Nurse Life-and-Death Education From the Perspective of Chinese Traditional Culture.

This quasi-experimental study investigated the impact of traditional Chinese culture-based life-and-death education on 38 ICU nurses. Participants underwent 14 hours of training, and data were collected before and after the intervention using various questionnaires. Frequency and percentage were used for categorical data; mean and standard deviation for measurement data; and paired-sample t test for comparison of teaching effects before and after the intervention of life-and-death education programs. Results indicated significant improvements in understanding of death, reduced death anxiety, enhanced death coping abilities, and increased search for meaning (p < .05). However, there was no statistically significant change in attitude toward death (p > .05). Life-and-death education rooted in traditional Chinese culture positively influenced ICU nurses, fostering improved death cognition, reduced death anxiety, enhanced coping skills, and a heightened sense of meaning in life. Subsequent research will explore the relationship and distinctions between explicit and implicit death attitudes.

Integration of Shangshan culture into the STEAM curriculum and teaching: results of an interview-based study.

Introduction: Interdisciplinary science, technology, engineering, arts, and mathematics (STEAM) courses are a popular trend in international education than can help inculcate creativity in students. Although STEAM courses have been widely promoted in China, they are generally unsustainable because they are merely imitations of European and American courses and lack Chinese humanistic factors; a close integration between disciplinary ideas and thinking levels is also lacking. C-STEAM, which is designed to pass down China's culture, is a form of STEAM education with local Chinese characteristics that are focused on integrating interdisciplinary knowledge with the thought process oriented toward cultural heritage. Methods: In this study, an innovative higher vocational college course with C-STEAM interdisciplinary principles was constructed, with art and design as the framework, and with the integration of Chinese local culture. Semi-structured interviews were conducted to sample 12 learners from a total of 90 students in the experimental class of the C-STEAM course. The study aimed to provide a deeper understanding of the effectiveness of taking a Packaging Design course combined with C-STEAM from multiple perspectives. After the interviews, based on the BAO model, coding statistics and thematic analysis were conducted to understand the learners' beliefs, actions, and outcomes after taking the course, and their plans for acquiring C-STEAM interdisciplinary knowledge and learning Chinese local culture. Results: The integration of the Shangshan culture () into the Packaging Design course proved the importance and significance of adding C-STEAM to the art design course, which helped us understand the specific feelings of students after completing the course and gain a deeper understanding of the changes in their knowledge and skills and their learning effects. Discussion: Integrating C-STEAM education into courses related to art and design is highly warranted to encourage students to apply their interdisciplinary knowledge to artistic exploration and creation. Moreover, to effectively develop a curriculum system with local characteristics, teachers should provide more opportunities for students to explore and learn C-STEAM in the future, and integrate multiple elements into their teaching. In general, a cultural perspective-based interdisciplinary education helps facilitate the creative transformation of traditional Chinese culture.

Research on the Integration of Fine Traditional Chinese Culture into Humanistic Education of Medical Students / 中国医学伦理学

Humanistic education for medical students is an important part of medical professionals training in the new era. Improving medical students’ humanistic quality is of great significance for building a harmonious doctor-patient relationship. The fine traditional Chinese culture is broad and profound, has a long history, and contains rich philosophical thinking, values and moral sentiments. It is the wisdom crystallization of Chinese civilization and an important resource for humanistic education of medical students. To promote the humanistic education of medical students, medical colleges and universities should deeply explore the connotation of fine traditional Chinese culture, give play to the educational value of fine traditional Chinese culture in the humanistic education of medical students, enhance the professional feelings of medical students, cultivate the empathy ability of medical students, and improve the moral cultivation of medical students. At the same time, it is necessary to break through the difficulties of integrating fine traditional Chinese culture into the humanistic education of medical students. Through enriching the educational content, expanding the educational platform, optimizing the integration mechanism, and creating an environmental atmosphere to constantly improve the effectiveness of humanistic education of medical students, cultivate medical professionals with ideals, courage to bear responsibility, ability to endure hardships and willingness to struggle in the new era, and serve the construction of a healthy China.

