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Aim: To explore the health beliefs of clinical and academic nurses from Japan, Australia and China regarding wearing paper masks to protect themselves and others, and to identify differences in participants' health beliefs regarding masks. Background: The correct use of face masks and consensus among health professionals across the globe is essential for containing pandemics, and nurses need to act according to policy to protect themselves, educate the public and preserve resources for frontline health workers. Paper masks are worn by health professionals and the general public to avoid the transmission of respiratory infections, such as COVID‐19, but there appear to be differences in health beliefs of nurses within and between countries regarding these. Methods: This qualitative descriptive study used content analysis with a framework approach. Findings: There were major differences in nurse participants' beliefs between and within countries, including how nurses use paper masks and their understanding of their efficacy. In addition, there were cultural differences in the way that nurses use masks in their daily lives and nursing practice contexts. Conclusion: Nurses from different working environments, countries and areas of practice hold a variety of health beliefs about mask wearing at the personal and professional level. Implications for nursing policy and health policy: The COVID‐19 pandemic has sparked much discussion about the critical importance of masks for the safety of health professionals, and there has been considerable discussion and disagreement about health policies regarding mask use by the general public. Improper use of masks may have a role in creating mask shortages or transmitting infections. An evidence‐based global policy on mask use for respiratory illnesses for health professionals, including nurses, and the general public needs to be adopted and supported by a wide‐reaching education campaign. [ABSTRACT FROM AUTHOR]

The paper provides an overview of the global research on graduate education. The study applied a combination of a bibliometric and social network analysis methods to bibliographic data from Thompson Reuters' Web of Science. More specifically, a keyword search approach was used to retrieve 2,454 articles on graduate education from 1996 until 2020. The set was processed with the VantagePoint software. The paper reports the findings in the form of lists of top scholars, research centres, and countries contributing to research on graduate education. The findings include similar lists of the key funding agencies, contributing disciplines and publication venues, as well as maps representing collaborative activity in the field between institutions, and countries. Finally, the frequency of utilisation of groups of author-supplied keywords is analysed to determine the basic thematic structure of the research on the topic. The originality of the paper consists in the fact that it represents the first attempt to map the landscape of research on graduate education using bibliographic data. It can be used to supplement the results of literature reviews on the topic, which apply a more in-depth content analysis-based approaches to a limited number of papers to determine the thematic structure of the field.

In this paper, the author analyzes 89 studies published from 1990 through 2020 that focused on literacy preservice teachers' involvement in action research as part of learning to teach. In doing so, the author provides an example of why critical reflexivity is necessary in qualitative literature review methods. The author relies on a social practice view of race and uses activity theory to answer the questions: How have researchers considered race as a factor in research on literacy preservice teacher education? How can preservice teachers' experience with research be (re)designed to help develop their racial literacy? Findings demonstrate that in the reviewed studies, 51% of researchers addressed preservice teachers' race, and 34% addressed K-12 students' race. Far fewer studies, however, acknowledged their own race or that of field supervisors and mentor teachers, which ultimately minimized their roles. Findings also emphasize four design principles for literacy teacher education programs that aim to include research: collaboration between K-12 partners and universities; selective teacher educator scaffolding; engagement with diverse communities; and extensive time spent as part of the pathway toward racial literacy. The implications and uses of an existing literature base that reflects shifting reporting standards related to race are also examined.

This paper explores how Chinese academics, working in the field of English as Foreign Language Education in universities in China, conceptualise research quality. The paper uses a phenomenological approach and four qualitative methods (survey, interview, focus groups and document analysis) to investigate what a sample of these scholars perceive as high-quality research. We found that the participants viewed quality through various lenses and identified several different criteria. We categorised their elaboration of the criteria under three headings: methodology, contextualisation and impact. The participants nominated many general criteria that were similar to western standards of research quality, especially in relation to methodology; however, some contextual criteria were specific to the Chinese context. The paper indicates that there is much in the university research community that could be altered to enable people who are directly involved in research to disseminate their criteria for research quality, and potentially to affect and develop the quality of educational research in the Chinese context, and/or elsewhere.

Taking credit for digitalization and platformization, China has initiated its open science infrastructure implementation and made an effort to focus on open access (OA) journals and data sharing over the past two decades. With the continuous development need, issues and concerns have caught in attention, including data accessibility, research transparency, general population awareness and communication of science, public trust in science, and scientific research and innovation efficiency. This paper has unfolded the maze of open science stance in China and elaborated on its current economy, openness and freedom extents, and future innovation potential towards a global open science community, within depth and scope of both the Chinese and Western scholars' interpretations.

Using a thematic analysis methodology, this paper attempts a critical review of published articles on Chinese character teaching and learning in and outside China between 2005 and 2019, highlighting contributions scholars made to the current literature as well as identifying gaps in the research. The analysis reveals that there is a rather large gap in the use of research methodologies between the two sets of articles, with publications in China predominantly adopting non-empirical approaches while most articles published outside China are empirical. Besides, the use of computer-assisted language learning (CALL) in character teaching and learning seems to be a key research topic outside China, while exploring new pedagogical ideas and strategies attracts more interest among scholars in China. The paper concludes with suggestions for future research directions and a call for more diverse research paradigms and mixed-method perspectives.

This paper systematically reviews the studies of working memory in second language learning in China over the past 20 years. A total of 140 studies that were published in 13 major foreign language journals during the past 20 years (2000-2019) were categorized and analyzed according to research method, educational level, and research content. For research method, two phases could be identified: from 2000 to 2006, more attention focused on introducing theory and reviewing literature regarding the association between working memory and second language learning; and from 2007 to 2019, there is a growing body of quantitative and qualitative research. For educational level of the 75 empirical studies, the majority were targeted at adult learners, whose L2 proficiency was assumed to be at or beyond intermediate level. For the research content, they were classified into three dimensions: L2 understanding, L2 output, and the integration of L2 understanding and output. These three dimensions were sub-divided into a total of seven aspects: vocabulary, grammar, listening, reading, speaking, writing, and interpretation. Considerable advances have been made in the knowledge of working memory and second language learning. Nevertheless, more research is needed to develop a deeper understanding of the interrelationships between working memory and different domains of second language learning.

