Unveiling the challenges encountered by newly graduated nurses during night shifts:A descriptive qualitative study

Objectives:Newly graduated nurses commence night shifts during a phase of heightened vulnerability to reality shock,exacerbating the challenges faced by these graduates.Therefore,this study aimed to identify the challenges experienced by newly graduated nurses when undertaking night shifts in order to help identify a strategy for supporting their adaptation to these shifts.Methods:Semi-structured personal interviews were used to collect data.Fifteen newly graduated nurses were selected to participate in the study by purposive sampling method from November 2021 to March 2022 in one of four general hospitals situated in the southwestern region of Japan.Semi-structured interviews were analyzed by using thematic analysis.Results:The analysis revealedfive central themes and nine subthemes:challenges in task efficiency(task organization challenges,challenges in time-constrained task performance),challenges in responding to patients’changing conditions(challenges in responding to patients’irregular conditions,challenges in responding to nighttime changes in patients’behaviors),challenges in independent practice(challenges in engaging in independent nursing practice,challenges in dealing with unexpected events),challenges in establishing collaborative relationships(challenges in working closely with other staff,challenges in establishing collaborative relationships during night shifts with limited resources),challenges in adapting to shift work(challenges in managing physical conditions for shift work).Conclusions:Newly graduated nurses often encounter challenges in performing their tasks during the transition period.When working night shifts,they face additional hurdles unique to nocturnal duties.Thefindings underscore the necessity for these graduates to develop night shift-specific readiness to effectively navigate the demands inherent in such work schedules.

Transversal Competences and Clinic Tutorship: Appreciation by Graduated Nursing Specialists

Background: Transversal competences are included in the United Nations Organization 2030 Agenda for the formation of staff professional in higher education, having disciplinary and transversal skills to develop individual, professional, social, and entrepreneurship at present time, creative individuals being able to solve social problems via collaboration. The aim was to evaluate the transversal competences developed by graduates, specialists in nursing with the accompaniment of clinic tutorship. Methods: Qualitative, phenomenological, and interpretative research. The informants were seven graduates from the Unique Program of Nursing Specialties (UPNS), from the National Autonomous University of Mexico (UNAM), one participant from each knowledge field: Nursing in the Elderly, Public Health, Neurology, Physical and Sports Culture, Oncology, and two participants from Adult in Critical Condition. Information collection was through a focal group, and data analysis according to the principles of Souza Minayo. Signed informed consent was obtained previously. Results: Five categories with 24 sub-categories emerged. Category 1, Student’s perception on clinic tutorship specialty. Category 2, Competences promoted by clinic tutorship according to student’s experience. Category 3, Experiences about clinic tutorship planning. Category 4, Challenges faced by the student in the evaluation of clinic tutorship. Category 5, Opportunity fields in clinic tutorship from students’ experiences. Conclusion: Graduate students from the specialties describe transversal competences related with decision taking, collaborative work, and increase of population welfare, as well as generic disciplinary competences. The analogy of a social hinge between the clinic tutor and the student is highlighted, which allows to identify mobile and fixed components while the bolt that binds mentor with mentee is learning, by means of the accompaniment by an expert. .

Use of disposable graduated biopsy forceps improves accuracy of polyp size measurements during endoscopy

AIM: To determine the accuracy of endoscopic polyp size measurements using disposable graduated biopsy forceps(DGBF). METHODS: Gradations accurate to 1 mm were assessed with the wire of disposable graduated biopsy forceps. When a polyp was noted, endoscopists determined the width of the polyp; then, the graduated biopsy forceps was inserted and the largest diameter of the tumor was measured. After excision, during surgery or endoscopy, the polyp was measured using the vernier caliper.RESULTS: One hundred and thirty-three colorectal polyps from 119 patients were studied. The mean diameter, by post-polypectomy measurement, was 0.92 ± 0.69 cm; 83 were < 1 cm, 36 were between 1 and 2 cm, and 14 were > 2 cm. The mean diameter, by visual estimation, was 1.15 ± 0.88 cm; compared to the actual size measured using vernier calipers, the difference was statistically significant. The mean diameter measured using the DGBF was 0.93 ± 0.68 cm; compared to the actual size measured using vernier calipers, this difference was not statistically significant. The ratio between the mean size estimated by visual estimation and the actual size was significantly different from that between the mean size estimated using the DGBF and the actual size(1.26 ± 0.30 vs 1.02 ± 0.11).CONCLUSION: The accuracy of polyp size estimation was low by visual assessment; however, it improved when the DGBF was used.

