Practical English Oral Expression and Communication Skills

In this era of globalization,English has become the universal language for international communication.Whether it’s business negotiations,studying abroad,or daily communication,fluent English oral expression is crucial.For studying abroad,good English oral expression skills can not only help you better adapt to the new environment,but also allow you to have a deeper understanding of the local culture.In daily life,being able to express your thoughts fluently in English can help you better communicate with foreign friends and expand your social circle.Therefore,improving English oral expression ability is very important for everyone.Below,the author will share some practical English oral expression and communication skills to help you improve your English speaking skills and communicate more confidently with others.By mastering these practical English oral expression and communication skills,your English oral proficiency will improve and you will be more confident in communicating with others.

A Study on the Work Process-Based Practical Training Model for Basic Nursing Skills in Vocational Colleges

Objective:To explore and analyze the work process-based practical training teaching model for basic nursing skills in vocational colleges and its implementation effects.Methods:A total of 82 nursing students from our school were selected for the study,which was conducted from April 2023 to April 2024.Using a random number table method,the students were divided into an observation group and a control group,each with 41 students.The control group received conventional practical training teaching,while the observation group followed the work process-based practical training model for basic nursing skills.The assessment scores and teaching satisfaction of the two groups were compared.Results:The comparison of assessment scores showed that the observation group performed significantly better than the control group(P<0.05).The comparison of teaching satisfaction also indicated that the observation group had significantly higher satisfaction than the control group(P<0.05).Conclusion:The work process-based practical training teaching model for basic nursing skills in vocational colleges can improve students’assessment scores and enhance teaching satisfaction,demonstrating its value for wider application.

On the Ecological Evaluation of Iranian Secondary Schools English Language Course Books in Light Intercultural Communicative Competence： Knowledge, Skills, and Attitude

With the spread of English language around the world and its status as an international language, the need for more communication is felt. One pivoting aspect of this communication is the role of culture which can contribute to the success of communication at the global level and the co-construction of identities as individuals from different parts of the world get into interactions. Thus, the role of materials developed for learning English, especially the local ones, in the improvement of individuals＇ intercultural competence is significant. New course books for learning English at Iranian secondary schools entitled Prospect series have been developed recently. Thus, the purpose of the present study was to evaluate the first and the second books of this series in light of Byram＇s model of Intercultural Communicative Competence （1CC）. Based on this model, ICC consists of three dimensions of attitude, knowledge, skills, and five saviors of knowledge, attitude, discovery, interaction, and critical thinking. To do the evaluation of the course books, the checklist developed based on these five saviors was used to evaluate the tasks for each unit of the books. The evaluation was done separately by each of the researchers in the study and inter-rater reliability showed a high level of Cronbach alpha. The findings indicated that about 90 percent of the activities of Prospect 1 and Prospect 2 lack the skills required for improving English language learners＇ ICC. They mostly focus on Iranian culture which might have been improved via learners＇ first language as well. This might imply the need for the adaptation of Prospect series activities in light of ICC so that Iranian English language learners can take advantage of their communication with the rest of the world.

Improving Confidence and Practical Skills in Plastic Surgery for Medical Students and Junior Doctors: A One-Day Session

Objectives: The current medical school curriculum offers scant exposure to plastic surgery. Medical students and junior doctors are often inadequately prepared for in-hospital placements which may impact on patient safety and quality of care. We aimed to deliver a one-day “hands-on” practical session on basic surgical skills and principles in plastic surgery, and to assess its effectiveness at improving confidence to the specialty among junior trainees. Methods: The one-day practical session covered knot tying, suturing, LA administration, skin lesion excision and local flaps, with short concurrent lectures on principles of plastic surgery. Self-assessment confidence scores were recorded before and after the course on seven domains: a) knowledge: wound assessment and management, suture selection, and concepts of flaps;b) practical skills: Handling of surgical instrument, suturing, LA administration, and skin lesion excision. Results: Thirty-five participants attended: Six core surgical trainees, fifteen foundation doctors, and fourteen medical students. The overall course satisfaction was 9.13/10. Self-assessment confidence scores in all domains significantly improved after the course (p < 0.0001). Suturing (58.6%) and skin lesion excision (74.5%) demonstrated the largest improvement. Qualitative feedback was extremely positive. Conclusions: The hands-on nature of the course offered participants great opportunities to acquire the necessary confidence and practical skills required for in-hospital placements. It is vital for students and doctors interested in a career in plastic surgery to prepare adequately for this diverse specialty, which is covered in limited depth in medical school. The need for more practical skills courses on plastic surgery for this demographic is intuitive.

