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Table 3 The main comments concerning visual art training in the pilot

From: Cultural adaptation, the 3-month efficacy of visual art training on observational and diagnostic skills among nursing students, and satisfaction among students and staff- a mixed method study

No.1 participant ➢ After the visual art training, I realized I missed so many key points in my previous observation.
➢ The observation procedures I learnt from the training really help me to make nursing diagnosis.
No.2 participant ➢ I think it is interesting and I want to take an active part.
➢ It was hard for me to initiatively interpret these Western art pieces without cues from the teacher.
No.3 participant ➢ I think most Western art pieces had intricate historical backgrounds and mysterious religious color for me.
➢ Agree with No.2 participant.
No.4 participant ➢ I don’t know how to generate a plausible explanation based on this unfamiliar information.
➢ I don’t want to be selected as a spokesman and get involved in discussion, because when I say something wrong, I will feel embarrassed.
No.5 participant ➢ It was an exciting and novel experience.
➢ I believe our observational and diagnostic skills will be improved with the help of visual art training.
No.6 participant ➢ My favorite part is observation and interpretation of clinical images. I think it is more clinically relevant to my later professional life.
➢ Agree with No.4 participant.
No.7 participant ➢ I was satisfied with visual art training.
➢ Agree with No.2 participant.
No.1 museum guide ➢ Students seems to have difficulty in concentrate on observation.
➢ In most cases, we have to propose our ideas and students just follow us instead of proposing their own thinking from a different perspective.
No.2 museum guide ➢ I think Chinese oil paintings are easier for Chinese students to understand compared with Western art pieces.
➢ Replacing the Western art pieces with Chinese oil paintings may greatly help us delivering this program.
No.3 museum guide ➢ Why do not we deliver the program in an art museum? Compared with simulated museums, a real art museum has more paintings and better learning atmosphere to inspire students get more involved in the training.
No.4 museum guide ➢ It is important for us to encourage students to overcome their shy nature.
➢ Agree with the clinical professor.
Art Professor ➢ There was an unconscious shift from student- to teacher-led training during the implementation process, which was not what we expected.
➢ This might be due to shy nature of Chinese students and obscure Western art pieces. We should work on this.
No.1 nursing professor ➢ Students need more time to share ideas and generate multiple interpretations via group discussions.
➢ Maybe we can prolong the session for interpretation and communication to help improve student involvement.
No.2 nursing professor ➢ I suggest the selected paintings should have rich visual detail, and potential for ambiguity of interpretation without predetermined correct answers.
➢ Agree with No.1 museum guide
Clinical professor ➢ We need to encourage students to guess and interpret paintings based on their observation as boldly as possible.
➢ We will correct them only when their interpretations were illogical or showed idiosyncratic personal bias.