Report for Program of Post Graduate Student Exchange
Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

ACTIVITY REPORT
Duration: 1st October – 27th December 2013

BY:
Satoko Tsuda (Matsuyama)
Graduate School Of Health Sciences,
University Of Kobe Japan2013

Report for Program of Post Graduate Student Exchange

2013

Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

Activity Report
During my staying for program of post graduate student exchange in the University Gadjah Mada of
Yogyakarta, Indonesia from October 1st – December 27th , 2013, my activities is consisted of 8partsve⑤
Attending a seminar⑥Attending health education for community member⑦conducting research work⑧
cultural activities．
① First , I met and discussed with Prof. Sunartini Hapsara( Sp.A(K), Ph.D) , Dr. Elizabeth Siti
Herini( Sp.A(K)),and was introduced many staff in Master of Nursing , Faculty of medicine by Ms.Elsi.
② Field Trip is included visiting Sardjito Hospital, Meeting with Ms.Novi(PT)and Visiting her private
hospital to know physiotherapy culture, Visiting disaster area (Mt, Merapi Area),Visiting Puskesmas,
Visiting Kindergarten for screening and the place for children with malnutrition with Dr. Niah, Visiting
assessment centre for child development with Dr.Erni and Dr.Ippe, Visiting the physiotherapy clinic for
pediatric :gria fisio bunda novy kadisoka with Ms.Elsi and Ms.Nina.
③ Attending lectures for undergraduate and postgraduate nursing program. Lecture for undergraduate
program include: Japanese class (Block4.1), English class (Block1.2), and maternity nursing class(Block 2.3) with Ms.Elsi. Lecture in postgraduate nursing program that I attended include class forpediatric nursing and maternity nursing. And also attending a leture of Bahasa Indonesia by Ms.Itsuna④ Giving a lecture to master of nursing program with Ms.Ftri. The topic of: Nursing for children withchronic diseases.
⑤ Attending seminar of Development of Qualified Nursing Innovation and Community service .12th December 2013.
⑥ Attending health education for community member at children house , 13th December 2013
⑦ Conducting research work, Visiting city hall of Yogjyarta and Bantul to get permission and visiting a special school(SLB NEGERI 1 BANTUL) in bantul.
⑧ Cultural activitiesl , Visiting many famous places in Yogyakarta.
Person in Charge:
Members :Prof. Sunartini Hapsara, Sp.A(K), Ph.D

Dr. Elizabeth Siti Herini, Sp.A(K)Elsi Dwi Hapsari, S.Kp, M.S., D.S
Wiwin Lismidiati, S.Kep, Ns., M.Kep, Sp.Kep.Mat
Sri Hartini, S.Kep, Ns., M.Kes
Anita Herawati, S.Sos

Supervisors : Prof. Sunartini Hapsara, Sp.A(K), Ph.D
Elsi Dwi Hapsari, S.Kp, M.S., D.S
The results and my impression regarding each activity is as follows:
1. Preparation class
1: Campus orientation-

Wednesday,2th -3 rd Octorber,2013,(getting campus orientation by Ms.Sri Hartini)-

Wednesday,23th Octorber,2013,(how to use Library and internet by Ms.Anita Herawati )Report for Program of Post Graduate Student Exchange

2013

Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

Impression:

My first impression about UGM was how big it was if I compared with campus of healthsciences in Kobe University. Ms. Sri Hartini showed me the place of Medical faculty and café in campus,
and also showed several places I need dairy life around my hotel. Café in UGM was not like Japanese
one. There were a lot of Indonesian foods and you can choose some in one plate. Price was too cheap. I
could not eat a lot because some food was too much spicy but almost all food was delicious and I usedthe café every lunch. Ms. Anita took me to the library to show how to use it included with using Wi-Fi
for internet. At the library, there are a lot books and journals and many students were studying there. I
also used library sometimes for making some reports and looked for some journals when I had a time, I
think it’s nice environment for students to study.
2: Bahasa Preparation-

Wednesday,8th Octorber,2013,9:00am-12:00pm,(Attending lecture of Japanese Class for 4th gradestudents by Ms.Elsi)-

Friday,11th Octorber,2013,8:00am-10:00pm ,(Attending lecture of Japanese Class for 4th gradestudents by Ms.Elsi)-

