The challenges make people tough and developed physically and mentally. In terms of my experiences, the biggest challenging was completing clinical practice in my part of University studies in Australia. I attended the nursing training for 3 months in hospital and at the time I went to the renal and haematology unit. When I started working in the first placement, I was nervous because I did not know well the working style of nursing and their system. Therefore, for me everything was new and cultivated. Even though I had working experience as a nurse in my country, the number of differences for nursing between Australia and Japan are existed and I need to learn and absorb both clinical studies and their differences.

For examples, when working as a nurse in Japan, I was used to have primary patients who were my responsibilities and take care of them for a certain period. Then, I could get along with my patients and understand more about patient’s condition, needs and their thinking for disease step by step. In contrast, in case of my practice in Australia, the patients were always changing and I had to understand the patients’ health status and their problems during the handover or quick assessment when I monitored their vital signs. The language problem was also big hurdle for me to understand patients. I need to know their specific terms and abbreviations and make sure content of medical notes to take my responsibilities.