Tag Archives: culture shock

new e-book edition of The Hospital at the End of the World, on Amazon soon


update: the first version included links only to the book site. I have now re-done them to reflect the e-book site. 2009 When The Hospital at the End of the World was published in 2009, e-books and e-readers were just … Continue reading

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Nurse wages in Nepal and the outmigration of Nepali nurses


UPDATE June 2019 even after eight years this is one of the most-read entries on this blog. If you are serious about going abroad, here are some tips to improve English language that you can try: https://wp.me/p1Kwij-rB 7836  views as … Continue reading

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How to Measure Health Progress (when we are all going to die)


Getting out of the Silo Something I liked about the medical community of Mission Hospital at Tansen was the accessibility of doctors and nurses to each other, something not common in Nepal, but for that matter, not common in most … Continue reading

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Reprint of Interview with Joe Niemczura published in “Imprint” regarding volunteer nursing in Nepal


Editor’s note: Joe Niemczura, RN, MS teaches nursing at the University of Hawaii in Honolulu. He has also taught nursing in a rural area of the Himalayan country of Nepal. Joe was the keynote speaker at NSNA’s 2010 mid-year convention. … Continue reading

Posted in Buddhism, medical care in low income countries, nepali culture, nursing education, south Asia, The Hospital at the End of the World, travel | Tagged , , , , , , , , , , , , , , , , , , , , | Leave a comment

Twelve steps to prepare for global health nursing


reprinted from something I wrote for one of the publications of the American Nurses Association. ++++++++++++++++++++++++++++++++++ Your nursing skills are your gift to the world. Take these steps to prepare to use them in a foreign culture. More American nurses are … Continue reading

Posted in medical care in low income countries, nursing education, The Hospital at the End of the World | Tagged , , , , , , , , , , , , , , , , , | 7 Comments

about culture shock and re-entry shock


Thoughtful reflection Prior to my trip I spend time thinking about my past trips, and also about the effect of having lived in a foreign country in the past. On thie first trip I knew I was going to learn about … Continue reading

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