Exploration of Graduate Student Cultivation Mode of Landscape Architecture under the Background of“Artificial Intelligence+X”

Under the background of“artificial intelligence+X”,the development of landscape architecture industry ushers in new opportunities,and professional talents need to be updated to meet the social demand.This paper analyzes the cultivation demand of landscape architecture graduate students in the context of the new era,and identifies the problems by comparing the original professional graduate training mode.The new cultivation mode of graduate students in landscape architecture is proposed,including updating the target orientation of the discipline,optimizing the teaching system,building a“dualteacher”tutor team,and improving the“industry-university-research-utilization”integrated cultivation,so as to cultivate high-quality compound talents with disciplinary characteristics.

Evaluation of New Graduate Nursing Orientation Program

The study site is a holistic patient-centered organization that has developed a 16-week long orientation program for new graduate nurses entering the hospital setting. The purpose of the program is for new graduate nurses to gain the confidence, competence, and critical thinking skills for providing safe patient care. The issue occurring within the organization is that there is an increasing rise in the number of turnover rates of new graduates leaving the hospital, thus making evaluating the program a necessity to problem-solving. There has been no evaluation of the program in the past five years to reveal why the increase in the recent turnover rates. The data collected during the interview process was coded and categorized into three main sections: organizational, substantive, and theoretical. The evaluator used an organizational category to investigate for board areas or issues within the problem attempting to be solved. The evaluator concluded from the results and findings that the issue, a poor preceptor-preceptee relationship was seen by all stakeholders involved. The literature presented concludes that continuous evaluation of orientation programs is crucial for the professional and personal growth of new graduate nurses in the hospital.

A Win-Win Undergraduate Graduation Design Model for Students, Teachers, and Training Platforms

Undergraduate graduation design is an important link in the process of undergraduate training,and university platforms have invested a lot of manpower and material resources for this purpose.However,while carrying out student training,it has gradually become the consensus of most university platforms to achieve a win-win situation for teachers and training platforms in order to achieve optimization of resource allocation and motivation of student training.After discussion and practice,this paper proposes a set of undergraduate graduation design training concepts and training modes with a win-win situation for students,teachers,and training platforms.

The Misdirection and Return of Graduate Course Teaching

Graduate course teaching plays an irreplaceable role in knowledge mastery,skill enhancement,and quality cultivation of graduate students.This paper addresses current issues in graduate course teaching,such as ambiguous objectives,formulaic content,formalistic operation,and oversimplified evaluation.It proposes corresponding solutions with the hope of steering graduate course teaching back to its original purpose and realizing its true significance.

Research on the Collaborative Education Mechanism among In-School Mentors,Enterprise Mentors,and Counselors from the Perspective of Sanquan Education

This study addresses the issues existing in the current cultivation process of outstanding graduate students and explores the collaborative education mechanism among in-school mentors,enterprise mentors,and counselors in the cultivation of outstanding engineers in the mechanical field based on the perspective of Sanquan education(i.e.,holistic,full-course,and all-round education).Through exploring this mechanism,we attempt to construct a more scientific and efficient education model to enhance students’comprehensive quality and practical skills,thereby meeting society’s demand for high-quality talents in the mechanical field.

System Assimilation of E-Skills in Tertiary Institutions to Empower Graduates in South Africa

The value of system assimilation is to improve working relationships between tutors and learners while increasing workflow efficiency among tertiary institutions with low operational costs. E-skills could be described as electronic education development, to assist ICT professionals to reach their future career goals and aim to help users boost their ICT skills. In a society that is expanding, it is also a crucial issue to take into account. Researchers have turned their attention to this topic because of its significance and contribution to the empowerment of graduates in digital education. Many scholars have proposed many methods for integrating e-skills into society with impressive results, but the rising rate of graduate unemployment in South Africa is gradually becoming a big worry in our society. A model based on Activity Theory (AT) and e-skills will be developed in our tertiary institution to equip graduates with skills that will increase their employability and provide more individualized work opportunities as part of this study’s effort to solve this issue. With the use of the Statistical Package for the Social Sciences (SPSS) and Cronbach’s Alpha for validity and reliability testing, the study will create an experimental performance to assess the approach taken to measure e-skills in tertiary institutions to empower graduates in South Africa. The study established that system development and e-skilled models for tertiary institutions are growing gradually, especially in South African institutions, that empower graduates with profitable employability with experiences to improve work operation in the industries. In conclusion, system development and e-skills are very demanding but important to empower graduate employability to determine competency in the professional workforce.

