Background: Unfolding case studies are an active learning strategy that help students integrate knowledge with practical experience, enhancing clinical judgment and easing their transition into professional practice.
Problem: Chronic pain, a complex health issue, is often inadequately addressed in nursing curricula, leaving prelicensure nursing students unprepared to manage pain effectively in clinical practice, contributing to the academic-practice gap.
Approach: Using an evidence matrix, faculty interviews, and syllabi analysis across 4 programs, gaps in chronic pain concepts were identified. A 4-term unfolding case study was developed to address these gaps, aligned with the American Association of College of Nursing Essentials and following a patient from acute to chronic pain transition.
Conclusions: By incorporating evidence-based, active learning strategies like an unfolding case study for a complex concept such as chronic pain management scaffolded across a curriculum, nurse educators can better prepare future nurses for practice.
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http://dx.doi.org/10.1097/NNE.0000000000001805 | DOI Listing |
Med Teach
March 2025
Centre for Healthcare Simulation, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
There is a growing recognition of the importance of familial involvement in patient care. In Asian societies, communications with patients' families for routine medical updates and shared decision-making are considered part-and-parcel of clinical practice. Yet, training in familial communications has remained, by and far, a neglected aspect of conventional communications skills training in the medical curriculum, despite distinctive nuances in the communications approach.
View Article and Find Full Text PDFCult Med Psychiatry
March 2025
Independent Author, Edmonton, Canada.
Diagnostic labels aim to classify individuals for treatment in clinical settings. Yet, relatively little attention has been paid to the troubling messaging when a diagnostic label itself carries severe stigma and how relevant stakeholders react to it. Based on twenty-month fieldwork in Shanghai, this article analyzes the adverse effects of the diagnostic label chidai that is used to describe dementia and the relevant stakeholders' responses to the labeling threat.
View Article and Find Full Text PDFPsychother Res
March 2025
Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Objective: Patients with epistemic mistrust struggle to view others as trustworthy sources of knowledge and often default to negative appraisals in social communication. The three communication systems theory posits that resolving epistemic mistrust involves three systems: the epistemic match, improving mentalizing, and the re-emergence of social learning outside therapy. This study aimed to empirically examine the theory to understand how epistemic trust develops in psychotherapy.
View Article and Find Full Text PDFFood Res Int
February 2025
Hangzhou Dakang Pickled Food, Co., Ltd. Hangzhou, 310020, PR China.
The interfacial complexation between goose liver protein (GLP) and oily dispersed curcumin in impacting the protein interfacial dynamics and high internal phase emulsions (HIPEs) stabilization was validated. Results from surface hydrophobicity, size, atomic force microscopy, and fluorescence quenching showed that pre-ultrasonication (100 W, 300 W and 500 W) conduced to pronounced heterogeneous hydrophobic interaction that elevated GLP adsorption and association at the interface. The synergistic curcumin complexation with medium ultrasonication (300 W) maximized GLP interfacial deposition and elasticity (11.
View Article and Find Full Text PDFPolymers (Basel)
February 2025
Department of Colloid Chemistry, St. Petersburg State University, Universitetsky pr. 26, 198504 St. Petersburg, Russia.
Silk fibroin (SF)-based materials attract significant interest because of their biocompability and great diversity of possible morphologies. One of the approaches to obtain SF materials is the use of an air-water or oil-water interface as a template for protein self-assembly. Surfactants can change the surface properties of adsorbed SF layers by promoting or preventing the formation of SF fiber networks.
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