Report
Exchange Program
At Faculty of Health Sciences
Kobe University, Kobe City,Hyogo, Japan
9 May 2015 – 6 June 2015

Ms Supapitch Muanginn

Chiang Mai University,Chiang Mai, Thailand

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Table of ContentsPage
1st week
Discussion about general information and health function

5in Thailand with exchange program student

Participation in the practice on basic nursing skills

6-7with 2nd year students: skills for patient transfer

Study Visit: the Awaji Earthquake Memorial Park in Awaji Island

8

Study Visit in Community Health Nursing

9: participation in the community-based exercise program
for the healthy elderly in Awaji Island

2 nd week
Participation in the lecture for graduate students:

10International Health Cooperation

Study Visit in Community Health Nursing:participation in the community-based program for mothersand children in Nishinomiya City

11

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Participation in the practice on newborn baby care

12with 3rd year students

Study Visit: Private Maternity Home 'HINATA' in the community

13

Lecture of Gerontology Nursing: aging in Japan and Thailand

14

3rd week
Participation in the lecture for occupational therapist course

15students: Higher Brain Dysfunction

Study Visit in Community Health Nursing: Observation

16of infant health examination in the community health centerin Nishinomiya City

Study Visit:
・Observation of in-patient ward at Kobe Kaisei Hospital

17

・Observation of the private elderly nursing home

18'Confort Hills Rokko'
・Observation of the public elderly nursing home 'Uminohoshi'

19

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Lecture of Psychiatric Nursing:20

overview of mental health care services and welfare of
the person with mental disorder in Japan

4th week
Study Visit: Disaster Reduction and Human Renovation institution

21

Study Visit of Kobe University Hospital

22Experience in Japan

23-24

ProgramContents

25

Influence of the career stage

26

Other contents

27

Page |5Discussion about general information and health function inThailand with exchange program student

In this class we were discussion about general information and healthfunction in Thailand with Japanese student in the exchange program. In thediscussion we give an answer and share a lot of information about our country
and also we got a lot of new information about Japanese culture and healthsystem too. From this discussion I had learned many different between Japanand Thailand, for example in Japan parents can not punish their child by hitting
if they do it will be child abuse but in Thailand parents can punish their child byhitting.

Page |6Participation in the practice on basic nursing skills with 2ndyear students: skills for patient transfer

In this class we observe in the practice skills for patient transfer. It has
many type of patient transfer, some type they use the same method in
Thailand but some type was quite different from Thailand, for example inJapan nurse can beef up with patient for transfer them although nurse andpatient are heterosexual, nurse still beef up transfer the patient but in Thailand
nurse don’t beef up with patient for transfer them, even they have a samegender Thai nurse always keep a distance with the patient. In this class I also
saw instrument that I never seen before such as the roller board, the four leg
walker which can move side by side like walking from right to left.

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The roller board
This instrument’s name is roller board. As we know most of nurse have
low back pain form their work but the roller board can reduce this problem. It
help nurse to transfer a patient form patient bed to transfer bed easier sonurse don’t have to carry all of patient weight by their own self and by using
this instrument use only two or three nurse so other nurse can take care otherpatient. This innovation is very helpful and easy to use in my opinion so I think
this innovation can apply to use in Thailand too.

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Study Visit: the Awaji Earthquake Memorial Park
In Awaji Island

In the Awaji Earthquake Memorial Park I saw many picture of the bigearthquake. The picture can tell the story very well I can feel the sadness andlost by looking the picture. And it has the models that explain the reason andshow what happen in the real situation. In addition this memorial park keep areal place which affected by the big earthquake. To keep the memorial ofearthquake is a great ideal to remind people to aware and prepare themselves
for cope with the earthquake in the future. In Thailand we never have a big
earthquake like Japan but we also have other disaster, how great it would be if
we have a memorial park like this.

Page |9Study Visit in Community Health Nursing: participation in
the community-based exercise program for the healthyelderly in Awaji Island

Japan is the countries which have a lot of elderly so Japanese
government was support and give the important to elderly very much. Exercise
program for the healthy elderly is one of the supporting program from thegovernment and community nurse has responsibility for this program. This
exercise program is the program for healthy elderly to improve their bodyfunction and muscle to be stronger and healthier for develop their daily life
activity. Moreover this program makes the elderly have their own social
network for support each other.

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Participation in the lecture for graduate students:
International Health Cooperation
I never study about the international health cooperation in
Thailand before so I didn’t know about the international health cooperation somuch but this lecture make me know about the information of theinternational health cooperation. Japanese government give the important to
the international health cooperation very much, they give money support andmedical personnel support to developing and underdeveloped country.
Thailand also join in the international health cooperation but most of Thaipeople don’t know about it.

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Study Visit in Community Health Nursing: participation in
the community-based program for mothers and children in
Nishinomiya City

The community-based program for mothers and children is the programthat all of mother and their children in the community can join. In this program
mothers and their children did activity together, they sing a song and playgames together. All of this activity can help them to improve their relationshipand also can help mothers to reduce their stress too. Moreover in this activity
has group activity that the staff and community nurse was grouping mothersby the area which mother was living, the area of living can tell lifestyle andfamily economic. Member of the group share they daily life activity and thestory about their children. In this program mothers make a new friends andmake their own socialize to support and share the experience. In addition
community nurse can assesses mother’s health while doing activity and afterP a g e | 12

the program was finished, community nurse and staff would discussion about
the problem that they had found.

