Human Care Research Articles

Exploring factors affecting the acceptance of fall detection technology among older adults and their families: a content analysis

BackgroundThis study conducted in-depth interviews to explore the factors that influence the adoption of fall detection technology among older adults and their families, providing a valuable evaluation framework for healthcare providers in the field of fall detection, with the ultimate goal of assisting older adults immediately and effectively when falls occur.MethodsThe method employed a qualitative approach, utilizing semi-structured interviews with 30 older adults and 29 families, focusing on their perspectives and expectations of fall detection technology. Purposive sampling ensured representation from older adults with conditions such as Parkinson's, dementia, and stroke.ResultsThe results reveal key considerations influencing the adoption of fall-detection devices, including health factors, reliance on human care, personal comfort, awareness of market alternatives, attitude towards technology, financial concerns, and expectations for fall detection technology.ConclusionsThis study identifies seven key factors influencing the adoption of fall detection technology among older adults and their families. The conclusion highlights the need to address these factors to encourage adoption, advocating for user-centered, safe, and affordable technology. This research provides valuable insights for the development of fall detection technology, aiming to enhance the safety of older adults and reduce the caregiving burden.

Back to Basics: A Clinical Medicine to Safeguard International Cooperation.

The medical profession is currently undergoing a significant transformation. In recent decades, we have seen the emergence and implementation of new diagnostic tools, therapeutic targets, and technical procedures that have revolutionized our clinical practice. These resources have undoubtedly improved patient outcomes but have also led to excessive reliance on technology. This overreliance can limit the new generation's capacity to provide humane and comprehensive patient care and develop critical thinking skills. In this article, we reflect on the urgent impact of this trend on pediatric international cooperation and propose workable solutions to this problem. We stress the importance of maintaining a patient-centered approach in the face of these technological advancements, as it ensures that the patient's needs remain at the forefront of our practice.

Cultivating Academic Innovation Talents in Universities: The Impact of “Up-Or-Out” Employment System

The “up-or-out” system is an employment model widely practiced in universities. It involves the establishment of postdoctoral or full-time research positions, regular evaluations of non-permanent faculty, and the selection of outstanding innovative talents. Originating from the innovative practices of the American university tenure system, this model provides incentives for scientific spirit and academic innovation, complementing the tenure track. However, this system presents challenges in practice, such as survival pressure for new teachers, career anxiety, re-employment difficulties, and impacts on the long-term development of innovation capabilities. Solutions lie in innovating the evaluation models, emphasizing humanistic care, and fully respecting teachers’ rights. The system should serve as a means to enhance academic competitiveness rather than undermine the dignity of educators. Only in this way can the “up-or-out” system truly play a positive role in promoting academic progress and innovation.

Exploring patients and caregivers needs and experiences in oncological physiotherapy: a call for collaborative care

PurposeThis study explores whether the full potential of physiotherapy is reaching cancer patients and their caregivers at all stages of the oncological process, aiming to identify gaps and opportunities for improving care.MethodsThe World Cafe co-design methodology facilitated discussions among cancer patients and caregivers. This dynamic, inclusive, and engaging approach fostered diverse perspectives and deeper insights through collaborative and flexible discussions. Sessions were recorded, transcribed, and qualitatively analyzed.ResultsSixteen participants were involved (eight cancer survivors and eight caregivers). The mean age of cancer survivors was 63.8 years, while the average age of caregivers was 59.3 years. Breast cancer was the most prevalent diagnosis among patients, and most caregivers had lost their family members to cancer. Analysis revealed two primary themes: “feeling cared for” and “the role of physiotherapy in the oncological process.” Key findings highlight the need for more humanized healthcare, with professionals providing support through effective communication and empathy. Significant gaps were detected in both systematic referrals to physiotherapists and their integration into care teams. Testimonies highlighted the lack of knowledge about the full potential of physiotherapy in oncology, hindering access. There was also a demand for recognizing specialized oncological physiotherapists.ConclusionsThese findings highlight significant gaps in physiotherapy care for cancer survivors and caregivers, including unmet needs due to the lack of information, resources, and effective communication. Future efforts should focus on increasing the visibility of physiotherapy, integrating specialized physiotherapists into oncology teams, and enhancing the emotional education of healthcare professionals to provide more humanized care.

Mammary gland, skin and soft tissue tumors in pet cats: findings of the feline tumors collected from 2002 to 2022.