Understanding the potential key risk factors associated with teen driver crashes in the United States: a literature review

This article is a compilation of teen driver crash contributing factors typically extractable from the crash data collection system in the United States.Tremendous research effort has been undertaken over the decades to comprehend teen driver crash risks,as teen drivers continue to be over-involved in crashes even when accounting for the driving exposure.This article presents the contexts of crash factors related to operating conditions,roadway,vehicle,and driver and their unique influences on teen driver crashes in terms of estimated risk,prevalence,and estimated likelihood mainly from descriptive and analytical studies.The key variables are selected based on the number of studies that considered each risk factor for analysis.The understanding of crash factors could be translated into graduated driver licensing and other teen driver safety programs.While the discussions were grounded in crash studies carried out in the United States,the insights gleaned from these studies hold the potential to offer valuable guidance to other countries.For example,the insights and discussions can serve as a catalyst for the development and improvement of driver education programs tailored to address the specific requirements and difficulties confronted by their teenage drivers.

交叉融合平台研究生思政教育面临问题和对策建议

交叉融合是当前高校专业发展的大势,多学科交叉融合平台是拔尖创新人才培养的重要载体,是顺应新时代高校教育发展、加强高校思想政治教育工作、建设科技强国的必然要求,也是培育时代新人的历史要求。文章分析交叉融合平台研究生群体的特征,思政教育面临的问题,提出“创新党支部设置,健全全员育人机制,强化科研育人能效”三位一体的多学科交叉融合平台下研究生思想政治教育的对策建议。

Flipped classroom approach to global outreach:cross-cultural teaching of horizontal strabismus to Chinese ophthalmology residents

AIM:To evaluate the flipped classroom model for teaching horizontal strabismus didactics in an ophthalmology residency program in China as part of a visiting professorship from the United States.METHODS:Residents from an ophthalmology residency program in China were invited to participate in flipped classroom sessions taught by an experienced American ophthalmology faculty in 2018.Residents were instructed to watch a pre-class video lecture prior to the in-class-casebased activity.Content tests(5 Ophthalmic Knowledge Assessment Program style questions)and surveys were administered before and after the classroom sessions(100%response rate).These results were compared to that of an American cohort who were taught the same content.RESULTS:The Chinese cohort of 12 residents preferred the flipped classroom to the traditional classroom at higher rates than the American cohort of 40 residents(92%vs 55%,P=0.04)and felt that all ophthalmology topics would be appropriate for the flipped classroom teaching style(P-values between 0.008 and<0.001).In both Chinese and American cohorts,we found that the exotropia curriculum saw a small but significant improvement in performance following the flipped classroom session(P=0.025 for Chinese residents;P=0.001 for US residents),whereas scores in both groups for the esotropia course did not significantly improve.CONCLUSION:This is the first study to evaluate the flipped classroom model implemented by a visiting ophthalmology professor in a global outreach setting.The flipped classroom sessions are viewed favorably by the Chinese residents relative to the US cohort with a modest impact on knowledge.Decreased in-person interpreter requirement and increased student engagement make this model valuable in cross-cultural visiting professorship settings.Finally,the flipped classroom may lend itself well to a virtual format to prevent the transmission of COVID-19,although such a format requires further study.

Multidimensional Quality Evaluation of Graduate Thesis:Based on the Probabilistic Linguistic MABAC Method

Graduate education is the main way to train high-level innovative talents,the basic layout to cope with the global talent competition,and the important cornerstone for implementing the innovation-driven development strategy and building an innovation-driven country.Therefore,graduate education is of great remarkably to the development of national education.As an important manifestation of graduate education,the quality of a graduate thesis should receive more attention.It is conducive to promoting the quality of graduates by supervising and examining the quality of the graduate thesis.For this purpose,this work is based on textmining,expert interviews,and questionnaire surveys to obtain the factors influencing the quality of a graduate thesis first.Then,through three rounds of expert consultation,a multidimensional evaluation indicator system for the graduate thesis quality is built.Furthermore,probabilistic linguistic termsets(PLTSs)are utilized to obtain the initial evaluation information and apply the stepwise weight assessment ratio analysis method to determine the weights of attributes.In the ensuing step,the novel multi-attribute border approximation area comparison based on the PLTS method is established.Finally,the proposed method is employed in a case study concerning the quality evaluation of a graduate thesis and the effectiveness of this approach is further illustrated.