This paper explores how women academics in Chinese higher education have been understood as a topic of research by conducting a comprehensive review of publications on the theme in Chinese national academic journals, that is, national journals written in Chinese. The study identifies publication trends and key research issues concerning academic women in China, adopting a knowledge mapping perspective that unveils research and methodological choices, including data collection methods used in Chinese national journals since the mid-1980s, when the first publication on women academics was identified. The study finds that despite the rapid expansion of the population of women academics in the Chinese higher education system, this topic has been intermittently researched: interest in it peaked in the early 2010s but has declined since then. Past interest in the topic would be largely activated by governmental policy considerations and changes, but would become relatively dormant during periods of lower policy activity. The research has been mainly focused on policy and practice, and has lacked long-term perspectives; it has not always acknowledged societal and structural challenges that academic women face, and has not engaged in theory building. The latter is probably because much of the knowledge production has been based on personal opinions and views, and has suffered from a lack of critical thinking, a reliance on largely unsophisticated methods, and findings that are not generalisable.

An increasing proportion of information technology (IT)/information system adoption research collects data using online surveys. However, a paucity of research assesses the equivalence of paper-based versus Internet-based surveys in collectivistic cultures. Furthermore, no theoretical or empirical research investigates how cultural differences between collectivistic and individualistic cultures influence the measurement equivalence (ME) of these survey modes. To explore these issues, online and paper-based surveys with comparable samples were carried out in both an individualistic (the USA) and a collectivistic culture (China). Confirmatory factor analysis was conducted to examine the ME across both survey modes in these different cultures. Results indicate that the relatively larger satisficing discrepancy between paper and online surveys causes respondents in collectivistic cultures to have an increased likelihood of providing responses that vary as compared to respondents in individualistic cultures. The disparate responses, in turn, result in increased measurement variance between the two survey modes. The findings of this study bridge a gap in the literature and address the question of how culture influences online satisficing behaviour and how that behaviour causes measurement invariance across survey modes. This study also explains the possible underlying mechanisms by which different national cultures exert their influence on survey results. The findings provide important implications for IT researchers, especially those in collectivistic cultures or those who need to collect data in collectivistic cultures using online surveys or mixed-mode surveys that include an online survey mode. [ABSTRACT FROM AUTHOR]

This paper was designed to explore the means in the field of observing classroom teaching/learning from both a general, and an "English as a Foreign Language" (EFL), viewpoint. The aim was to browse the relevant literature, and lead to consider observation tools which might serve to research in EFL. This paper summarizes the reading by surveying the field of classroom observation, and then proceeds to evaluate the likely usefulness of a number of selected observation instruments.

International comparative ethnographic studies of ECEC (Early Childhood Education and Care) are difficult to conduct but worth the effort. Comparative studies featuring thick description and polysemic interpretations can challenge taken-for-granted assumptions, expand the menu of the possible, expose the provincialism of national approaches, and illuminate the global circulation of ECEC practices and ideas. Based on reflections on four major comparative international studies I have led, in this paper I describe effective strategies for conducting comparative ethnographic research in ECEC settings, explicate the rationale for doing so, and provide examples of how this approach can impact research, practice, and policy. Issues I address include the rationale for selecting countries for comparison, the formation of a research team, and distributing interpretive voice and power.

The growing need to improve the quality and efficiency of translation by using technology has stimulated the practice of and research into translation technology teaching (TTT). Naturally, there is a need to analyse the state of the art and development of TTT from a quantitative perspective, because such research is still very scarce. This paper uses the bibliometric technologies, CiteSpace and VOSviewer in particular, to delineate the publication information of TTT-related research mainly in two citation databases, i.e., Web of Science (WoS) and China National Knowledge Infrastructure (CNKI), from the year 1999 to 2020. It finds that China is gaining importance in TTT-related research, that international English-language publications pay more attention to the teaching of MTPE, while Chinese-language publications focus more on corpus-based TTT, and that English publications tend to use empirical methods, while Chinese publications tend to adopt non-empirical methods. The differences between the two publication communities in research methods and focuses call for contact and exchange between the two communities.

The paper offers a critical appraisal of the global knowledge developments in education using China's contributions in a fashion similar to a case study. The paper scrutinizes the complicity of Western educational research to euro-centric biases and discusses the pursuit of a global epistemological eclecticism. To support this claim, the magnitude of the global knowledge economy, including country-by-country comparisons, is explored together with data pertaining to the success rate of submissions and citations. These data are used as the basis for arguments that the dominant research practices and developmental work serve Western interests, Western thought and a Western economy tied to standardization rather than eastern epistemological interests.

This paper presents an educational, experimental research design, aiming at examining the effect of "PAD + microlectures" EAP teaching model on Chinese undergraduates' critical thinking development. It mainly analyzes this experiment from four aspects: research question and hypotheses, difficulties in key term definitions and selection of measuring instruments, potential risks of the design, as well as the challenge of ethics. Such a methodological analysis shows that educational experiments should follow the disciplines of objectivity, feasibility, maneuverability, effectiveness, and innovation.

Aim: To explore the prospective acceptability of an implementation leadership training programme prototype for nurse managers in China to implement evidence‐based practices, from the perspectives of potential programme participants and deliverers. Design: A qualitative descriptive study was conducted in Spring 2022 at three tertiary hospitals in Hunan, China. Methods: We conducted individual semi‐structured interviews with unit‐level nurse managers (n = 14), including 12 potential participants, and two potential deliverers that have been involved in developing the programme prototype. Interview questions and thematic analysis were guided by the Theoretical Framework of Acceptability. Results: After reviewing the programme content, potential participants and deliverers reported that unit nurse managers would benefit from engaging in the programme, acknowledging that the programme fit with professional nursing values for implementing research evidence. They expressed positive views about being involved in producing academic papers through the training process, and interactive multi‐modal training activities such as group work, experience‐sharing and coaching. Seven participants were not very confident about being fully engaged in the training, as they could not navigate the English research literature. Both participants and deliverers highlighted factors that would influence their participation, including time constraints, the impact of the COVID‐19 pandemic, and support from senior organizational leadership. Conclusions: The training programme prototype was perceived to be useful and acceptable. The multimodal training activities were considered a strength and managers expressed an interest in writing academic papers about their implementation processes. Support from senior hospital leaders and programme deliverers was identified as critical to the training programme's success. Impact: The study helps understand nurse managers' perceptions and concerns of participating in an implementation leadership training programme and could inform the development and refinement of similar programmes in various nursing contexts globally. [ABSTRACT FROM AUTHOR]

