Improve Communication Skills Research Articles

The role of simulation games in preparing students for communicative foreign language teaching

Traditional language learning methods can often be tedious, leading to alienation and reduced motivation. We aimed to determine the impact of simulation games on developing students' communication skills when learning a foreign language. The following practical methods were used in the study: observation, expert evaluation, survey, and testing. The results, which we are excited to share, demonstrate the effectiveness of using simulation games compared to traditional teaching methods. The students of the experimental group (EG), through their hard work and the innovative approach of simulation games, improved their English level to B2 (R=1.76) compared to the students of the control group - CG (R=0.57). Also, the difference between the test results of the CG and the EG was in Reading Comprehension/Composition (22%), Listening (15%) and Interview (46%). Using simulation games influenced the improvement of communication skills, perception of information, and the desire for self-learning. Confidence in communication increased to 81% compared to the CG (50%). These results inspire hope for the future of foreign language education, underscoring the critical role of simulation games and providing valuable information about developing and implementing simulation scenarios to create situational real-life conditions for effective English language learning.

Formation model of sound engineers’ communicative competence

The paper considers the concept of communicative competence of a sound engineer. The importance of communications in the professional activity of a sound engineer is revealed. Theoretical and methodological approaches to the concept of communicative competence are analyzed. The role of the personality-oriented approach in the formation of communicative competence is determined. The paper proposes a model for the formation of communicative competence of future sound engineers on the basis of the personality-oriented approach. The model consists of 4 blocks: aim, methodology, content and evaluation of the results. The blocks clearly distribute the methodological and methodical aspects of achieving the set goal. The components of communicative competence of sound engineers are presented, in accordance with them, teaching methods are selected within the framework of the personality-oriented methodology. At the same time, due to the expansion of subjective experience, the use of self-analysis and empathy, the development of student personality is additionally stimulated. Using the program, the teacher can implement the proposed methods or adapt their own professional and communicative experience within the framework of the formation of a specific component of communicative competence of sound engineers. This makes it possible to approach the improvement of communication skills of students with different levels of communicative competence more flexibly. The principles of implementing the model in the learning process are outlined. The structure of the course «Professional Communications of sound engineers» is compiled. The methods aimed at obtaining and consolidating the basic theoretical information necessary for understanding the work of communication processes in the work of a sound engineer are described. The paper consistently reveals the methodology of forming the functional components of communicative competence by applying personality-oriented teaching methods. The research also analyzes the use of active and interactive teaching methods in the context of personality-oriented methodology. The most important condition for implementing the model for forming the communicative competence of sound engineers is considered: training of teachers to apply the personality-oriented approach.

Development of PhET-assisted simulation e-worksheet using flipped laboratory approach for science communication skills

Communication skills are one of the 21st century skills. Specific communication in biology learning includes science communication. The purpose of the study was to analyze the improvement of science communication skills using E-Worksheet assisted by PhET on nervous system material. This research and development consist of three stages: the preliminary study stage, the product development stage and the product testing stage. Static-Group Pretest-Posttest research design. This study involved 35 students in the experimental class and 35 students in the control class selected using Purposive Sampling. The research instrument consisted of a validation questionnaire and limited description with indicators of science communication. Data analysis informs that e-worksheet is very feasible with an average score of 83.83%. The improvement of science communication skills on the nervous system material in the classroom using e-worksheet assisted by PhET simulation with an overall N-Gain value of 0.56 with moderate criteria. E-Worksheet assisted by PhET simulation helps the learning process. The guide to using E-Worksheet assisted by PhET simulation should be clearer and more detailed and provide training for teachers to be more familiar with electronics.

Rethinking the birth plan after the pandemic: A qualitative study of the view of Spanish midwives

