EXCHANGESTUDENTREPORT
CREATERSIVAKORN JUNTANIKOM

DATE
10TH – 24TH JULY 2016

COURSE
Undergraduate

INSTITUTIONFACULTY OF NURSINGCHIANG MAI UNIVERSITYDETAILEXCHANGE STUDENT PROGRAM
BETWEEN FACULTY OF NURSING,CHIANG MAI UNIVERSITY AND
NURSING SCHOOL FACULTY OF

HEALTH SCIENCE, KOBE UNIVERSITY.

EXCHANGE STUDENT |FACULTY OF

NURSINGCHIANG MAI
UNIVERSITYFACULTY OF NURSING, CHIANG MAIL UNIVERSITYABOUT FACULTY
by Sivakorn J.

VisionThe Faculty of Nursing will continue to bea leading nursing academic institution at
the international level that produces
quality graduates, research, andacademic service, and embodies good
governance and the sufficiency economy
philosophy.
MissionAs a commitment to Chiang Mai
University, the Faculty of Nursing has four
principle functions: education, research,community service and culturalconservation

Philosophy
With our philosophy, we believe that
nursing education is a process of personal
development which will enhance a
nurse’s competency, responsibility,
leadership, and moral and ethicalconsideration. Nurses must respond to thehealth needs of individuals, families, andcommunities which continuously change,
therefore the nursing curriculum musthave different levels that focus on self
development, research, community
service and cultural preservation. In
addition, a good academic environment,
collaboration, and continuous quality

IN THIS ISSUE

improvement will ensure that the Facultyof Nursing is the center of academic
excellence. The Faculty of Nursing iscommitted to the determination of Chiang
Mai University in order to be the center ofhigher academic education andprestigious profession that can greatly
benefit the local and national population
at large.

EXCHANGE STUDENT [KOBE]SIVAKORNa

Just 14 days got
many experiences

Just 14 days got
many lecturers

Just 14 days got
many friends

Just 14 days got
many knowledges

10 -24 JULY 2016
EXCHANGE STUDENT PROGRAM
WITH KOBE UNIVERSITY
TH

TH

This report is not describing about events in exchange student
program, but also knowledges and experiences too. Throughout 14
days among Japanese people and culture, only 2 Thai students
come to the warm hug of lecturers and students of Kobe University.

And just 14 days
make me fall in love
‘Kobe’FACULTY OF

NURSINGCHIANG MAI
UNIVERSITYTHAILAND© 2016

EXCHANGE STUDENT [KOBE]SIVAKORNaEXCHANGESTUDENT[KOBE]

11ST JULY 2016

IN THIS ISSUE

DAY 1
by Sivakorn J.

This is the second day that I arrived Kobe city, Japan. First of all, I and my friend
had to meet Associate Professor Dr. Yuko Uesugi (the director of International
exchange student) to get a schedule for this program and explain about thescholarship. Also some changing detail in the plan.
9:00-11.50 o’clock
Associate Professor Dr. Yuko Uesugi prepared orientation of Faculty of Health
Science (FOH), Kobe University. The university have many campuses. Faculty of
Health Science are in clouded 4 departments such as nursing, medical
technology, occupational therapy, and physical therapy. All of above
departments are located in Myodani Campus. By the way, Bachelor’s student in
Nursing Department are about 320 people. Each grade is about 80 students
included nursing 40 people, community nursing 35 people, and midwifery
nursing 5 people.
Like in Thailand, when students are graduated (4 years’ curriculum) they have topass the national exam for get nursing license. Japan not just have only nursing
curriculum, but also have others too like practical nurse and helper nurse.
Once of the difference from Thailand, the nurse who graduated Bachelor’s
degree can continue to study in master degree immediately.

Dean
In the morning, we met the dean of Faculty of Health
Science, Professor Dr.Yoshiaki Kido for participate
together.

Building
This is the right side building in Myodani Campus. The
building has two wings called ‘F wing’ and ‘E wing’.
There are instructor office, laboratory, and classroom.

EXCHANGE STUDENT [KOBE]SIVAKORNa

12:00 o’clock
The International student club prepared a welcome party for us. We hadparticipation and lunch together in the party. This is my first time that I got the
party from Japanese student. I remembered that they let me choose Japanesefood and I choose Udon. The taste was different from Thailand so much.

