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10 pages, 616 KiB  
Communication
Brief Prompt-Engineering Clinic Substantially Improves AI Literacy and Reduces Technology Anxiety in First-Year Teacher-Education Students: A Pre–Post Pilot Study
by Roberto Carlos Davila-Moran, Juan Manuel Sanchez Soto, Henri Emmanuel Lopez Gomez, Manuel Silva Infantes, Andres Arias Lizares, Lupe Marilu Huanca Rojas and Simon Jose Cama Flores
Educ. Sci. 2025, 15(8), 1010; https://doi.org/10.3390/educsci15081010 (registering DOI) - 6 Aug 2025
Abstract
Generative AI tools such as ChatGPT are reshaping educational practice, yet first-year teacher-education students often lack the prompt-engineering skills and confidence required to use them responsibly. This pilot study examined whether a concise three-session clinic on prompt engineering could simultaneously boost AI literacy [...] Read more.
Generative AI tools such as ChatGPT are reshaping educational practice, yet first-year teacher-education students often lack the prompt-engineering skills and confidence required to use them responsibly. This pilot study examined whether a concise three-session clinic on prompt engineering could simultaneously boost AI literacy and reduce technology anxiety in prospective teachers. Forty-five freshmen in a Peruvian teacher-education program completed validated Spanish versions of a 12-item AI-literacy scale and a 12-item technology-anxiety scale one week before and after the intervention; normality-checked pre–post differences were analysed with paired-samples t-tests, Cohen’s d, and Pearson correlations. AI literacy rose by 0.70 ± 0.46 points (t (44) = −6.10, p < 0.001, d = 0.91), while technology anxiety fell by 0.58 ± 0.52 points (t (44) = −3.82, p = 0.001, d = 0.56); individual gains were inversely correlated (r = −0.46, p = 0.002). These findings suggest that integrating micro-level prompt-engineering clinics in the first semester can help future teachers engage critically and comfortably with generative AI and guide curriculum designers in updating teacher-training programs. Full article
(This article belongs to the Special Issue ChatGPT as Educative and Pedagogical Tool: Perspectives and Prospects)
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20 pages, 1633 KiB  
Article
A Proposal of Integration of Universal Design for Learning and Didactic Suitability Criteria
by Alicia Sánchez, Carlos Ledezma and Vicenç Font
Educ. Sci. 2025, 15(7), 909; https://doi.org/10.3390/educsci15070909 - 16 Jul 2025
Viewed by 213
Abstract
Given the growing relevance of issues of educational inclusion at an international level, educational curricula have pointed out the need to address the diversity of students in the classroom. In this article, a theoretical reflection is proposed around the Universal Design for Learning [...] Read more.
Given the growing relevance of issues of educational inclusion at an international level, educational curricula have pointed out the need to address the diversity of students in the classroom. In this article, a theoretical reflection is proposed around the Universal Design for Learning (UDL) guideline—as inclusive principles for generic teaching and learning processes—and Didactic Suitability Criteria (DSC) guideline—as specific principles for mathematical teaching and learning processes—to establish relationships and seek complementarities between both references. To this end, firstly, a document analysis of literature about UDL was conducted; secondly, UDL and DSC guidelines were contrasted, relating UDL principles and verification points to DSC components and indicators to design a first proposal of an integrated guideline between both references; and, thirdly, an expert validation was conducted with researchers familiar with DSC to adjust the guideline originally proposed. As a main result, a proposal of integration of the UDL and DSC guidelines was designed, which intends to organise the reflection of (prospective and practising) mathematics teachers on their teaching practice. This integrated proposal not only seeks to address current curricular needs, but also to delve deeper into theoretical development that contributes to refining existing tools to encourage reflection on teaching practice. Full article
(This article belongs to the Special Issue Innovation, Didactics, and Education for Sustainability)
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13 pages, 223 KiB  
Article
Training of Future Teachers in the Binomial Universal Design for Learning and Technologies for Inclusive Education
by Rosalía Romero-Tena, Raquel Martínez-Navarro and Antonio León-Garrido
Sustainability 2025, 17(14), 6504; https://doi.org/10.3390/su17146504 - 16 Jul 2025
Viewed by 284
Abstract
Teacher education plays a key role in promoting inclusion and educational equity, especially in contexts characterised by increasing socio-cultural diversity and technological advancement. In this framework, Universal Design for Learning (UDL) and digital technologies are presented as complementary and innovative strategies to create [...] Read more.