The Value and Path of Fine Traditional Chinese Culture in Cultivating New Era Medical Ethics and Style / 中国医学伦理学

Cultivating new era medical ethics and style with the fine traditional Chinese culture (TCC) is foundation of the construction of medical ethics and style in the new era, which can fundamentally rectify the alienation of medical ethics and style in modern medicine. It can cultivate the new era medical staff’s benevolence of "putting the people and the people’s lives as the first place", the dedication spirit of "value justice over profit", the humanistic feelings of "putting oneself in other’s shoes", the medical innovation of "facing people’s health", the world responsibility of building a community of human health. Cultivating medical ethics and style in the new era with fine TCC means achieving creative transformation and innovative development of fine TCC, fundamentally nourishing and nurturing medical ethics and style in the whole process. It is important to firm cultural confidence, continue to make great efforts to inherit and promote the fine TCC, especially the traditional Chinese medicine culture; strengthen cultural education, build an "antique" education system of medical ethics and style, and focus on integration and innovation to improve the effectiveness of medical ethics and medical style cultivation in the new era.

General education of foreign students in colleges and universities of traditional Chinese medicine: a case study of Shanghai University of TCM / 中华医学教育探索杂志

The number of foreign students studying Chinese medicine in China has always been the first in the rank of natural sciences foreign students studying in China. They are mostly from developing countries, keen on Chinese traditional culture, and prefer practical specialties such as acupuncture. The general education of overseas students majoring in traditional Chinese medicine can help them learn professional knowledge and integrate into Chinese society more rapidly, which promotes the global spread of Chinese culture. In the nearly 20 years of general education for foreign students, Shanghai University of Traditional Chinese Medicine has made clear the teaching ideas and guidelines, strengthened the construction of teachers, attached importance to the feedback of students, adjusted the curriculum with the times, encouraged the experience complementary among brother colleges, and further promoted international exchanges. Especially, the courses such as the History of Chinese Medicine, have achieved good teaching results. To actively carry out general education for foreign students in Chinese medicine colleges and Confucius Institutes of Traditional Chinese Medicine around the world is not only conducive to the cultivation of talents of traditional Chinese medicine in the world, but also an effective way to inherit and develop traditional Chinese medicine.

Effects of filial piety belief on cyberbullying perpetration of Chinese university students.

Cyberbullying has become a worldwide phenomenon. Although the topic has drawn decent academic attention and many studies have been conducted on Chinese samples, variable interests in these studies have not captured the thinking and behavioral characteristics of Chinese people. Based on the dual filial piety model and self-determination theory, this study examined the effect of filial piety belief on cyberbullying perpetration and tested the mediation of relatedness need satisfaction. A total of 856 university students completed the questionnaires, including dual filial piety scale, relatedness need satisfaction scale and cyberbullying perpetration scale. The regression results found that reciprocal filial piety negatively predicted and authoritarian filial piety positively predicted cyberbullying perpetration. The SEM results showed that reciprocal filial piety and authoritarian filial piety impacted cyberbullying perpetration through the mediating effect of relatedness need satisfaction. Reciprocal filial piety was positively while authoritarian filial piety negatively correlated with relatedness need satisfaction and relatedness need satisfaction was negatively correlated with cyberbullying perpetration. The results provide a new position to understand the effect of family factors on cyberbullying perpetration by placing the topic within traditional Chinese family value.

The effects of art design courses in higher vocational colleges based on C-STEAM.

