Teasing can be approached as a linguistic resource for examining the interpersonal issues of im/politeness and face,or as a discursive strategy for displaying relationships or constructing social identities.However,st...Teasing can be approached as a linguistic resource for examining the interpersonal issues of im/politeness and face,or as a discursive strategy for displaying relationships or constructing social identities.However,studies have underestimated the discursive constraints of teasing in specific contexts.Meanwhile,a majority of teasing studies were based on Western cultures and did not pay sufficient attention to the variety of teasing across cultures.By collecting data from two Chinese entertainment interviews,where the interviewer employs teasing frequently for performing institutional roles,this study examined how teasing functions to assist the interviewer to complete communicative goals,and explored the discursive constraints of teasing in media context.Data analysis exemplified how teasing helped the interviewer to manage an interview event,obtain the vip’s disclosure and seek audience involvement,helping to construct the interviewer’s professionality.Implications for understanding the discursive features of teasing in the Chinese media context were addressed.展开更多
I was 26 the first time I travelled to China,and even now,it feels like an unexpected chapter in my life.The opportunity came out of the blue.I learned,just a month before departure,that I had been selected for a one-...I was 26 the first time I travelled to China,and even now,it feels like an unexpected chapter in my life.The opportunity came out of the blue.I learned,just a month before departure,that I had been selected for a one-month professional training programme.The news ignited a wave of excitement.For nearly two weeks,I stayed up late into the night,imagining a country I had never seen,trying to picture what China might really be like,beyond the images in books,films and media.展开更多
Despite the geographical distance between China and Africa,the rich customs and lifestyles of the African people present an interesting area of study for international professionals.It is this facet of Africa that fas...Despite the geographical distance between China and Africa,the rich customs and lifestyles of the African people present an interesting area of study for international professionals.It is this facet of Africa that fascinated us most during our research journey across the continent.展开更多
Objectives This review aimed to systematically synthesize the available research on the disclosure of diagnosis and related issues in childhood cancer from the perspectives of healthcare professionals,with the goal of...Objectives This review aimed to systematically synthesize the available research on the disclosure of diagnosis and related issues in childhood cancer from the perspectives of healthcare professionals,with the goal of informing the optimization of disclosure processes and meeting the communication needs of affected families.Methods In accordance with the Joanna Briggs Institute(JBI)methodology for mixed methods systematic reviews,the convergent segregated approach was used in this review.Articles were retrieved from 11 databases,including PubMed,Web of Science,CINAHL,CENTRAL,Embase,Ovid/Medline,PsycINFO,PsycArticles,Scopus,ERIC,and China National Knowledge Infrastructure(CNKI).The quality of the selected articles was assessed using the Mixed Method Appraisal Tool(MMAT).The review protocol was registered on PROSPERO(CRD42024542746).Results A total of 21 studies from 10 countries were included.Their methodological quality was generally medium to high,with MMAT scores ranging from 60%to 100%.The synthesis yielded three core themes:1)the spectrum of professional and societal attitudes toward disclosure;2)the dynamic practices of navigating disclosure amid uncertainty,including timing and environment,stakeholders,and content of disclosure;and 3)factors influencing disclosure,including children’s,parental,healthcare professionals’,and socio-cultural factors.Conclusions This review synthesized the perspectives and experiences of healthcare professionals regarding disclosure in childhood cancer,highlighting the complexity and multidimensional nature of this process in clinical practice.Future research should further investigate the experiences and needs of children and their parents,explore cultural variations in disclosure practices,develop context-appropriate assessment tools,and construct multidimensional intervention strategies to enhance the humanistic care and professional effectiveness of the disclosure process.展开更多
This study aims to explore the characteristics of novice teachers’inappropriate behaviors in classroom teaching and their intervention strategies.With the continuous improvement of education quality,novice teachers f...This study aims to explore the characteristics of novice teachers’inappropriate behaviors in classroom teaching and their intervention strategies.With the continuous improvement of education quality,novice teachers face increasing challenges in teaching practice.Their inappropriate behaviors not only affect the classroom atmosphere but may also negatively impact students’learning outcomes.Therefore,researching the characteristics of novice teachers’inappropriate behaviors and their intervention strategies holds significant scientific and social value.This study employs a combination of quantitative and qualitative methods to analyze the behavioral patterns of novice teachers in classroom teaching and proposes corresponding intervention strategies.The results indicate that novice teachers’inappropriate behaviors mainly manifest as poor classroom management,monotonous teaching methods,and insufficient interaction with students.Based on these findings,the study proposes a series of effective intervention strategies,including enhancing teacher training,optimizing teaching design,and promoting positive interactions between teachers and students.The conclusions of the study not only provide practical guidance for educational practice but also point out directions for future research,emphasizing the crucial role of teacher professional development in improving teaching quality.展开更多
BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are es...BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.展开更多
Medical education serves as the foundation of healthcare systems worldwide,shaping the knowledge,skills,and professional values of future healthcare providers.It is through education that we equip the next generation ...Medical education serves as the foundation of healthcare systems worldwide,shaping the knowledge,skills,and professional values of future healthcare providers.It is through education that we equip the next generation of doctors,nurses,and allied health professionals to navigate the complexities of patient care,scientific discovery,and public health.In an era marked by rapid advancements in medical science and technology,the need for innovative,evidence-based,and effective educational strategies has never been more pressing.Against this backdrop,we are launching Progress in Medical Education(PME),a new open-access,peer-reviewed journal dedicated to the timely publication of articles on health professions education.展开更多
