review
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作者 Jia-Yue Si Zi-Yan Lin +8 位作者 Di-Ga Gan Xin-Yang Zhang Yan-Nan Liu Yu-Xin Hu Yan-Ping Bao Xue-Qin Wang Hong-Qiang Sun Xin Yu Lin Lu 《World Journal of Psychiatry》 2025年第8期404-423,共20页
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
关键词 Informed consent competency Brain-computer interface Psychiatric disorders Decision-making capacity MacArthur competence Assessment Tool
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Chinese High School Students AI Competency Survey: Based on the UNESCO Students’ AI Competency Framework
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作者 Daina Lin Xiaoshu Xu Jia Liu 《教育技术与创新》 2025年第1期54-65,共12页
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
关键词 high school students AI competency UNESCO AI competency framework
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Review on Teachers’Multicultural Competence in China
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作者 Xiaorong Yin Wen Ma Song Gao 《Journal of Contemporary Educational Research》 2025年第7期137-145,共9页
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
关键词 Multicultural competence MULTICULTURALISM Teachers’competence
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Impact of a visual mobile terminal-based continuity of care model on caregiver competence of children with enterostomies
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作者 Ying Yu Xian-Qiang Wang +4 位作者 Gang Liu Lei Li Li-Na Chen Li-Juan Zhang Qiao Xia 《World Journal of Gastrointestinal Surgery》 2025年第3期131-138,共8页
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
关键词 Mobile terminal ENTEROSTOMY Continuity of care Caregiver burden Visual mobile terminal Caregiver competence Stoma care Caregiver competence
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Investigation of the relationship between nurses’levels of mental health literacy,holistic nursing competencies,and professional selfefficacy
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作者 Kubra Durmus Havva Akpinar 《World Journal of Psychiatry》 2025年第4期251-260,共10页
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
关键词 Mental health LITERACY HOLISTIC competeNCE Nursing SELF-EFFICACY
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Nursing students’experiences with improving cultural competence through education and practices in rural Indonesia:a qualitative study
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作者 Petrus Kanisius Siga Tage Fepyani Thresna Feoh +3 位作者 Maria Yasintha Goa Angela Muryanti Gatum Herliana Monika Azi Djogo Erna Febriyanti 《Frontiers of Nursing》 2025年第1期37-46,共10页
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
关键词 cultural competency EDUCATION Indonesia nursing students PRACTICE qualitative research RURAL
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The Impacts of a Teaching Personal and Social Responsibility Intervention on Social and Emotional Competence in Physical Education:A Quasi-Experimental Study
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作者 Weidong Li Zh Yeng Chong +5 位作者 Yaqing Mao Wanying Zhang Wei Xu Mingwei Li Yiyun Wang Huaxia Xiong 《International Journal of Mental Health Promotion》 2025年第2期161-177,共17页
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
关键词 GRIT MEDIATION social and emotional competence SELF-EFFICACY TPSR physical education
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Practical Teaching Reform of Bioengineering for Competency Enhancement : Research on Low-cost and High-efficiency Teaching Mode Based on Video Resources
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作者 Liqin YIN Yan WAN +2 位作者 Li HAO Yuanmou TANG Yanli XIA 《Agricultural Biotechnology》 2025年第6期80-82,87,共4页
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
关键词 BIOENGINEERING Practical teaching competency development Video resources Teaching reform Industry-education integration
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AI-Ready Competency Framework for Biomedical Scientific Data Literacy
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作者 Zhe Wang Zhi-Gang Wang +3 位作者 Wen-Ya Zhao Wei Zhou Sheng-Fa Zhang Xiao-Lin Yang 《Chinese Medical Sciences Journal》 2025年第3期203-210,I0006,共9页
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
关键词 AI-ready scientific data management data literacy competency framework FAIR principles
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Deep Embedding of Literature Logical Structure in LBL-RBL Pedagogy:A Novel Pathway to Enhance Thesis Proposal Competency in Neuropathophysiology Courses
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作者 Rongrong Mao Guangya He +1 位作者 Heng Tan Qian Wang 《Journal of Contemporary Educational Research》 2025年第7期48-55,共8页
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
关键词 Literature logical structure LBL-RBL pedagogy Thesis proposal Neuropathophysiology Research competency cultivation
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Uncovering the Association Between Musical Competence and English Prosodic Production of Chinese EFL Learners
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作者 Hui Xun Xueyao Zhang +1 位作者 Huimin Gao Xinrui Lu 《Chinese Journal of Applied Linguistics》 2025年第4期521-547,638,639,共29页
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
关键词 musical competence English prosodic production RHYTHM Chinese EFL learners
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On the Cultivation Path of Core Competencies for College English Talents Under the Background of New Liberal Arts
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作者 XIANYU Jing 《Journalism and Mass Communication》 2025年第2期55-60,共6页