Cancer is a leading cause of death in cats, and the rate of such disease has been increasing recently. Nonetheless, feline oncology represents an important area of study not only for the health and wellbeing of cats but also for human health since various types of cancer in cats share similarities to those found in humans. Therefore, epidemiological studies on feline oncology may suggest environmental and genetic factors contributing to cancer in cats, which can eventually be translated to improve human cancer care. To provide an initial understanding of the epidemiology of feline neoplasms, a descriptive study was undertaken using a dataset documenting cases of feline cancer gathered from the Liguria region (northwest Italy) spanning from 2002 to 2022. The database includes tumor location, morphological codes of the International Classification of Diseases for Oncology, 3rd Edition (ICD-O-3), feline's breed, sex, neuter status, date of birth, date of diagnosis, national territorial unit code of the town of the owner's residence, and an alphanumeric string uniquely identifying the owner's surname. The dataset involves a population of 4,399 cats, including 3,195 females (1,425 neutered) and 1,204 males (750 neutered). Our results indicate that mammary gland tumors are the most represented tumors in the female population, while soft tissue and skin cancers appear to have a higher abundance in the male population during the periods investigated (2002-2022). Moreover, Poisson regression analysis showed that not neutered female cats have a significantly increased risk of developing mammary gland tumors compared to the neutered female population [proportional morbidity ratio (PMR) neutered vs. not neutered = 0.58, 95% CI: 0.47-0.72]; meanwhile, for both sexes, for soft tissue and skin tumors, being neutered appears to be a risk factor (PMR neutered vs. not neutered = 2.26, 95% CI: 1.86-2.73; PMR neutered vs. not neutered = 1.16, 95% CI: 0.89-1.51). Finally, the evaluation of the Ligurian municipalities pollution, based on wild boars data (i.e., biomonitors), which coexisted with cats, was correlated to cancer development for all the tumors investigated (in polluted areas, estimated PMRs ranged from 42.61 to 80.13, 95% CI: 29.94-105.11). Overall, the data presented here suggest the use of the feline population as a possible animal model for human health, i.e., sentinel.

Transitional Home in Perspective: A Critical Overview of Burial Practices and Grave Construction among the Hausa of Northern Nigeria

Throughout history, the Hausa people of Northern Nigeria have viewed death as a transition from one form of existence to another. This belief underscores the importance of constructing elaborate structures to house their dead, providing for their needs during their 'everlasting sleep,' which is believed to last for centuries or even millennia. The deceased were often interred with various goods, signifying their social status within the community. The advent of Islam introduced clear and uniform guidelines for the disposal of the dead and other funeral practices. However, significant personalities in society continue to have their 'transitional homes' elaborately built. These 'transitional homes' are well-maintained, featuring plants and trees, and receiving regular upkeep. They are considered an integral part of the human community. This paper examines the belief system, funeral practices, and grave construction among the Hausa people to understand how these elements influence the conception of a 'transitional home' for the dead. The study draws on extensive literature reviews, observations, and discussions with cemetery custodians. This approach aims to illuminate the notion that transitional homes are seen as part of the human community, necessitating construction, frequent visits, protection, and care.

Research on the Improvement of Green Slow Traffic System under the Guidance of "Healthy City"

The rapid transformation of the world has changed the way people live. The level of urbanization is being saliently improved, material and civilization is becoming more and more abundant as well. Motor vehicles have reshaped our lifestyle. The mobile traffic-dominated planning thoughts has contributed to various problems such as disorder spread of cities, traffic congestion, aggravation of resource energy consumption, inclined allocation of social resources, and deterioration of urban health. In the evolution of urban slow traffic network in China, there are some problems such as the scale imbalance and the lack of humanistic care. In the situation of global low-carbon economic development, green travel and low-carbon transportation have been widely concerned. As a people-oriented, harmonious and low-carbon traditional green travel mode in the urban transportation system, slow traffic has once again become the focus of research. This paper will demonstrate the necessity of the development in slow traffic system under the concept of healthy city, combined with the current development status of slow traffic. The characteristics of green slow traffic system are analyzed from two aspects of goal-oriented (slow traffic subject) and demand-oriented (slow traffic activity). Then this paper will point out the problems existing in the current slow traffic and summarize the theoretical basis for improving the slow traffic environment. The strategic framework of improving the slow traffic system is constructed from the aspect of urban planning to promote healthy urban construction.