Objective:The purpose of this study was to develop and psychometrically analyze the characteristics of the good nurse from the perspective of service recipients.Methods:The current research was conducted namely in 2 q...Objective:The purpose of this study was to develop and psychometrically analyze the characteristics of the good nurse from the perspective of service recipients.Methods:The current research was conducted namely in 2 qualitative and psychometric phases.In the first stage,the items of the questionnaire were designed by interviews with nursing service recipients,and in the next stage,construct validity,content validity,face validity,reliability,and internal consistency were all reviewed.Results:Based on the results of the content analysis of the interview with nursing service recipients and related literature review,an 80-item questionnaire was designed.After analyzing its content validity,40 items were validated and 40 were eliminated,which were prepared by using exploratory factor analysis,6 factors of attentive and communicative,patron and companionable,complete caregiver,safer and skillful,advocate and confidant.The reliability of the tool was assessed by applying Cronbach’s alpha method of 0.90.Conclusions:“The good nurse characteristics tool”could be used to assess the service receivers’point of view and provide useful information regarding nurses’performance to managers and nurses and will provide the basis for improving the quality of nursing services.展开更多
China Standardization:You have served many leading roles in IEC.Can you share with us your main professional experience,in particular how did you get involved in the IEC standardization work?Mr.Vimal Mahendru:I was bo...China Standardization:You have served many leading roles in IEC.Can you share with us your main professional experience,in particular how did you get involved in the IEC standardization work?Mr.Vimal Mahendru:I was born in a small town in north India.My father was very hard-working,and in 1958 he set up a company for making electrical switches.展开更多
Background:The rapid integration of generative artificial intelligence(genAI)into medical education offers significant opportunities for personalized learning,efficiency,and access.However,its implementation also rais...Background:The rapid integration of generative artificial intelligence(genAI)into medical education offers significant opportunities for personalized learning,efficiency,and access.However,its implementation also raises complex ethical concerns that,if unaddressed,may compromise academic integrity,professional identity,and learner equity.This review aimed to identify the primary ethical risks associated with genAI use in medical education and propose solid measures to mitigate these issues.Methods:A structured narrative review was conducted in accordance with the Scale for the Assessment of Narrative Review Articles(SANRA).A focused literature search was performed across PubMed/MEDLINE and Google Scholar for peer-reviewed,English-language articles published from January 2023 to May 2025.Studies were included if they addressed ethical issues in the use of genAI in undergraduate or postgraduate medical education.Data were extracted into related themes,and findings were synthesized into risk and mitigation categories.Results:A total of 27 records were included.Eight principal categories of ethical risks associated with genAI in medical education emerged:(1)academic integrity erosion,(2)cognitive deskilling,(3)algorithmic bias and opacity,(4)privacy and surveillance concerns,(5)moral and humanistic diminishment,(6)faculty role displacement,(7)commercialization and inequity,and(8)legal-regulatory ambiguity.Each risk was matched with targeted mitigation strategies proposed in the literature,including institutional genAI governance frameworks,genAI literacy training,reinforcement of humanistic pedagogy,establishment of ethical oversight bodies,curricular integration of ethical reflexivity,equity-centered implementation policies,faculty development for genAI integration,and transparent data governance protocols.Conclusion:Generative AI presents both transformative promise and substantial ethical risks in medical education.Proactive,ethically grounded integration-guided by institutional oversight,curriculum reform,and equity safeguards-is essential to realize its benefits while protecting the integrity and humanity of medical training.展开更多
As world events have morphed teachers’roles within English medium of instruction(EMI)contexts to incorporate more online teaching practices,teachers’integration of digital tools has faced technological and curricula...As world events have morphed teachers’roles within English medium of instruction(EMI)contexts to incorporate more online teaching practices,teachers’integration of digital tools has faced technological and curricular challenges.While previous research has examined the integration of digital tools in face-to-face and hybrid EMI settings(e.g.,Finardi,2015;O’Dowd,2018),more research is needed to understand the familiarization process teachers engage in as they implement fully-online teaching to support their content and language integrated learning(CLIL)teaching.As part of a larger project,this case study sets out to fill this gap by examining the practices and perspectives of 30 Kazakhstani university teachers who adopted CLIL approaches while needing to adapt to fully-online teaching contexts.Using the concept of technological pedagogical content knowledge(Mishra&Koehler,2006)in tandem with Ball et al.’s(2016)seven CLIL principles as a framework,this study thematically analyzed workshop artifacts,survey responses,semi-structured interview transcripts,and videos from online class lessons to find that teachers were mediators and curators of content,language,pedagogy,and digital tools.The findings offer pedagogical insights for the implementation of professional development(PD)to prepare teachers to meaningfully curate and mediate technology into their CLIL pedagogy to teach content within EMI contexts.展开更多
Work-related stress has become an alarming reality that continues to intensify over the past decades. The pressure exerted by the work environment demands the utilization of defensive and coping strategies to deal wit...Work-related stress has become an alarming reality that continues to intensify over the past decades. The pressure exerted by the work environment demands the utilization of defensive and coping strategies to deal with it. Our study aims to explore the relationship between professional stress factors, stress symptoms, and the consumption of psychoactive substances as a defensive and coping strategy deployed to address psychological distress at work. A qualitative and quantitative study was conducted with a sample of 405 employees from a wiring manufacturing. The main professional stress factors identified were concentration, overload, long working hours, and monotony, which showed a significant correlation with PAS consumption. Women were found to be more affected by stress and tended to consume more sedatives. Among the respondents, 21.98% reported PAS consumption, with tobacco being the most commonly used (M = 2.66), followed by alcohol (M = 1.94), cannabis (M = 1.79), and sedatives (M = 1.45). There was a significant positive correlation between PAS consumption and stress symptoms {tobacco (r = 0.232*), alcohol (r = 0.305**), cannabis (r = 0.389**)}.展开更多