Practical Activities for Developing Speaking Skills of Chinese Middle School Students

In order to develop the speaking skills of Chinese middle school students, Chinese middle school English teachers must guide the students to speak through practical speaking activities that arouse the students＇ interest, encourage the use of real language and be used with large classes.

Application Experience of Quality Feedback in Standardized Practical Skills Training for Clinicopathology Residents

In recent years,there are increasingly more standardized trainings for doctors based on the standardized training outline that is suitable for different grades.Hierarchical training has gradually formed a relatively sound training mode.In reflecting students’learning effect,there is a need for an ideal quality feedback system in the standardized practical skills training for clinical pathology residents.This feedback system can help students achieve the training objectives through understanding and grasping the learning content.

The Role of Skills Competitions in Improving the Practical Ability of Vocational College Students

Vocational education and general education are two different types of education that are equally important.The orientation of talent training in vocational education is to nurture skilled talents to serve the society.The practical ability of students is both the focus of teaching in vocational colleges and the requirement of enterprise posts.The various types of skills competitions provide a“stage”for students to showcase their abilities.First,this paper explores students’problem-solving ability while preparing for these competitions,expounding the importance of vocational education and skills competitions.Second,this paper summarizes the views of different scholars.Third,based on a specific case,this paper describes the improvement in students’ability while preparing for these competitions.Fourth,this paper analyzes the results of the questionnaire survey conducted to investigate the improvement in students’ability.Lastly,this paper puts forward several suggestions that appeal for vocational colleges to pay more attention to skills competitions.

Assessing the Levels of Clinical Reasoning Skills Using Self-Assessment of Clinical Reflection and Reasoning in Undergraduate Nursing Students: A Descriptive Comparative Study

Background: Clinical reasoning is a critical cognitive skill that enables undergraduate nursing students to make clinically sound decisions. A lapse in clinical reasoning can result in unintended harm to patients. The aim of the study was to assess and compare the levels of clinical reasoning skills between third year and fourth year undergraduate nursing students. Methods: The study utilized a descriptive comparative research design, based on the positivism paradigm. 410 undergraduate nursing students were systematically sampled and recruited into the study. The researchers used the Self-Assessment of Clinical Reflection and Reasoning questionnaire to collect data on clinical reasoning skills from third- and fourth-year nursing students while adhering to ethical principles of human dignity. Descriptive statistics were done to analyse the level of clinical reasoning and an independent sample t-test was performed to compare the clinical reasoning skills of the student. A p value of 0.05 was accepted. Results: The results of the study revealed that the mean clinical reasoning scores of the undergraduate nursing students were knowledge/theory application (M = 3.84;SD = 1.04);decision-making based on experience and evidence (M = 4.09;SD = 1.01);dealing with uncertainty (M = 3.93;SD = 0.87);reflection and reasoning (M = 3.77;SD = 3.88). The mean difference in clinical reasoning skills between third- and fourth-year undergraduate nursing students was not significantly different from an independent sample t-test scores (t = −1.08;p = 0.28);(t = −0.29;p = 0.73);(t = 1.19;p = 0.24);(t = −0.57;p = 0.57). Since the p-value is >0.05, the null hypothesis (H0) “there is no significantno significant difference in clinical reasoning between third year and fourth year undergraduate nursing students”, was accepted. Conclusion: This study has shown that the level of clinical reasoning skills of the undergraduate nursing students was moderate to low. This meant that the teaching methods have not been effective to improve the students clinical reasoning skills. Therefore, the training institutions should revise their curriculum by incorporating new teaching methods like simulation to enhance students’ clinical reasoning skills. In conclusion, evaluating clinical reasoning skills is crucial for addressing healthcare issues, validating teaching methods, and fostering continuous improvement in nursing education.

