Reflective Thinking Scale for Healthcare Students and Providers—Chinese version

Language Reflection: Metatextual Analysis

The article deals with language reflection, verbalization through metatexts, and interpretation. The expression of language reflection is defined in the works of writers and poets. The research is directed at investigating the text, realizing the process of interpreting the works of great poet A. Kunanbayev from the point of linguistic consciousness, and determining the results. The poet conveys information by utilizing various language tools and constructs that prompt self-questioning. The definitions of concepts, classifications, and characteristics related to language reflection are given. The authors aimed to identify language reflection in A. Kunanbayev's works, classify reflexives marking the language reflection of the author, modeling them using the G. Gibbs' model, and comparing them with the psycholinguistic survey materials within the framework of reflexive linguistics. The authors agree that there are two classifications of reflexives, such as metatextual commentary and metalanguage interpretation. As a result of the study, the poet's self-reflection consisted of 6 elements (Gibbs' cycle), through the lexico-semantic analysis of the reflexives the poet's language units were classified as metatextual commentary and the respondents' answers as metalanguage interpretation. The syntactic structures of the language reflexives were determined, and it was found that they are often in interrogative and negative forms. According to the purpose of the article, the reflexives in the poet's poem were identified and classified into four groups (Describing the poet or providing additional information; Working on yourself; Working with character; Positive assessment) by the semantic nature of the respondents' interpretation of the work as a result of the psycholinguistic experiment.

Storytelling in Medical Education: Narrative Medicine as a Resource for Interdisciplinary Collaboration

Objective: The study intended to use narrative medicine study for interdisciplinary collaboration to let medical and healthcare students have a chance to interact with one another and listen to patients’ stories to enhance students’ reflective thinking, communication, empathy, and narrative medicine writing skills. Methods: A fifteen-week quasi-experimental design was used to examine the learning outcomes of the intervention. Two groups of students were randomly assigned as the experimental group (33 students) and the control group (32 students). Before and after the intervention, both groups had to fill in a Reflective Thinking Scale for Healthcare Students and Providers (RTS-HSP), Patient–Healthcare Provider Communication Scale (P-HCS), Empathy Scale in Patient Care (ES-PC), and Analytic Narrative Medicine Writing Scoring Rubric (ANMWSR). Results: The findings showed that on the reflective thinking scale, experimental group students had significantly higher reflective thinking posttest scores in “reflective skepticism,” “empathetic reflection,” and “critical open-mindedness,” but not in “self-examination.” As for patient–healthcare provider communication, they had significantly higher posttest scores in all “perception of trust and receptivity,” “patient-centered information giving,” “rapport building,” and “facilitation of patient involvement” factors. As for empathy, they had significant higher posttest scores in “behavioral empathy” and “affective empathy,” but not in “intelligent empathy.” In narrative medical writing skills, they had significant higher posttest scores in the “attention → representation → affiliation,” “depth of reflection,” “focus and context structure,” and “ideas and elaboration” sections, but not in the “language and conventions” section. Conclusion: The findings suggest that narrative medicine is worth recommending for interdisciplinary collaboration for healthcare education.