Monday,21th Octorber,2013,9:00am-12:00pm,(Attending lecture of Bahasa Indonesia by Ms.Itsuna )-Tuesday, 22th October,2013,13:00pm-15:00pm,(Attending lecture of Bahasa Indonesia by Ms.Itsuna)-

Thursday,21th November,2013,15:00am-16:30pm,(Attending lecture of English Class for 1st gradestudents by Ms.Elsi)

Impression: It was great opportunities for me to learn Bahasa Indonesia. It was not so difficult tounderstand about its grammar and basement of Bahasa as Ms.Itsna taught it very slowly, carefully andkindly. She also answered many questions I had about grammar. But I thought it was difficult for me to
get used to it only 3month because it is different way of speaking from English. Ms.Elsi took me to join
Japanese class and English class, it helped me to study Bahasa Indonesia. And I made some friend
there and had a chance to talk with Bahasa Indonesia, English and Japanese to them. So it was nice tolearn Bahasa. Fortunately, I could use some words and sentences in daily- life (Greeting andintroducing myself etc), But I still cannot understand almost all what they speak. I will try to continue
to study Bahasa Indonesia to communicate with them and to know about culture after I go back toJapan.
3: Health problem in Indonesia-

Thursday,17th Octorber,2013,13:00am-17:00pm,(Attending a presentation of treatment of children
with malnutrition with Dr.Herini)

Impression:

Although I had worked as nurse for around 10years at the pediatric ward, I have neverseen children of malnutrition when I was a nurse in Japan. I have seen some children had gotten inserious condition about nutrition from disease or after operation, but I had no experience to see a childof malnutrition. But in Indonesia, there are a lot of children of it and I knew it is very serious problem.
The presentation which I attended was for residents. And they discussed a lot about the treatment ofchildren. I couldn’t understand all because of my poor knowledge of Bahasa Indonesia, but I couldReport for Program of Post Graduate Student Exchange

2013

Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

understand how serious problem it is in Indonesia. And I also learned the one cause of malnutrition wasfrom a lack of knowledge by parents how to feed foods. I think it is one of the important for us to educate
parents how to train their child.
2. Field trip
1: Field trip to hospital-Thursday,17th Octorber,2013,13:00pm-17:00pm,(Visiting Saljito hospital with Dr. Herini andobserved her treatment for 3 inpatients at pediatric ward)-

Friday,27th December,2013,11:00am-13:00,(Visiting Academic hospital of UGM with Ms.Elsi)

Impression: We went to Saljito hospital with Dr.Herini. And she took me to the pediatric ward andintroduced her 3 inpatients. Inpatients I saw were in different type of the rooms. First patient I saw
was a private room but others was in room which can stay 3 or 4 family, but the size of the room looked
smaller than Japanese one I have ever seen in Japan. The environmental of treatment was muchdifferent from Japan. Although the choice which room you want to stay was up to your income as sameas Japan, it doesn’t look good enough to keep the Standard Precautions for the infection control. First
patient was a boy (6month) with Hydrocephalus, second was a girl (5yrs old) with unconsciousness byvirus infection, third patient was also a girl (1month) with vitamin K deficiency disease. Each patient I
saw at that time was said they were getting well now, and each parents looked fine. Dr, and Nurses
looked like so kindly and answered for question they were worried.
2: Field trip to public health care-

Friday,4th Octorber,2013,10:00am-12:00am,(Visiting Puskesmas with Ms.Sri Hartini and masterstudents who has a practice about ICHS of WHO program)-

Monday,21th Octorber,2013,18:00am-18:30pm,(Visiting Puskesmas in Bantul with Ms. Elsi and
Meeting a midwife and nurse)-

Wednesday,14th Novenber,2013,10:00-12:00,(Visiting Puskesmas in Bantul with Ms. Elsi and
Meeting a Dr and Pt and Nurse)-

Tuesday,19th Novenber,2013,15:00-16:00,(Visiting Assessment centre for child development with Dr.
Elni and Dr.Ippe )-Friday,29th Novenber,2013,15:00-17:00,(Visiting Assessment centre for child development with Dr.
Elni and Dr.Ippe )Impression: Puskesmas (Indonesian: Pusat Kesehatan Masyarakat) are government-mandated
community health clinics located across Indonesia. They are overseen by the Indonesian Ministry of
Health. I visited 2puskesmas during my staying Indonesia. Bantul has 27 puskesmas, and one of it I
visited had 2 Doctors and 7 Nurses. There also had dentist, pharmacy and physiotherapy. The role of it
was a quiet different from Japanese health care center. It is asked for of the separation from thepharmacy and clinic and every co-medical has a role strictly for efficiency of work in Japan. So it isinterested in this clinic for me. If you think by patient’s side, it might be not bad there has all offunction of medical in same place and same staff who you trust.