Effects of Health Education with Problem-Based Learning Approaches on the Knowledge, Attitude, Practice and Coping Skills of Women with High-Risk Pregnancies in Plateau Areas

Objective: Given the unique cultural background, way of life, and physical environment of the Tibetan Plateau, this study aims to investigate the effects of health education using problem-based learning (PBL) approaches on the knowledge, attitude, practice, and coping skills of women with high-risk pregnancies in this region. Methods: 76 high-risk pregnancy cases were enrolled at Tibet’s Linzhi People’s Hospital between September 2023 and April 2024. 30 patients admitted between September 2023 and December 2023 were selected as the control group and were performed with regular patient education. 46 patients admitted between January 2024 and April 2024 were selected as the observation group and were performed regular patient education with problem-based learning approaches. Two groups’ performance on their health knowledge, attitude, practice and coping skills before and after interventions were evaluated, and patient satisfaction were measured at the end of the study. Results: There was no statistical significance (P P P Conclusions: Health education with problem-based learning approaches is worth promoting as it can help high-risk pregnant women in plateau areas develop better health knowledge, attitude and practice and healthier coping skills. Also, it can improve patient sanctification.

Online International Peer Interaction:An Exploration of Impacts on Comprehensive Competencies,Global Perspectives,and Cross-Cultural Communication Skills

With the increasing trend of globalization and the rapid advancement of information technology,online learning platforms such as Zoom are becoming increasingly influential in the field of education.The focus of this study was the online international peer interaction based on the Zoom platform,detailing how such interaction programs are conducted and exploring in depth the specific impacts of this interaction mode on students’comprehensive competencies,global perspectives,and cross-cultural communication skills.This research not only provides new practical references for online learning and international education but also offers new research perspectives and directions for educators and researchers.

Necessary prerequisites for evidence-based practice:results of investigating nurses'informatics competency and information literacy skills

This study aimed to evaluate the correlation between nursing informatics(NI)competency and information literacy skills for evidencebased practice(EBP)among intensive care nurses.This cross-sectional study was conducted on 184 nurses working in intensive care units(ICUs).The study data were collected through demographic information,Nursing Informatics Competency Assessment Tool(NICAT),and information literacy skills for EBP questionnaires.The intensive care nurses received competent and low-moderate levels for the total scores of NI competency and information literacy skills,respectively.They received a moderate score for the use of different information resources but a low score for information searching skills,different search features,and knowledge about search operators,and only 31.5%of the nurses selected the most appropriate statement.NI competency and related subscales had a significant direct bidirectional correlation with information literacy skills for EBP and its subscales(P<0.05).Nurses require a high level of NI competency and information literacy for EBP to obtain up-to-date information and provide better care and decision-making.Health planners and policymakers should develop interventions to enhance NI competency and information literacy skills among nurses and motivate them to use EBP in clinical settings.

Social-ecological correlates of fundamental movement skills in young children

Purpose: To identify the social-ecological correlates associated with fundamental movement skills at the child, family, and environment levels in young children.Methods: Preschool children from 4 Colorado Head Start/preschool centers were recruited from 2010 to 2012. Two hundred twenty-eight children(128 girls; age = 56.08 § 4.09 months; body mass index(BMI) z-score = 0.53 § 1.12(mean § SD); 42.1% Hispanic/Latino) and 159 families were included in the final analysis. Children's perceived competence and fundamental movement skills were assessed via the Pictorial Scale of Perceived Competence and Social Acceptance and the Bruininks-Oseretsky Test of Motor Proficiency, 2 nd edition. Data on the number of children in the family, parent age, BMI, education, employment status, family income, perception of child coordination, and home physical activity environment were collected via a questionnaire. Linear regressions adjusted for child BMI, age, sex, and school site were performed at each level.Results: Child perceived cognitive competence was positively associated with locomotor skills(p = 0.04; adjusted R2= 0.035) and object-control skills(p = 0.003; adjusted R2= 0.083) at the child level. Parent education, BMI, and perception of child coordination were positively associated with locomotor skills and explained 8.8% of variance, but only parent education was significant(p = 0.04) at the family level. In addition, physical environment was positively associated with locomotor skills(p = 0.02) and explained 5.5% of variance at the environment level.Conclusion: Social-ecological correlates associated with young children's fundamental movement skills are multidimensional and differ according to skill category at the child, family, and environment levels.