Objective:To analyze the related factors affecting the professional identity of nursing students before and after clinical practice,hoping to provide reference for the career development and education of nursing stude...Objective:To analyze the related factors affecting the professional identity of nursing students before and after clinical practice,hoping to provide reference for the career development and education of nursing students.Methods:A total of 393 undergraduate nursing students of grade 2020 from the Department of Nursing of a university in Shanxi Province were selected.The professional choice motivation,educational attainment expectation,future career planning,professional practice,and employment prospect expectation of nursing students before clinical practice,and the willingness to upgrade educational attainment,professional experience,career development expectation,and employment planning of nursing students after clinical practice were investigated.Through statistical analysis of the survey data,the related influencing factors affecting the professional identity of nursing students before and after clinical practice were explored.Results:The observation of general data showed that the proportion of female students in the survey sample was higher than that of male students,and the proportion of those whose family residence was in rural areas was slightly higher than that in urban areas.The analysis of students’own situation showed that nursing students chose the nursing major because of the high expected employment rate,but they were generally anxious about the employment prospect before the internship,showing a contradictory mentality.The analysis of students’professional ability showed that nursing students believed that their professional ability was mainly reflected in the vocational adaptability.The analysis of the social environment showed that the educational attainment expectations of nursing students were mainly undergraduate and master’s degrees,and they preferred to engage in clinical nursing work rather than nursing research.The analysis on the selection of internship hospitals shows that nursing students’choice of internship hospitals is mainly influenced by the duration of the internship,and they consider the correlation between the selection of internship hospitals and future employment decisions to be low.The analysis on the surrounding environment such as family and school shows that the professional identity of nursing students is mainly influenced by the opinions of school teachers and parents,but the occupations of most of the family members of nursing students are not related to medicine.Conclusion:Targeted intervention strategies should be formulated based on the relevant influencing factors that affect the professional identity of nursing students before and after clinical internship,to enhance the professional identity and employment confidence of nursing students,and promote the healthy and sustainable development of nursing education and the medical service industry.展开更多
Isaack Mutua’s bright blue Foton truck,which he has converted into a mobile photography studio,stands out in the bustling streets of Nairobi’s Gikomba Market,and he often has customers lining up to have professional...Isaack Mutua’s bright blue Foton truck,which he has converted into a mobile photography studio,stands out in the bustling streets of Nairobi’s Gikomba Market,and he often has customers lining up to have professional portraits taken.展开更多
Higher education is at the top of the educational hierarchy.With the booming development of the economy and society in China,its scale is also expanding greatly.Professional course teaching is a key component of highe...Higher education is at the top of the educational hierarchy.With the booming development of the economy and society in China,its scale is also expanding greatly.Professional course teaching is a key component of higher education,and it plays a vital role in cultivating professionalism and even the overall level of students.According to several problems existing in the current teaching practice of professional courses at our universities,in order to improve the teaching quality to meet the requirements in the emerging engineering era,related strategies and approaches for teaching reform are proposed as follows.Firstly,we advance the traditional classroom teaching into the modern one with equal double-subjects of teachers and students to cultivate the active and comprehensive learning ability of students.Secondly,the scientific research practice-oriented teaching method is introduced,and it contributes to connecting theory with engineering practice for students.Thirdly,the diversified course assessment system is explored,and a closed-loop quality control strategy is discussed on the basis of a questionnaire survey and face-to-face interview.By questionnaires and final assessments,it is clear that teaching qualities of related professional courses are satisfactory in recent years,and the methods and strategies can be widely applied to the teaching practice of other courses.展开更多
This study examined the relationships among workplace spirituality,mindfulness,mental well-being,and organizational commitment in professional female dancers.A total of 424 dancers from the United States participated ...This study examined the relationships among workplace spirituality,mindfulness,mental well-being,and organizational commitment in professional female dancers.A total of 424 dancers from the United States participated in the survey.Structural equation modeling indicated that workplace spirituality was positively associated with both mental well-being and organizational commitment,whereas mindfulness was significantly related only to organizational commitment.Mental well-being was a significant predictor of organizational commitment and mediated the relationship between workplace spirituality and organizational commitment,but not between mindfulness and commitment.These results suggest that workplace spirituality functions as a psychological resource that enhances emotional health and strengthens organizational engagement.Thesefindings are consistent with self-determination theory,highlighting the role of value congruence and intrinsic purpose in sustaining motivation in high-performance contexts.Moreover,the studyfindings underscore the importance of fostering spiritually supportive work environments to promote psychological well-being and long-term organizational commitment.展开更多