Teacher education plays a key role in promoting inclusion and educational equity, especially in contexts characterised by increasing socio-cultural diversity and technological advancement. In this framework, Universal Design for Learning (UDL) and digital technologies are presented as complementary and innovative strategies to create accessible, flexible, and motivating learning environments for all students. The study analysed the impact of UDL-focused learning activities and integrated Information and Communication Technologies (ICT). A comparative tool was applied before and after the intervention to measure the level of knowledge, perception, and digital competence of prospective teachers. Statistical analyses were carried out to evaluate the changes obtained. Findings reveal significant improvements in knowledge about UDL, as well as positive perceptions of ICT as a resource for inclusion. Participants demonstrated a greater understanding of UDL principles and strengthened their digital competences to design educational proposals adapted to diversity. The research confirms the value of integrating UDL and ICT in teacher training, fostering inclusive educational practices. It highlights the need to strengthen training programmes that respond to the current challenges of the education system. Full article
26 pages, 15354 KiB  
Article
Transforming Physics Teacher Training Through ChatGPT: A Study on Usability and Impact
by Marcos Guerrero-Zambrano, Leonor Sanchez-Alvarado, Bryan Valarezo-Chamba and Erick Lamilla-Rubio
Educ. Sci. 2025, 15(7), 887; https://doi.org/10.3390/educsci15070887 - 11 Jul 2025
Viewed by 697
Abstract
Teacher training in Physics often faces challenges related to engaging students and conveying abstract concepts effectively. Generative AI tools, such as ChatGPT, present transformative opportunities for designing innovative and tailored educational activities. This study investigates the impact of ChatGPT on pre-service Physics teacher [...] Read more.
Teacher training in Physics often faces challenges related to engaging students and conveying abstract concepts effectively. Generative AI tools, such as ChatGPT, present transformative opportunities for designing innovative and tailored educational activities. This study investigates the impact of ChatGPT on pre-service Physics teacher training, focusing on its usability, effectiveness, and influence on participant satisfaction. Utilizing a quantitative research approach, two Likert-scale surveys were administered to 24 prospective Physics teachers in Ecuador, both before and after an intervention workshop. The workshop introduced participants to ChatGPT’s features and its applications in designing playful, Physics-focused learning activities. Results indicated a significant increase in familiarity with AI tools, enhanced activity design quality, and high satisfaction rates. Notably, 79% of participants highlighted ChatGPT’s utility in adapting activities to diverse learning levels, and 83% acknowledged its efficiency in reducing preparation time. These findings underscore ChatGPT’s potential to revolutionize Physics education by facilitating the creation of personalized and engaging learning resources. Future research should explore larger sample sizes and longitudinal impacts to fully realize the implications of AI-driven tools in educational contexts. Full article
(This article belongs to the Topic Artificial Intelligence in Early Childhood Education)
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23 pages, 518 KiB  
Article
Problem-Oriented Learning as a Method of Developing Soft Skills Among Students of Pedagogical Specialties
by Perizat Sanatbay, Guldana Smailova, Kadisha Shalgynbayeva, Marziya Asilbekova and Anar Tauekelova
Educ. Sci. 2025, 15(7), 861; https://doi.org/10.3390/educsci15070861 - 4 Jul 2025
Viewed by 386
Abstract
In the context of the transformation of the modern higher education system, the supra-professional competencies (soft skills) necessary for future specialists in the humanitarian field, in particular, social educators, are of particular importance. The present study is aimed at studying the effectiveness of [...] Read more.
