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      • Nursing Strategies in a Multicultural Environment Ongoing Japan-Germany Online Case Study

        Ariko Noji,Mari Kondo,Akiko Mizobe,Sachiko Iijima,Sayaka Kotera,Akiko Nosaki,Eiko Otomo,Yoshiko Hamasaki,Shigeko Kamishima,Hisako Fujita 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10

        Aim: The purpose of this study is to examine nursing strategies in a multicultural environment through a collaborative case study group in which nurses from Japan and Germany, who have different experiences in healthcare systems and cultural responses. Method: The online seminars for Japanese nurses were conducted in 2020 to learn about cultural competence training at the Charité Medical University Hospital in Germany. As the next step, in 2021 using Japanese cases which were common clinical situations that research members have experienced, nursing strategies in a multicultural environment were examined through a back-and-forth between theory and practice. From Germany, the lecturer Dr. Siebert of Charité seminar and Charité nurses participated in the seminar. The case study sessions had three cases, each lasting approximately one and half hours. Interpretation was provided in Japanese, English, and German. Result: In Case 1, a pregnant woman from Poland traveling in Japan encountered problems due to differences in the way she was examined. It was suggested that the boundaries of shame vary from culture to culture and that these boundaries can be changed through nursing care. Case 2 was a problem with food during hospitalization. It was suggested that the resources available in the hospital are decreasing. In Case 3, an international student from Mongolia died unexpectedly in his room, and his family was called from his home country to conduct a funeral according to tradition. The hospital was able to provide culturally sensitive end-of-life care by integrating the hospital"s community resources. Conclusion: Boundaries and hospital resources were showed as nursing strategies in a multicultural environment. These results suggest new developments in the impact of boundary-changing nursing interventions and the diminishing resources available to nurses in hospitals.

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