Challenges Experienced by Nurse Educators in Promoting Acquisition of Clinical Reasoning Skills by the Undergraduate Nursing Students: A Qualitative Exploratory Study

Background: Clinical reasoning is an essential skill for nursing students since it is required to solve difficulties that arise in complex clinical settings. However, teaching and learning clinical reasoning skills is difficult because of its complexity. This study, therefore aimed at exploring the challenges experienced by nurse educators in promoting acquisition of clinical reasoning skills by undergraduate nursing students. Methods: A qualitative exploratory research design was used in this study. The participants were purposively sampled and recruited into the study. Data were collected using semi-structured interview guides. Thematic analysis method was used to analyze the collected data The principles of beneficence, respect of human dignity and justice were observed. Results: The findings have shown that clinical learning environment, lacked material and human resources. The students had no interest to learn the skill. There was also knowledge gap between nurse educators and clinical nurses. Lack of role model was also an issue and limited time exposure. Conclusion: The study revealed that nurse educators encounter various challenges in promoting the acquisition of clinical reasoning skills among undergraduate nursing students. Training institutions and hospitals should periodically revise the curriculum and provide sufficient resources to facilitate effective teaching and learning of clinical reasoning. Nurse educators must also update their knowledge and skills through continuous professional development if they are to transfer the skill effectively.

Progress in the Application of Reflective Education on Undergraduate Nursing Interns

Objective:To explore the implementation methods and effects of reflective education,and to provide references for the development of reflective education in Chinese nursing schools.Methods:Relevant literature was searched from China National Knowledge Infrastructure,Wanfang Database,Wipro Chinese Science and Technology Journal Database,and PubMed Database,and the included studies were analyzed descriptively.Results:The implementation of reflective education included work-site education,group discussion,video teaching,self-reflection,and expert lectures;the interventions mainly included study groups,role-playing,individual instruction,peer cooperation,demonstration and observation,field simulation,and video presentations.The implementation of reflective education can improve the sense of professional identity and professional competence of nursing interns,and reduce nursing errors and adverse events.Conclusion:Currently,nurses in China lack self-awareness and critical thinking skills,it is recommended that reflective education be incorporated into the teaching content of undergraduate nursing students during their internship in order to promote the development of professionalism and humanistic caring skills of nursing students.

A Study on the Educational Model of Connecting Vocational and Undergraduate Education in Finance and Accounting Majors

This article studies the educational mode connecting vocational education and undergraduate education in finance and accounting majors,in response to the weak cultural foundation and poor course integration faced by current vocational school graduates after entering vocational undergraduate education.By adopting empirical research methods and selecting vocational college students majoring in finance and accounting and ordinary high school students as research objects,this study implements a series of teaching reform measures and conducts tracking surveys on the short-term and long-term effects of educational reforms.As a result,it was found that in the final survey of graduation destinations,34 vocational and technical college students were engaged in related work in their majors,accounting for 45.9%of all vocational and technical college students.This proves that the proposed transitional education model can effectively enhance the cultural foundation of vocational college students and provide new ideas for the cultivation of talents in finance and accounting majors.

Collaborative Cultivation of Ideological and Political Education and Undergraduate Management in Colleges and Universities Under the Guidance of Moral Education

Guided by moral education,improving the ideological and moral quality of college students is an important goal of college education.To achieve this goal,it is necessary to strengthen ideological and political education and continuously improve the level of undergraduate management.This paper outlines the feasibility of collaborative cultivation of ideological and political education and undergraduate management in colleges and universities and analyzes its significance and the specific implementation strategies,with a view to providing valuable references for relevant colleges and universities to carry out educational work.

Analysis of the Construction of Core Literacy of Students in Vocational Undergraduate Education

Vocational undergraduate education has evolved from its initial stages to a full-scale implementation,achieving historic milestones along the way.However,its appeal still lags significantly behind that of general education.The development of students’core competencies in vocational undergraduate education faces several challenges,including the need for improvements in top-level design,a stronger focus on connotation development,and an upgraded linkage mechanism.To address these issues,it is suggested to refine the top-level design,enhance internal motivation,and build a robust vocational education ecosystem.