BackgroundThe birth plan promotes women's autonomy allowing them to express their care preferences and to participate actively in decision-making. During the Covid-19 pandemic, concerns about infection placed limitations on women's decision-making and infringed upon some of their rights. The role of the birth plan, after the pandemic, needs to be reassessed to protect women's rights and ensure high-quality maternity care. Research aimTo explore Spanish midwives’ perspective on the principle of respect for autonomy and how this is reflected in the birth plan, and to identify aspects that can be improved in the new post-pandemic scenario. MethodsA descriptive phenomenological study of the experiences of Spanish midwives before, during and after the COVID-19 pandemic that addresses the use of the birth plan and the impact that the pandemic has had on women's rights. Individual online interviews and face-to-face focus groups were used. ResultsPrior to the pandemic, midwives felt that birth plans had problems related to the unrealistic expectations of some women as well as to a lack of awareness of their usefulness. During the pandemic, women mobilized to challenge restrictive regulations, but faced problems with information dissemination and professional coordination, leading to continued infringement of women's rights post-pandemic. ConclusionTo enhance the effectiveness of the birth plan in supporting women's autonomy, a deliberative approach is needed, along with improvements in midwives' ethical and communication skills. The COVID-19 pandemic has created a new scenario in which the discussion about the possibility of increasing the number of birthing centres or offering home birth care funded by the public system, should be debated.

Teaching entrepreneurs for the dynamic economic environment: a case-study of student startup competitions

The article examines the aspects of the formation of entrepreneurial skills among students in the conditions of dynamic development of the modern economy. The authors consider the experience of holding a competition of student startups (Hackathon) as an interesting opportunity for students to demonstrate theoretical knowledge in practice. But an important component of such competitions is the jury, which must be knowledgeable and competent. That is why the authors paid attention to the aspects of attracting business and investors to such contests and their motivation to participate in such contests as a jury.The literature review shows that most research focuses on the importance of developing practical projects and conducting relevant competitions to form entrepreneurial skills in students. However, the issue of motivation and involvement of business representatives in such competitions remains insufficiently researched, so the authors focus on this aspect. The research analyses the practice of organizing the student competition of innovative ideas, Mohyla Open Hackathon “BE FIRST,” and the results of a survey of the competition’s jury members.In general, the jury members have a positive attitude towards such activities and show a desire to participate in similar events in the future, indicating the innovative and business community’s interest in such events as part of the ecosystem’s development and growth. One of the biggest advantages of hackathons is the benefits for participants, primarily students. However, our research shows that the benefits for judges are also significant and include personal (networking, improving communication skills, etc.) and professional (seeing students in action and understanding their potential for the industry and job market) advantages.Such competitions serve several roles: (1) demonstrating to university stakeholders the practical skills and competencies of students that are important for better employability, (2) enabling students to develop entrepreneurial skills, promoting proactivity and a greater propensity for self-employment, and (3) creating an environment for developing new ideas and introducing innovations, ensuring the sustainable development of the economy. Thus, the expansion of startup competitions appears to be an important and effective mechanism for promoting entrepreneurship in university settings.

Research on the application effect of inter-professional training program for newly enrolled medical staff in operating room based on digital information technology

BackgroundThe operating room environment demands high levels of teamwork and interprofessional collaboration, yet current training programs often lack sufficient opportunities to develop these essential skills. Few studies have explored the impact of Interprofessional Education (IPE) based on digital information technology in improving the collaboration and learning among newly enrolled medical staff in the operating room.ObjectivesThis study aimed to design, implement, and evaluate a digital information technology-based IPE training program for newly enrolled medical staff in the operating room. The evaluation focused on the effects of the program on the participants’ expertise, operational knowledge, team communication skills, and application of these skills in clinical practice.MethodsSixty-eight newly enrolled medical staff from surgical departments in a tertiary hospital in Shanxi province were included in this study from January 2021 to December 2022. The participants engaged in an IPE training curriculum that utilized digital information technology, featuring courses and case studies specifically tailored to the operating room environment. Post-training assessments included evaluation of test scores of expertise course, evaluation of surgical simulation operations (operational knowledge and communication), and the International Interprofessional Collaboration Competency Attainment Survey (ICCAS). The effectiveness of the training was assessed by evaluating improvements in communication skills, application of practical knowledge, and teamwork in surgical contexts.ResultsExpertise course evaluation and reflection revealed that the new enrolled medical staff in the operating room had a deep understanding of the knowledge. At the same time, they are better able to understand and master the nursing mode in the process of different professional surgery, and said that they would like to cooperate with surgeon and anesthesiologist during the surgical operation. The score of the Interprofessional Collaborative Competency Attainment Survey (ICCAS) increased significantly (P < 0.05), indicating that the communication and collaboration skills of the new enrolled medical staff in operating room were further improved, and that they were more familiar with the patient-centered teamwork mode.ConclusionsThis study provides a valuable reference for the design and implementation of IPE programs based on digital information technology in the operating room. It highlights the importance of such programs in enhancing the understanding and cross-disciplinary communication skills for newly enrolled medical staff, ultimately improving patient care through better teamwork.