In the context of the transformation of the modern higher education system, the supra-professional competencies (soft skills) necessary for future specialists in the humanitarian field, in particular, social educators, are of particular importance. The present study is aimed at studying the effectiveness of problem-based learning (PBL) as a method of forming key soft skills among students of the educational program “Social Pedagogy” of the L.N. Gumilyov Eurasian National University. The theoretical part of the study includes an overview of international and domestic scientific discourse on flexible skills and a problem-oriented approach. In the empirical part, the methods of pedagogical experimentation, questionnaires, self-assessment of competencies, and quantitative analysis of the dynamics of soft skill development during the semester were applied. The results indicate a positive correlation between the intensity of students’ participation in PBL practices and the level of development of skills such as critical thinking, teamwork, communicative competence, and time management. The study also identified institutional and methodological barriers to the implementation of PBL in Kazakhstan’s educational practice, including the lack of trained facilitators and the lack of adapted cases. Based on the data obtained, a model of a localized PBL strategy integrated into the training of social educators is proposed. The research contributes to the development of the methodological culture of teacher education and opens up prospects for creating a sustainable system of soft skills formation in universities in Kazakhstan. Full article
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17 pages, 273 KiB  
Article
Thoughts Are Free—Differences Between Unstructured and Structured Reflections of Teachers with Different Levels of Expertise
by Christoph Vogelsang, Daniel Scholl, Jana Meier and Simon Küth
Educ. Sci. 2025, 15(7), 820; https://doi.org/10.3390/educsci15070820 - 27 Jun 2025
Viewed by 322
Abstract
In teacher education research, the primary source of data used to measure teachers’ reflective skills are written reflection products, which are often collected in the context of field experiences following specific structural guidelines (e.g., portfolio texts). However, it is unclear how appropriate written [...] Read more.
In teacher education research, the primary source of data used to measure teachers’ reflective skills are written reflection products, which are often collected in the context of field experiences following specific structural guidelines (e.g., portfolio texts). However, it is unclear how appropriate written products are for this purpose, considering teachers’ everyday professional lives, in which reflection is a mostly verbal, highly self-directed process depending on the teachers’ level of expertise. Therefore, in our study, we analyzed how teachers’ free, unstructured reflections differ from reflections structured by model-based reflection prompts. In an exploratory qualitative research design with theoretical sampling, a total of 22 prospective teachers at four different levels of expertise were asked to reflect on two standardized fictitious vignettes using a think-aloud approach. For the first vignette, participants reflected in an unstructured way. For the second vignette, the reflection was structured using simple model-based reflection prompts. On average, the participants showed a significantly better reflective performance in the structured condition, but no significant differences in relation to the level of expertise were observed. The results contribute to a better understanding of the validity of typical reflections used in teacher education as an indicator of reflective practice in the professional field. Full article
(This article belongs to the Special Issue The Role of Reflection in Teaching and Learning)
23 pages, 298 KiB  
Article
The Aesthetics of Disillusionment: Teachers’ Narratives of “Disillusioned Transformation”
by Eunice Yin Yung Chiu and Ted Fleming
Behav. Sci. 2025, 15(7), 858; https://doi.org/10.3390/bs15070858 - 25 Jun 2025
Viewed by 317
Abstract
This article explores the emotional transformations of teachers since the pandemic, shifting from idealised passion for their profession to a more balanced, self-preserving approach to their work and mental well-being. Through four case studies of teachers from Hong Kong, Australia, and France, this [...] Read more.
This article explores the emotional transformations of teachers since the pandemic, shifting from idealised passion for their profession to a more balanced, self-preserving approach to their work and mental well-being. Through four case studies of teachers from Hong Kong, Australia, and France, this paper examines how teachers navigate emotional wisdom in response to trauma and burnout and how such wisdom informs their ability to recognise when to prioritise their mental health over job prospects. The idea of disillusioned transformation will be explored: when teachers who are initially invested in a set of ideals in their roles become disillusioned and disengaged but through which find emotional balance and the resilience towards new sources of professional fulfilment. Central to transformative learning theory, this study highlights how trauma (moral injury, systemic trauma) and emotional wisdom contribute to teachers’ critical reflection and self-preservation. This article seeks to delineate the intersection between emotional wisdom, aesthetic emotions, and trauma recovery and to understand how teachers transform their professional identity in response to emotional distress, fostering a more sustainable and healthy approach to teaching. Full article
24 pages, 2431 KiB  
Article
Smart Approach of Scientific Knowledge Building to Achieve Sustainable Management in Higher Education System
by Alexander Chupin, Zhanna Chupina, Olga Digilina, Dmitry Morkovkin, Alexander Tkachenko and Marina Medvedeva
Sustainability 2025, 17(12), 5386; https://doi.org/10.3390/su17125386 - 11 Jun 2025
Viewed by 403
Abstract
The modern system of higher education and research is undergoing deep institutional transformations, accompanied by changes in funding mechanisms, increased competition, the growing importance of project forms of scientific activity organization, and more complex requirements for performance. In the conditions of digital transformation [...] Read more.