Exploring the Reasons Behind Consumers' Crazy Buying Behavior

The ongoing expansion of the social economy has resulted in an improvement in Chinese inhabitants' living conditions. This has also influenced people's consuming concepts and actions. People are increasingly developing national self-confidence, deepening emotional resonance, and earning public awareness for a variety of national brand enterprises. As a result, these firms are progressively becoming a key factor in China's economic development. The Wahaha Company is depicted in the paper as an exploratory item. The purpose of this article is to look into Wahaha's actions, which may have influenced consumers to buy the product in huge amounts following the death of its inventor, Zong Qinghou. The analysis method is based on the marketing mix theory of 4Rs. This article uses the marketing mix theory of 4Rs to investigate why consumers purchased enormous quantities of products following Zong Qinghou's death, resulting in a significant boost in the company's sales. The study concludes that companies can improve consumer interaction by combining the marketing theory of 4Rs with appropriate emotional marketing, as well as staying current with health trends by developing specialty beverages that are more in line with consumer needs, using AI to provide better human care for the company, and developing closer relationships with consumers.

The annual ovarian cycle in Northern pit vipers (Bothrops atrox) using serum steroids and ultrasound of the female reproductive tract

Knowledge on hormonal regulation of reproductive cycles in viperid snakes is still incipient, especially when it comes to females and tropical species. There is an urgent need to understand the reproduction of venomous snakes to improve assisted reproduction techniques and optimize the maintenance of these animals in captivity. With this in mind, we monitored Northern pit viper females year-round throughout different seasons via serum levels of progesterone (P4) and estradiol (E2) in conjunction with ultrasound examinations. Ovarian follicles were classified according to their size and stage of vitellogenesis in F-I and F-II (non-vitellogenic phase) or in F-III and F-IV (vitellogenic phase). During autumn and winter, five adult males were rotated among these females for reproductive pairing, which resulted in 17 copulations and 2 pregnancies in the first year and 12 copulations and 5 pregnancies in the second year. Then, we assessed changes in P4 and E2 levels according to seasons, predominant ovarian structures and the presence of embryos or eggs in the oviduct. Our findings showed high levels of E2 when a greater number of vitellogenic follicles were detected, indicating a possible influence of E2 on vitellogenesis and higher levels of P4 whenever eggs and embryos were visualized in the oviduct, implying its role in maintaining pregnancy. Descriptive analysis of the vipers’ ovarian cycles revealed a greater number of vitellogenic follicles during winter, probably as a result of increases in E2; whereas pregnancies occurred predominantly in spring, under the influence of P4. The use of ultrasound images, as a minimally invasive methodology, associated with serum steroid levels has proven to be an efficient approach in the reproductive monitoring of Northern pit vipers in vivo. In addition, these data suggest that female pit vipers under human care display a seasonal reproductive cycle, despite earlier studies involving captive males of the species indicating a lack of seasonality in sperm production and quality.

Comparison of sampling techniques and diagnostic tests for Cryptosporidium serpentis in eastern indigo snakes (Drymarchon couperi).

The purpose of this study was to compare various sampling techniques and commercially available diagnostic tests for Cryptosporidium serpentis. A colony of 80 eastern indigo snakes (Drymarchon couperi) in human care was screened for the presence of C serpentis using endoscopic gastric mucosal biopsies for histologic and molecular analyses. At the time of endoscopic examination and biopsy, a cloacal swab, gastric swab, and gastric lavage sample were also collected. A C serpentis-specific probe hybridization quantitative PCR (qPCR) was performed on each sample. The gastric lavage sample was divided equally for direct microscopy, acid-fast stain, rapid qualitative immunochromatographic assay, direct fluorescent antibody, and 5 different PCR analyses. If a fecal sample was available at the time of endoscopic evaluation, it was also evaluated for Cryptosporidium oocysts by direct microscopy and acid-fast staining. When comparing test results to histologic analyses, the sensitivity of the probe hybridization qPCR of gastric biopsy, gastric lavage, and gastric swab was 100% while the cloacal swab was 72%. When gastric lavage tests were compared, qPCRs outperformed the other tests. Endoscopic biopsy for histologic and qPCR analyses is recommended for disease diagnosis, while gastric lavage or gastric swab samples for qPCR analysis are as sensitive as endoscopic biopsy for screening for the pathogen but cannot diagnose disease. The results from this study allow the veterinary practitioner to select the most appropriate sample and testing methodology when evaluating an ophidian patient for gastric cryptosporidiosis.