THE IMPORTANCE OF COMMUNICATION OF MEDICAL RADIOLOGY ENGINEERS AND PATIENTS THROUGH THE LENS OF EMPATHY

Effective communication is essential for the quality of healthcare and patient satisfaction in medical institutions. Empathy as part of emotional intelligence plays a major role in the interaction between healthcare workers and the patient, as it helps to understand patient needs, reduce stress and improve patient experience. This paper analyzes theoretical concepts and practical aspects of empathy in the scope of medical radiology; it examines the challenges and preparations that may arise when communicating and provides guidance on how to improve the connection between medical radiology engineers and patients. Addressing this phenomenon enables the development of strategies to improve communication skills as well as compassion, which can lead to better patient outcomes and contribute to an effective working environment for medical staff.

Educational Mobile Apps Enhancing Communication Skills in Children With Autism in Arab Countries

This exploratory literature review investigates the landscape of educational mobile applications designed for children with autism spectrum disorder (ASD) in Arab countries, with a specific focus on their efficacy in improving communication skills. After a comprehensive search of academic databases and digital libraries, nine studies were reviewed. These studies discussed seven Arabic-language applications designed for ASD children. Consistent with previous research findings, these applications were found to be effective in enhancing communication skills among ASD individuals. By shedding light on the few existing Arabic-language educational mobile applications for ASD children in Arab countries, this comprehensive review contributes significantly to the discourse surrounding ASD interventions. Additionally, it highlights the immediate need for linguistically and culturally sensitive educational applications, designed for a specific population of Arab children with ASD.

Improving communication skills in caregivers: an adaptation and pilot test of a brief training module for caregivers of people with cancer in Australia.

Informal caregivers play a pivotal role in providing support to cancer survivors, yet have reported challenges with communicating with health providers to get all the information they need to provide optimal care. We aimed to adapt and pilot test a brief communication skills training program (COMFORT) to improve caregiver-provider communication in an Australian cancer setting. Module adaptation was guided by the cultural adaptation model. A working group completed the module and provided feedback for adaptation. The adapted module underwent pilot testing with cancer caregivers to examine module impact on communication confidence, preparedness for caregiving, health literacy, and psychological outcomes. Semi-structured interviews and survey data provided evidence of acceptability, usability, and preliminary efficacy. Eight working group members provided mostly positive feedback on module language, content, and images. Module modifications reflected Australian services and terminology. Nineteen caregivers provided pre-post-pilot data and participated in semi-structured interviews. Following module exposure, repeated measures t-test analyses showed significant improvements in communication confidence, preparedness for caregiving, health literacy, and depressive symptoms (p < 0.05). Survey and interview data supported the acceptability and utility of the program. The findings support the feasibility and preliminary efficacy of the brief module in improving communication confidence, caregiving preparedness, health literacy, and depressive symptoms in Australian cancer caregivers.

Study protocol for a multicenter randomized controlled trial on simulation-based communication training for pediatric cardiology trainees (SIMUL-CHD)

BackgroundEffective physician-patient communication is crucial to compassionate healthcare, particularly when conveying life-altering diagnoses such as those associated with congenital heart diseases. Despite its importance, medical practitioners often face challenges in communicating effectively. Because of these gaps, we aim to introduce a simulation-based training protocol to improve pediatric cardiology trainee’s communication skills. This study will be conducted in collaboration with associations supporting caregivers of children with congenital heart disease. It strives to demonstrate how specific training programs can efficiently foster humanistic, patient-centered care in standard medical practice.MethodsThis multicenter, open-label randomized controlled trial will be conducted in pediatric cardiac units and simulation centers of across 10 universities in France. The study population comprises pediatric cardiologists in training (including pediatric cardiac fellows or specialist assistants). The SIMUL-CHD intervention will consist of simulation-based training with standardized patients, focusing on improving communication skills for pediatric cardiology trainees during diagnostic counselling. Patients and caregivers have been recruited from a National Patient Association named “Petit Cœur de Beurre”. The primary outcome is the quality of physicians’ communication skills. The evaluation committee, which will review video recordings of the sessions, will be blinded to which participants received simulation-based training (group of interest) and which received theory-based training (control group). Secondary outcomes are the effect of SIMUL-CHD on empathy and anxiety levels in young pediatric cardiologists. Baseline scores pre and post-intervention will be compared, and skill improvement resulting from the intervention measured.DiscussionSimulation-based training has proven efficacy in teaching technical skills in various scenarios however its application to communication skills in pediatric cardiology remains unexplored. The involvement of experienced parents provides a unique perspective, incorporating their profound understanding of the emotional challenges and specific hurdles faced by families dealing with congenital heart disease.Trial registrationThis trial is registered with the OSF registry (registered https://osf.io/ed78q).