The modern system of higher education and research is undergoing deep institutional transformations, accompanied by changes in funding mechanisms, increased competition, the growing importance of project forms of scientific activity organization, and more complex requirements for performance. In the conditions of digital transformation and institutional instability, higher education faces the need to form sustainable smart management systems. The modern understanding of smart education goes beyond e-learning and includes the intellectualization of all levels of organization of educational and scientific activities. This requires the creation of new models capable of integrating the behavior of teachers and researchers in the context of digital, project, and institutional logics. Thus, the task of building intelligent models capable of reflecting the complex, multi-layered structure of interactions between researchers, organizations, forms of support, and the system of evaluation of scientific work becomes relevant. This article proposes an agent-based approach to modeling the process of formation of scientific knowledge, considered as a key element of the sustainable development of scientific and educational environment. The model reflects the interaction of agents—researchers with different characteristics: age, qualification level, scientific productivity, affiliation, and trajectory of professional development. The modeling results allow us to draw conclusions about the regularities of the reproduction of scientific potential, the factors of academic environment sustainability, and the effectiveness of institutional support mechanisms. The obtained results have both theoretical and applied significance. The model can be used to forecast the effectiveness of science policy, assess the risks and prospects of scientific teams, and justify incentive systems and the long-term design of the development of scientific organizations. The presented approach allows us to form a comprehensive view of the dynamics of scientific knowledge in the context of sustainable management in higher education. Full article
(This article belongs to the Special Issue Sustainable Higher Education: From E-learning to Smart Education)
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13 pages, 793 KiB  
Article
From Storytime to Success: Prospective Longitudinal Associations Between Toddler Literacy Enrichment and Long-Term Student Engagement in a Millennial Birth Cohort of Boys and Girls
by Nairy Kazandjian, Kianoush Harandian, Stéfanie Routhier-Guilmette, Marie-Michèle Dufour, Isabelle Archambault and Linda S. Pagani
J. Intell. 2025, 13(6), 66; https://doi.org/10.3390/jintelligence13060066 - 10 Jun 2025
Viewed by 2672
Abstract
Cross-sectional research suggests associations between enrichment and cognitive skills in toddlerhood. There are no prospectively designed longitudinal studies that investigate the link between early home literacy activities and subsequent mechanisms that explain the putative cognitive benefits. This study tests long-term associations between toddler [...] Read more.
Cross-sectional research suggests associations between enrichment and cognitive skills in toddlerhood. There are no prospectively designed longitudinal studies that investigate the link between early home literacy activities and subsequent mechanisms that explain the putative cognitive benefits. This study tests long-term associations between toddler literacy enrichment and later student engagement across key academic transitions, from kindergarten to the end of high school. Using the Quebec Longitudinal Study of Child Development (QLSCD) population-based birth cohort data, we examined whether parent-reported experiences of shared reading, looking at picture books or illustrated stories, and pretend writing at age 2 years predict later teacher- and self-reported student engagement at ages 6, 12, and 17 years. The results from multiple regression models, stratified by sex and adjusted for pre-existing and concurrent child and family characteristics, revealed significant associations between early literacy enrichment and later engagement. For boys and girls, literacy enrichment in toddlerhood predicted increases in classroom engagement from kindergarten to the end of high school. These findings highlight the lasting influence of early literacy exposure on subsequent learning-related behaviors, both in and beyond the classroom. They underscore the importance of promoting enrichment in early childhood as a family strategy toward individual readiness to learn, a cornerstone of crystalized intelligence. Full article
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30 pages, 6728 KiB  
Article
Modern Digital and Technological Educational Methods
by Angelos I. Stoumpos and Rodanthi I. Stoumpou
Trends High. Educ. 2025, 4(2), 25; https://doi.org/10.3390/higheredu4020025 - 7 Jun 2025
Viewed by 1541
Abstract
The development and evolution of digital technologies can contribute to the transformation of the educational sector, allowing the integration of innovative teaching approaches. Typical examples of such approaches include artificial intelligence, augmented and virtual reality (AR/VR), adaptive learning, and online educational environments. This [...] Read more.