The Influence of Social Media on College Choice among Undergraduates Majoring in Big Data Management and Application in China:Taking Guilin University of Electronic Technology as an Example

This study aims to investigate the influence of social media on college choice among undergraduates majoring in Big Data Management and Application in China.The study attempts to reveal how information on social media platforms such as Weibo,WeChat,and Zhihu influences the cognition and choice process of prospective students.By employing an online quantitative survey questionnaire,data were collected from the 2022 and 2023 classes of new students majoring in Big Data Management and Application at Guilin University of Electronic Technology.The aim was to evaluate the role of social media in their college choice process and understand the features and information that most attract prospective students.Social media has become a key factor influencing the college choice decision-making of undergraduates majoring in Big Data Management and Application in China.Students tend to obtain school information through social media platforms and use this information as an important reference in their decision-making process.Higher education institutions should strengthen their social media information dissemination,providing accurate,timely,and attractive information.It is also necessary to ensure effective management of social media platforms,maintain a positive reputation for the school on social media,and increase the interest and trust of prospective students.Simultaneously,educational decision-makers should consider incorporating social media analysis into their recruitment strategies to better attract new student enrollment.This study provides a new perspective for understanding higher education choice behavior in the digital age,particularly by revealing the importance of social media in the educational decision-making process.This has important practical and theoretical implications for higher education institutions,policymakers,and social media platform operators.

Thinking on the Teaching Reform of Computer Basis Course for Medical Specialty under the Background of Ideological and Political Education in Courses in the Intelligent Age

Ideological and political education in courses refers to integrating the ideological and political education in non-ideological and political course teaching. The content of ideological and political education in courses should focus on loving the Party, loving the country, loving socialism, loving the people, and loving the collective. Education on socialism with Chinese characteristics and the Chinese Dream, socialist core values, legal institution, labor, mental health and fine traditional Chinese culture will be integrated into the courses teaching. This paper takes the course “Computer Basis” as the object, explores the implementation plan of teaching reform of the basic courses for medical specialty under the background of ideological and political education in courses in the intelligent age.

Research on the Path and Guarantee Mechanism of the Integration of Industry and Educationfor Applied Undergraduates--A Case Study of Human Resource Management Major

Deepening the integration of industryand educationand school-enterprise cooperation are effective waysto cultivate high-quality applied talents.It has become an essentialdemand for social and economic development and an inevitable trend for applied undergraduatescolleges.In view of this,based on the development strategy of national and local integration of industry and education and the demand for talents in the human resources industry,this article takes human resource management as an example,combined with the current situation of industry and education integration of applied undergraduate human resource management,and explores its products from the perspective of one course and two teachers.It also proposes a guarantee mechanism for integratingindustryand education from the aspects of top-level guarantee,multiple evaluations,teaching co-management,and teacher incentives.It is hoped to establishan application-oriented undergraduate human resource management professional industryand education implementation systemand promote the deep integration of applied undergraduate industry and education.

Challenge, opportunity and development： Influencing factors and tendencies of curriculum innovation on undergraduate nursing education in the mainland of China

Background： As the deep influence of traditional medical education, many undergraduate nursing colleges and universities in China still keep the traditional disease-focused curriculum system. However, it became outdated as the Chinese high nursing education developed. Meanwhile, the increasing demand of nursing human resources stimulates the enrollment expansion of colleges. All of these bring more difficulties and opportunities for nurse educators who are endeavoring to reform the undergraduate curriculum. Methods： The authors retrospectively reviewed the related literature, illustrated the existing challenges and opportunities during the curriculum renewal process in China. This paper also analyzed the ten- dencies of Chinese baccalaureate curriculum innovation. Results： Chinese current undergraduate nursing curriculum has larger proportion of basic medical courses, which brings great challenge for nursing educators. In the meantime, the expansion of enroll- ment brings conflicts with existing nursing education resources in China. Integration, humanization, internationalization and diversification are main tendencies leading the future nursing curriculum innovation in China. Conclusions： The more effective teaching innovations in the nursing education system are in great demand.