Qualitative research strategy has been widely adopted by educational researchers in order to improve the quality of their empirical studies. This paper aims to introduce a generic inductive approach, pragmatic and flexible in qualitative theoretical support, by describing its application in a study of non-English major undergraduates' English learning transition from school to university in China. Through an analysis of how this case study was conducted, the main features of the generic inductive approach are discussed in detail. Subsequently, some suggestions for its effective use are put forward so that this approach can help to provide meaningful interpretive power to make sense of the findings in educational research.

This article about collaborative research approaches between professors at Chinese universities and teachers in public schools examines theory-practice relationships and the cooperative interactions that need to be developed between those producing theory and those living practice. The work is based on a 24-year New Basic Education (NBE) collaborative research partnership that has produced knowledge about "two-way transformation" informing future actions. This paper focuses mainly on the theory-to-practice portion of the transformation. This research study's significance has to do with five partnership conditions: (1) theorists must change their assumptions about practice; (2) partners must have deep understandings of each other and reach mutually beneficial consensus; (3) partners must have sustained and frequent communications after reaching consensus; (4) comprehensive applications of various research methods and continuous reflection and reconstruction of methodologies are necessary, and (5) "transformation intermediaries" are also exceedingly important. Narratives of experiences illustrate how these five underlying conditions were achieved.

Purpose: The purpose of this paper is to review English-language publications about school principalship in China published between 1998 and 2013 and to present an overview of the authorship, topics, methodologies and key findings of these publications. Design/methodology/approach: The methodology includes an exhaustive review of journal articles and book chapters about Chinese school principalship published in the English language. In total, 39 articles and 17 book chapters are identified for the 1998-2013 period. Qualitative analysis is conducted to determine the basic patterns of authorship, topics, methods and key findings. The changes or continuities in these patterns during the study period are also discerned. Findings: The paper identifies several continuous and discontinuous patterns in each of the review categories and provides a better understanding of on-going research into the practice of school principalship in China. The results also suggest areas that require deeper exploration. Originality/value: This paper explores the landscape of school principalship in China as reflected in the international literature and indicates the ways that this landscape has changed or remained the same over the years. As such, the paper contributes to the thin knowledge base concerning school principalship in China and sheds light on the enduring local-global tension in the evolution of education systems.

This paper investigates quality assurance in Chinese higher education by looking at the Evaluation of the University Baccalaureate Programmes Project (EUBPP) conducted in China. It analyses factors that bring about tensions between policy and practice in this area through a study of two contrasting tertiary institutions. The results show that the aims of the EUBPP have been partly achieved through the interaction of policy-making and implementation. In the process, contextual factors connected to institutional status and stages of development have led to varying degrees of tension between policy and practices.

Traditional potato grading in China relies mostly on manual sorting, which is labor-intensive, time-consuming, costly, and inefficient. To enhance the operational performance of potato-grading devices, this paper focuses on optimizing the slide rail structure, which is the key component of a self-developed first-generation potato-grading device. A five-factor, three-level orthogonal experiment was designed, with the experimental factors being the height of the horizontal slide rail, angle of the first-stage inclined slide, angle of the second-stage inclined rail, chain horizontal movement speed, and conveyor belt speed. The indoor experiments were conducted using grading accuracy and grading efficiency as the experimental indicators. On the basis of the analysis of the orthogonal experiment results, two relatively optimal solutions were obtained, and validation experiments were conducted. The validation results show that when the height of the horizontal slide rail was 185 mm, the angle of the first-stage inclined rail was 4°, the angle of the second-stage inclined rail was 2.5°, the horizontal movement speed of the chain was 700 mm/s, and the movement speed of the conveyor belt was 275.60 mm/s, the performance of the movable rotating plate (MRP)-type grading device for potatoes reached its optimum. At this point, the grading accuracy was 94.88%, and the grading efficiency was 13.9477 t/h. Compared with the first-generation grading device, the optimized grading device achieved an improvement of 3.84% in grading accuracy and 12.94% in grading efficiency. The research methodology provided in this paper serves as a reference for the performance optimization of potato-grading devices. [ABSTRACT FROM AUTHOR]

Objectives: To conduct psychometric testing of the Chinese version of the National Health Service Sustainability Model as an instrument to assess the sustainability of innovation in the Chinese nursing setting. Background: Evidence‐based practice is recognized worldwide as a way to improve the quality of healthcare; however, many evidence‐based practice programmes decline over time and do not sustain the benefits of their improvements. A sustainability assessment tool is used internationally but its use has not been validated in China. Design: A methodological study to test instrument validity and reliability. Methods: The data collection was conducted from 15 June 2022 to 31 August 2022. The internal consistency of the Chinese version of the sustainability model was measured with Cronbach's alpha. Confirmatory factor analysis was used to test the model's structural validity. Results: Four hundred eighty‐three questionnaires were returned, of which 478 were valid. The short time taken to evaluate the Chinese version of the sustainability model demonstrated its efficiency and ability to adapt to a busy clinical environment. The confirmatory factor analysis showed a good fit model and supported the convergence validity of the sustainability model. The Cronbach's alpha coefficient was 0.905 for the total scale, which indicated good internal consistency. Conclusions: The results of this study suggest that the Chinese version of the sustainability model is a valid, reliable and efficient tool for measuring the sustainability of evidence‐based practices in Chinese nursing settings. Summary statement: What is already known about this topic? As evidence‐based care grows in China, there are increasing numbers of programmes for evidence‐based practice.Evidence‐based practice leaders in China are currently focused on the implementation of evidence, with little focus on the maintenance of evidence after implementation.There is a lack of tools to assess the sustainability of evidence‐based practice in China. What this paper adds? This study further validates and refines the National Health Service Sustainability Model (NHS SM) in China's busy, centralized and paternalistic nursing clinical settings.Bridges the gap in sustainability assessment tools in China by introducing an evidence‐based practice sustainability assessment tool and further validating and refining the model in busy, centralized and paternalistic nursing clinical settings. The implications of this paper: Provide support to nursing professionals when selecting tools to assess the sustainability of evidence‐based practice in order to promote programme maintenance, avoid wasted upfront resource investment and achieve long‐term programme benefits.Provide a reference for professionals in other countries to introduce sustainability assessment tools. [ABSTRACT FROM AUTHOR]

