Exploring the Difference of Patient-Centered Care Awareness Between Novice and More Experienced Nurses in China: A
Bowen Zheng1, Bangle Wu2, Ziwei Xu3
1Television School, Communication University of China.
Health Communication
|October 20, 2025
Summary
Chinese nurses
Area of Science:
- Nursing Education
- Healthcare Semiotics
- Patient-Centered Care
Background:
- Patient-centered care (PCC) faces significant challenges in China's healthcare system.
- Social semiotic theory provides a framework for understanding symbolic interactions in learning.
Purpose of the Study:
- To investigate Chinese nurses' symbolic interaction during multimodal learning.
- To analyze the impact of these interactions on patient-centered care (PCC) awareness.
Main Methods:
- Mixed-methods approach combining eye-tracking technology and qualitative interviews.
- Analysis of meaning construction based on professional experience levels.
Main Results:
- Experienced nurses focused on facial expressions and interactive symbols; novices on text and visuals.
- Experienced nurses developed "observer power" relationships, viewing patients as "ill others."
- Novice nurses showed egalitarian relationships but limited PCC awareness, prioritizing procedures.
Conclusions:
- Significant differences exist in how nurses of varying experience levels construct meaning during learning.
- Conflicts arise between standardized nursing education and effective PCC implementation in China.
- Enhanced PCC education is crucial for Chinese nurses.


