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healthcare education and training experiential learning education higher education experiential learning nursing teaching laboratory nursing education exploration innovation school ethnography phenomenology experience clinical exposure clinical nursing practice skills team teaching educacion keynote speech participant observer observation reflexive triadic and dyadic questions learners teachers dr. james malce alo criticism nurses master program icd 10 dsm 5 classification of mental disorders psychiatric nursing psychiatry therapeutic communication practical return demonstration exploration-innovation teacher thinking outside the box aspiration difference goals dreams clinical practice conference