Aims: Dehydration is one of the common complications of dysphagia and poses significant risks including hospitalization and mortality, but the relationship between dysphagia and dehydration has received little attention. This study aims to determine the prevalence and risk factors for dehydration of patients with dysphagia in eastern China, and to provide reference for early identification and prevention of dehydration. Methods: A descriptive, cross‐sectional design was conducted. Three hundred and thirty‐seven (n = 337) patients with dysphagia participated in the study between August and December 2022. Information relating to participants' demographic variables, nutrition, cognition, functional, hydration status and fluid intake was collected. Univariate analysis was used to examine related impact factors, and then binary logistic regression analysis was conducted to determine reliable impact factors. Results: Among 337 patients with dysphagia, the average age was 63.47 ± 16.96, most participants were male (72.1%) and married (91.7%). The prevalence of dehydration was calculated to be 43.9%, the mean plasma osmolality score was 293.53 mmol/L. Diseases with the highest prevalence were stroke (78.3%), followed by hypertension (63.5%). The risk for dehydration increased with older age, usage of more medicines such as diuretics and beta‐blockers, worse functional status and lower fluid intake. Conclusion: This study found a high percentage of dehydration in patients with dysphagia. Findings can provide a basis for targeted nursing interventions for clinical prevention and treatment of dehydration. Summary statement: What is already known about this topic? Dehydration is one of the adverse consequences of dysphagia, and it causes physical stress to sufferers and enormous costs to the health care system.Previous studies have identified that personal factors (age, gender, health condition etc.), living environment, and social support may affect dehydration What this paper adds? Results showed high percentages of dehydration among patients with dysphagia; older age, greater use of medicines such as diuretics and beta‐blockers, worse functional status and lower fluid intake played a crucial role in hospital patients with dysphagia, leading to dehydration. The implications of this paper: This paper reveals prevalence and risk factors associated with dehydration of patients with dysphagia in hospital.Findings could provide reference data for development of nursing preventive interventions, to reduce the incidence of dehydration and improve the health level of patients. [ABSTRACT FROM AUTHOR]

Aims: To test the psychometric properties of the Chinese version of the Self‐Care in Chronic Obstructive Pulmonary Disease Inventory on a sample of patients with chronic obstructive pulmonary disease in China. Background: Measuring the self‐care of patients with chronic obstructive pulmonary disease is vital to promote the performance of effective self‐care behaviours. However, few instruments have been developed to measure self‐care in chronic obstructive pulmonary disease, and the existing instruments lack theoretical support and satisfactory psychometrics properties. The Self‐Care in Chronic Obstructive Pulmonary Disease Inventory based on Middle‐Range Theory of Self‐Care of Chronic Illness has been developed and tested previously in Italian and US population. Design: A cross‐sectional instrument development study. Methods: Construct validity was tested by confirmatory factor analysis and hypothesis testing, and reliability internal consistency using factor score determinacy coefficients. Results: A convenience sample of 185 patients with chronic obstructive pulmonary disease was recruited from September 2020 to January 2022. The instrument consists of three scales: self‐care maintenance, self‐care monitoring and self‐care management. Confirmatory factor analysis performed on the three scales produced good fit indices. The internal consistency was adequate with factor score determinacy coefficients ranging from 0.891 to 0.953 in Self‐Care Maintenance Scale, 0.990 to 0.993 in Self‐Care Monitoring Scale and 0.750 to 0.976 in Self‐Care Management Scale. Conclusions: The Chinese version of the Self‐Care in Chronic Obstructive Pulmonary Disease Inventory has acceptable reliability and validity. Some differences from the original instrument were identified. Further validation studies should be conducted to confirm the psychometric properties of the instrument in Chinese population. Summary statement: What is already known about this topic? The Middle‐Range Theory of Self‐care of Chronic Illness has been used to direct clinical nursing practice for coronary heart disease, heart failure, hypertension, chronic obstructive pulmonary disease and other chronic illnesses and has been shown to have good guiding significance for clinical nursing practice for the self‐care of clinical chronic illness.In patients with chronic obstructive pulmonary disease, self‐care has a significant positive effect on preserving disease stability and enhancing health‐related quality of life.There is a shortage of moderate length evaluation instruments for chronic obstructive pulmonary disease self‐care with comprehensive theoretical assessment content, but the Self‐Care in Chronic Obstructive Pulmonary Disease Inventory, based on the Middle‐Range Theory of Self‐care of Chronic Illness, has been demonstrated to have positive application effects in Italy and the United States. However, its applicability in China is unclear. What this paper adds? This paper indicates that the Chinese version of the Self‐Care in Chronic Obstructive Pulmonary Disease Inventory has good reliability and validity and can reflect the self‐care ability of patients with chronic obstructive pulmonary disease in China. The implications of this paper: The results show that the Chinese version of the Self‐Care in Chronic Obstructive Pulmonary Disease Inventory is simple and accessible, and nurses can use it to assess patients' capacity for self‐care regularly.The Chinese version of the Self‐Care Scale has different dimensions from the original scale, indicating that different medical backgrounds and varying understanding of concept of self‐care in various nations may result in various self‐care behaviours.To ensure its wider application, the development of this scale necessitates cross‐cultural adaptation of populations in more countries. [ABSTRACT FROM AUTHOR]

The purpose of this article is to explore the development of the knowledge base on middle leadership in schools. Since the seminal reviews conducted by Bennett a contemporary scan only of the scholarly literature on middle leaders/leadership in schools has not been undertaken. Consequently, this article looks at outputs relating to this topic by examining research papers indexed in the Web of Science and in SCOPUS between 2003 and 2017. The prime purpose of this review is to offer some reflections on the development of the empirical base on middle leadership in schools since 2003 and to highlight some of the implications for future research. The article concludes that middle leadership in schools remains an ongoing focus of research inquiry in a growing number of countries but suggests that the knowledge base would benefit from more sophisticated empirical studies and greater theoretical analysis.