IN THIS ISSUE

13:10-16:20 o’clock
We observed Physical Assessment Subject of the 3rd years nursing student.
These assessment is in the Fundamental Nursing Subject. In Kobe University,
the student will practice with a model all. They put technology with a model, so
the lecturer can set model in normal or abnormal symptoms. Finally, student canlearn and observe various symptoms.
Students are separated in a group; each group are included 5-7 people. Just one
student will be assessing a model, other people have to record the result ofassessment and answer the question from lecturer. If student cannot answer orassess all items they will get a chance to find their problems and come back tofigure out.

Classroom
All of classroom have built in air conditioner, blackboard, projector, TV, desk, and chair.

University’s sign
The university is far from Myodani station about 1 km.
Take a time about 15 mins from the station.

EXCHANGE STUDENT [KOBE]SIVAKORNa

DAY 2
by Sivakorn J.

In the morning of second day I and
my friend went to meet Ms. Ayami
Nishino the officer in International
Student Division. She describedabout the scholarship and what wehave to do during stay in Japan. We
got a scholarship from JASSO (Japan
Student Services Organization), aJapanese organization that support
student to continue study in anothercountry (under ministry ofeducation).

16:20-18:00 o’clock
I and my friend observed home health care nursing practice with Ms. Yang Li, thenursing student in master degree from China. We got a warm welcome from
Associate Professor Dr. Masaru Kotera, Associate Professor Dr. Yuko Uesugi,
Philips Company, and 2nd years nursing student.

We was observe home health carenursing practice with Ms. Yang Li,
Associate Professor Dr. Masaru Kotera,and Associate Professor Dr. Yuko
Uesugi.

This class is practice part in Nursing Community subject. The instructor separated
to 3 stations for 3 classrooms and also separated 2nd years nursing student in 3
groups. The first station is about facility equipment’s in community likeventilator, suction machine, or mask. Each facility equipment has many
characteristic and usability. Moreover, they are easy to use because the company
has focus on community customer and elderly people. The most important is thenurse who will be graduate and become to be a community nurse someday haveto know about it. This station was demonstrated by the officer from Phillips
Company because he knows the detail of all equipment.
The next station is about the equipment health project of Phillips. The talked
about their facility equipment that can use in community. And the last station isa great innovation that can help rehabilitating patient such as water prove spray(use in bed sore patient), Tegaderm wound care in bed sore patient, and thesensor that detect gravity mass of patient.

I try to use the sensor that can use inwheelchair for detect the force atpelvis area.

EXCHANGE STUDENT [KOBE]SIVAKORNa

Conference about ‘Long-TermCare Insurance System andElderly Facilities’ in the morning.

NURSING HOME

Observing Ikiiki No Sato Nursing Home for
elderly.

DAY 3
By Sivakorn J.

The environment in Ikiiki No Sato Nursing Homefor elderly.

ELDERLY POPULATION IN 201635%
The elderly population in Japan will up to 35%

15%
The elderly population in Thailand will up to 15%

FOR MORE INFORMATION
Increasing of elderly people both Japan and
Thailand result entering into aging society.
DAY3

In the morning we have a class;Gerontology nursing by Professor
Dr. Chieko Greiner, AssistantProfessor Dr. Toyama Hirochika, and3rd years nursing student. The firstpart we conference about ‘LongTerm Care Insurance System andElderly Facilities’. Almost elderly
people in Japan are supported careservices follow by their level (1-5).
The government will support money
about 90% and other 10% they haveto pay by themselves. Each level ofmoney from government has benefit
limit standard start at 49,700
yen/month (depends on level).
The next topic was about ‘Services of
welfare Facility for the Elderly’.
Professor Dr. Chieko Greiner told
about the normal welfare for elderly
in Japan and about the services thatelderly will get.
After the conference we go toobserve Ikiiki No Sato Nursing Homefor elderly (take about 300
kilometers from Kobe University
Myodani Campus). This is the placefor elderly come to do an activity
together and make group to join
together. The nursing home have
many facilities for them (almost arefrom the government). Each floor
they have an accommodation too.