The Impact of Simulation Education on Self-Efficacy in Pre-Registration Nursing Students

This literature review primarily aims to explore and synthesise the previous studies in simulation education research conducted over the past five years related to the effects of simulation training on the self-efficacy of undergraduate pre-registration nursing students. The second aim of this study is to explore additional outcome variables that were examined in the previous studies. Five electronic databases were searched systematically. These databases were MEDLINE, CINAHL Plus, Scopus, Embase and PsycINFO. The PICO model was employed to identify the search terms, with a thesaurus being used to provide synonyms. Reference lists of relevant articles were examined and hand searches of journals were also undertaken. The quality of each study was assessed using the Simulation Research Rubric (SRR). A total of 11 studies were included. All studies explored the impact of simulation education on undergraduate pre-registration nursing. Six studies explored nursing students’ competence and performance and two papers examined their critical thinking. Problem solving, learning motivation, communication skills and knowledge acquisition were examined once. The majority of studies indicated that simulation training has a positive impact on pre-registration nursing students’ self-efficacy and other outcome variables. Furthermore, the study results indicate that simulation training is more dependable than traditional training, and students were extremely satisfied with the simulation training. However, most of the studies included in this review had several gaps, including study design, sample size and dissimilarities between the scales used. Further research with large samples, reliable and valid instruments, and outcomes measures (such as critical thinking and transferability of skills) is required to provide better insight into the effectiveness of simulation in undergraduate nursing education. .

Assessment Methods Used during Clinical Years of Undergraduate Medical Education at Moi University School of Medicine, Kenya

Background: Assessment is the systematic collection, review, and use of information about educational programs undertaken to improve teaching and learning. It ensures quality in training programmes, motivates, and directs students’ learning. Assessment is also used for verification of achievement of objectives of training, feedback to students, licencing, certification, and screening of students for advanced training. It is guided by several principles, including the aims of the assessment (why assess), who to assess, timing (when to assess), what to assess, methods (how to assess), and the criteria for determining the usefulness of the assessment. Objective: To describe the assessment methods used during clinical years of the undergraduate programme at Moi University School of Medicine (MUSOM) and determine the student’s perspectives concerning the comprehensiveness, relevance, objectivity of various assessment methods and challenges faced. Methodology: The study was carried out at MUSOM and a cross-sectional study design was employed. Ten study participants were studied using convenience sampling. Data were collected using an interview guide and was analyzed using content analysis. An informed consent was obtained from the study participants. Results: The methods used during clinical years at MUSOM for assessing knowledge and its applications include multiple-choice questions (MCQ), short answer questions (SAQ), modified essay questions (MEQ), long essay questions (LEQ), and oral exam. Whereas the methods for assessing clinical competence include long case, short cases, objective structured clinical examinations (OSCE), and logbook. Students felt that MCQs were comprehensive, objective, and relevant to the curriculum content. They reported that feedback was not provided after assessments. Conclusion: The assessment methods used at MUSOM during clinical years include MCQ, SAQ, MEQ, LEQ, Short cases, long cases, and OSCE. Students reported varied perceptions of the different assessment methods but favored MCQ and OSCE over other formats for assessing knowledge and clinical skills respectively.

Study on the Effect of Behavioral Interventions Based on the Theory of“Knowledge,Attitude,Practice”on Tuberculosis Cognitive Level of Close Contacts

Objective:Based on the theory of“Knowledge,Attitude,Practice,”health education was carried out for close contact with tuberculosis(TB)at a university in Beijing,and its impact on the students’awareness of TB was studied.This study could provide a reference for effective health education interventions among close contacts of TB in undergraduates.Methods:102 undergraduates who had close contact with one confirmed case of pulmonary TB in April 2021 at a university were randomly divided into a control group and an intervention group.The intervention group was given the“Knowledge,Attitude,Practice”health education intervention by professionally trained doctors,and were asked to complete a self-designed TB-related questionnaire before and after the intervention.Both groups performed the Tuberculin Skin Test(TST)and chest X-ray(CR)examination.Results:The rate of the TST test was 18.6%,and CR examination showed 0 cases of pulmonary TB.The survey results showed that the TB awareness rate(96.1%,49/51)in the intervention group was significantly higher than that of the control group(51.0%,26/51),and the differences in awareness rate between the two groups were statistically significant(P<0.05).Regarding the attitude/skills toward TB,the prevalence rate of tuberculosis-related attitude/behavior in the intervention group(94.1%,47/51)was significantly higher than that of the control group(60.8%,31/51),and the differences between the two groups were statistically significant(P<0.05).Conclusion:Both self-controlled and parallel-controlled studies showed that the health education intervention of“Knowledge,Attitude,Practice”improved the awareness of TB among close contacts of TB in undergraduates.