This paper reports on a research project that aims at identifying knowledge sharing (KS) barriers between traditional and western medicine practitioners co-existing and complementing each other in Chinese healthcare organisations. The study focuses on the tacit aspects of patient knowledge, rather than the traditional technical information shared through patient records. The project adopted a grounded theory approach as the overarching methodology to guide the analysis of data collected in a single case-study research design. A public hospital in central China was selected as the case-study site, at which 49 professionals were interviewed by using semi-structured and evolving interview scripts. The research findings reveal four main categories of KS barriers, namely philosophical divergence, interprofessional tensions, lack of interprofessional common ground, and insufficient interprofessional education and training. The conclusion advocates the establishment of top-down policies for mutual understanding and the creation of an interprofessional common ground between the two types of healthcare professionals. It is proposed that these policies should have two strands. The first strand should be at the grass roots of Chinese Healthcare Higher Education and should actively introduce complementary teaching and practice in these programmes. The second strand should take place in the hospital environment, through interprofessional dialogue, seminars and teamwork, as well as professional training. This paper contributes to the fields of KS and interprofessional collaboration in healthcare heterogeneous groups. (Contains 2 tables and 1 figure.)

Educational researchers and practitioners have paid considerable attention to the use of multiuser virtual environments (MUVEs) in recent years in order to support learning across curricula. Among MUVEs, Second Life (SL) is one of the most popular environments, with over 18 million account-registered users as of May 2008. This paper reports a research collaboration between Georgia State University in the United States and Yantai University in China which explores various facets of EFL (English as a Foreign Language) learning within SL. The ultimate purpose of this research collaboration is to find appropriate ways to integrate SL into an EFL program in China. The paper reports the research collaboration background of the EFL Program in SL, including its implementation and evaluation, and suggestions for implementing similar programs for international collaboration. (Contains 2 tables.)

This study aims to present a multiattribute decision-making (MADM) and clustering method to explore the ranking, classifications and evolution mechanisms of the research fronts in the Web of Science Essential Science Indicators (ESI) database. First, bibliometrics are used to reveal the characteristics of the 57 ESI research fronts with more than 40 ESI highly cited papers (ESI-HCPs) for each research front. Second, the eight representative indicators are discovered to get answers to the following two questions: (i) Who publishes the ESI-HCPs that form a research front? and (ii) Where citations to these ESI-HCPs come from on a research front? Next, we investigate the ranking and clusters among the 57 ESI research fronts using the MADM and k -means clustering method and uncover the evolution process of the research fronts in different clusters based on the representative indicators. We also compare the performances of different countries in these research fronts and find that the USA and China are the leading countries in most research fronts. However, the two countries behave differently with regard to the rankings, the classifications and the evolution. [ABSTRACT FROM AUTHOR]

"Social Research Methods," as a methodology course, combines theories and practices closely. Based on the synergy theory, this paper tries to establish an integrated multi-level bilingual teaching mode. Starting from the transformation of teaching concepts, we should integrate interactions, experiences, and researches together and focus on cultivating innovative and practical international talents.

Knowledge about different health-related attitudes, beliefs, and risks is of significant interest to scholars in different Social Science disciplines. Usually knowledge is collected in a form of multiple variables and then constructed as a composite indicator. The question any researcher working with knowledge-related variables faces is: what is the best way to measure and summarise different dimensions of health-related knowledge? The main goal of this paper is to evaluate and compare simple score and latent class approaches to measuring and summarising health-related knowledge using population data on HIV knowledge collected in five selected countries (China, India, Kenya, Malawi, and Ukraine). The advantages and shortcomings of both approaches (simple score and latent class approaches) to measuring and summarising health-related knowledge are evaluated and discussed.

Teaching and learning in higher education can integrate and accomplish student developmental goals in addition to promoting student learning of subject matter knowledge and transferrable skills. Drawn from the theoretical concept of self-authorship, the Learning Partnerships Model was implemented in teaching a graduate-level course on social research methodology. This paper describes the conceptualization and implementation of the developmentally attuned course, and reports a qualitative study that examined student development as its result. Qualitative data were collected from five cohorts of course participants, in the forms of reflective essays, student interviews, and the instructor's teaching journal. Seven themes were identified that reflected student development throughout the course. The seven themes fall into three dimensions of epistemological, intrapersonal, and interpersonal development that are interconnected, and the epistemological dimension stands out as a strong partner among the three. These findings may help university faculty understand and integrate student development into their teaching practices.

This study is an investigation into Chinese EFL teachers' knowledge and understanding of teaching English as a foreign language within the context of a time of tremendous social change in China. In a medium-sized city, biographical narrative interviews and observation were used to three Chinese secondary EFL teachers, of three successive generations. An in-depth narrative analysis interpreting their metaphors, and constructing their life stories is employed to understand the biographical narrative data. It indicates how individual teacher's knowledge is both constrained and enabled by themselves and by the wider society they live in, and how change and continuity are intertwined in the teaching and learning practices of the three generations. This paper also addresses certain key issues in biographical narrative studies, namely subjectivity, representation, and cultural bearings, and teachers' knowledge, all of which constitute a form of pedagogy in educational research.

