3rd year student
Taipei Medical University
Introduction of nursing education
This was my first time going to Osaka Medical College. The teacher introduced us to the recent nursing education and school introduction in Japan. The problems in japan are similar to those in Taiwan. Because of more and more elderly people, and more and more elderly people with dementia,we are facing a shortage of nursing facilities. In this era, The demand of nursing staff and nursing professional skills is growing. In Japan, there are two main types of pathways for nursing education. One is a four-year university. After going through a national exam, you can go to the hospital to work or be a nursing teacher. The other is a three-year system. Because there is more and more demand of nursing staffs for medical care, and more and more nursing teachers are needed, there are more and more nursing students who have graduated from the university for four years. In Osaka Medical College, the teaching goal is to enable students to have professional nursing skills and respond to people's needs; and to develop nursing education, and hope to provide more relevant nursing research to improve medical quality.
In modern times, regardless of whether they are in Japan or Taiwan, caregivers are indispensable and require more people to invest in.
In Japan, nurses take care of 3 to 5 people on average in the morning shift, and care for 10 people in the night shift and graveyard shift. We find that Japan rarely hires foreigners to take care of patients like Taiwan. When family members are sick, few families come to the hospital to take care of them. Because of ethnic relations in Japan, it seems that something about human life tend to take care of patients by their own domestic professionals like doctors or nurses. When the elders are too weakness that they are unable to take care of themselves, the family will let the elders go to the hospital, and let the nursing staff take care of their family . We discover that Japanese nurses are very hard. Because during the internship in the institution in Taiwan, we know that helping the elders bathing, feeding, and changing position,are carried out by the resident care attendans or foreigncaregivers. In contrast, nurses in Taiwan work more easily than Japanese nurses. As we know from the above, Japanese care a lot about their own country and families, and they trust in professionals.
We followed their internship class, just like we did technical practices in our nursing simulation ward. Each of us was dispersed into different groups to observe the technical practice by their students. Their teacher would give them one patient's information, let them imagine what they may have encountered in the ward, and solve the situation by themselves, and exercise to the classmates and teachers. They prepared it for three months before going to the hospital. I was very impressed by one of the situation. It was that the patient who could only lie on the bed, and when he was going to take things, it would be inconvenient. This group thought of making a basket with hooks hanging on the patient’s bed railing. But there was a problem in this group. The hook is outward and the thing is outward. The patient may not know what the thing is, and the students in other groups raised the question. The teacher asked her what solutions she had, and the classmate said that the hook can be hung Inward. Thus, the patient can easily know the location of the thing.
I think this kind of practice is actually very user-friendly and there is critical thinking in this practice. This kind of exercise can let everyone think about how the situation can be handled, and let us know there is not always just one right answer.
We went to the " Iwakura Hospital" to visit the mental hospital and the elderly facilities. The hospital is based on the concept of "Love, Trust, Hope, Healing". It helps people suffered from Integrated disorder arrange psychotherapy and functional treatment in the hospital.The aim is to allow mentally ill patients to integrate into society after discharge. In Japan, the long-term hospitalization patients are the majority. In this hospital, the largest number of patients are mentally ill, followed by Alzheimer's disease, and the third is alcohol-dependent patients.
When visiting the protection room in the mental hospital, we found that the internal facilities did not make a cushion to avoid the body hitting the wall. This is not similar to the protection room in Shuang Ho Hospital in Taiwn. The teacher was surprised to hear that our hospital had such installation. Although there are no cushion facilities in Japan, the patients in the hospital have not been injured so far.
Visiting the part of the elderly ward, I discovered that the curtain is used as a door in the toilet to make it easier for the staff to enter when there is a danger. In the bathroom equipment section, this hospital is very advanced. We have seen a very special bathing machine The elders who are not suitable for taking by themseleves or with disabilities can sit directly on the chair of the bathing machine and then directly put the chair into the bathing machine. The bathing machine can make the elders take a bath and satisfy the desire of going to a hot spring. In addition, there is a device in the bathroom that can be seen in the swimming pool. I feel that they pay great attention to the elder’s feeling of taking a bath.
Nursery room in hospital as an employee support
The Nursery room is established for staff and researchers in Osaka Medical College Hospital This is a welfare for the staff. Let the employees here do not have to worry about being unable to take care of their children. Before the World War II, most families took care of their own children. But after World War II, The family taking care of the children themselves has become less and less. Because most parents have their own jobs, they entrust children to the nursery. The staff in Osaka Medical College Hospital can bring their children to the nursery at 7:30 in the morning. The mother can also come here to breastfeed the child in the free time. There are currently 9 children aged 0~1 years old and 12 children aged 1~3 years old. The children's clothing and diapers are provided by the parents. I think this facility is really great for the employees.
In the Nursery room, we experienced playing with children. We had to wash hands in the children's room before touching the children. This was the first time I held such a small childin my arms. I couldn't guess their actions. I thought about how to make them happy, but I always felt I was ignored by them. When I was taking care of the children, I found that there were two squares formed by nine dots on their left hand. After asking the teacher, I knew that it was a scar of the BCG vaccination in Japan. We also have BCG vaccination, but our scar is little .After showing our vaccine scars to the teachers, we all felt very special to each other
Later, I went to the room of 1~3 years old and found that the children were very energetic. It is easy to let children happy just let them run around, and the children are not easy to feel bored. It’s very different from taking care of the elders. It’s probably that the elders are less energetic. And The elders may be boring and unsatisfactory to do the same thing everyday.
Health promotion activities in Japan
We went to the " Sei masumasu genki-kai " in Takatsuki to do gymnastics with the elders. The purpose of this activity is to enable the elderly to prevent disease and enjoy retirement life During the event, there was a film played and an elder in front of participants to take everyone to do excercise. There were sitting and standing parts in the flim. The elders could choose to use the standing way or sitting way to do exercise according to their own situations. I went to Nangang to take the elders to do exercise in my third year of college. I thought the scale here was very similar to the mode in Nangang. I took the elders to do the elastic belt exercise in Nangang, but here was simple bodyweight training exercise in Takatsuki. What I thought was special here was that they warm up with their tongues. I felt very special because body exercise and oral exercise are done separately in the institution in Taiwan.
The elders here told us that two things were important to them. The first is that exercise is very important. The second is that it is important to make friends. It is worthwhile for them to participate in such activities. Many elders have heard of this fitness activity. When they came here, they were also very surprised. Whether it was a hot day or a rainy day, the elders came here. They were very enthusiastic to participate in, and they were also attracted by the atmosphere here. To them, such a party made them enjoy life.