A Discussion on the Criteria for Evaluating Speaking Skills

The identification of effective and appropriate speaking skills seems to be a paradox task for the reason that there exist no consistent criteria for evaluating speaking skills in language teaching and testing.It is claimed in the current article that the teaching and assessment of speaking skills would probably be better based on a comprehensive framework of criteria including four aspects,namely,grammatical competence,strategic competence,sociocultural competence and discourse competence.

Impact of a national basic skills in colonoscopy course on trainee performance: An interrupted time series analysis

BACKGROUND The Joint Advisory Group on Gastrointestinal Endoscopy basic skills in colonoscopy(BSC) course was introduced in 2009 to improve colonoscopy training within the United Kingdom, but its impact on trainee performance is unknown.AIM To assess whether attendance of the BSC could improve colonoscopy performance.METHODS Trainees awarded colonoscopy certification between 2011-2016 were stratified into 3 groups according to pre-course procedure count(< 70, 70-140 and > 140).Study outcomes, comprising the unassisted caecal intubation rate(CIR) and the performance indicator of colonic intubation(PICI), were studied over the 50 procedures pre and post-course. Interrupted time series analyses were performed to detect step-change changes attributable to the course.RESULTS A total of 369 trainees with pre-course procedure counts of < 70(n = 118), 70-140(n = 121) and > 140(n = 130) were included. Over the 50 pre-course procedures,significant linear improvements in CIR were found, with average increases of 4.2,3.6 and 1.7 percentage points(pp) per 10 procedures performed in the < 70, 70-140 and > 140 groups respectively(all P < 0.001). The < 70 procedures group saw a significant step-change improvement in CIR, increasing from 46% in the last pre-course procedure, to 51% in the first procedure post-course(P = 0.005). The CIR step-change was not significant in the 70-140(68% to 71%;P = 0.239) or > 140(86% to 87%;P = 0.354) groups. For PICI, significant step-change improvements were seen in all three groups, with average increases of 5.6 pp(P < 0.001), 5.4 pp(P = 0.003) and 3.9 pp(P = 0.014) respectively.CONCLUSION Attendance of the BSC was associated with a significant step-change improvement in PICI, regardless of prior procedural experience. However, CIR data suggest that the optimal timing of course attendance appears to be at earlier stages of training(< 70 procedures).

American, Asian and European Scientists and Practitioners View on ICT Project Managers Soft Skills

USA as an ICT （Information and Communication Technology） innovative leader, Europe with its knowledge offensive and Asia as the fastest growing economies share the common fate： ICT projects do under perform. Numerous surveys point at human factor as a source of this malheur. The question emerge to what extent project manager is responsible for improvements there, and which particular skills are demanded to turn the ICT projects course towards more predictable, more efficient and better budget able endeavours. Authors examined and compared the scientific and practitioners views. Twenty-nine journal and conference papers and 46 monographs and standards dedicated to project manager skills have been scrutinized. Further 324 jobs advertisements for the ICT project managers in USA, Switzerland, Poland and Thailand underwent an analysis related to the demanded soft skills of the project manager. The L-Timer~ taxonomy of human factor related processes in project management is applied as comparison vehicle. Methodology extracted main （global） terms and detailed aspects, both weighted appropriately. The practitioners on all continents expect primarily communication skills followed by the team management abilities. Human resource is partially treated, while conflict management is underrepresented. The science seems to be focused on leadership followed by the communication skills, neglecting self management skills of project managers. The last are surprisingly well represented in the US advertisement. The USA job advertisements are the most comprehensive and elaborated one--and, what might be explained by high impact of American science on job definition--close to the scientific details of skill description, self management excluded. In Poland, team management appears to be a problem, while Thailand＇s companies seek leaders first. The best balanced approach might be found in Swiss job advertisements. The inter-cultural differences point at impact of cultural heritage, which call for differentiated view of science on demanded project manager human factor related skills. Authors pursue this fascinating research.