They have many type of room,normal room have 4 beds andpersonal area. The private room they
have to pay more by them self
because government do not have apolicy to support. The nursing homeoffer an activity to elderly every day
and have a physical therapy student
come to practice too. They do nothave a doctor in nursing home, justhave 1 to 4 nurses and staff to takecare their health.
In the evening we have a seminar of
research exchange with Japanese
student. This is a conference about
the elderly health in now a day
between Thailand and japan. The
Japanese student will provide
information then present to us. Afterthat we exchange the data together.
I can summarize that Japaneseelderly have a long live more thanThai because not strong food, higheducation among elderly and young
people, and policy from governmentis the most important. I think
Thailand should more concern in thisproblem now.

EXCHANGE STUDENT [KOBE]SIVAKORNa

DAY 4

AWAJI ISLAND

by Sivakorn J.
Today is 15th July 2016. We went to
Awaji Island (near Kobe city) toparticipate in the community-based
activity for the elderly in Awaji City.
This project is in Community HealthNursing subject by Associate
Professor Dr. Masaru Kotera andMiss Maeda, a doctoral student.
The first place we went to a little
community to observe the elderlygroup activity. They will join theiractivity twice a week in community
center for do some exercise (elderly
exercise). There is one nurse in thiscommunity. The important role ofcommunity nurse is support andprovide facility to them to join
together. Almost activity the elderly
will do by themselves. The youngest
member in this group is 65 years andthe oldest is 110 years. Almost
member have a chronic disease suchas diabetes mellitus, hypertension,
gouty arthritis, and heart disease but
they seem healthy.
In the afternoon went to visit The
Awaji Earthquake Memorial Park in
Awaji Island. Here have many highschool students come to field trip
because there are many interestingsuch as the lucky house that saved
from earthquake, picture whenearthquake is occur, and theearthquake simulation machine.
The last place that we went is Awaji
garden. It is a beautiful side seeing in
Awaji Island. There is a good view
can see bay from Osaka to Kobe Cityand cool wind. This is the place for
rest.

AWAJI ISLAND

The lucky house
They show the lucky house that saved from earthquake
and the area around the house.

The bridge
This is the rope bridge from Kobe City to Awaji Island.
Seem like the Golden Gate Bridge.

Awaji Garden
It is one of the most beautiful place in Awaji Island.
There are many flower and tourism here.

Activity
The elderly will come to join together for exercise twicea week in the community center.

Awaji Garden
Associated Professor Dr. Masaru Kotera and Miss Maeda

Earthquake Memorial
Simulation room show after the big earthquake occur
about 21 years ago.

EXCHANGE STUDENT [KOBE]SIVAKORNa

DAY 5Today is Saturday we do not have aclass. So Japanese student took us to
go to Himaiji Castle in Himei ji City.
We had to take the train from Kobe
City to Himeiji Castle for 1 hour and
20 minutes. The Himeiji City is
located in the south part from Kobe
City.
Himeji Castle is a hilltop Japanese
castle complex located in Himeji, in
Hyogo Prefecture, Japan. The castle
is regarded as the finest surviving
example of prototypical Japanese
castle architecture, comprising a
network of 83 buildings withadvanced defensive systems fromthe feudal period. The castle isfrequently known as Hakuro-jō or
Shirasagi-jō (‘White Egret Castle’ or‘White Heron Castle’) because of its
brilliant white exterior and supposed
resemblance to a bird taking flight.

There are a lot of people come tovisit at Himeiji Castle every day
especially increase in long-weekend.
Himeji Castle is frequently known as
Hakuro-jō or Shirasagi-jō (‘White
Egret Castle’ or ‘White Heron Castle’)because of its brilliant white exteriorand supposed resemblance to a bird
taking flight. The castle has beenfeatured extensively in foreign andJapanese films, including the James
Bond movie ‘You Only Live Twice’(1967), and Akira Kurosawa's
Kagemusha (1980) and Ran (1985). In
the television miniseries Shōgun(1980) it served as a stand-in for
feudal-era Osaka castle, which has
lost the surrounding fortifications. In
the video game Civilization
Revolution, Himeji Castle is available
to build as a world landmark.

