College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
J Agromedicine. 2010 Jan;15(1):58-65. doi: 10.1080/10599240903389672.
A rural and remote international clinical exchange permits the senior nursing student to experience another culture and to develop a feel for daily life and nursing practice abroad. In a student exchange between Australia and Canada, similarities exist with regard to life and work for nurses who live in these developed countries. Similarities extend to a growing population base of original inhabitants or indigenous peoples with complex health challenges. Differences, however, are also apparent in rural and remote health care delivery due to the uniqueness of each country's demographics, nursing programs, nursing culture, and health care systems. In the rural hospitals of the Riverland region, South Australia, the Australian public and private health care systems are witnessed working side by side. Aboriginal health care with its unique cultural care practices was experienced in the remote Aboriginal community of Hermannsburg in the Northern Territory, and in the district hospital in Alice Springs. The international exchange provided the opportunity to reflect on the impact of the social determinants of health, and the similarities and differences between developed countries in nursing practice and nursing culture. The sense of community and autonomy gained in rural and remote placements in Australia provided incentive for nursing students to consider this area of practice on their return to Canada.
一次农村偏远地区的国际临床交流使高级护理专业学生有机会体验另一种文化，并深入了解国外的日常生活和护理实践。在澳大利亚和加拿大的学生交流中，生活和工作对于生活在这些发达国家的护士来说存在相似之处。相似之处延伸到原住民或土着人民，他们的人口基础庞大，面临着复杂的健康挑战。然而，由于每个国家的人口结构、护理项目、护理文化和医疗保健系统的独特性，农村和偏远地区的医疗保健服务也存在差异。在南澳大利亚州里弗兰地区的农村医院，澳大利亚的公共和私人医疗保健系统并肩工作。在北领地偏远的赫曼斯堡原住民社区和爱丽丝泉地区医院体验了具有独特文化护理实践的原住民医疗保健。这次国际交流使学生有机会反思健康的社会决定因素的影响，以及在护理实践和护理文化方面发达国家之间的相似点和不同点。在澳大利亚农村和偏远地区实习中获得的社区感和自主权激励护理学生在返回加拿大后考虑这一实践领域。