Participation in the practice on newborn baby care with
3rd year students

The lecture and practice are about newborn baby care, the content issame in Thailand but in the practice I got a new technique in newborn
assessment. And we also share our technique that we have learned from theteacher in Thailand to Japanese student too. In my opinion it was a goodlearning if we have practice when finish the lecture chapter by chapter, I thinklearning like this can make we get more understanding by doing after learning.

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Study Visit: Private Maternity Home 'HINATA' in thecommunity

Hinata is the private maternity home in the community. Mothers canshould the approaches of delivery by them self so this private maternity home
is the one of choice for mother who wants to have natural delivery. Mothers
come here for antenatal care, nurse will check mother and fetal health including
giving advices and health education to mother. In the antenatal care room isvery quiet and private, nurse can talk and ask the information and also give
advice and health education to mother in thoroughly. Delivery room is very
comfortable when mother delivery, father and family can stay with mother until
the delivery was finished. And this maternity home also take care the baby after
delivery too so if it don’t have problem while delivery and after delivery motherand baby have a good condition they don’t have to go to the hospital but if they
have a bad condition maternity home nurses will refer them to the near hospital.

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Lecture of Gerontology Nursing: aging in Japan and Thailand
Japan is the elderly country, Japanese government give an importantand support the elderly a lot. In Thailand the number of elderly is increase andthe birthrate is decrease so in the future Thailand have a tendency to become
an elderly country but we still don’t have a good health system and supportingfrom the government like Japan. From the research, nurse in Japan want totake care the elderly more than nurse in Thailand but nurse in Thailand want to
get the specialist license of elderly care more than Japan, I think the reason
why Thai nurse want to get the specialist license of elderly care because if they
get the specialist license of elderly care they will earn more money.

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Participation in the lecture for occupational therapist course
students: Higher Brain Dysfunction

Before I join this class I know what the occupational therapist is but after
I join this class I really know the meaning of occupational therapist. In this class
I was saw the instruments which make for higher brain dysfunction patient tohelp them to do a daily life activity. The lecture was talking about meaning,type, pathology, sign and symptom and nursing care of the higher brain
dysfunction patient. We was learning about condition and nursing care of thehigher brain dysfunction patient from biopic video of one of famous jockey
who got higher brain dysfunction. Learning like this make me understandabout higher brain dysfunction clearly and this video has great moral values.
From this lecture I had realize that one of the most important for recoveringfrom higher brain dysfunction is the client must be commitment to thetreatment also with the help of profession occupational therapist.

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Study Visit in Community Health Nursing: Observation ofinfant health examination in the community health centerin Nishinomiya City
The infant health examination, nurse and medical personnel such as
doctor, nutritionist, psychologist, and dentist are working together in team.
First, nurse will assess children development by ask them to tell the name ofanimal and thing in a picture. It rather same in Thailand but in Thailand we use
the test which name “Denver 2”. Then, nurse will check their body weight andhigh even the children were crying and didn’t cooperate it isn’t a problem fornurses, they can control the situation very well. After that, doctor and dentist
will check the children body health and teeth and also give a health education
and advice to mother. Then, nurse will ask mother for a more information
about mother and their children and give a give a health education and advice
to mother. If mother has need some help or need a specific advice, nurse canhelp them. If the children have a specific problem nurse will consult thenutritionist and psychologist. Finally, after finish the health examination theteam will discussion about the problem that they met case by case. In Thailand
we don’t have the health examination like this but we have a health checkup in
school and hospital with doctor when they go to hospital for taking vaccine.

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Study Visit:・Observation of in-patient ward at Kobe Kaisei Hospital

lKaisei hospital is a private hospital in Kobe city. Most of hospitals inJapan have “women volunteer “they are a group of foreign people who live inJapan and Japanese who are good in English, they work as a translator but forfree. Kaisei hospital is the one of hospital which has women volunteer too so inhere the different language isn’t a big problem. We were observation of inpatient ward. In this hospital they don’t use paper to collect the data, patient
information, patient condition and everything about patient, they collect themin the notebook or tablet that cam sent all of the data to the hospital internet
system, nurse note and medical order also use the same way. It very good for
reduce the global warming and nurse and medical personnel can be sure thatthey will didn’t lost the information of patient. In Thailand we also use online

P a g e | 18system to collect the data too but most of the data have been collected inpaper.

・Observation of the private elderly nursing home
'Confort Hills Rokko'

The Confort hills rokko is a private elderly home that is very expenses if
the elderly what to stay in they have to pay a lot of money. In this elderly
home nurses and staff who has been train in the elderly care course will takecare the elderly in the way that they want, healthy elderly who can help
themselves nurse and staff will let them to do activity by them self but if theyneed some help they can call for help but the elderly who can’t help
themselves nurse and staff will take care of them. The private room and thepublic rooms are very comfortable, modern, and high technology.