The development and evolution of digital technologies can contribute to the transformation of the educational sector, allowing the integration of innovative teaching approaches. Typical examples of such approaches include artificial intelligence, augmented and virtual reality (AR/VR), adaptive learning, and online educational environments. This study explores modern digital educational methods, focusing on the advantages, challenges, and future prospects of modern technologies in education. The systematic literature review was based exclusively on the Scopus database. We explored 948 articles published from 1968 to 2025. Furthermore, using the VOSviewer program (version 1.6.20), the results were analyzed, identifying and highlighting various trends and key thematic areas. However, although digital educational methods are able to provide greater interactivity, personalization, and flexibility in learning, they also face significant challenges, some of which are the digital divide, privacy protection, and teacher training. In the future, research should shape best practices that will integrate digital technologies into education. Full article
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26 pages, 983 KiB  
Article
Enhancing Prospective Teachers’ Professional Development Through Shared Collaborative Lesson Planning
by Chen Guo, Xiangdong Chen and Jiawen Chen
Behav. Sci. 2025, 15(6), 753; https://doi.org/10.3390/bs15060753 - 30 May 2025
Viewed by 692
Abstract
Teacher collaboration, particularly through collaborative lesson planning, plays a key role in fostering professional development and teaching skills. This study investigates the effectiveness of the proposed Shared Collaborative Lesson Planning (SCLP) procedure in enhancing the professional development of prospective teachers through the lens [...] Read more.
Teacher collaboration, particularly through collaborative lesson planning, plays a key role in fostering professional development and teaching skills. This study investigates the effectiveness of the proposed Shared Collaborative Lesson Planning (SCLP) procedure in enhancing the professional development of prospective teachers through the lens of socially shared regulation of learning (SSRL). Twenty-four prospective information and technology teachers participated in two rounds of SCLP activities. Using a cyclical framework, the prospective teachers engaged in collaborative tasks supported by an online learning platform and other computer-supported collaborative learning (CSCL) tools. Detailed descriptions from observations, recordings, questionnaires, and interviews revealed that the SCLP procedure can help facilitate structured collaboration, improve professional skills, and encourage adaptive regulatory behaviors among the prospective teachers. The integration of CSCL tools further enhanced the effectiveness of the collaborative lesson planning process. However, challenges related to technical proficiency and emotional regulation were identified. The study concludes that the SCLP procedure offers a promising approach for teacher education by fostering a collaborative learning environment and promoting regulatory behaviors. Future research should explore the long-term impacts and adaptability across diverse educational contexts to strengthen teacher education programs or courses. Full article
(This article belongs to the Section Educational Psychology)
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17 pages, 595 KiB  
Project Report
A Pedagogical Translanguaging Proposal for Trainee Teachers
by Laura Portolés
Educ. Sci. 2025, 15(6), 648; https://doi.org/10.3390/educsci15060648 - 24 May 2025
Viewed by 592
Abstract
Pre-service teachers in Spain play a pivotal role in the multilingual turn in education. While research has confirmed the benefits of using pedagogical translanguaging in developing learners’ multilingual competence, practical examples of its implementation within teacher training courses remain scarce. Considering this gap, [...] Read more.
Pre-service teachers in Spain play a pivotal role in the multilingual turn in education. While research has confirmed the benefits of using pedagogical translanguaging in developing learners’ multilingual competence, practical examples of its implementation within teacher training courses remain scarce. Considering this gap, this teaching proposal aims to address the lack of classroom-based examples and employs translanguaging pedagogy as a frame of reference to enhance first-year preschool trainee teachers’ English communicative competence at the University Jaume I (Castelló, Spain). In this way, learners’ language awareness will be improved by using the languages that form their whole language repertoire alongside their linguistic experiences to deepen their understanding of English. The development of planned teaching strategies and multilingual activities is expected to foster prospective teachers’ multilingual competence and inform their future teaching practice. Full article
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20 pages, 1139 KiB  
Article
Levels of Complexity in Mathematics Teachers’ Knowledge Connections: An Approach Based on MTSK and Piaget’s Schemas
by Estela Juárez-Ruiz, Eric Flores-Medrano, Keylla Otero-Valega and Lina Tascón-Cardona
Educ. Sci. 2025, 15(6), 641; https://doi.org/10.3390/educsci15060641 - 22 May 2025
Viewed by 635
Abstract
This paper presents a study whose aim was to formulate a conceptual framework that allows us to understand the degree of complexity of the connections between the knowledge that a mathematics teacher can possess, based on the model of the mathematics teacher’s specialized [...] Read more.