Psychological and Pedagogical Support for Future Technology Teachers in the Educational-Scientific-Production Cluster

The article examines the importance of psychological and pedagogical support in the training process of future technology teachers, particularly in the context of modern educational challenges and the full-scale war. This support is aimed at developing emotional intelligence, stress resilience, preventing professional burnout, improving communication skills, and providing supervision. The research emphasizes the formation of teachers' professional identity, as well as their ability for self-analysis and self-reflection. Special attention is given to methods of coping with emotional stress during the war, including relaxation techniques, stress management, the use of positive thinking, and maintaining a work-life balance. The article is based on the experience of the Social and Psychological Center of the Lviv Educational-Scientific-Production Cluster, which focuses its efforts on supporting future teachers through supervision, training, and consultations. The cluster integrates theoretical knowledge, scientific research, and practical training for specialists in the fields of vocational education and production. This model of teacher training is aimed at enhancing their qualifications, developing professional competencies, and adapting to the demands of the modern labor market. The study explores the key stages of teacher training, which include foundational theoretical preparation, scientific research, practical internships at production enterprises, and further professional development. Special attention is paid to the implementation of innovative teaching approaches and the use of modern technologies that enable future teachers not only to master new teaching methodologies but also to integrate contemporary production processes into educational programs.

Developing Clinical Judgment During Transition to Practice With Rapid-Cycle Deliberate Practice Simulation.

New-to-practice nurses (NPNs) make more errors than their experienced peers, affecting patient safety and contributing to sentinel events. Additionally, new nurses have a high attrition rate in their first year of practice. Simulation-based education may bridge the gap between education and practice by supporting the development of clinical judgment of NPNs. With quality improvement methods, an intradisciplinary team implemented a quality improvement project to improve NPNs' clinical judgment skills. A multipatient simulation that used rapid-cycle deliberate practice gave NPNs an opportunity to refine clinical decision-making and communication skills. In total, 24 NPNs participated in the pilot simulation. Pre- and postsurvey scores using the simulation effectiveness tool-modified showed self-reported improvement in clinical judgment and communication skills, among other competencies. Rapid-cycle deliberate practice simulation may support the development of essential nursing competencies, along with increased confidence and enhanced psychological safety among NPNs. [J Contin Educ Nurs. 202x;5x(x):xx-xx.].

Adapting the English Language Teaching Curriculum to Overcome Resource Limitations in Rural Areas

This research explores the adaptation of the English Language Teaching (ELT) curriculum to address the significant resource limitations faced in rural areas, specifically in Sorong, West Papua, Indonesia. The study aims to investigate how teachers creatively modify lesson plans, instructional methods, and assessment strategies in environments lacking essential resources, such as teaching materials, technological tools, and professional development opportunities and the impact on the students’ outcomes. Using a qualitative multi-case study approach, data were gathered through semi-structured interviews, classroom observations, and document analysis over a two-month period. The findings reveal that teachers employed various strategies to cope with resource constraints, such as simplifying lesson content, utilizing locally available materials, and incorporating peer collaboration in the classroom. These adaptations resulted in enhanced student participation and improvements in oral communication skills. However, significant challenges were observed in fostering literacy, particularly reading and writing skills, due to the scarcity of instructional resources and limited teacher training. Moreover, while short-term engagement and speaking proficiency increased, the long-term impacts on overall English proficiency remained limited. The study underscores the need for comprehensive professional development for rural teachers and better access to teaching materials to fully bridge the educational gap between urban and rural students. Ultimately, these findings offer valuable insights for future curriculum development aimed at improving language education in resource-limited settings.

The effect of peer tutoring on pediatric nursing education: a systematic review.