C-STEAM education is aimed at preserving local culture, while also improving students' interests and skills in science, technology, engineering, art, and mathematics-related fields. Other goals are to cultivate students to solve complex and practical problems through interdisciplinary thinking or integrate learning subjects with local senses in the context. In the present curriculum implemented in China, STEAM education mainly focuses on K-12 education and kindergarten education, and it is not widely implemented in colleges and universities, and most of the existing courses are carried out in general technical courses such as robotics and 3D printing, and less in design courses, since the concept of STEAM education has just begun to be advocated recently. Nevertheless, STEAM courses are still limited to special educational systems and disciplines, even though these courses have been vigorously promoted in China. Thus, this study designed an innovative higher vocational college curriculum based on the interdisciplinary principle of C-STEAM, using art design as a meta-theme framework and integrating Chinese local culture. A single-subject quasi-experimental design method was used. A total of 45 students majoring in art design in a higher vocational college were invited to participate in this study. The teaching experiment lasted for 9 weeks. Through teachers' teaching and, demonstration and students' independent learning of C-STEAM knowledge in the field of art and design, the concept of C-STEAM was introduced to the creation of packaging design. At the same time, a model composed of six hypotheses was constructed, using the creative self-efficacy scale, learning engagement scale, and creative performance assessment as measurement methods, to discuss students' participation in the art and design courses of higher vocational colleges based on the concept of C-STEAM integration of creative self-efficacy, learning engagement, and creative performance over time. The results showed that students with higher creative self-efficacy had higher learning engagement (cognitive, affective, and behavioral), and students with higher learning engagement performed better in terms of creative performance. The results of this study can help researchers and educators to focus on C-STEAM courses and provide suggestions for the cultivation of art and design professionals in higher vocational colleges.

Understanding Zhongyong Using a Zhongyong Approach: Re-examining the Non-linear Relationship Between Creativity and the Confucian Doctrine of the Mean.

Zhongyong, a central theme of Confucian thought, refers to the "doctrine of the mean," or the idea that moderation in all things is the optimal path. Despite considerable interest in the relationship between zhongyong and creativity, especially in China, studies of this relationship have not yielded consistent results. Based on a review of the literature, we hypothesized that this inconsistency arises from the dual nature of zhongyong itself, which has both a positive side, promoting creativity, and a negative side, inhibiting creativity. We also hypothesized that the negative side of zhongyong takes the form of excessive zhongyong. Indeed, the observations that every coin has two sides and that too much of a good thing is as bad as too little are core principles of zhongyong in traditional Chinese culture. To test these hypotheses, we conducted two empirical studies (measuring explicit and implicit zhongyong personality, respectively) to examine the relationships between positive and negative zhongyong and creativity (measured in terms of creative personality, divergent thinking, and convergent thinking). The results of both studies revealed an interaction between positive zhongyong and negative zhongyong, indicating that only a moderate level of zhongyong is conducive to creativity; both deficiency and excess are harmful. We discuss the implications of these results, suggesting that a zhongyong approach can help to clarify non-linear relationships between things, and recommending to re-assess the creativity of Chinese culture from a neutral and objective outlook. This paper deepens understanding of zhongyong and offers clear insights into creativity from an in-depth cultural perspective.

Dignity at the end of life in traditional Chinese culture: Perspectives of advanced cancer patients and family members.

PURPOSE: This study aimed to explore the meaning of patient dignity at the end of life in traditional Chinese culture from perspectives of advanced cancer patients and their family members. METHOD: A descriptive qualitative study was conducted with 15 advanced cancer patients and 10 family members in a tertiary hospital in Beijing, China between March and July 2019. Data were collected through face-to-face semi-structured interviews and were analyzed using thematic analysis. RESULTS: Dignity at the end of life in traditional Chinese culture were classified into four categories: (1) cultural-specific dignity, including themes of stigma-free, moral traits and "face"; (2) self-related dignity, including themes of staying healthy and alive, living a normal life as a normal person, spiritual peace, personal value and privacy; (3) family-related dignity, including themes of concerns to the family, not being a burden to the family, and family support; and (4) care- and treatment-related dignity, including themes of being respected, high quality service and disclosure of information and consent-based decision making. CONCLUSIONS: Patient dignity at the end of life in traditional Chinese culture was relevant to the culture, the individuals, their family, and the care and treatment they received. Patient dignity is supposed to be supported by collaborative efforts from the family and healthcare professionals, and meanwhile taking patient's cultural background and personal wishes and values into account.

Impact of some social and clinical factors on the development of postpartum depression in Chinese women.