Research on the Path of Cultivating High-Level Technical and Skilled Talents in Vocational Undergraduate Colleges and Universities

This paper explores strategies to cultivate high-level technical talents in vocational undergraduate colleges by analyzing their development,the essence of such talents,and proposing several key measures.Strategies include optimizing professional settings and curricula,enhancing school-enterprise cooperation and the integration of industry-university-research,improving teaching staff quality and educational standards,and expanding international cooperation.The importance of policy support and funding and establishing robust quality assurance systems is emphasized for effectively cultivating skilled talents in vocational undergraduate colleges.

Analysis of Undergraduates' Ideal and Belief Education under the Perspective of New Media

As modern information technology has developed rapidly and deepened into the field of education and teaching day by day,its impact on undergraduates' life,learning,and ideas has become increasingly widespread and in-depth. On the basis of an empirical investigation,the development of undergraduates' ideological and moral concepts,ideals and beliefs in the Internet era were analyzed. Using modern new media to educate undergraduates about their ideals and beliefs is of great significance to strengthen ideological and political education in colleges and universities.

Influencing program satisfaction for undergraduate students in STEM areas: The impact of interdisciplinary features, disciplinary connectedness, faculty support, and examination difficulty

Ensuring program satisfaction for undergraduate students in the areas of science,technology,engineering and mathematics(STEM)matters in student retention and education quality improvement.This study explores how four rarely examined variables support from faculty members,interdisciplinary features of STEM program courses,disciplinary connectedness of STEM program core courses,and examination difficulty impact Chinese STEM undergraduates’program satisfaction.With data from 619 Chinese STEM undergraduates,structural equation modeling shows that course satisfaction partially mediates the impact of support from faculty members on program satisfaction,while fully mediating that of interdisciplinary features of STEM program courses and disciplinary connectedness of STEM program core courses on program satisfaction.Examination difficulty exerts no significant impact on program satisfaction neither directly nor indirectly.Support from faculty members impact course satisfaction significantly stronger for junior and senior students than for freshmen and sophomores,while interdisciplinary features of STEM program courses impact course satisfaction stronger for freshmen and sophomores than for juniors and seniors.The study ends with practical implications for the higher education reform in relevant areas.

Undergraduate Pathology Education: Meeting the Challenge Ahead

Background: In India, undergraduate medical education has remained more or less static and for last so many decades no effective development has been done. Therefore this study is done for restructuring it and to meet the challenges faced thereby. Material and methods: Depending on the problems faced during undergraduate pathology teaching, questions were prepared and sent to pathology teachers of Odisha. In few aspects, suggestions were also asked for modification of the present system of medical curriculum including the problem of factual or information overload on students. Results: 18 questions were prepared and asked to 96 pathology teachers. The opinions mostly were to introduce small group teaching or problem based learning (PBL) and multidisciplinary integrated teaching. The opinion of students of 3rd and 4th MBBS were also taken into consideration for taking the decisions of modification. Conclusion: Efforts should be taken to bring the desired changes in undergraduate pathology education to produce need based human resources for health care in society.

Do the Application of Problem-Based Learning on Undergraduate Nursing Students’ Is Effective? A Case Study Review

Objectives: The study’s aims to determine and assess the application of problem-based learning to undergraduate nursing students. Background: Nursing students are the upcoming health care delivery system;according to their standard of learning, it will affect their clinical training. Method: The study design is a case study review, the data was collected using many articles related to problem-based learning collected from E-books and E-journals websites like CINAHEL, Google Scholar, etc. After that, the data was analyzed and evaluated related to the application of problem-based learning on undergraduate nursing students. Result: The result appeared that most of the research proved and supported that the application of problem-based learning is effective for undergraduate nursing students, and students can solve patients’ problems in a better way. Conclusion: In conclusion, problem-based learning is an essential part of the nursing diagnosis process that will increase knowledge, and performance, and merge it with the nursing concepts.

Mental Health Education for Students from Junior Colleges Moving into Undergraduate Level in Private Colleges from the Perspective of Three- Dimensional Education

Good psychological quality is the basic requirement for college students in the new era.Students from junior colleges moving into xmdergraduate level in private colleges are a special group as they are already an important part of students in private colleges.Based on the mental health status of these students,private colleges have analyzed the issues of mental health education which include weak teaching staffs,lack attention,and traditional education methods.From the perspective of three-dimensional education,the psychological education work model in private colleges is explored to build an education team to promote the participation of all employees in the work of psychological education,strengthen the attention of college students who are moving into the undergraduate level,and to pay full attention to these students.Private colleges should try to innovate education methods and improve psychological education in all aspects.