Ethical approval is the first essential step for medical master’s students to officially initiate research.This article discusses the ethical issues encountered in various types of research projects conducted by prof...Ethical approval is the first essential step for medical master’s students to officially initiate research.This article discusses the ethical issues encountered in various types of research projects conducted by professional master’s students,the preparation of ethical application materials,conflicts between the timing of ethical applications and the clinical training rotation schedules,and the continuity of ethical applications among students within the same cohort and across different cohorts.展开更多
BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk a...BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk and competence,hindering policy implementation.AIM To investigate the current status of the attitudes of oncology specialist nurses toward having prescribing authority,specifically concerning symptom management and supportive care in oncology practice,and we conducted a path analysis of their influencing factors.METHODS As participants in the survey,oncology specialist nurses working in hospitals of different grades in Jiangsu Province were selected from March 2025 to May 2025 using a stratified sampling method.The questionnaires were administered using the general information questionnaire,the beliefs and attitudes about nurses'prescriptive authority scale,the nurses'professional identity scale,and the selfefficacy scale.Pearson’s method was used to analyze the correlation between beliefs and attitudes about the prescriptive authority,professional identity,and self-efficacy of nurses.Multiple linear regression was performed to analyze the factors influencing the beliefs and attitudes of nurses’prescriptive authority.The Amos plug-in was used to construct structural equation models to analyze the influencing pathways.RESULTS A total of 329 questionnaires were distributed,and 328 valid questionnaires were returned(effective recovery rate:99.70%).The total score of the 328 oncology nurses on the beliefs and attitudes about nurses'prescriptive authority scale was 101.88±15.13,indicating a moderately high level.Univariate analysis revealed that gender and hospital grade were associated with this score(P<0.05).The Pearson correlation analysis revealed that self-efficacy was positively correlated with the scores of the beliefs and attitudes about nurses’prescriptive authority scale and the nurses’professional identity scale(r=0.4999,P<0.0001 and r=0.7048,P<0.05,respectively),whereas occupational identity was positively correlated only with the former(r=0.6209,P<0.05).Multiple linear regression analysis revealed occupational identity and self-efficacy as the factors influencing the scores of the beliefs and attitudes about nurses’prescriptive authority scale(P<0.05).The results of the path analysis revealed that selfefficacy significantly positively affected nurses’occupational identity and their beliefs and attitudes about having prescriptive authority;occupational identity played a mediating role between the two,with a mediating effect accounting for 54.46% of the total effect,and the structural equation model was well-fitted.CONCLUSION Oncology nurses have more positive attitudes toward prescriptive authority.In addition,self-efficacy positively and indirectly affects nurses’attitudes toward prescriptive authority through the mediating effect of occupational identity.This can be used as a basis for clinical practice to take targeted measures to improve nurses’self-efficacy and occupational identity,thus creating favorable conditions for effectively implementing the policy of prescriptive authority.展开更多
Cultivation metaphors that compare teachers and students to gardeners and plants,respectively,have a long presence in the field of education.While such metaphors can be used to represent learner-centered pedagogies in...Cultivation metaphors that compare teachers and students to gardeners and plants,respectively,have a long presence in the field of education.While such metaphors can be used to represent learner-centered pedagogies in which a teacher fosters the growth of their students,there is also a darker side to cultivation metaphors.For instance,Zipory(2020)argues that characteristics of agriculture’s grain economy-like repetitiveness,coercion,and lack of diversity-can be imposed onto education.Following Zipory’s call for the forest to serve as a more apt metaphorical trajectory for education,I propose using the forest garden as a middle ground between the traditional garden and the natural forest.To highlight the potential usefulness of the forest garden metaphor in education,I explore its application as related to teacher professional development(PD),specifically content and language integrated learning(CLIL)PD.By reflecting on the design and outcomes of Project SCILLA,a CLIL PD program for Kazakhstani university instructors,as well as CLIL PD more broadly,I demonstrate how the forest garden metaphor conceptualizes the relationships and power dynamics between and across various stakeholders in education in response to global rhetoric,national and local policies,and interpersonal interactions.By emulating the sustainable forest garden’s principles of planning and intentionality,localization,interconnectedness,diversity,creativity,and growth from decay,stakeholders can(re)shape the policies and practices of multilingual,multicultural education systems.In addition,education researchers can use a metaphorical forest garden lens to better appreciate the complexities at play within dynamic educational landscapes.展开更多
The integrated development of nursing education and innovation&entrepreneurship education is a crucial approach to cultivating high-quality nursing professionals and advancing the discipline of nursing.This paper ...The integrated development of nursing education and innovation&entrepreneurship education is a crucial approach to cultivating high-quality nursing professionals and advancing the discipline of nursing.This paper discusses the main issues currently faced in the integration process and provides reform suggestions from six aspects:curriculum system,teaching methods,practical teaching platforms,project competitions,faculty development,and evaluation systems.These explorations aim to offer theoretical support and practical references for promoting the deep integration of nursing education and innovation&entrepreneurship education,ultimately enhancing students’innovation and entrepreneurial capabilities.展开更多
基金supported by the Department of Education of Guangdong Province entitled innovation project “An Interpersonal Pragmatic Study of Humor in Chinese Broadcasting Context” (No.: 2017WQNCX042)Center for Linguistics and Applied Linguistics at Guandong Univerisity of Foreign Studies, China for the project of the frontier research and its theoretical innovation in interpersonal pragmatics (2018WZDXM006)+2 种基金China Scholarship Council (2018)participated in the Hungarian Academy funded MTA Lendulet (LP2017/5) project of Professor Dániel Z.Kádárthe support from the Chinese MOE Research Project of Humanities and Social Science (Project No.: 16JJD740006) conducted by Center for Linguistics and Applied Linguistics, Guangdong University of Foreign Studies.
