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Early Integration of Chinese Medicine Rehabilitation Improves Functional Outcomes in Stroke Patients: A Prospective Pragmatic Study and Nested Case-Control Analysis.

Authors: Zhang J, Ng YW, Zhou K, Fang HM, Wu X, Chow HY, Ho CP, Lin Z, Cheung CH, Zhong LL, Bian Z
Journal: CNS neuroscience & therapeutics
mental health psychology open access

Abstract

Undergraduate nursing thesis work is increasingly recognized as more than an academic requirement; it can also foster research competence, evidence‐based thinking and early leadership development (Grønning et al. ). Students who serve as research group leaders often coordinate peers, communicate with advisers and manage timelines while navigating topic development, revision and data collection (Grønning et al. ; Wu and Cormican ; Tuppal et al. ). These responsibilities may strengthen collaboration, accountability and resilience, yet they may also expose students to stress, self‐doubt and interpersonal strain (Abdul‐Rahim et al. ; Labrague ). Although previous studies have examined thesis experiences, supervision and resilience in nursing students (Aryuwat et al. ; Jaensson et al. ), these have largely centred on students as supervisees or on the supervisor–student relationship. Far less is known about the students who take on the designated leadership role within research groups—those who coordinate peers, manage deadlines and mediate between members and advisers while remaining peers themselves. In the Philippine context, where outcomes‐based curricula mandated by the Commission on Higher Education commonly rely on group‐based thesis models, this dual peer‐and‐leader position is widespread yet rarely documented, particularly with respect to how leaders reflect on coordination, supervisory relationships, group conflict and their own growth after completing the thesis. This study addressed that gap by exploring the reflections of nursing student research group leaders during undergraduate thesis work and considering how these insights may inform mentorship, instructional support and early leadership preparation in undergraduate nursing education and nursing professional development. This study was guided by the following research question: How do undergraduate nursing student research group leaders describe their roles, challenges and perceived professional growth during thesis work? This study used a qualitative descriptive design to examine student leaders' written reflections on their undergraduate thesis experiences. Qualitative description is well suited to research that aims to provide a straightforward, comprehensive account of a phenomenon in the everyday language of those who experienced it, without the theoretical commitments of phenomenology, grounded theory or ethnography (Doyle et al. ; Sandelowski ). Within this design, inductive qualitative content analysis following Elo and Kyngäs () was applied as the analytic method, allowing categories and themes to emerge directly from participants' written reflections rather than from a predetermined framework. This analytic approach was further informed by contemporary guidance on inductive content analysis, which emphasizes systematic familiarization with the data, transparent coding, iterative category development and clear documentation of analytic decisions to strengthen rigour and auditability (Vears and Gillam ).