2012年6月5日上午，护理学院迎来了来自美国宾夕法尼亚大学护理学院的两名同学Wendy Zhang 和Linda Kang。和以往的学生交流项目不同，此次交流的模式由护理学院指派科研导师，学生的交流任务更多集中在社区护理领域，进行为期一个月的“科研交流”。在此期间，学院除了为同学们安排社区见习及导师辅导外，还组织参加护理国际会议、进行短期医院见习。1个月的交流结束后，除了圆满完成此次交流的科研任务外，中国的社区卫生服务也给两名同学留下了深刻印象（附：宾大来访学生交流感受及赠言）。
照片：欢迎仪式（左三：Wendy Zhang；左四：Linda Kang）
We were so fortunate to have spent part of our summer in Beijing China this summer conducting qualitative research under the mentorship of professors at the Peking University’s School of Nursing. Our connection with the Peking University’s School of Nursing started with Professor Yu Liu and Professor Qian Lu coming to the Center for Health Outcomes and Policy Research as visiting scholars at the University of Pennsylvania. Professor Liu and professor Lu had given us much encouragement in our discussions with them concerning issues and interests we had in the Chinese health care system while they were here at the University of Pennsylvania. We continued this discussion when they went back to Peking University after their brief visit with us here in the United States. Upon our request to study the health issues in China further, Dr. Liu and Dr. Lu graciously prepared for trip to Beijing China. During our time there, Dr. Liu and Dr. Lu welcomed us there and patiently discussed the issues of community and public health nursing in China with us. Our mentors would find and introduce us to community health nurses who were all great resources for us in our research during our stay in Beijing.
On June 6th, 2012, we were welcomed by the Peking University School of Nursing with the support of faculty from Peking University and University of Pennsylvania. Our primary purpose for the visit was to gain a deeper understanding of the development of community health clinics (CHC), particularly nursing roles and management. Throughout the month of June, we visited four different sites of CHC throughout Beijing. After successfully navigating the Beijing subway system, we were greeted with warm hospitality of nurse managers. We spent about a week at each clinic and learned about nursing roles, management challenges, and government regulations. We were very impressed with the type of technology that CHCs had access to such as electronic medical records and machines that measured BMI through a beam of light over the patient’s head. Most nurses in CHCs already had years of clinical experience in the hospital, and therefore provided superb service to the community residents. Nurses commented that they often feel they have more autonomy in the community, because it is not just about following doctors orders. Nurses often see the direct impact that they have, becoming old friends with their patients. They find great value when patients listen to their advice about diet and exercise change, managing to lower their blood pressure without medications. We find that these experiences by nurses are very similar to the US. One major difference we noticed between the US and China, was the fact that CHCs had the responsibility of proactively finding people to sign up for services, whereas in the US, majority of patients come to CHCs on their own.
Overall, we were impressed to see a strong drive in nurses to continue their education to a bachelor’s degree. We recognize that the role of nursing has gone through a developing stage in every country. Although CHCs have a short history in China, they have already developed a long way. We are very grateful to have this opportunity in order to learn more about the CHCs in China through a first hand experience. We have great faith that the students at the School of Nursing can continue to advance the role of nursing in China, especially among community health centers. We greatly thank all the community health centers that participated in the study and appreciate the opportunity to interact with students and faculty. We hope to continue these exchanges in the future, and welcome any contact from members of the school and community.
Linda & Wendy