Report for Program of Post Graduate Student Exchange

2013

Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

3: Field trip to Merapi Area-

Tuesday,15th Octorber,2013,9:00am-14:40pm,(Visiting Merapi Area with Ms.Elsi and Seeing one
village had eruption-

Saturday ,19th Octorber,2013,11:00am-14:40pm,(Visiting Merapi museum with undergraduate
students of UGM)

Impression: We went to the place had a big damage by eruption of Mt,Merapi 2010. We visitedpermanent house for the refugees and visited surrounding areas. And also I went to the museum, andsaw the history of eruption. I have never seen and had experience about eruption so that it is difficult
to image of it when I saw around area. But by the museum, I understood how big disaster it was andfelt so scary. And it is really important thing if you think about the communities’ life, you must knowwhat kind of the character the area has. And you must know and make a system to avoid heavy
damage.
4: Field trip to Children’s House (Pusat Pengembangan Potensi Anak)-

Monday,21th Octorber,2013,:00am-14:40pm,(Visiting Children’s House With Ms.Elsi and Meetingwith one of the staff)-

Wednesday, 20th November,2013,16:00-18:00,(Visiting Children’s House With Dr.Elni and Dr.Ippe
Seeing the activity for children under 5 yrs old )-Friday, 6th December,2013,16:00-18:00,(Visiting Children’s House With Ms.Elsi to Seeing the activity
for children under 5 yrs old )-Friday, 12th December,2013,16:00-18:00,(Visiting Children’s House With Ms.Elsi to Seeing theactivity for children under 5 yrs old and seeing the education to parents by master student of UGM )-Tuesday, 24th December,2013,16:00-18:00,(Visiting Children’s House With Ms.Elsi and Prof.Takada
to Seeing the activity for children under 5 yrs old for cerebration ceremony )Impression: Children house is established in 2007 by Indonesia government and Kobe University. It is
the place that is for children can get education and activities for growth and development before
elementary school. The activities are held twice per week and it is not for typically children but also
children with developmental disability. In addition, that has one physiotherapist so that children withdisability have a therapy twice per week. I saw the activities for typically children 4times during mystaying. And I learned their mothers have a lot of simple question about growth and development andhow to treat them. I think that it is very important to have a place mother can have a conversation likethis. They can share about worries and also it helps their children’s development too.
5: Field trip to My Research-

Thursday, 7th November,2013, 10:30-15:00, (Visiting Yogyjakarta city hall with Ms. Elsi to get
permission)-

Tuesday, 12th November,2013,10:30-15:00,(Visiting Bantul office with Ms.Elsi to get permission)-

Thursday, 14th November,2013,8:30-11:00,(Visiting Bantul SLB1 with Ms,Wiwin to explain myReport for Program of Post Graduate Student Exchange

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Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

research)
Monday, 9th December,2013,9:00-14:00,(Visiting Bantul SLB1 with Ms,Eni and Ms.Era to get-questionnaire and distribute another one )-Tuesday, 17th December,2013,11:00-11:30(Visiting Bantul 1 with Ms,Elsi to get questionnaire)-

Thursday,26th December,2013,8:30-13:00(Visiting Bantul 1 with Ms,Eni and Ms.Wina to getquestionnaire)

Impression: To making a proposal was difficult and it took a long time to get permission for my study.
We had to visit many places to get permission. It was so difficult to start to my research. I could notstart it in only 1school. But teachers who took a part in my study were so kindly and they gave me many
samples. It is still on the way to collect data, but I will keep doing my best.
3. Optional Program
1: Pediatric and Maternity nursing-

Thursday,10th Octorber,2013,10:00am-11:40am, (Attending the lecture and give a
presentation :[children with chronic disease in pediatric])-