文摘Teasing can be approached as a linguistic resource for examining the interpersonal issues of im/politeness and face,or as a discursive strategy for displaying relationships or constructing social identities.However,studies have underestimated the discursive constraints of teasing in specific contexts.Meanwhile,a majority of teasing studies were based on Western cultures and did not pay sufficient attention to the variety of teasing across cultures.By collecting data from two Chinese entertainment interviews,where the interviewer employs teasing frequently for performing institutional roles,this study examined how teasing functions to assist the interviewer to complete communicative goals,and explored the discursive constraints of teasing in media context.Data analysis exemplified how teasing helped the interviewer to manage an interview event,obtain the vip’s disclosure and seek audience involvement,helping to construct the interviewer’s professionality.Implications for understanding the discursive features of teasing in the Chinese media context were addressed.
文摘I was 26 the first time I travelled to China,and even now,it feels like an unexpected chapter in my life.The opportunity came out of the blue.I learned,just a month before departure,that I had been selected for a one-month professional training programme.The news ignited a wave of excitement.For nearly two weeks,I stayed up late into the night,imagining a country I had never seen,trying to picture what China might really be like,beyond the images in books,films and media.
文摘Despite the geographical distance between China and Africa,the rich customs and lifestyles of the African people present an interesting area of study for international professionals.It is this facet of Africa that fascinated us most during our research journey across the continent.
基金supported by the Fuxing Nursing Research Foundation of Fudan University[FNF202352].
文摘Objectives This review aimed to systematically synthesize the available research on the disclosure of diagnosis and related issues in childhood cancer from the perspectives of healthcare professionals,with the goal of informing the optimization of disclosure processes and meeting the communication needs of affected families.Methods In accordance with the Joanna Briggs Institute(JBI)methodology for mixed methods systematic reviews,the convergent segregated approach was used in this review.Articles were retrieved from 11 databases,including PubMed,Web of Science,CINAHL,CENTRAL,Embase,Ovid/Medline,PsycINFO,PsycArticles,Scopus,ERIC,and China National Knowledge Infrastructure(CNKI).The quality of the selected articles was assessed using the Mixed Method Appraisal Tool(MMAT).The review protocol was registered on PROSPERO(CRD42024542746).Results A total of 21 studies from 10 countries were included.Their methodological quality was generally medium to high,with MMAT scores ranging from 60%to 100%.The synthesis yielded three core themes:1)the spectrum of professional and societal attitudes toward disclosure;2)the dynamic practices of navigating disclosure amid uncertainty,including timing and environment,stakeholders,and content of disclosure;and 3)factors influencing disclosure,including children’s,parental,healthcare professionals’,and socio-cultural factors.Conclusions This review synthesized the perspectives and experiences of healthcare professionals regarding disclosure in childhood cancer,highlighting the complexity and multidimensional nature of this process in clinical practice.Future research should further investigate the experiences and needs of children and their parents,explore cultural variations in disclosure practices,develop context-appropriate assessment tools,and construct multidimensional intervention strategies to enhance the humanistic care and professional effectiveness of the disclosure process.
文摘This study aims to explore the characteristics of novice teachers’inappropriate behaviors in classroom teaching and their intervention strategies.With the continuous improvement of education quality,novice teachers face increasing challenges in teaching practice.Their inappropriate behaviors not only affect the classroom atmosphere but may also negatively impact students’learning outcomes.Therefore,researching the characteristics of novice teachers’inappropriate behaviors and their intervention strategies holds significant scientific and social value.This study employs a combination of quantitative and qualitative methods to analyze the behavioral patterns of novice teachers in classroom teaching and proposes corresponding intervention strategies.The results indicate that novice teachers’inappropriate behaviors mainly manifest as poor classroom management,monotonous teaching methods,and insufficient interaction with students.Based on these findings,the study proposes a series of effective intervention strategies,including enhancing teacher training,optimizing teaching design,and promoting positive interactions between teachers and students.The conclusions of the study not only provide practical guidance for educational practice but also point out directions for future research,emphasizing the crucial role of teacher professional development in improving teaching quality.
文摘BACKGROUND Ischemic bowel disease(IBD)is a critical condition caused by reduced blood flow to the intestines,leading to tissue damage and potentially severe complications.Early recognition and timely management are essential for improving patient outcomes and reducing morbidity and mortality associated with IBD.AIM To evaluate the knowledge,attitude and practice(KAP)of healthcare professionals regarding IBD.METHODS This cross-sectional study was conducted among healthcare professionals in China from November 2023 to December 2023 using a self-designed questionnaire.RESULTS A total of 315 valid questionnaires were analyzed,with 215 participants(68.25%)being female.The mean KAP scores were 17.55±5.35(range:0-24),27.65±2.77(range:8-40),and 18.88±4.23(range:6-30),respectively.Multivariate linear regression analysis revealed the following factors to be independently associated with knowledge:Age 26-35 years(β=2.80,95%CI:0.31-5.30,P=0.028),professional title(β=2.66,95%CI:0.91-4.41,P=0.003),position(β=-3.78,95%CI:-5.45 to-2.11,P<0.001),participation in IBD-related training(β=3.45,95%CI:2.39-4.51,P<0.001),and admission of more than five IBD cases in the past month(β=3.25,95%CI:1.58-4.92,P<0.001).Attitude was independently associated with knowledge(β=0.20,95%CI:0.15-0.26,P<0.001)and being a nurse or nursing supervisor(β=-1.30,95%CI:-2.16 to-0.40,P=0.003).Practice was independently associated with knowledge(β=0.20,95%CI:0.10-0.30,P<0.001)and attitude(β=0.24,95%CI:0.06-0.42,P=0.007).Structural equation modeling demonstrated direct effects of knowledge on attitude(β=0.24,P<0.001)and practice(β=0.26,P<0.001),as well as of attitude on practice(β=0.22,P=0.012).CONCLUSION Healthcare professionals demonstrated adequate knowledge but moderate attitude and inactive practice regarding IBD.Addressing the gaps in attitude and practice through targeted training programs and interventions is essential for improving patient care and outcomes.