This paper presents a study whose aim was to formulate a conceptual framework that allows us to understand the degree of complexity of the connections between the knowledge that a mathematics teacher can possess, based on the model of the mathematics teacher’s specialized knowledge model and the Piaget’s schemas. To this end, a literature review was carried out to analyze how these connections are made in the minds of mathematics teachers and how complex they are, identifying a deficit. Therefore, the schema structure proposed by Piaget, with its three stages of intra-, inter-, and trans-development, was considered. Based on an instrumental case study with two prospective teachers, an analysis was performed on semi-structured interviews conducted while the teachers separately discussed a lesson plan based on the understanding of multiplication and division of natural numbers, aimed at third-grade students. The results show that three types of knowledge schemas emerged among the participating teachers, with the respective types of connections between the knowledge. This shows that the connections between the knowledge of the model in teachers’ minds can vary in complexity. Full article
(This article belongs to the Special Issue Different Approaches in Mathematics Teacher Education)
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16 pages, 399 KiB  
Article
Teachers’ Perspective of Their Alliance with Students and Detection of Child Maltreatment
by María Teresa Vozmediano-Collado, David Gil Pareja, Virgilio García-Aparicio, Francisca Angélica Monroy García and Andrea Pérez-Rodríguez
Soc. Sci. 2025, 14(5), 299; https://doi.org/10.3390/socsci14050299 - 12 May 2025
Viewed by 441
Abstract
Introduction: The aim of this study is to explore variables relating to teacher–student relationships, and their association with the detection of child maltreatment in secondary schools (12–18 age range), given that child and adolescent abuse is under revealed and underreported, and teachers play [...] Read more.
Introduction: The aim of this study is to explore variables relating to teacher–student relationships, and their association with the detection of child maltreatment in secondary schools (12–18 age range), given that child and adolescent abuse is under revealed and underreported, and teachers play an important role in identifying and detecting it. Method: 662 teachers from secondary schools from different autonomous communities in Spain answered a self-administrated questionnaire. Results: This study revealed that while theoretical knowledge of the issue goes hand-in-hand with a higher self-reported ability to recognize cases among students, the same does not hold true of the teachers’ real detection capacity. Nonetheless, a relationship of trust with students and addressing child maltreatment in the classroom contributes to a better real detection capacity by teachers, relating this information to the possible existence of a teacher–student alliance. Discussion: We propose a trust-constructed relationship between both agents, named the teacher–student alliance. Prospective: These results point to the need for further research into the association and characteristics of teacher–student alliances on the identification in schools of cases of child maltreatment. Full article
(This article belongs to the Collection Child Abuse and Child Protection)
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10 pages, 400 KiB  
Article
The Association Between Doctor–Patient Conflict and Uncertainty Stress During Clinical Internships Among Medical Students: A Panel Study
by Huihui Wang, Xinxin Ying, Lujin Zhang, Tingzhong Yang and Weifang Zhang
Healthcare 2025, 13(9), 1080; https://doi.org/10.3390/healthcare13091080 - 6 May 2025
Viewed by 651
Abstract
Background/Objectives: Medical students experience significant mental stress during clinical internships. This study aimed to assess the levels of uncertainty stress among medical interns, evaluate its temporal changes and associations with doctor–patient conflict and reference norm, and provide insights for stress-alleviating policies and educational [...] Read more.
Background/Objectives: Medical students experience significant mental stress during clinical internships. This study aimed to assess the levels of uncertainty stress among medical interns, evaluate its temporal changes and associations with doctor–patient conflict and reference norm, and provide insights for stress-alleviating policies and educational initiatives. Methods: A prospective longitudinal panel study was conducted; 131 medical students preparing for clinical internships were recruited via WeChat social media groups from June 2023 to June 2024. Data were collected at three time points using an online survey on Wenjuanxing: before the internship, three months into the internship, and after the internship. Variables such as uncertainty stress, doctor–patient conflict, and reference norm were measured, and data were analyzed using GEE and the GLMM program. Results: A total of 122 students completed all three waves of the study. Uncertainty stress decreased over the internship period (W = 7.25, p < 0.05), while doctor–patient conflict increased (W = 6.65, p < 0.05). Uncertainty stress was positively associated with the reference norm from teachers (β = 0.856, p < 0.05) and doctor–patient conflict (β = 1.068, p < 0.05). Conclusions: Although uncertainty stress reduces as internships progress, doctor–patient conflict rises. A supportive learning environment, especially from teachers, is crucial for mitigating stress. Medical schools and hospitals should implement comprehensive strategies to address individual stressors and institutional factors, considering the associations between uncertainty stress, doctor–patient conflict, and reference norm. However, the study has limitations such as a small sample size and reliance on self-reported measures, indicating a need for further research. Full article
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