This study aimed to systematically review studies on the effect of peer tutoring on pediatric nursing education for nursing students and identify its contents and characteristics. A comprehensive search was conducted from November to December 2023 across databases including PubMed, Embase, CENTRAL, CINAHL, ProQuest, and others. We included both published and unpublished literature in English or Korean. Three reviewers independently screened and selected eligible studies that involved undergraduate nursing students participating in peer tutoring programs focused on pediatric nursing education. We analyzed quantitative outcomes related to learning effects and learner responses. The quality of the studies was assessed using the revised Cochrane risk-of-bias tool for randomized trials and the risk of bias assessment tool for non-randomized studies. Five studies were reviewed, encompassing randomized controlled trials, a non-randomized controlled trial, a cohort study, and a before-after study. These interventions were conducted in school settings or pediatric clinical environments and featured different forms of peer teaching: horizontal, near-peer, and reciprocal. The tutor-to-tutee ratios ranged from 1:3 to 1:36.5. The educational content covered nursing care for major neonatal diseases, communication skills, medication administration, and resuscitation techniques. Significant improvements in cognitive knowledge and communication skills were observed among nursing students. However, there was noticeable variability in the design and reporting of the studies. Peer tutoring programs can effectively enhance pediatric nursing education by improving nursing students' knowledge and skills. For future meta-analyses, more studies in this field reported according to reporting guidelines are needed.

The Role of Hearing Aids in Improving Dual-Task Gait Performance in Older Adults With Presbycusis: A Cognitive and Motor Analysis.

Cognitive decline is a common challenge faced by older individuals with presbycusis; their performance on dual-task (DT) activities is generally lower compared to those without hearing loss. However, the influence of hearing aids on nonauditory cognitive decline in this population remains unclear. This study aims to investigate the effect of hearing aids on nonauditory DT performance in older adults with presbycusis. This study included older people with presbycusis who used hearing aids (P&HA group), those with presbycusis who did not use hearing aids (PoHA group), and a control group of healthy adults. Forward and backward digit span tests and timed up and go test (TUG) were administered to all individuals. TUG and motor and cognitive (forward and backward digit span) tasks were applied simultaneously to evaluate the participants' DT performance. The study comprised 60 individuals with presbycusis (19 females, 41 males; mean age: 73.23±6.49years) and 30 healthy adults (15 females, 15 males; mean age: 35.93±8.57years). Healthy adults performed better than the P&HA and PoHA groups in all the administered tests (p<0.05). There was a moderate negative relationship between the severity of hearing loss and the forward and backward digit span test performances (p<0.05). The P&HA group performed better than the PoHA group on the DT cognitive forward and backward digit span tests. The use of hearing aids and their proper fitting are important not only for improving communication skills and reducing listening effort but also for supporting nonauditory cognitive functions, minimizing the risk of falls during DT activities, and enhancing the overall quality of life.

Early integration of palliative care in haemato-oncology: latest developments.

This review aimed to explore recent progress made in the past five years towards early access to, and integration of palliative care services within the haemato-oncology context to address the unique needs of patients with Haematological malignancies (HMs). We included 14 articles in our review. We identified three themes, namely (i) disparities in the timing of referrals remain, (ii) specialist palliative care and impact on quality of life and (iii) perceptions on early integration. Patients with HM, receive less palliative care services, regardless of their higher symptom burden compared to patients with solid tumours. Structured approaches and models of early integration have shown substantial benefits, including improved pain and symptom management, shorter hospital stays and better end of life planning. Perceptions on existing barriers include the curative treatment focus, haematologists' personal perceptions on timing of palliative care and lack of palliative care training. For early integration to happen, it is crucial to address training gaps, improve communication skills, and foster interdisciplinary collaboration. Standardised organisational pathways can facilitate early and concurrent palliative care integration. System-level flexibility and supportive policies are essential to ensure that patients with HM receive comprehensive and high-quality care.

