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Thinking you're different matters more for belonging than being different.

ABSTRACT: Belonging to a community is essential for wellbeing, but potentially unattainable for those dissimilar from a group. In the present work, we ask whether belongingness is better predicted by acting and thinking like peers or believing you act and think like peers. Students (N = 1181) reported their belonging and how much they, their friends, and an "average student" endorsed local behavioral norms and general values. We calculated difference scores for behaviors and values capturing perceived similarity to the average, actual similarity to the average, and accuracy around the norm. Key results indicate that perceived behavioral similarity to the average, when controlling for other differences, predicts belonging and most robustly mediates between identity and belonging. Using social network analysis, we find behavioral differences from friends are meaningfully linked to network density and racial homophily. Efficient interventions for enhanced belonging could highlight similarities between students and their peers.

SUBMITTER: Chadha S

PROVIDER: S-EPMC10981754 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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Thinking you're different matters more for belonging than being different.

Chadha Sareena S Ha Tiffany T Wood Adrienne A

Scientific reports 20240330 1

Belonging to a community is essential for wellbeing, but potentially unattainable for those dissimilar from a group. In the present work, we ask whether belongingness is better predicted by acting and thinking like peers or believing you act and think like peers. Students (N = 1181) reported their belonging and how much they, their friends, and an "average student" endorsed local behavioral norms and general values. We calculated difference scores for behaviors and values capturing perceived sim ...[more]

PMID: 38555409

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Project description:BackgroundThe hospital discharge process poses significant safety risks for older patients due to complexities in communication and coordination among stakeholders, leading to potential drug-related problems post-discharge. Adopting a person-centred care (PCC) approach in medication communication by healthcare professionals (HCPs) is crucial to ensure positive health outcomes. This study aimed to explore the practice of PCC in medication communication between older patients and HCPs during the hospital discharge process.MethodsWe conducted a qualitative study using non-participatory direct observations of patient-HCP consultations during hospital discharge, followed by semi-structured interviews with observed patients and, when applicable, their informal caregivers. Data collection occurred from October 2020 to May 2021 at two Swedish hospitals. We gathered data using an observational form and audio-recorded all consultations and interviews. The data were analysed thematically using the systematic text condensation method.ResultsTwenty patients were included (median age: 81 years [range: 65-94]; 9 female) in observations and 13 of them participated in interviews. Two patients were accompanied by an informal caregiver during the interviews. Three main themes were identified: (1) The impact of traditional authoritarian structures, depicts power dynamics between patients and their HCPs, showing how traditional structures influence the practice of PCC in medication communication during hospital discharge; (2) Consultation timing and mode not on patients' terms, describes suboptimal times and settings for consultations, along with the use of complex language that hinders effective communication; and (3) Discrepancy in expectations of self-care ability, illustrates a mismatch between the self-care guidance provided by HCPs during hospital discharge and the actual needs and preferences of patients and informal caregivers.ConclusionMedication communication between older patients and HCPs during hospital discharge is frequently inconsistent with the practice of PCC. Not only must HCPs improve their communication strategies, but patients and their informal caregivers should also be better prepared for discharge communication and encouraged to participate in their care. This involvement would give them relevant knowledge and tailor communication to their individual needs, preventing problems in managing their medications after discharge.Patient or public contributionAn advisory group of six patients and/or informal caregiver contributors provided input on the study design, edited the consent forms, and helped develop the interview guide.

Project description:BackgroundIn medicine, critical thinking is required for managing and tolerating medical uncertainty, as well as solving professional problems and treating diseases. However, the core of Confucianism, teacher-centered and exam-oriented settings in middle and high school education may pose challenges to developing critical thinking in Han Chinese or Taiwanese students. Students may be adversely affected by these pedagogies since student-centered settings were more effective in stimulating their critical and reflective thinking, as well as a sense of responsibility, in the ever-changing world. Therefore, guiding students with less stable foundations of critical thinking might require a different approach. A review article highlighted the potential utility of the Socratic method as a tool for teaching critical thinking in the healthcare field. The method involves posing a series of questions to students. More importantly, medical students and residents in clinical teaching are familiar with the method. Almost all healthcare students must complete a biochemistry laboratory course as part of their basic science training. Thus, we aimed to train students to develop critical thinking in the biochemistry laboratory course by using learning sheets and teacher guidance based on the Socratic method and questioning.MethodWe recruited second-year students from a medical school, of whom 32 had medical science and biotechnology majors (MSB), 27 had pharmaceutical science majors (PS), and 85 were medical undergraduate (MU) students. An exercise in critical thinking was conducted during a biochemistry laboratory course, which consisted of five different biochemical experiments, along with learning sheets that contained three or four critical thinking questions. Then, the teacher evaluated the students' ability to think critically based on nine intellectual dimensions (clarity, accuracy, precision, relevance, depth, breadth, logic, fairness, and significance) based on the universal intellectual standards developed by Prof. Linda Elder and Richard Paul. In the following analysis, regression models and multivariate analysis were used to determine how students improved over time, and trajectory analysis were carried out in order to observe the trends in students' critical thinking skills construction.ResultsClarity and logic dimensions were identified as the key elements to facilitate the development of critical thinking skills through learning sheets and teacher guidance in students across all three different healthcare majors. The results showed that metacognitive monitoring via Socratic questioning learning sheets have demonstrated potential encourage students to develop critical thinking skills in all dimensions. Another unique contribution of current study was present the heterogeneous learning patterns and progress trajectories of clarity and logic dimensions within classes.ConclusionUsing the Socratic learning model could effectively develop students' critical thinking skills so they can more effectively care for their patients.

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Thinking you're different matters more for belonging than being different.

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Thinking you're different matters more for belonging than being different.

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