This paper elaborates on the approaches to cultivating core competencies for college English talents under the background of New Liberal Arts,focusing on four key aspects:transmitting of Chinese culture in English to ... This paper elaborates on the approaches to cultivating core competencies for college English talents under the background of New Liberal Arts,focusing on four key aspects:transmitting of Chinese culture in English to cultivate students’cultural confidence in the context of globalization,fostering their interdisciplinary competencies through the crossover of different disciplines and knowledge fusion,utilizing big data and emerging technologies to develop students’language proficiency and autonomous learning abilities,and aligning education with societal needs by integrating theoretical learning with practical teaching,thereby enhancing students’social engagement and problem-solving skills.The study aims to advance the reform of foreign language education in the new era,enhance the competitiveness of future professionals,and guide students toward a sound personal and professional development. 展开更多
关键词 New Liberal Arts core competencies college English cultivation path
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The Potential of Waldorf Pedagogy in Developing Social Competence
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作者 Gabriella Tóth-BabcsányiDoctoral School of Mathematical and Computational Sciences Piroska Inczédy Zsuzsanna Appl 《Sociology Study》 2025年第5期230-238,共9页
Social competence encompasses the knowledge,sensitivities,and skills needed to collaborate effectively with others in society.Waldorf pedagogy,with over a century of history,centers on the idea that children discover ... Social competence encompasses the knowledge,sensitivities,and skills needed to collaborate effectively with others in society.Waldorf pedagogy,with over a century of history,centers on the idea that children discover and understand the world around them through the arts.Educational activities like drama,movement arts(eurythmy),singing/music,and crafts play a key role in fostering children’s social skills.Moreover,the close cooperation between subjects in the Waldorf curriculum further enhances the social sensitivity and cooperative abilities of future generations.This study aims to explore the moral significance of“social empathy”and to share the authors’pedagogical experiences on how social competence can be developed through this pedagogical method. 展开更多
关键词 social competence reform pedagogy ARTS
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Research on Evaluation Scheme for Quantitative Sense from the Perspective of Core Competencies:Taking the Measurement Unit of the Sixth Unit in the First Volume of the Second Grade of the Beijing Normal University Edition as an Example
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作者 Jia Gu Yunxia He 《Journal of Contemporary Educational Research》 2025年第7期169-175,共7页
The implementation of core competencies clarifies social talent needs and guides math classroom evaluation.Lower-grade primary students,highly malleable,need targeted teacher guidance.Teaching evaluation should meet t... The implementation of core competencies clarifies social talent needs and guides math classroom evaluation.Lower-grade primary students,highly malleable,need targeted teacher guidance.Teaching evaluation should meet the talent demands of the times,focusing on core literacy and essential character development.From this perspective,primary math teachers should optimize evaluation,build a diversified system,help students grow in math,find their learning position,and advance confidently. 展开更多
关键词 Core competencies Lower primary school Quantitative sense Evaluation scheme
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Relationship between death anxiety and coping with death competence among Chinese oncology nurses: A chain mediation model
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作者 Ying Wen Qun-Xiang Zhang +2 位作者 Yang Liu Xiao-Hua He You-Wen Gong 《World Journal of Psychiatry》 2025年第7期240-248,共9页
BACKGROUND Death anxiety(DA)is a prevalent psychological challenge among oncology nurses that affects their emotional well-being and professional competence in coping with death-related situations.Death-related attitu... BACKGROUND Death anxiety(DA)is a prevalent psychological challenge among oncology nurses that affects their emotional well-being and professional competence in coping with death-related situations.Death-related attitudes and resilience are critical factors that may mediate the relationship between DA and coping with death competence(CDC).However,few studies have examined the chain-mediating effect of these factors among Chinese oncology nurses.This study aimed to investigate the association between DA and CDC among Chinese oncology nurses,with a focus on the mediating roles of death attitude and resilience.AIM To investigate the association between DA and CDC among Chinese oncology nurses.using an electronic questionnaire distributed in Wenjuanxing,China.In total,615 valid responses were obtained.The participants completed the Templer death anxiety scale,death attitude profile-revised,Connor-Davidson resilience scale,and coping with death scale.A chain mediation analysis was performed using the PROCESS macro in SPSS to examine the relationships between these variables.RESULTS The findings indicated that DA had a significant direct effect on CDC[effect=0.201,95%confidence interval(CI):0.112-0.322].In addition to this direct effect,three significant indirect pathways were observed:(1)Death attitude(effect=0.118,95%CI:0.056-0.163);(2)Resilience(effect=0.108,95%CI:0.032-0.176);and(3)A sequential mediation pathway involving both death attitude and resilience(effect=0.071,95%CI:0.042-0.123).The total indirect effects of the three mediation paths accounted for 29.7%of the relationship between DA and CDC.CONCLUSION Using a chain mediation model,this study explored the mechanisms linking DA,death attitude,resilience,and CDC among Chinese oncology nurses.These findings highlighted the crucial role of death attitude and resilience in mediating the relationship between DA and CDC.Interventions aimed at fostering adaptive attitudes toward death and enhancing resilience may improve nurses’ability to cope with death-related stressors,ultimately benefiting their psychological well-being and professional competence. 展开更多
关键词 Death anxiety Death attitude RESILIENCE Coping with death competence Oncology nurses Chain mediation model
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