文摘Medical education serves as the foundation of healthcare systems worldwide,shaping the knowledge,skills,and professional values of future healthcare providers.It is through education that we equip the next generation of doctors,nurses,and allied health professionals to navigate the complexities of patient care,scientific discovery,and public health.In an era marked by rapid advancements in medical science and technology,the need for innovative,evidence-based,and effective educational strategies has never been more pressing.Against this backdrop,we are launching Progress in Medical Education(PME),a new open-access,peer-reviewed journal dedicated to the timely publication of articles on health professions education.
基金approved by the Research Council of Kurdistan University of Medical Sciences, No.IR.MUK.REC.1400.183
文摘Objective:The purpose of this study was to develop and psychometrically analyze the characteristics of the good nurse from the perspective of service recipients.Methods:The current research was conducted namely in 2 qualitative and psychometric phases.In the first stage,the items of the questionnaire were designed by interviews with nursing service recipients,and in the next stage,construct validity,content validity,face validity,reliability,and internal consistency were all reviewed.Results:Based on the results of the content analysis of the interview with nursing service recipients and related literature review,an 80-item questionnaire was designed.After analyzing its content validity,40 items were validated and 40 were eliminated,which were prepared by using exploratory factor analysis,6 factors of attentive and communicative,patron and companionable,complete caregiver,safer and skillful,advocate and confidant.The reliability of the tool was assessed by applying Cronbach’s alpha method of 0.90.Conclusions:“The good nurse characteristics tool”could be used to assess the service receivers’point of view and provide useful information regarding nurses’performance to managers and nurses and will provide the basis for improving the quality of nursing services.
文摘China Standardization:You have served many leading roles in IEC.Can you share with us your main professional experience,in particular how did you get involved in the IEC standardization work?Mr.Vimal Mahendru:I was born in a small town in north India.My father was very hard-working,and in 1958 he set up a company for making electrical switches.
文摘Background:The rapid integration of generative artificial intelligence(genAI)into medical education offers significant opportunities for personalized learning,efficiency,and access.However,its implementation also raises complex ethical concerns that,if unaddressed,may compromise academic integrity,professional identity,and learner equity.This review aimed to identify the primary ethical risks associated with genAI use in medical education and propose solid measures to mitigate these issues.Methods:A structured narrative review was conducted in accordance with the Scale for the Assessment of Narrative Review Articles(SANRA).A focused literature search was performed across PubMed/MEDLINE and Google Scholar for peer-reviewed,English-language articles published from January 2023 to May 2025.Studies were included if they addressed ethical issues in the use of genAI in undergraduate or postgraduate medical education.Data were extracted into related themes,and findings were synthesized into risk and mitigation categories.Results:A total of 27 records were included.Eight principal categories of ethical risks associated with genAI in medical education emerged:(1)academic integrity erosion,(2)cognitive deskilling,(3)algorithmic bias and opacity,(4)privacy and surveillance concerns,(5)moral and humanistic diminishment,(6)faculty role displacement,(7)commercialization and inequity,and(8)legal-regulatory ambiguity.Each risk was matched with targeted mitigation strategies proposed in the literature,including institutional genAI governance frameworks,genAI literacy training,reinforcement of humanistic pedagogy,establishment of ethical oversight bodies,curricular integration of ethical reflexivity,equity-centered implementation policies,faculty development for genAI integration,and transparent data governance protocols.Conclusion:Generative AI presents both transformative promise and substantial ethical risks in medical education.Proactive,ethically grounded integration-guided by institutional oversight,curriculum reform,and equity safeguards-is essential to realize its benefits while protecting the integrity and humanity of medical training.
基金funding from the U.S.-Kazakhstan University Partnerships program funded by the U.S.Mission to Kazakhstan and administered by American Councils[Award number SKZ100-19-CA-0149].
文摘As world events have morphed teachers’roles within English medium of instruction(EMI)contexts to incorporate more online teaching practices,teachers’integration of digital tools has faced technological and curricular challenges.While previous research has examined the integration of digital tools in face-to-face and hybrid EMI settings(e.g.,Finardi,2015;O’Dowd,2018),more research is needed to understand the familiarization process teachers engage in as they implement fully-online teaching to support their content and language integrated learning(CLIL)teaching.As part of a larger project,this case study sets out to fill this gap by examining the practices and perspectives of 30 Kazakhstani university teachers who adopted CLIL approaches while needing to adapt to fully-online teaching contexts.Using the concept of technological pedagogical content knowledge(Mishra&Koehler,2006)in tandem with Ball et al.’s(2016)seven CLIL principles as a framework,this study thematically analyzed workshop artifacts,survey responses,semi-structured interview transcripts,and videos from online class lessons to find that teachers were mediators and curators of content,language,pedagogy,and digital tools.The findings offer pedagogical insights for the implementation of professional development(PD)to prepare teachers to meaningfully curate and mediate technology into their CLIL pedagogy to teach content within EMI contexts.