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・Observation of the public elderly nursing home
'Uminohoshi'Uminohoshi is the public elderly home. Elderly was live together, they
have friend and their community in this elderly home. The Uminohoshi want
the elderly feel like they are staying in they own house when they are living
here so the elderly can decorate their room by them self. In addition thiselderly home has a home service that nurse or staff will go to elderly houseand help them to do a daily life activity such as take a bath, eating, and clean
up, also with a health care too. In Thailand we don’t have the system like this if
the elderly stay at home the member of family have to take care them.

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Lecture of Psychiatric Nursing: overview of mental healthcare services and welfare of the person with mental
disorder in Japan
Japan has a high number of the person with mental disorder. They study
psychiatric in number and statistic that can show the main reason of themental health disorder so the psychologist and nurse can resolve the mental
help problem by resolve the main cause. In the past the statistic show that theelderly and teenage have a high number of suicide, in elderly a big reason isstress from a health problem but in teenage a big reason is stress from family,
work and study . Now the number of suicide in elderly is decrease because thegovernment was support and give an important to elderly health more thanthe part. In Thailand we study psychiatric in number and statistic too but it notup to date and it was quite difficult, in Thailand to do a statistic because mostof the person with mental disorder didn’t unaware that they have mentaldisorder. From the lecture I think the mental disorder can’t be treated in thehospital only but also need community and family support in the long term. In
Japan has a home care to take care the person with mental disorder, inThailand also has too but not so much popular.

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Study Visit: Disaster Reduction and Human Renovation
institution

The disaster reduction and human renovation institution is the placethat aggregator the memory of disaster that was happen in Japan such as
earthquake and tsunami. In the disaster reduction and human renovation
institution has many pictures, things, and message from disaster victims inJapan that can tell the story very well. Moreover it has a simulated the realsituation before when and after earthquake. And it also has a non-fiction video
in 3D about a big tsunami in Japan. In addition they are giving the education
about earthquake and tsunami and the way to keep up and escape from them.
In Thailand we don’t have the disaster education or the disaster memorial likethis even a big earthquake was never happen in Thailand but we should tolearn about it before it happen.

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Study Visit of Kobe University Hospital:

We observed in in-patient ward, out-patient clinic for patients withdiabetes, a companying the palliative care team activity, ICU and operatingroom. The in-patient ward in Kobe University Hospital are very good living, it
isn’t congested like most of university hospital in Thailand. They collect thepatient data in online system so in in-patient ward they don’t use a paper,
every nurses were have the tablet for entering the patient data. The outpatient clinic for patients with diabetes has a separate room for ask patient
condition and giving the health education about diabetes by nurse who arespecialize in diabetes, in Thailand some hospital also has the out-patient
diabetes department too. The palliative care team is quite same with healthcare team in Thailand. Doctor, nurse and other medical personnel workingtogether to take care the patient in team.

P a g e | 23Experience in Japan

I got many new experiences and had learned many things fromJapan. This trip is my first time to go to abroad but I didn’t worry
about my living because teacher and student of Kobe University
were take care and support me very well. The student always try tospeak English with me and they also teach me a Japanese language
too. Studying in Japan make me saw the different of education
system and health system between Japan and Thailand. Japan is adeveloped country that have a good health system and high healthscience technology, it was be great for me to get a chance to visit,
observe, and join the activity in hospital, elderly home, maternity
home and community care. I had learned many things that can apply
to use in Thailand. In addition I went to the memorial park and thedisaster reduction and human renovation institution, I never seensomething like this before it very excitement, interesting, andsadness in the same time. Thailand don’t have much terrible disasterP a g e | 24

and never have a big earthquake so most of Thai people never havethe experience and don’t know how to hander with earthquake.
Number one of disaster which is a big problem for Thailand isflooding but we don’t have flooding memorial park for keep amemory or giving an education about flooding. In my opinion it was
be good if Thailand have it. For me Japanese people are really kindand really nice. I went to many places in Kobe and Kansai area. Every
place that I went are very beautiful and clean. In Thailand also have abeautiful tourist attraction but it isn’t clean as same as Japan. I hadlearned a lot of Japanese culture. I want to learn Japanese language
to be my third language so I was good for me to come to Japan. I met
many people that are very kind and helpful. And Japanese food isvery deliciousP a g e | 25

Program Contents
The program contents are really good. It was include theinteresting subject description and study visit place. I got many newexperience and got a lot of knowledge from the lecture, practicing,and study visit that I think I can apply to use for the benefit when Iwent back to Thailand. In this program I didn’t learned only thelesson in the class but I also had learned Japanese culture andlanguage too. This program has a lot of activity that make me got a
new friends and give me an opportunity to exchange the culture andnursing care knowledge.

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Influence of the career stage
This exchange program make me want to work at a nurse
because when I study in Thailand I have to practice in the hospital, in
the hospital is very crowded and nurse have to do a hard work andone nurse have to take care a lot of patient but in Japan healthsystem is very good and hospital and other health care are very clean
and nice foe living and working also.

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Other contents
I want to join in the undergraduate class more than Master orDoctor Degree