<?xml version="1.1" encoding="utf-8"?>
<article xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" dtd-version="1.1" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><front><journal-meta><journal-id journal-id-type="publisher-id">APM</journal-id><journal-title-group><journal-title>Advances in Precision Medicine</journal-title></journal-title-group><issn>2424-8592</issn><eissn>2424-9106</eissn><publisher><publisher-name>Bio-Byword Scientific Publishing Pty. Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.26689/APM.v11i7.15566</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title>Challenges and Countermeasures in the Construction of Nursing Practice Teaching Bases in University-Affiliated Hospitals under the “1 + X” Certificate System</title><url>https://artdesignp.com/journal/APM/11/7/10.26689/APM.v11i7.15566</url><author>YangTaihong,ShaoShirong,ChenMin,DengTianfang,ZhouSumei</author><pub-date pub-type="publication-year"><year>2026</year></pub-date><volume>11</volume><issue>7</issue><history><date date-type="pub"><published-time>2026-07-26</published-time></date></history><abstract>The &amp;ldquo;1 + X&amp;rdquo; certificate system is an important direction for vocational education reform in China, aiming to promote the deep integration of academic education and vocational skills training, and enhance learners&amp;rsquo; job adaptability and employment competitiveness. University-affiliated hospitals, as the core carriers of practical teaching in nursing, play a crucial role in integrating education and training in implementing the &amp;ldquo;1 + X&amp;rdquo; certificate system. This article analyzes the core challenges currently facing the construction of nursing practical teaching bases in university-affiliated hospitals from three dimensions: system integration, resource allocation, and faculty development. Based on the development of the nursing industry and the requirements of education and training, it proposes targeted countermeasures, providing a reference for improving the nursing practical education and training system and enhancing the quality of nursing talent training.</abstract><keywords>1 + X certificate system,University-affiliated hospitals,Nursing practice teaching,Base construction</keywords></article-meta></front><body/><back><ref-list><ref id="B1" content-type="article"><label>1</label><element-citation publication-type="journal"><p>[1] Niu J, Nan G, Cai X, et al., 2021, Exploration and Practice of Talent Training Model for Higher Vocational Nursing Professionals Under the 1 + X Certificate System. Chinese Journal of Practical Nursing, 37(26): 5.
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