Six-Year Examination of the Scholarship and Awards Program of the International Association for Human Caring

The Scholarship and Awards Committee of the International Association for Human Caring continues to live the organization’s mission of disseminating caring research throughout the globe. The committee’s success is visible in the many scholarships and awards granted since its inauguration and by increasing the number of scholarships and awards. Committee members created a survey to evaluate recipients’ perspectives on programmatic goals and assess the committee’s efforts. Thirteen recipients responded. The respondents appreciated the support gained from the scholarships and awards.

Medical narrative ability and humanistic care ability of Chinese clinical nurses: The mediating role of empathy ability.

To investigate the relationship between medical narrative ability and humanistic care ability among Chinese clinical nurses, examining the potential mediating role of empathy. In the context of the bio-psychosocial medical model and humanistic nursing care, understanding the core competencies of medical narrative ability, empathyand humanistic care in nursing is crucial. This study explored the mediating role of empathy between medical narrative ability and humanistic care ability. A cross-sectional study. The study employed a descriptive, cross-sectional survey design, involving 741 nurses from Wuxi People's Hospital. It assessed nurses' demographic characteristics, medical narrative ability, empathy, and humanistic care ability using an online questionnaire from December 2022 to February 2023. Pearson correlation analysis evaluated variable correlations, and PROCESS v3.3 model 4 was utilised for mediation analysis. The STROBE statement was chosen as the EQUATOR checklist. A positive correlation was found between nurses' medical narrative ability, humanistic care abilityand empathy. Empathy partially mediated the relationship between medical narrative ability and humanistic care ability. Nurses' medical narrative ability directly and indirectly (via empathy) influences their humanistic care ability. Enhancing nurses' narrative and empathic skills can improve humanistic care, nursing qualityand nurse-patient relationships. Managers should prioritise programmes to improve nurses' storytelling and empathy skills to enhance humanistic care, improving nursing quality and patient relationships. This study involves clinical nurses as participants and does not involve patients. This study collected data from clinical nurses using an online questionnaire platform in China. The questionnaire consisted of four sections, including demographic information and scales such as Narrative Competence Scale, Caring Ability Inventoryand the Jefferson Scale of Empathy-Health Professional. Clear instructions were given to participants on how to complete each scale, and measures were taken to prevent missing or duplicate responses.

Laboratory-based measures of executive function and daily living skills in young children with Down syndrome: informing future interventions.

Adaptive behaviour refers to the practical skills necessary for independence and is considered a high-priority intervention target for children with neurogenetic conditions associated with intellectual disability, like Down syndrome (DS). Daily living skills (DLS) are a critical aspect of adaptive behaviour, but they have received little intervention attention, possibly because they involve a wide variety of skills across many settings. The present study aimed to advance DLS intervention science by examining the concurrent and longitudinal association between DLS performances and a cognitive skillset hypothesised to support DLS skill acquisition, executive function (EF). Participants were 71 children with DS between the ages of 2.5 and 8.7years (M=5.23years; standard deviation=1.65) who completed a battery of adapted EF tasks and a primary caregiver who completed the Vineland Adaptive Behavior Scales 3rd Edition Parent/Caregiver Comprehensive Report Form. A subset of caregivers also provided 6- and 12-month follow-up adaptive behaviour information. Results demonstrated a positive association between EF task performance and DLS standard scores and v-scores both concurrently and longitudinally. The findings have implications for potential future intervention approaches that aim to strengthen DLS performances by advancing EF skills in this population.