文摘Work-related stress has become an alarming reality that continues to intensify over the past decades. The pressure exerted by the work environment demands the utilization of defensive and coping strategies to deal with it. Our study aims to explore the relationship between professional stress factors, stress symptoms, and the consumption of psychoactive substances as a defensive and coping strategy deployed to address psychological distress at work. A qualitative and quantitative study was conducted with a sample of 405 employees from a wiring manufacturing. The main professional stress factors identified were concentration, overload, long working hours, and monotony, which showed a significant correlation with PAS consumption. Women were found to be more affected by stress and tended to consume more sedatives. Among the respondents, 21.98% reported PAS consumption, with tobacco being the most commonly used (M = 2.66), followed by alcohol (M = 1.94), cannabis (M = 1.79), and sedatives (M = 1.45). There was a significant positive correlation between PAS consumption and stress symptoms {tobacco (r = 0.232*), alcohol (r = 0.305**), cannabis (r = 0.389**)}.
基金Project foundation information:2023 Shanxi Provincial College Student Innovation and Entrepreneurship Training Project(Project No.:20231789)。
文摘Objective:To analyze the related factors affecting the professional identity of nursing students before and after clinical practice,hoping to provide reference for the career development and education of nursing students.Methods:A total of 393 undergraduate nursing students of grade 2020 from the Department of Nursing of a university in Shanxi Province were selected.The professional choice motivation,educational attainment expectation,future career planning,professional practice,and employment prospect expectation of nursing students before clinical practice,and the willingness to upgrade educational attainment,professional experience,career development expectation,and employment planning of nursing students after clinical practice were investigated.Through statistical analysis of the survey data,the related influencing factors affecting the professional identity of nursing students before and after clinical practice were explored.Results:The observation of general data showed that the proportion of female students in the survey sample was higher than that of male students,and the proportion of those whose family residence was in rural areas was slightly higher than that in urban areas.The analysis of students’own situation showed that nursing students chose the nursing major because of the high expected employment rate,but they were generally anxious about the employment prospect before the internship,showing a contradictory mentality.The analysis of students’professional ability showed that nursing students believed that their professional ability was mainly reflected in the vocational adaptability.The analysis of the social environment showed that the educational attainment expectations of nursing students were mainly undergraduate and master’s degrees,and they preferred to engage in clinical nursing work rather than nursing research.The analysis on the selection of internship hospitals shows that nursing students’choice of internship hospitals is mainly influenced by the duration of the internship,and they consider the correlation between the selection of internship hospitals and future employment decisions to be low.The analysis on the surrounding environment such as family and school shows that the professional identity of nursing students is mainly influenced by the opinions of school teachers and parents,but the occupations of most of the family members of nursing students are not related to medicine.Conclusion:Targeted intervention strategies should be formulated based on the relevant influencing factors that affect the professional identity of nursing students before and after clinical internship,to enhance the professional identity and employment confidence of nursing students,and promote the healthy and sustainable development of nursing education and the medical service industry.
文摘Isaack Mutua’s bright blue Foton truck,which he has converted into a mobile photography studio,stands out in the bustling streets of Nairobi’s Gikomba Market,and he often has customers lining up to have professional portraits taken.
基金Undergraduate Education Reform Project of Dalian Maritime University(BJG-C2024072)Postgraduate Education Reform Project of Liaoning Province([2022]249-209)+1 种基金Education Reform Project of Dalian Minzu University(YB202547,YJS2024JG55,B2109)First-Class Undergraduate Courses of Liaoning Province([2022]302-1433,[2022]302-1452)。
文摘Higher education is at the top of the educational hierarchy.With the booming development of the economy and society in China,its scale is also expanding greatly.Professional course teaching is a key component of higher education,and it plays a vital role in cultivating professionalism and even the overall level of students.According to several problems existing in the current teaching practice of professional courses at our universities,in order to improve the teaching quality to meet the requirements in the emerging engineering era,related strategies and approaches for teaching reform are proposed as follows.Firstly,we advance the traditional classroom teaching into the modern one with equal double-subjects of teachers and students to cultivate the active and comprehensive learning ability of students.Secondly,the scientific research practice-oriented teaching method is introduced,and it contributes to connecting theory with engineering practice for students.Thirdly,the diversified course assessment system is explored,and a closed-loop quality control strategy is discussed on the basis of a questionnaire survey and face-to-face interview.By questionnaires and final assessments,it is clear that teaching qualities of related professional courses are satisfactory in recent years,and the methods and strategies can be widely applied to the teaching practice of other courses.
文摘This study examined the relationships among workplace spirituality,mindfulness,mental well-being,and organizational commitment in professional female dancers.A total of 424 dancers from the United States participated in the survey.Structural equation modeling indicated that workplace spirituality was positively associated with both mental well-being and organizational commitment,whereas mindfulness was significantly related only to organizational commitment.Mental well-being was a significant predictor of organizational commitment and mediated the relationship between workplace spirituality and organizational commitment,but not between mindfulness and commitment.These results suggest that workplace spirituality functions as a psychological resource that enhances emotional health and strengthens organizational engagement.Thesefindings are consistent with self-determination theory,highlighting the role of value congruence and intrinsic purpose in sustaining motivation in high-performance contexts.Moreover,the studyfindings underscore the importance of fostering spiritually supportive work environments to promote psychological well-being and long-term organizational commitment.