HIMEIJI CASTLE

EXCHANGE STUDENT [KOBE]SIVAKORNa

DAY 6
by Sivakorn J.
Today is a weekend. The
International Exchange Club
member took us to go to Kyoto City.
There is a Gion-Matsuri Festival in
the canter of Kyoto City today. We
got doctor Youdiil Ophinni, adoctoral degree student to be ourguide too.
The Gion Festival takes place
annually in Kyoto and is one of themost famous festivals in Japan. It
goes for the entire month of July andis crowned by a parade, theYamaboko Junkō on July 17 and July
24. It takes its name from Kyoto's
Gion district.
Kyoto's downtown area is reservedfor pedestrian traffic on the threenights leading up to the massive
parade. These nights are known asyoiyama on July 16 and July 23,
yoiyoiyama on July 15 and July 22,
and yoiyoiyoiyama on July 14 andJuly 21. The streets are lined withnight stalls selling food such as
yakitori (barbecued chicken
skewers), taiyaki, takoyaki,
okonomiyaki, traditional Japanese
sweets, and many other culinary
delights. Many girls dressed in
yukata (summer kimono) walkaround the area, carrying with themtraditional purses and paper fans.
During the yoiyama evenings leading
up to the parade, some privatehouses in the old kimono merchantdistrict open their entryways to the
public, exhibiting valuable family
heirlooms, in a custom known as theByōbu Matsuri, or Folding Screen
Festival. This is a precious
opportunity to visit and observe

traditional Japanese residences of
Kyoto.
The next place is Arashiyama
Bamboo forest. If you’ve beenplanning a trip to Kyoto, you’ve
probably seen pictures of the
Arashiyama Bamboo Grove – alongwith the torii tunnels of FushimiInari-Taisha Shrine and Kinkaku-ji
Temple, it’s one of the mostphotographed sights in the city. But
no picture can capture the feeling ofstanding in the midst of thissprawling bamboo grove – the wholething has a palpable sense ofotherness that is quite unlike that ofany normal forest we know of.
KYOTO

Gion-Mastsuri
We were looking forward to seeing the parade.

Bamboo Forest
Visiting Bamboo Forest for fresh air and pray the god formy life.

EXCHANGE STUDENT [KOBE]SIVAKORNEXCHANGESTUDENT[KOBE]

18TH JULY 2016

IN THIS ISSUE

DAY 7
by Sivakorn J.
18th July is the National holiday in Japan. In the morning and afternoon, I took arest in my dormitory. In the evening Nowsung took us to go to Rokko Mountain.
It is not far away from our dormitory just take a bus about 30 minutes.
Mount Rokko (931 meters) is the highest peak in the Rokko mountain range,
which provides the pleasant green backdrop to the city of Kobe. Panoramic
views of the heavily urbanized Hanshin region (Kobe and Osaka) can be enjoyedfrom the mountain and are particularly spectacular around sunset.
Various small tourist attractions can be found on Mount Rokko, including abotanical garden, a music box museum, a pasture with flowers and sheep,
Japan's first golf course and Rokko Garden Terrace, a tourist complex with a few
restaurants, shops and an observation deck.
A circular bus line (running in clockwise direction only) connects the various
attractions with the top stations of both the Rokko Cablecar (going to centralKobe) and the Rokko Arima Ropeway (going to Arima Onsen).

EXCHANGE STUDENT [KOBE]SIVAKORN

DAY 8
by Sivakorn J.

We have a class in morning about
10:30-12:00. Assistance Professor
Hirokazu Fujimoto tough us in
Psychiatric Nursing in Japan. Almost
psychiatric patient in Japan iselderly. The most common disease isdementia. Japanese government isconcern about this problem verymuch because more than 20% ofJapanese people are elderly group. In
addition, depression and suicide are
the most problem in adult. It resultsfrom stress in working andcompetitive in society. In older
children is stress too because of
studying. Child abuse can found inyounger children too and almost arefrom their parents. Now a day, thenumber of psychiatric patient arelikely to increase.
In the afternoon, we had to learn
about Infection control in Japan by
Assistant Professor Dr. Yamamoto, a
researcher in department of Nursing
Faculty of Health Science. He spoke
English so clearly.

First of all, he talked about generally
infection control in Japan. The
statistic of infection in there arelower than Thailand so much andtheir government have a strong
policy to support their citizen. Then,he had focus on Tuberculosis(Tb). In
Japan are very rare to foundtuberculosis but usually found inchronic disease patient such as AIDSor respiratory pulmonary disease.
The treatment of tuberculosis is likein Thailand because we use the same
protocol all the world.

Finally, he presents his project when
he studied doctoral degree. His
project was presented in Optimizing
Healthcare Quality Conference 2016
at Faculty of Nursing, Chiang Mai
University too. In my opinion, his
project can develop and helpful indisability person.