Reproductive health rights: a bibliometric analysis of childbirth

Purpose Reproductive health rights became an issue of interest long before the 1990s. Several policies were created to guarantee reproductive health rights, including birth rights. Women have the right to give birth in a way that is respectful and free from obstetric violence. Policymaking must, of course, be based on empirical evidence, so it is necessary to map studies on human rights in the context of childbirth. This study aims to investigate the viewpoint on human rights during childbirth across time by using a bibliometric methodology. Design/methodology/approach Bibliometric analysis was conducted using the VOSviewer application. The analysis was sourced from 301 articles on human rights during delivery for the 1976–2023 period from the Scopus database. Findings The studies concerning reproductive health rights encompass various topics, including reproductive health policy, human rights during childbirth, child marriage and human rights, pandemics and health care related to human rights. Research limitations/implications Studies related to human rights in reproductive health (especially childbirth) must be increased. Remember, policymaking must be based on the evidence found. Apart from that, empirical information about harmful actions during childbirth must be revealed so that it becomes a concern. While there has been a significant increase in the establishment of human rights during childbirth, there is a lack of research on this topic specifically in the Asian context. Researchers might consider this to be a matter of concern, given the implications for human rights. Two themes that have citations but a small number relate to obstetric violence and respectful maternity care during childbirth, so this could be a concern for other researchers for further studies. Originality/value This paper provides an overview of the most cited topics of human rights during childbirth, contributions by the distribution of studies throughout time, distribution of studies by country, the highest number of publications and citations.

Assessing ChatGPT's Competency in Addressing Interdisciplinary Inquiries on Chatbot Uses in Sports Rehabilitation: Simulation Study.

ChatGPT showcases exceptional conversational capabilities and extensive cross-disciplinary knowledge. In addition, it can perform multiple roles in a single chat session. This unique multirole-playing feature positions ChatGPT as a promising tool for exploring interdisciplinary subjects. The aim of this study was to evaluate ChatGPT's competency in addressing interdisciplinary inquiries based on a case study exploring the opportunities and challenges of chatbot uses in sports rehabilitation. We developed a model termed PanelGPT to assess ChatGPT's competency in addressing interdisciplinary topics through simulated panel discussions. Taking chatbot uses in sports rehabilitation as an example of an interdisciplinary topic, we prompted ChatGPT through PanelGPT to role-play a physiotherapist, psychologist, nutritionist, artificial intelligence expert, and athlete in a simulated panel discussion. During the simulation, we posed questions to the panel while ChatGPT acted as both the panelists for responses and the moderator for steering the discussion. We performed the simulation using ChatGPT-4 and evaluated the responses by referring to the literature and our human expertise. By tackling questions related to chatbot uses in sports rehabilitation with respect to patient education, physiotherapy, physiology, nutrition, and ethical considerations, responses from the ChatGPT-simulated panel discussion reasonably pointed to various benefits such as 24/7 support, personalized advice, automated tracking, and reminders. ChatGPT also correctly emphasized the importance of patient education, and identified challenges such as limited interaction modes, inaccuracies in emotion-related advice, assurance of data privacy and security, transparency in data handling, and fairness in model training. It also stressed that chatbots are to assist as a copilot, not to replace human health care professionals in the rehabilitation process. ChatGPT exhibits strong competency in addressing interdisciplinary inquiry by simulating multiple experts from complementary backgrounds, with significant implications in assisting medical education.

Tracing a caring transition policy for the German coal region Lusatia

Coal mining and generation adversely affect several ecosystems, including climate, water and land. On the other hand, questions of justice and socio-economic considerations of affected regions are crucial for a successful coal phase-out, underlining the need for a nexus perspective. This includes taking a gender perspective, which thus far has received relatively little attention. We contribute to closing this gap through our study on the coal region Lusatia in Germany, where an unprecedentedly high amount of money is spent to shape the regional transition. The allocation of these funds is the subject of a contentious debate about which societal needs are considered most urgent to be met. We conducted a critical discourse analysis examining relevant policy documents and analyzing dominant ideas about what a successful transition in Lusatia should look like. Based on feminist care theory and interviews with locally organized women, we show that concepts of care for humans and nonhumans are severely underdeveloped. To address this gap, we propose based on women’s emerging discourse four pillars of care work as social infrastructure that should be central to transition processes: (1) aftercare for social and ecological residuals of coal mining, (2) social cohesion, (3) democratic care services, and (4) caring democracy: democratic decision-making on how to care.