文摘Ethical approval is the first essential step for medical master’s students to officially initiate research.This article discusses the ethical issues encountered in various types of research projects conducted by professional master’s students,the preparation of ethical application materials,conflicts between the timing of ethical applications and the clinical training rotation schedules,and the continuity of ethical applications among students within the same cohort and across different cohorts.
文摘BACKGROUND Global tumor incidence rises and therapies advance,driving oncology nursing specialization.Granting nurses prescriptive authority optimizes care but polarizes nurses'attitudes due to factors like risk and competence,hindering policy implementation.AIM To investigate the current status of the attitudes of oncology specialist nurses toward having prescribing authority,specifically concerning symptom management and supportive care in oncology practice,and we conducted a path analysis of their influencing factors.METHODS As participants in the survey,oncology specialist nurses working in hospitals of different grades in Jiangsu Province were selected from March 2025 to May 2025 using a stratified sampling method.The questionnaires were administered using the general information questionnaire,the beliefs and attitudes about nurses'prescriptive authority scale,the nurses'professional identity scale,and the selfefficacy scale.Pearson’s method was used to analyze the correlation between beliefs and attitudes about the prescriptive authority,professional identity,and self-efficacy of nurses.Multiple linear regression was performed to analyze the factors influencing the beliefs and attitudes of nurses’prescriptive authority.The Amos plug-in was used to construct structural equation models to analyze the influencing pathways.RESULTS A total of 329 questionnaires were distributed,and 328 valid questionnaires were returned(effective recovery rate:99.70%).The total score of the 328 oncology nurses on the beliefs and attitudes about nurses'prescriptive authority scale was 101.88±15.13,indicating a moderately high level.Univariate analysis revealed that gender and hospital grade were associated with this score(P<0.05).The Pearson correlation analysis revealed that self-efficacy was positively correlated with the scores of the beliefs and attitudes about nurses’prescriptive authority scale and the nurses’professional identity scale(r=0.4999,P<0.0001 and r=0.7048,P<0.05,respectively),whereas occupational identity was positively correlated only with the former(r=0.6209,P<0.05).Multiple linear regression analysis revealed occupational identity and self-efficacy as the factors influencing the scores of the beliefs and attitudes about nurses’prescriptive authority scale(P<0.05).The results of the path analysis revealed that selfefficacy significantly positively affected nurses’occupational identity and their beliefs and attitudes about having prescriptive authority;occupational identity played a mediating role between the two,with a mediating effect accounting for 54.46% of the total effect,and the structural equation model was well-fitted.CONCLUSION Oncology nurses have more positive attitudes toward prescriptive authority.In addition,self-efficacy positively and indirectly affects nurses’attitudes toward prescriptive authority through the mediating effect of occupational identity.This can be used as a basis for clinical practice to take targeted measures to improve nurses’self-efficacy and occupational identity,thus creating favorable conditions for effectively implementing the policy of prescriptive authority.
基金funding from the U.S.-Kazakhstan University Partnerships program funded by the U.S.Mission to Kazakhstan and administered by American Councils[Award number SKZ100-19-CA-0149].
文摘Cultivation metaphors that compare teachers and students to gardeners and plants,respectively,have a long presence in the field of education.While such metaphors can be used to represent learner-centered pedagogies in which a teacher fosters the growth of their students,there is also a darker side to cultivation metaphors.For instance,Zipory(2020)argues that characteristics of agriculture’s grain economy-like repetitiveness,coercion,and lack of diversity-can be imposed onto education.Following Zipory’s call for the forest to serve as a more apt metaphorical trajectory for education,I propose using the forest garden as a middle ground between the traditional garden and the natural forest.To highlight the potential usefulness of the forest garden metaphor in education,I explore its application as related to teacher professional development(PD),specifically content and language integrated learning(CLIL)PD.By reflecting on the design and outcomes of Project SCILLA,a CLIL PD program for Kazakhstani university instructors,as well as CLIL PD more broadly,I demonstrate how the forest garden metaphor conceptualizes the relationships and power dynamics between and across various stakeholders in education in response to global rhetoric,national and local policies,and interpersonal interactions.By emulating the sustainable forest garden’s principles of planning and intentionality,localization,interconnectedness,diversity,creativity,and growth from decay,stakeholders can(re)shape the policies and practices of multilingual,multicultural education systems.In addition,education researchers can use a metaphorical forest garden lens to better appreciate the complexities at play within dynamic educational landscapes.
基金supported by the Key Teaching Reform and Practice Project of Pingdingshan University in 2023,titled“Research and Practice on Innovation and Entrepreneurship Pathways for Medical Students under the New Medical Discipline Framework”(Project No.2023-JYZD15)Additionally,this study received support from the Henan Province Higher Education Teaching Reform Research and Practice Project,titled“Research on the Integration Path of Medical Education and Innovation&Entrepreneurship Education under the‘Project-based+Mentorship System’Model”(Project No.2024SJGLX0495).
文摘The integrated development of nursing education and innovation&entrepreneurship education is a crucial approach to cultivating high-quality nursing professionals and advancing the discipline of nursing.This paper discusses the main issues currently faced in the integration process and provides reform suggestions from six aspects:curriculum system,teaching methods,practical teaching platforms,project competitions,faculty development,and evaluation systems.These explorations aim to offer theoretical support and practical references for promoting the deep integration of nursing education and innovation&entrepreneurship education,ultimately enhancing students’innovation and entrepreneurial capabilities.