UPAYA MENINGKATKAN KETERAMPILAN BERKOMUNIKASI SISWA DENGAN TEMAN MENGGUNAKAN LAYANAN BIMBINGAN KELOMPOK DENGAN TEKNIK ROLE PLAYING

The aim of this research is to determine the improvement of students' communication skills through group guidance services using role playing techniques. Communication skills: Communication is a speaking skill possessed by a person that can be used in verbal and nonverbal techniques that can be used to understand or resolve a conflict constructively.This type of research is quantitative research. The method used by researchers is Quasi Experimental research. The subjects of this research were class XI Mipa 5, totaling 16 students. which will be divided into 2 groups, namely the control group and the experimental group. The dependent variable in this research is improving students' communication skills, while the independent variable is group guidance services using role playing techniques.The results of this research indicate that before group guidance was carried out using the role playing technique (pretest), the condition of students' communication skills tended to be low with an average of 48.625 and after being given group guidance using the role playing technique (posttest), students' communication skills experienced a significant increase with an average of 62,375.From the results of the hypothesis test, it was found that there was a significant difference regarding students' communication skills before and after being given group guidance services using role playing techniques, with a significance of 0.012. Thus it can be concluded that implementing group guidance services using role playing techniques can improve students' communication skills.

Pengaruh Teknologi Artificial Intelligence berupa ChatGPT dalam Pengembangan Sumber Daya Manusia

This research aims to analyze the use of Artificial Intelligence (AI) technology, specifically ChatGPT, in improving Human Resources (HR) skills and competencies. The main focus of this research is to identify the role of ChatGPT in HR training and development, including the improvement of communication skills, problem solving, and continuous learning through AI-based interactions. The research method used was descriptive quantitative, with data collection through questionnaires involving 58 students from various universities in East Java. The results showed that the majority of students reported significant benefits from the implementation of ChatGPT, which not only enriched the learning experience but also improved in-depth and interactive understanding of the material. The findings provide important insights for educational institutions in developing strategies to increase the adoption of AI technology in supporting students' learning process.

A socially interactive communication skills training for competent health educators

Abstract Background Every contact with expectant and new parents can be a “teachable moment” for promoting the health of mother-baby-family; yet, healthcare providers may not effectively perform their educational role. Previous studies have described various setting-specific challenges. Procedural knowledge, resulting in lack of confidence and avoidance, is a universal theme, challenging current communications skills training. Given the evolving role of midwives under the new Cyprus National Healthcare System, there is need for innovative practices. Objectives “Baby Buddy Communicators” designed, implemented and piloted tested a socially interactive digital environment on the Edubreak platform, where practicing (N = 8) and in-training (N = 7) Midwives completed an 8-week iterative hybrid communication skills course along with service-users. Results Four situational-based scenarios were co-created with ‘holders of the experience’ tapping on key priorities (elective caesarean, breastfeeding challenges, baby in NICU, postnatal depression). Participants produced video artefacts of role-play consultations and engaged in peer-to-peer and service-user feedback via the in-built video annotations and blog writing tools. Deductive content analysis of the rich material using the 18-item Health Professionals Communications Skills (HPCS) scale identified recurrent patterns tapping on both informational aspects (e.g. incomplete information gathering, overload without assessing comprehension) as well as social skills (e.g. agenda setting, early reassurance, assertiveness). Conclusions This cross-sectoral transfer of social video from sports training to healthcare is a “proof of concept”. Inverted (i.e. making current practices visible) and experiential learning (e.g. feedforward) with cross-sectoral (service-user involvement) and cross-module dimensions (i.e. communication skills and evidence-based practice) provided the basis for evaluation and a source of shared learning and reflection. Key messages • Several areas of improvement in communication skills of maternal healthcare providers were identified while peer-to-peer and service-user feedback was a source of reflection. • The use of digital technology and social video allowed immersive role-playing, observation and constructive feedback loops providing a new paradigm in health communication skills training.

Supporting parents' emotional and mental health in the antenatal consultation.

Supporting parents' emotional and mental health is crucial during antenatal consultations, in which expectant parents often receive serious news about their infant and sometimes face complex antenatal or postnatal decision-making. Being considerate of the circumstances to mitigate barriers and stressors, utilizing clear and sensitive language, and personalizing counseling and decision-making to support parents' pluralistic values are strategies that individual neonatologists can use to promote parents' mental wellness in these encounters. Partnership with clinicians of other disciplines and professions in antenatal consultations can help in providing additional medical information and parent support; however, care must be coordinated within the team to ensure that confusing or conflicting counseling is avoided. In addition to improving communication skills for these encounters as individuals and teams, opportunities also exist to enhance support of parents' mental health at the institutional and national level.