Tuesday,29th Octorber,2013,13:00am-14:40pm ,(Attending the lecture of Pediatric Innovation byDr )-Monday,2th December,2013,10:00am-12:00pm ,(Attending the lecture of Pediatric Innovation by
Ms.Fitri :[innovation health system for pediatric by master students of UGM])-

Monday,2th December,2013,15:00am-16:30pm,(Attending the lecture of Maternity Innovation by
Ms.Elsi: [innovation health system for pediatric by master students of UGM])-

Tuesday,3th December,2013,10:00am-12:00pm,(Attending the lecture of Maternity Nursing by
Ms.Elsi-

Thrsday,5th December,2013,10:00am-11:30pm ,(Observing the exam for master students ofMaternity Nursing by Ms.Elsi)-

Thrsday,12th December,2013,9:00am-12:30pm ,(Attending the seminar of Development of Qualified
Nursing Innovation and Community Service with Ms.Elsi)

Impression: On 10th October, I gave a presentation for master students. It was the first time for me togive a lecture for student with speaking all English. My topic was “Nursing for children with chronic
disease” and I introduced nursing of major disease in pediatric ward, Japan. I also explained about
the instruction about school life for children with disease and also taught how to improve environment
including the way of preparation, and how to support to them and their parents. My English was notgood enough to teach, but students told me they could understand and they were interested in mytalking, I hope they could get something new by my lecture. On 29th October and 2nd December, I also
attended the class for master students. The topic was about innovation of health system. In Indonesia,
they are on the way to improve system of medical. Some systems which they didn’t have were alreadyavailable in Japan. I was very interested in it. Almost of students looked so excited to make a goodsystem, and I can see their strong passion for it. I hope they can make a good one for this countryReport for Program of Post Graduate Student Exchange

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Master of Nursing Program,Faculty of Medicine Universitas Gadjah Mada

though many system of advanced countries.
2: Rehabilitation care-

Thursday,17th Octorber,2013,8:00am-12:00pm,(Visiting Sardjito hospital with Ms. Novy andobserved her treatment at Rehabilitation care ward)-

Saturday ,19th Octorber,2013,9:00am-11:30am (Visiting the physiotherapy clinic for pediatric :gria
fisio bunda novy kadisoka)-

Monday,2th December,2013,12:00pm-15:00pm (Visiting Academic school for physiotherapy[Akademi Fisioterap ’YAB’ Jogjakarta] by Ms.Elsi)-

Thrsday,5th December,2013,12:00am-14:30pm (Visiting Academic school for physiotherapy[Akademi Fisioterap ’YAB’ Jogjakarta] by Ms.Neni

Impression: The private clinic by Ms. Novy has about 20 children visiting per a day to getphysiotherapy. There are 7 physiotherapists there and the owner Ms.Novy is who works in Sardjito
hospital. She made this clinic for children who can get a therapy easier in community. There are a lotof patient in Sardjito Hospital. And sometimes it is very difficult to get a therapy continuously. But
also it is very important to get it for child development. So she made the clinic and she works there
every evening time and weekend. I was very impressed about her activities and I hope the number ofthe clinic like hers would be increased. In Indonesia, there is a problem about lack of physiotherapist.
And the school is few also. One of the academic schools where I visited was a private one and it was
only 1 in Jogjakarta for studying physiotherapy. It was first time for me to know about the curriculum
about physiotherapy.
4.

Cultural Activities-

Sunday, 6th Octorber, 2013(Visiting the Beach Parangtritis and balon beach with Ms.Srihartini)-

Sunday, 13th Octorber,2013(Visiting Marioboro street with Ms.Elsi )-Monday, 14th Octorber,2013(Visiting Waterhall and of east jawa, solo city with master students)-

Sunday, 20th Octorber,2013(Visiting the Beach Pok Tunngal with undergraduate students)-

Friday, 8th –Monday 11th November ,2013(Visiting West java by myself to see Sudanese people )-Saturday,7th December,2013(Visiting plambanam temple bymyself)-

Wednesday,25th December,2013(Visiting Candy Boco with Prof.Takada, Ms.Elsi)

Impression: I really enjoyed the visit and could learn about the culture of Yogyakarta and Indonesia.