Nursing care in threatened preterm labor in the Obstetrics and Gynecology Department of a hospital

The threat of preterm labor, a pathology endangering the lives of both mother and baby, affects one in ten births and is a serious public health issue. This research aimed to manage the nursing care process for a 35-year-old pregnant woman with a threat of preterm labor, using a purely qualitative approach in a single case study, applying the five stages of the nursing care process. In the assessment stage, Maryori Gordon's 11 functional patterns guide was used, identifying 10 nursing diagnoses based on NANDA-I Taxonomy II, prioritizing: labor pain, risk of maternal/fetal dyad alteration, and infection control. The care plan was developed using NOC and NIC classifications. During the implementation stage, nursing care focused on pain management, prenatal fetal status, and infection control. These were evaluated by comparing baseline scores with achievement scores, resulting in an updated care plan with changes scored at+1, 0, and +2. In conclusion, the nursing care process was managed, providing quality and humanized care to the patient.

A multi-actor perspective of humanised midwifery care excellence: An exploratory survey

Humanised midwifery care is a fundamental human right and need. This exploratory online survey presents a collective perception of meaningful standards of humanised midwifery care for excellent daily practice obtained from an international multi-actor group of maternity service users and providers. After performing a literature review, 137 key elements of humanised midwifery were extracted, listed, and rephrased into criteria. The criteria were distributed, and participants added 38 criteria. The perceived level of humanised midwifery performance was scored from 1 (low/substandard) to 10 (excellent). The 9–10 scores benchmarked humanised midwifery care excellence. 312 care professionals benchmarked 42 criteria, and 277 pregnant and postpartum women benchmarked 23 criteria showing a 30 % overlap. A total set of 50 criteria emerged, promoting humanised midwifery excellence. The benchmarking criteria suggest a shared conceptual thinking of person-centeredness and meaningfulness and provide a practical paradigm for the provision and receipt of humanised midwifery care.

'Addressing HPV vaccine hesitancy: unveiling concerns and building trust' perspectives of adolescent girls and parents in Kisumu County, Kenya.

Human papillomavirus (HPV) causes cervical cancer, and HPV vaccination is highly effective in preventing vaccine-targeted HPV infection. However, low HPV vaccination coverage in Kisumu County, Kenya, at about 10% for the first dose, highlights the critical issue of vaccine hesitancy, particularly in low and middle-income countries. This study explores the concerns, myths and barriers to HPV vaccine uptake among adolescent girls (aged 10-14) enrolled at human immune-deficiency virus comprehensive care clinics and their parents in Kisumu County. Focused group discussions were conducted with 48 participants. Content analysis revealed limited knowledge about the HPV vaccine and widespread misconceptions regarding its safety and efficacy. Financial constraints, injection fears and negative clinic experiences emerged as additional barriers. The findings emphasise the role of effective communication strategies, including engaging parents through written materials and involving them in decision-making, to dispel myths, provide accurate information and encourage HPV vaccination. Collaborative efforts with community stakeholders are crucial to improve vaccine coverage and ultimately reduce the cervical cancer burden.

High stress during clinical practicum placement is associated with bullying among nursing students: A mixed-method study

BackgroundNursing students are often subjected to bullying during their clinical practices, but few study has examined associations of bullying with psychological status among these groups, and how they cope with the bullying. ObjectivesThis study aimed to evaluate the experience and psychological status of clinical placement setting bullying among nursing students attending clinical practices, and explore students' coping strategies when bullied. DesignA mixed methods. SettingsSix tertiary hospitals in Northwest China. ParticipantsA total of 687 nursing students completed the questionnaire survey, of which 18 nursing students participated in the qualitative interview. MethodsA two-phase hybrid study was produced. During first phase, data were collected by using the Bullying Behavior Scale in Nursing Education (BNEQ) and the Depression, Anxiety and Stress Scale (DASS-21). Subsequently, those who have experienced bullying in the workplace were invited to participate in a face-to-face interview (second phase) which focused on exploring students' deeper insights. ResultsOf the 687 students involved, 72.19 % had experienced various types of bullying. Of them, 92.11 % experienced implicit violence. Those with higher education levels and from rural were more likely to experience bullying. Students were prone to greater psychological stress when exposed to bullying. “Pretending not to see” (33.16 %), “reporting to superiors” (30.10 %), and “doing nothing” were the most common ways students responded. Four themes were obtained from the qualitative interviews: (a) impaired self-esteem; (b) career rejection; (c) psychological stress; and (d) the decline of humanistic care. ConclusionOur findings suggest that senior nursing students experience multiple types of bullying during the clinical practices, leading to a high level of psychological stress, which further effect students' professional approval and self-esteem. To prevent such incidents, we need to call on university and hospitals' support to help students successfully cope with bullying.