Considerations on Speaking Skills： Essence of Learning and Teaching Speaking

Acquisition of speaking Turkish students since skills is among the most essential language skills for students currently, especially among language competency is measured through speaking. Every language learner desires to acquire correct communicative skills and fluency in speaking, while teachers aim to give the necessary education in speaking, as well. This study reveals the essence of acquiring speaking competency for learners, and how important it is to teach speaking skills with correct methods and methodology. With the questionnaire analysis on Turkish students and teachers at a Turkish university, the theoretical knowledge on ＂essence＂ is blended with the questionnaire results provided from students and teachers in order to emphasize the necessity and reach more practical solutions for the current need of learning and teaching speaking.

Practice Analysis on the Teaching Theory and Skills of English Translation

As a universal language, English makes a better communication between China and the developed countries;English language teaching has become increasingly important in more and more Chinese Schools. At the beginning, when Chinese students start to learn a second language, they need to translate the second language such as English into Chinese in the first hand, and this procedure will help them to understand and learn English better. For English language translation teachers, they need to research and create the suitable, effective method of learning English translation for most students constantly in order to improve the English translation learning efficiency of the Chinese students. The local culture of China is quite different from the culture of other English speaking countries. When our Chinese students study English language translation, at the same time, they need to learn the different culture in different countries and learn how to accept and face up the cultural background difference between our country and the other English speaking countries. In the meantime, during the time of teaching English translation, the English translation subject teachers need to guide the students to learn and understand the difference in practice, and help them to establish a comprehensive and correct idea of learning English translation through teaching correct and different translation skills.

Rethinking Speaking Skills in EFL （English as a Foreign Language） Settings

The teaching of speaking has been neglected in EFL （English as a Foreign Language） settings throughout language history which led to negative effects on EFL teachers＇ and learners＇ attitudes. While teachers exhibit hesitation having no preset teaching paradigms at their disposal, learners experience withdrawal in speaking situations that demand interactional ease and socio-pragmatic awareness. Indeed, both the type of instruction and the complexity of this skill make of the teaching of spoken language a highly controversial issue especially with the implicit dichotomy that speaking entails and which opposes accurate mastery of linguistic patterns to ease or facility in meaning transmission. This paper aims at reconsidering the way this dormant skill has been tackled and the interfering variables that should be rethought and revisited while dealing with it.

How Should Oral Skills be Taught in the English Language Classroom

There is general agreement today that the communicative approach to the teaching and learning of English is the correct one and that we learn English for the purpose of communicating with other English-speakers. However, this is a comparatively recent development. This paper begins with an historical overview outlining the origins of the communicative approach in Europe and the United States and noting that they arrived at a consensus for entirely different historical reasons. In China English replaced Russian as the most important foreign language a generation ago but even then the emphasis was on receptive skills. The thorny question of authenticity is then discussed. While everyone agrees that in theory authenticity is a key consideration there is considerably less agreement on how to convert theory into practice. Finally the paper goes on to note how recent practice has abandoned the teacher-centered approach in favor of the learner-centered approach and the exercise-based approach in favor of the task-based approach, The task-based approach emphasizes integrated as opposed to individual skills acquisition. Examples of integrated tasks are given in the Appendix.

Strategies to Effectively Dock Professional Music Performance Skills Teaching and Stage Practice

Music performance major requires students to have rich experience in professional stage practice.Therefore,in the process of promoting the teaching of music performance,the effective connection between the teaching of professional music performance skills and professional stage experience practice needs to be emphasized.With professional experience in teaching practice,this article analyzes the course teaching and stage practice of music performance,suggesting several problems in the current teaching methods,and from different angles,this article suggests countermeasures to effectively dock professional skills teaching with stage practice in hope to provide practical reference for relevant professionals so as to better cultivate and improve students’comprehensive application ability in music performance.