OBJECTIVE: The purpose of this study was to translate the Awareness of Rights Scale into Chinese and test its psychometric properties among nursing students in clinical practice.
METHODS: The original English scale was translated, synthesized, and back-translated according to the Brislin translation model: the translated scale was cross-culturally adapted through expert correspondence and pretesting to form the Chinese version of the scale; a convenience sampling method was used to survey 486 nursing interns in Liaoning, Guangdong, and Anhui regions to assess the reliability and validity of the scale.
RESULTS: The Chinese version of the scale consists of 14 items in three dimensions. The Cronbach\'s alpha value of the scale was 0.916 and the range of Cronbach\'s alpha coefficients of subscale was 0.768 to 0.894. The discounted half reliability was 0.867 and the retest reliability was 0.901. The scale content validity index (S-CVI) was 0.963. A total of three common factors were extracted for the exploratory factor analysis. The confirmatory factor analysis indices fit well (χ2/df = 1.092, RMSEA = 0.014, CFI = 0.998, IFI = 0.998. TLI = 0.997), and the model fit was good.
CONCLUSIONS: The Chinese version of the scale has good reliability and validity in the nursing intern population and can be used to assess nursing interns\' awareness of their rights in clinical practice in mainland China.

OBJECTIVE: To explore the influencing factors of attitudes about death among undergraduate nursing interns.
METHODS: The study subjects were selected from the full-time fourth year undergraduate nursing interns in Jiangxi University of Technology from January to March 2021 by convenience sampling method. The general information questionnaire was designed by our hospital, and attitude towards death referred to the Chinese version of Death Attitude Depiction Scale (Revised) (DAP-R). Univariate and multivariate Logistic regression analysis was performed on the factors that may affect nursing interns.
RESULTS: A total of 210 nursing undergraduate interns were investigated in this study. The total score of DAP-R scale was (89.27±7.26) with a range of 72 and 112. Dimensions were ordered according to the average scores for the items of natural acceptance, escaping from death, fear, approaching acceptance and fleeing acceptance. Univariate and multivariate logistic regression analyses were conducted to analyze the factors that might affect the attitude. Items with statistical significance in univariate analysis, including religious belief, death of the patients cared for during the internship, reading the books related to death and the family\'s open discussion on the topic of death were entered into the regression model (all P<0.05). The formula of DAP-R total score prediction model was as follows: DAP-R total score = 62.980 + 3.056 * religious belief + 4.381 * death of patients cared for during internship + 5.727 * reading books on death + 3.531 * family open discussion on the topic of death.
CONCLUSIONS: The undergraduate nursing interns in our school have a good attitude towards death, but still exhibit a negative attitude in fearing death.

BACKGROUND: Complete denture, as an important restoration method for edentulism, is difficult to study for beginners, especially in linking the theory with clinical practice.
OBJECTIVE: This study was aimed to compare the teaching effects between case-based learning combined with Rain Classroom teaching and traditional lecture method in the clinical course of complete denture prosthesis for undergraduate interns.
METHODS: In a course called \"Problems and treatment strategies of complete denture after wearing\", interns were divided into two groups: one for traditional lecture-based teaching with PowerPoint slideshow (the control group, n = 28); and the other for case-based learning combined with Rain Classroom teaching, which published information before class, discussed specific clinic cases in class and got real-time interns\' feedback via WeChat (the test group, n = 22). Both groups received the same exam and questionnaire survey after class. The Q&A participation of interns in class, theoretical test scores and questionnaire survey responses were used to evaluate the teaching effects. An independent sample t-test and the chi-square test or Fisher\'s exact test were used for statistical analysis in this study.
RESULTS: The Q&A participation of interns in the test group was much better than that of the control group. The average score on the theoretical test after class in the test group (72.14 ± 12.24) was significantly higher than that in the control group (61.29 ± 20.12) (P < 0.05). In the test group, 94.54% (21/22) of the interns preferred the new teaching mode.
CONCLUSIONS: Case-based learning combined with Rain Classroom teaching is helpful to enliven the classroom atmosphere, inspire studying enthusiasm, and achieve a good learning effect in both theory and clinical practice related to complete denture prosthesis.

BACKGROUND: Nowadays, the research of doctor-patient communication is becoming increasingly important not only in China but also around the world.
METHODS: The study designs a type of learning software to train the interns to advance their communication skills, and whose validity for improving doctor-patient communication in self-controlled trials is evaluated. With the aid of the new learning software, the self-controlled tests were carried out among 183 interns to assess the quality of their communication skill acquisition. The learning effectiveness of the preparation stage, information collection, information given, patient understanding, and inquisition ending was evaluated with the Set Elicit Give Understand End (SEGUE) framework after 3 months of training.
RESULTS: More interns (37.16% vs. 10.98%, P < 0.001) could accurately identify the psychosocial or emotional factors contributing to the diseases. An increased number of interns (42.62% vs. 10.40%, P < 0.001) were able to openly discuss lifestyle issues and prevention strategies with patients. The study also revealed that interns who had completed training tended to allow patients more time to describe their feelings and concerns about their illnesses. In addition, more of the trained interns roved capable of being caring and respectful to patients and showing empathetic communication behavior (53.01% vs. 26.59%, P < 0.001).
CONCLUSIONS: The doctor-patient communication software may help the interns known more about communication skills.