Objective: The study aimed to explore the influence of Chinese culture and customs on the beliefs and health‐related behaviours of Chinese women with gestational diabetes mellitus (GDM). Methods: This descriptive qualitative study conducted semi‐structured interviews with 15 Chinese women between November 2022 and January 2023. The interview data were analysed using thematic analysis. Results: Three major themes are found: (1) beliefs in health, (2) beliefs in illness and GDM and (3) beliefs in health‐related behaviours. They worried about the negative effects of GDM on the infant and family, so they actively sought medical advice to maintain health. However, it is challenging for them to balance adhering to healthcare professionals' advice and avoiding practical difficulties in the impact of the Chinese sociocultural context. Conclusion: This study emphasizes the influence of Chinese culture and customs on the beliefs and health‐related behaviours of women with GDM. Healthcare providers should recognize the influence of Chinese culture, customs and beliefs on women with GDM and their families, in order to provide individualized education to help them maintain health‐related behaviours. Summary statement: What is already known about this topic? The prevalence of gestational diabetes mellitus (GDM) is increasing in China and affects 14.8% of pregnant women.Some personal beliefs about illness and health can lead to inadequate self‐care behaviours and thus failure to achieve optimal self‐management and health goals.Factors of Chinese sociocultural content and Chinese traditional culture and customs may have different influences on Chinese married women's beliefs in health, illness and health‐related behaviours. What this paper adds? Influenced by Chinese culture and customs, Chinese women's perspectives on gestational diabetes are bidirectional. They fear the negative effects of the disease on infants' and families' health and actively seek help, while some try to balance following professional advice and practical difficulties, such as diet control and self‐glucose monitoring.The low‐risk self‐management awareness, lack of adequate healthcare knowledge, and self‐care practice in Chinese women with GDM are one of the factors that lead to practical difficulties in GDM management.Understanding the impact of traditional Chinese culture and customs on the beliefs and health‐related behaviours of women with GDM, well‐trained healthcare professionals can disseminate personalized health education to individuals, families and communities to improve GDM management in these women. The implications of this paper: Health providers need to constantly update the GDM guidelines with Chinese cultural characteristics based on the cultural acceptance and customs of Chinese women with GDM in order to offer them individualized care and scientific advice.The findings of this study could act as a clinical resource for health professionals to investigate the impact of differences in culture and customs across countries or regions on individual beliefs and health‐related behaviours in different populations. [ABSTRACT FROM AUTHOR]

Aims: Glioma patients are at high risk for postoperative delirium (POD), yet studies focusing on this population in general neurosurgical ward settings are limited. This paper investigates the incidence of POD and related risk factors in glioma patients hospitalized in general wards. Design: Prospective observational study. Methods: This prospective study included 133 adult glioma patients hospitalized in the general neurosurgery ward. In addition to collecting routine perioperative general clinical data, patients' psychological status was assessed preoperatively using the Hospital Anxiety and Depression Scale (HADS). POD was assessed within 3 days postoperatively using the Confusion of Consciousness Assessment method, twice daily. The incidence of POD was calculated, and risk factors were identified using logistic regression analysis. Results: The incidence of POD in glioma patients admitted to the general ward was 31.6% (40/133). Multivariate regression revealed advanced age (age > 50 years), frontal lobe tumour, presence of preoperative anxiety or depression, retention of a luminal drain, postoperative pain, indwelling catheter these six factors were independent risk factors for the development of delirium in patients after surgery. Conclusion: In general ward settings, supratentorial glioma patients exhibit a high risk of POD. Critical risk factors include preoperative psychological conditions, as well as postoperative pain, drainage and catheterization. Rigorous preoperative evaluations, effective pain management strategies and the integration of humanistic care principles are essential in mitigating the risk of POD for glioma patients. Relevance to Clinical Practice: In general ward settings, this study reveals the high occurrence of POD in glioma patients and identifies preoperative psychological states, age, tumour location and several postoperative factors as significant risk factors for POD, which provides a framework for targeted interventions. By integrating these insights into clinical practice, healthcare teams can better identify glioma patients at risk for POD and implement preventive measures, thereby enhancing recovery and overall care quality for glioma patients in general neurosurgical wards. Reporting Method: This study adheres to the STROBE guidelines, ensuring a transparent and comprehensive reporting of the observational research methodology and results. Patient or Public Contribution: Patients involvement was limited to the provision of data through their participation in the study's assessments and the collection of clinical information. The study did not involve a direct patient or public contribution in the design, conduct, analysis, or interpretation of the data, nor in the preparation of the manuscript. [ABSTRACT FROM AUTHOR]

In China, several expressways have been designed as prefabricated box culverts with hinge connections, which have different structural features from the prefabricated culverts in other countries. The difference would contribute to the culvert–soil interaction of prefabricated box culverts, which could affect the earth pressure on the culvert. Based on the field test and numerical simulation method, a hinged prefabricated box culvert (HPBC) with a span of 4 m and a rise of 4 m was investigated, which was applied to the Xi-Yu expressway in China. The objective of this research was to investigate the vertical earth pressure on the top slab of the HPBC culvert at different backfill heights through the field tests. The FLAC3D software was employed to conduct further analysis of the effects of backfill height, backfill modulus, and foundation modulus on the vertical earth pressure on the top slab of HPBC. The differences between the HPBC and monolithic box culvert (MBC) were also examined. Furthermore, a revised method for calculating the vertical earth pressure on the top slab was put proposed and compared with the AASHTO method for calculating earth pressure on the top of culverts and the values taken from the Chinese culvert design code. The proposed method is capable of improving the accuracy of the earth pressure approach, making it more representative of actual conditions. Subsequently, the sensitivity analysis of backfill height, backfill modulus and foundation modulus to the vertical earth pressure concentration coefficient of the top slab was carried out by using the principle of orthogonal array analysis and the modified calculation method proposed in this paper. The findings of this study offer valuable insights into the determination of culvert top earth pressure of HPBC. [ABSTRACT FROM AUTHOR]