EXCHANGE STUDENT [KOBE]SIVAKORNa

KOBE UNIVERSITY HOSPITAL
Caption 2 style is used to add
picture captions. Captions are in
text boxes for easy placement
relative to images.

Dining room
This is a dining room in Gynae Word. The hospitalprovides an area for their family to join and relax
together.

DAY 9
by Sivakorn J.

The nurse
The head nurse of Respiratory Word takes us round on
the floor.

The Malaysian student
The group from Malaysia came to join and round in thehospital. They are including by nursing teacher andstudents.

Today have a plan to observe at
Kobe University Hospital. Like inThailand, observing or practicing in
the hospital have to get up early, for
us too. The first time that I arrive
Kobe university I think it look like aprivate hospital in Thailand because
it is so clean nice and tidy. Then I and
my friend have to change thenursing student uniform before
round hospital. For that day, we got
a warm welcome form AssociatedProfessor Dr. Yuko Uesugi andAssistant Professor Yamaguchi toplan and take us. We rounded Gynae
Word, Respiratory Word, Out
Patient Department, Operating
Room, Intensive Unit Care of
Medical and Surgery and Emergency
Room.
First of all, the provided anorientation about Kobe Hospital. In
this opportunity, there wereteachers and students from Indonisia
come to join too. This hospital is notlarge, have about 950 beds but it is atertiary hospital. Maharaj Nakorn
Chiang Mai Hospital have 2,267 beds
and is a tertiary hospital too. Their
hospital is under The Ministry of
Public Health.

Then, we were round the hospital
start at Out Patient Unit(OPD). They
separate OPD by organ system like
Gastrointestinal OPD or Respiratory
OPD. It is look like the private
hospital OPD in Thailand. After that
we were round Respiratory andGynae Word. In the word are soclean and have a lot of space. The
nurse station is in the center andthey have many type of room suchas 4 people or private room. We had
an opportunity to send one of thefemale patient go to Operating
Room(OR) on 3rd floor. This is myfirst time that I see OR. It is a big
room, so clear and bright, and have a
lot of equipment.
In the afternoon, we got an
opportunity to round Intensive Care
Unit(ICU) Medical and Surgery. This
word have full of power rate ofhealth person. They separate thebed form together and each bedsideare abundant by equipment forpatient. Each ICU Word has about 20
beds. After that we was round in
Emergency Room(ER). ER is notlarge like in Thailand. They have just
6 beds, 2 for trauma case, 2 forobserve case, 1 for neuro case, and 1
for give a treatment immediately.

EXCHANGE STUDENT [KOBE]SIVAKORN

DAY 10SEMINAR

EXCHANGE STUDENT
We have a seminer in topoics about health issue in Thailand
and Japan. Then we are diccuse together. And the last ispresentation by Thai student about exchange student
program.

EXCHANGE STUDENT [KOBE]SIVAKORN
TRANSCULTURAL FAMILY NURSING

DAY 11by Sivakorn J.
In the morning about 9:00-12:10 a.m.
We went to joint master class intopic ‘Transcultural Family Nursing’by Dr. Junko Honda. She is a
professionally transcultural nursing
and graduated doctoral degree from
University of North Carolina, UnitedState of America. We are discussed
in cultural family between Thai andJapanese because both nation ishaving various religions. Thus, this is
one of the important subject that
nurse have to study and try tounderstand. In this class have 3
master student join too. One is thenurse who working in Kobe city.
Another is the nurse from China.

There are 3 Levels of culture (Hall,1984)

The detail in transcultural family
nursing both in Thailand and Japanare likely to difference but theconcept can be used. Some problem
in studying in master course is thewords. They use technical terms andformal terms. However, Dr. Honda
was translating to us.

Farwell party was arranging in theevening by master and doctoral
student. This time we are so nervous
because they are older than me and I
have to concern about using words.
Nevertheless, the party had passwithout trouble. We got a warm
welcome and good take care fromthem. I never forgot!

a. Tertiary level—Explicit or
manifest culture is the publicfacade that is visible tooutsiders such as rituals, dress,
cuisine, festivals.
b. Secondary level—Underlying
rules and assumptions known
to members of the group but
rarelyshared with outsiders.
c. Primary level—Deepest levelof culture comprising implicit
rules known and followed bymembers of the group but
seldom stated.

Foreign Resident in Japan
As of 2014 June, 2,086,603 of foreign residents live inJapan. More than half of them are Chinese and Korean