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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.