Teaching Reform and Practice of Software Engineering Graduate Students by Implanting Scientific Research Literacy into Classroom Teaching Content

How to cultivate and improve graduate students’innovation and practical abilities in software engineering through the curriculum and teaching mode reform is an important issue.In this paper,a research literacy-driven teaching mode is proposed.It assists in the reform of the curriculum system.Then,a curriculum system construction framework is proposed,which involves the integration of research literacy into classroom teaching content.It assists in the cultivation of research abilities of graduate students in software engineering.The effectiveness of the curriculum reform is demonstrated through questionnaire surveys and research outcomes of the project team.The results show that the methods explored in this paper can serve as valuable references for future course design and teaching practice in computer-related courses for graduates.

FLAWED NARRATIVES OF CHINA AND TECHNOLOGY HARM AMERICAN AUDIENCES

The back half of the 20th century belonged to the United States.One reason is that America’s colleges and universities produced undergraduate,graduate,and doctoral graduates who,with increasing rapidity and sophistication,turned out one new technology tool after another.Using these and other advantages,the U.S.became the world’s powerhouse,outpacing its allies and adversaries.

Analysis of the Factors Affecting the Employment Quality of College Graduates:A Case Study of China

The employment quality of college graduates in China is a topic of widespread concern.This paper uses authoritative data sources,including the China Labor Statistics Yearbook,China Statistical Yearbook,and data from provincial statistical bureaus,to examine the employment quality of college graduates in different regions of China.Specifically,the paper explores three aspects:salary level,job intensity,and job stability.The research results indicate that undergraduate graduates experience lower job intensity than college counterparts.However,while North,East,and South China show high salary levels and job stability,issues such as high work intensity,high cost of living,and small living space exist.Therefore,this paper offers policy development recommendations to promote job market reform and improve employment quality.These recommendations aim to address the challenges faced by college graduates in various regions of China and to promote the stability of the country’s social and economic development.By examining the employment quality of college graduates in different regions of China,this paper provides valuable insights for scholars,policymakers,and practitioners.

倾听你的心声

Sandy is very worried.Sandy will graduate1 from high school.He can go to university.But Sandy has a problem.He wants to go to university,but he doesn’t know what he wants to study.桑迪很忧虑。桑迪将从高中毕业,他能够上大学。但桑迪有个问题,虽然他想上大学,但他不知道自己想学什么。

Discussion on the Graduation Practical Ability Assessment Model for Master of Nursing Specialist Students

Objective: To explore graduation practical ability assessment mode of graduate students in nursing (Master of Nursing Specialist, MNS). Methods: All 28 MNS 2020th graduate students in a university were selected as subjects by convenient sampling method, using the improved 4-station objective structured examination (Objective Structured Clinical Examination, OSCE) model. The assessment content included nursing assessment, nursing diagnosis, basic nursing operation, specialist nursing operation, theoretical written test and oral test and overall evaluation. And self-made questionnaire was used to evaluate the effect of the assessment model and the improvement of clinical practice ability of graduate students. Results: The overall satisfaction rate of graduation assessment was 89.51%, the overall satisfaction rate of graduation assessment mode and practical ability improvement evaluation was 84.66%, the pass rate of assessment results was 100%, and the excellent rate was 71.42%. Conclusion: The MNS graduation practical ability assessment model has a high degree of satisfaction, objectively evaluates the knowledge, skills, attitudes and emotions of graduate students, promotes the comprehensive quality and ability of graduate students, which is worthy of promotion.

Happy Graduation

Fresh graduates pose for a group photo at the Moganshan Campus of Zhejiang University of Technology in Huzhou,Zhejiang Province in east China,on 22 May.

9岁的高中毕业生

Graduating from high school is a mile⁃stone event.Most students are 18 when they graduate,but one Pennsylvania boy from Bensalem,a suburb of Philadelphia,just graduated and he is only nine.David Balogun recently received his diploma from the Reach Cyber Charter School in Harrisburg where he was studying re⁃motely.He has already started taking col⁃lege courses.