BACKGROUND: Postpartum depression (PPD) is prevalent and may present major adverse impacts on mother and child health. According to previous studies, mostly from the western society, PPD may have complicated etiologies, such as genetic, social and psychological factors. The aim of this study was to explore the associations of some social and clinical factors, particularly those unique in Chinese, with significant PPD symptoms. METHODS: A sample of 556 pregnant women in their 36th to 40th gestational week were randomly recruited in a cross-sectional study using a self-reported questionnaire, which collected maternal sociodemographic and clinical information. During their 2nd to 4th postpartum months, 522 participants responded to our screening of significant PPD symptoms, based on a score of Edinburgh Postnatal Depression Scale ≥9. RESULTS: A total of 90 (17.3%) participants were identified with significant PPD symptoms, and the following factors were observed more frequently in women with significant PPD symptoms (PPD+) than with fewer symptoms (PPD-): intensive involvement of parents-in-law in a participant's life (living together with her, taking care of her, or discriminating against a female baby), lack of support from husband, cesarean delivery, and breast milk insufficiency (supplemented with formula). After multiple logistic regression analysis, parents-in-law's preference to baby boy while devaluing baby girl, dissatisfaction with husband's support, cesarean delivery, and mixed feeding were strongly associated with significant PPD symptoms. CONCLUSION: The potential risk factors for significant PPD symptoms, i.e., "son preference" custom, cesarean delivery and mixed feeding, deserve confirmation in continued, especially clinical diagnosis-based longitudinal studies.

Response to spousal death according to faith in traditional Chinese culture among older Chinese: Moderation by occupation.

This study aims to enrich the knowledge of the effects of traditional Chinese culture on bereavement outcomes among older Chinese, and to examine the moderating role of occupation in the relationship between traditional culture and bereavement outcomes. A sample of 352 older Chinese in widowhood was interviewed by quota sampling. A scale of faith in traditional Chinese culture was developed and confirmed by factor analysis. Complicated grief (CG) functioned as the outcome variable. Results showed that faith in traditional culture did affect CG among the sample, and previous occupation moderated the effect of traditional culture on CG. That is, the effect of faith in Chinese culture on CG is stronger in the non-peasant group than the peasant group. The results broaden the knowledge of spousal bereavement in a Chinese context. Services such as death education and occupational therapy were recommended according to this study.

Simple analysis on the embodiment of golden mean (Zhong Yong) thoughts in tuina / 针灸推拿医学（英文版）

The concept of golden mean (Zhong Yong), i.e. moderation, is the highest principle of moral cultivation in Confucianism. It entails an exclusive methodology in addressing politics, philosophy and everything in the universe. This concept has permeated into all aspects of traditional Chinese culture. As an ancient therapy, tuina is an important part of Chinese medicine and has its characteristic theory and methods. Just like Chinese medicine, tuina has long been greatly influenced by the concept of golden mean. To better promote the development of tuina, it’s necessary to investigate the historical evolution of tuina and the concept of golden mean as well as the influence of ‘golden mean’ idea on tuina manipulation, mechanism and treatment.

Zen of Vegetable Roots (Caigentan) and Moral &Ethical Management of Higher Medical Institutions / 中国医学伦理学

The book itself is well known in traditional Chinese culture of literature.It contains five chapters: Introspection,Social Intercourse,Deliberation,Leisure and Conspectus.There are 381 observations that lead us through paths as complex,absurd,and grotesque as life itself.Terse,humorous,witty,and above all,timely,this book offers a provocative and personal mix of Taoist,Buddhist,and Confucian understanding.And it embodies the inclusive cultural awareness of social intercourse,the thought of people-oriented educational management and the idea that harmony is above anything,which will lead the management of morality and ethics in higher medical institutions in China.

The Education on Life Values among Medical Students from the Perspective of Traditional Chinese Culture / 中国医学伦理学

The traditional Chinese culture is the common spiritual treasure for all Chinese nationalities.Therefore,the application of the rich resources of life values in traditional Chinese culture is of marvelous significance for medical students to better understand the value and meaning of life,and learn to fear,respect,and cherish life,in order to improve the quality of their own lives and establish the sanctity of life to commit their lifetime to the great cause of medical career.