Background: Painting is the foundational expression across all art forms and is one of the key creative practices for fostering students' aesthetic ability and creativity within fine arts courses. Collaborative painting in the form of socially shared regulation of learning (SSRL) can be recognized as an effective strategy for enhancing creativity in both individual and group work. However, the absence of contextual experiences and collaborative spaces poses challenges for students in cultivating their creativity in painting. Objectives: The present study explores students' creativity, socially shared regulation (SSR) and positive painting behaviours using an SSRL‐based collaborative painting approach in the metaverse (Meta‐CP). Methods: Via a quasi‐experimental design, a total of 40 Chinese students in fifth grade were recruited and were randomly divided into an experimental group and a control group, with 20 students utilizing the Meta‐CP approach, while the remaining 20 students followed the conventional SSRL‐based paper‐and‐brush collaborative painting (C‐CP) approach. The Meta‐CP approach not only offers an authentic painting context and a collaborative space but also facilitates the collaborative process through the SSRL framework. The data collection included students' creative tendency, painting works and painting process. Results and Conclusions: The Meta‐CP approach effectively enhances students' creativity concerning adventure, curiosity and imagination, as well as results in the creation of more distinctive and logical artistic works. Furthermore, the approach significantly improved the quality of students' SSR. Additionally, students utilizing the Meta‐CP approach displayed more positive painting behaviours compared with those employing the C‐CP approach. Lay Description: What is already known about this topic:Collaborative painting is an effective strategy for enhancing creativity.Socially shared regulation of learning (SSRL) fosters collaborative learning.Students in collaborative painting may lack a contextual and synchronized painting space.The metaverse benefits in terms of contextual experiences and collaborative spaces. What this paper adds:Using an SSRL‐based collaborative painting approach in the metaverse (Meta‐CP) is effective in improving students' creativity.The Meta‐CP approach has the potential to improve students' quality of socially shared regulation (SSR), and positive painting behaviours. Implications for practice and/or policy:The metaverse provides an immersive synchronized painting space for art education to stimulate students' creative potential.The metaverse with proper learning strategies (e.g., SSRL) provides an effective collaborative learning environment for creation. [ABSTRACT FROM AUTHOR]

Background: Continuing care is needed for the growing number of chronically ill patients who struggle with health problems after discharge. This study aims to elucidate the development process, functionalities, service protocols, and utilization of an Internet Plus Care (IPC) platform devised by our hospital to offer healthcare services to discharged patients. Methods: This was a mixed study. After describing the development process, function and usage of IPC platform, we retrospectively collect data such as the general information of service recipients and service providers, service items, and service prices through the IPC platform from January 2021 to September 2023 to characterize these services. Results: 69 nurses delivered a total of 788 services to 211 patients through the IPC platform. The majority of services (N = 652, 82.7%) were delivered offline, with almost half of the recipients (N = 384, 48.7%) being elderly individuals. 46.4% of nurses provided services ≥ 3 times. Furthermore, 26.5% of patients received services three or more times. Notably, patients' care requirements exhibited variations across age groups, with wound care (n = 243, 63.3%), pressure injuries care (n = 50, 13.0%), and replacement of indwelling nasogastric tubes (n = 20, 5.2%) emerging as the top three services favored by the elderly. Conclusions: The IPC platform demonstrates potential in delivering diverse health services to patients; however, the involvement of nurses and patients needs to be enhanced. It is necessary to implement relevant safeguard policies to promote the effective use of IPC platform for health management of discharged patients in the future. What does this paper contribute to the wider global clinical community?: The prevalence of chronic diseases is on the rise, and patients with chronic diseases continue to struggle with health problems after discharge and require extended treatment and rehabilitation. Our study proves that IPC platform presents a promising avenue for addressing these challenges. It is anticipated that governmental authorities will undertake comprehensive policy, legislative, and medical insurance reforms to facilitate the extensive adoption of IPC platform-based services. [ABSTRACT FROM AUTHOR]

This paper uses examples from research conducted in preschools in Japan, China, and the United States to illustrate the features and virtues of return interviews with informants with whom ethnographers have long research engagements. Return interviews and long research engagements are powerful research strategies that help the ethnographers ask more insightful questions and make more sense of informants' replies, informants better understand the researchers and their agenda, and the research to achieve a more diachronic perspective.

Documenting sociolinguistic variation in lesser-studied languages presents methodological challenges, but also offers important research opportunities. In this paper we examine three key methodological challenges commonly faced by researchers who are outsiders to the community. We then present practical solutions for successful variationist research on indigenous languages and meaningful partnerships with local communities. In particular, we draw insights from our research with Australian languages and indigenous languages of rural China. We also highlight reasons why such lesser-studied languages are crucial to the further advancement of sociolinguistic theory, arguing that the value of the research justifies the effort needed to overcome the methodological difficulty. We find that the challenges of sociolinguistics in these communities sometimes make standard variationist methods untenable, but the methodological solutions we propose can lead to valuable results and community relationships.

Drawing data from a study on LGBT parent families that combined in-depth interviews with members of 19 families and a national online survey of 595 families, this paper focuses on the role of grandparents in providing childcare within these families. Similar to their heterosexual counterparts, grandparents are heavily involved in childcare in these lesbian and gay parent families. The participation of the families of origin in childcare not only greatly alleviates the family pressure experienced by our participants due to their alternative sexuality, but also contributes to the normalization of these queer families in the face of public scrutiny. Despite the alternative construction of kinship in queer families, the conventional notion of blood ties still influences grandparents' involvement in childcare. We contend that grandparenting in LGBT parent families exemplifies the complex yet innovative improvisation of intergenerationality in contemporary China, reflecting the ongoing negotiation between family responsibility and individual autonomy. [ABSTRACT FROM AUTHOR]

This study investigates the representations and understandings of electric fields expressed by Chinese high school students 15 to 16 years old who have not received high school level physics instruction. The physics education research literature has reported students' conceptions of electric fields post-instruction as indicated by students' performance on textbook-style questions. It has, however, inadequately captured student ideas expressed in other situations yet informative to educational research. In this study, we explore students' ideas of electric fields pre-instruction as shown by students' representations produced in open-ended activities. 92 participant students completed a worksheet that involved drawing comic strips about electric charges as characters of a cartoon series. Three students who had spontaneously produced arrow diagrams were interviewed individually after class. We identified nine ideas related to electric fields that these three students spontaneously leveraged in the comic strip activity. In this paper, we describe in detail each idea and its situated context. As most research in the literature has understood students as having relatively fixed conceptions and mostly identified divergences in those conceptions from canonical targets, this study shows students' reasoning to be more variable in particular moments, and that variability includes common sense resources that can be productive for learning about electric fields.

The development of efficient and reliable online assessments has become increasingly important in the digital era. We developed a 10-min online word reading assessment of global English based on the existing paper-and-pencil version of our English silent word reading test. The test includes two parts, namely, random word recognition and contextual word reading. A total of 889 participants (437 children and 392 adults; 62.7% female) took part in the study. They were from various regions including mainland China, Hong Kong SAR, Macau SAR, Poland, the United States, and the Philippines. Reliability and validity analyses on various demographics samples (by age and country/region of origin) demonstrated that the WordSword Test is highly reliable and valid (e.g., the correlation of this test with other English reading measures were above.80). Education level was positively correlated with test performance, while the correlations between age and test performance were not consistent. Ninety-seven children participants also took the paper-and-pencil version of the WordSword Test. The correlation between performances on the online and paper-and-pencil versions of the test was.879, one year apart. With more children and adults taking the WordSword Test, we ultimately hope to establish norms by area, grade level, and age. [ABSTRACT FROM AUTHOR]

In China, the promotion of sexuality education for children and adolescents is hindered by a relatively conservative culture and insufficient drive from the government. With the government and the market failing to deliver in this area, social organizations, such as the third sector, are playing an important role. This paper mainly discusses how Chinese social organizations promote sexuality education for children and adolescents on a large scale. This paper studied NW, the largest sexuality education support platform in China at present, and 16 frontline implementing organizations in its cooperation network. This research collects empirical data through participatory observation and semi-structured interviews, involving a total of 37 interviewees, plus relevant text data. The study follows the analytical method of process tracking, trying to extract the key mechanisms of how social organizations promote sexuality education from the processes demonstrated by the specific cases. This paper focuses on the key phases of a standardized sexuality education program, from its design to promotion and then to implementation. It is found that, based on the large-scale operation strategy, the operation process of the sexuality education program exhibited three core mechanisms: standardized program design, organizational cooperation network and administrative mobilization. These three mechanisms have become the key force to break through many of the cultural and institutional obstacles and achieve large-scale implementation of sexuality education. Finally, this paper discusses the challenges of operationalizing the sexuality education program, with compromised teaching quality as a major one, and points to the direction for future research. [ABSTRACT FROM AUTHOR]

China is one of the countries with the highest public-private partnership (PPP) experience. Although numerous studies on PPP in China have been published in different international journals in the past decades, few relevant reviews have been found. In this research, a bibliometric analysis of 139 peer-reviewed articles on PPP in China is performed to reveal the research evolution and trend. Besides, a meta-analysis of 111 empirical articles among the total 139 articles is conducted using multinomial logistic regression to examine how data characteristics and analytical features have been utilized in this area. The major findings suggest that, first, many studies are published in the subject areas of Business, Management and Accounting, and Engineering, and most topics are discussed from the micro-level perspective. Second, the issues in the procurement phase lack enough attention. Third, for studies with different research themes, how data characteristics and analytical features have been utilized significantly differ. In general, how PPP studies are approached in China contrasts with the global PPP research. Future research directions are proposed. The research contributes to the global PPP body of knowledge and methodology by providing the first quantitative review of studies on PPP in China and by combining the research methods. [ABSTRACT FROM AUTHOR]

The heart and soul of the Chinese people and the greatest cultural soft power of contemporary China are excellent Chinese healthy cultural environments. Short video platforms and short videos have a chance to develop as the Internet revolution continues to intensify and mobile clients gain popularity. This essay examines the challenges involved in producing brief videos that promote a healthy cultural environment in the new context of internet plus, as well as the means of transmitting such videos and creative methods for doing so. Excellent communication content is created in this paper from two perspectives of visual presentation and in-depth meaning, allowing users to fully understand the connotation of a healthy cultural environment. Through the theme of a healthy cultural environment, topic discussion and characteristic activities will be carried out to encourage users' spontaneous sharing of the interactive behavior of communication and the fission communication of brief videos of a healthy environment. This paper develops a model for intelligent recommendation and short video content analysis based on this. In order to further encourage the creative dissemination and development of short videos about healthy cultural environments, the model is used to choose high-quality videos and accurately recommend them to the appropriate users and to serve as an example of how a quick video can be used to communicate innovation and a healthy cultural environment. [ABSTRACT FROM AUTHOR]

Key "generic" assessment task words such as "discuss" and "critically evaluate" are integral to higher education assessment. Although sources such as study skills guides give generic decontextualised glossaries of these words, much research rightly argues for greater dialogue between students (particularly "non-traditional" students) and lecturers to help students understand and use such words. This paper presents the results from "staged" focus groups with lecturers and students from the UK and China that created a forum for such dialogue, where many of these words and their interpretations were talked about. Results show very different interpretations, informed by factors such as "language", "culture" and "subject". We propose these factors be used in an "'anti'-glossary" approach, which we describe here. This approach is not against glossaries "per se," but counteracts the assumption that glossary definitions are explicit, and adopts a social constructivist contextualisation of the task words through teacher-led dialogue.

A rejuvenating composite seal (RCS) consists of a chip seal and a micro-surfacing (MS). There are two reasons for RCS's poor application effect in China and less frequent application than that of MS: first, the material amount of a composite seal is determined largely based upon experience and lacks a theoretical basis; and second, the composite seal cannot achieve the expected service life. The objective of this study is to determine an appropriate technique to prepare RCS in the laboratory and verify its long-term water stability. Based on an improved sweep test, a method to determine the rate at which to apply the rejuvenating emulsified asphalt used in a chip seal was established. Through the wet track abrasion test and the loaded wheel test, the proper proportion of materials in the MS mix was determined. The material dosage and technique to prepare the RCS was determined by the matrix analysis method based on a multitarget orthogonal test, and its long-term water stability was determined by immersion and freeze-thawing. The results showed that the material dosage of the chip seal was quantitatively determined by an improved sweeping test, the preparation process and material dosage of the composite seal were quantitatively determined by matrix analysis, and the resulting composite seal had reasonable structure and good comprehensive performance. The findings of this paper can provide theoretical guidance for the promotion and application of composite seals in China. [ABSTRACT FROM AUTHOR]