The University of San Francisco: School of Nursing
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Project Director's Updates

Crow, Greg   Dr. Gregory Crow, founder and director of the Vietnam Nurse Project, will provide frequent updates about the program.
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November 2012:

Our annual teaching visit in November 2012 was a great success. In addition to the VNP leaders, 10 volunteers from three states and 10 different educational and healthcare organizations joined us. They were:

  • Robert Geibert, EdD, RN, Pediatric Clinic, Kaiser Permanente, San Rafael, CA.
  • AnnMarie Hunt-Bellah, NP, RN, Nurse Practitioner, Division of Gastroenterology, Santa Clara Medical Center, Santa Clara, CA.
  • Tess Johnsen, MSN, RN. Instructor, CNA/HHA Programs, Fremont Union High School Adult Community Education Program, Sunnyvale, CA.
  • Sherry Ladegast, MSN, RN. Telemetry/Transitional Care Unit, Veterans Administration Hospital, San Francisco, CA, and Doctor of Nursing Practice Student, USF/SONHP.
  • Melissa Levinson, BSN, RN, Transplant Coordinator, University of California Medical Center, San Francisco, CA.
  • Melissa was not able travel to Ha Noi with us; however, she developed and narrated a PowerPoint presentation that described the immediate postoperative care of the kidney transplant patient. This was presented during one of our educational sessions at Thanh Nhan Hospital.
  • Arunee Nakhongsri, NP, RN, Alta Bates-Summit Medical Center, Berkeley, CA, and Doctor of Nursing Practice Student, USF/SONHP.
  • Mathew Mitchell, PhD. Professor, USF School of Education and Co-Director, Center for Teaching Excellence.
  • Ann Nguyen, MSN, RN, Clinical Coordinator, Wound Care Center, Regional Medical Center, San Jose, CA. Graduate of USF/SONHP Clinical Nurse Leader Program.
  • Ann is a certified wound care specialist, and the first recipient of the Vietnam Nurse Project “Above and Beyond Award” for her dedication and commitment to the Vietnam Nurse Project.
  • Tim Porter-O’Grady, EdD, RN, President, Tim Porter-O’Grady Associates, Atlanta, GA, and Professor of Innovation, University of Arizona, Phoenix, AZ. Tim is a Certified Wound Care Specialist.
  • Carly Searles, NP, RN. Breast Health Center, Virginia Mason Medical Center, Seattle, WA.

These dedicated and talented volunteers presented clinical and educational seminars at Thanh Nhan Hospital, An Khan Nursing School, and the University of Traditional Medicine, School of Nursing. Their audiences were nurses from TNH and Ha Noi Department of Health facilities, nursing students and faculty, and practicing clinical and administration nurses.

Nursing seminar topics included:

  • Bronchial hygiene
  • Cardiovascular Disease
  • Care of patients on positive pressure ventilators
  • Evidence-based Practice
  • GI bleed patient care management
  • Infection control
  • Kidney transplant: Immediate Postoperative Care
  • Leadership and Management: Shared Governance
  • Lung Cancer
  • Ostomy Care
  • Patient Safety
  • Pediatric Acute Diarrhea
  • Pediatric Asthma
  • Teaching with simulation
  • Wound Care

The kidney transplant seminar was augmented with a narrated PowerPoint presentation developed by Melissa Levinson, BSN, RN, Transplant Coordinator, University of California Medical Center, San Francisco, CA. This was the first time we have used a pre-recorded narrated presentation and it was a great success.

During this trip, several volunteers were able to provide direct patient care in the TNH/ICU which primarily focused on diabetic ulcer wound debridement. Practicing alongside their TNH nurse colleagues was a great highlight for many of the volunteers.

I want to thank Dr. Mathew Mitchell, Co-director of the Center for Teaching Excellence at the University of San Francisco, and professor in the USF School of Education. Dr. Mitchell assisted with many aspects of our November visit to Ha Noi. Most importantly, he served as our videographer and provided expert consultation to us for our effective use of educational technology. Dr Mitchell also produced the Vietnam Nurse Project Overview Video that appears on the Project Website. I had great empathy for Dr. Mitchell during our November visit to the Thanh Nhan Hospital intensive care unit, as there were times when he observed aspects of patient care that, while common to nurses, were anything but common for him. Dr. Mitchell photographed educational sessions, provided technical support during our live teaching broadcast to demonstrate best practice procedures in wound care from a patient's bedside in the ICU to the classroom environment several floors above in the hospital building. Dr. Mitchell also assisted the VNP leaders with the setup and broadcast for the successful launch of our Virtual Nursing Grand Rounds ceremony (a live, Hanoi-to-the University of San Francisco interactive broadcast). As with all our dedicated volunteers, his contributions enable our success in achieving the mission and objectives of the Vietnam Nurse Project.

I would also like to thank all those who donated generous contributions to the Vietnam Nurse Project over that past few months. The donations enabled us to purchase new stethoscopes for the 40 nurses in the TNH/ICU. They were genuinely appreciative, and we have had the pleasure to watch them use this important piece of equipment in providing patient care. Prior to receiving their gifts, nurses in the ICU rarely owned their own stethoscope and this made patient assessment and care more difficult. You all have made a great difference in supporting the practice of these wonderful nurses.

On Wednesday, November 14, 2012 we launched the Virtual Nursing Grand Rounds demonstration project with a live broadcast from TNH to the USF/SONHP (see October Director’s Update). The ceremony was attended by many dignitaries.

In Ha Noi:

  • The Honorable Nguyen Khac Hien, MD, PhD, Director, Ha Noi Department of Health.
  • Dao Quang Minh, MD, PhD, CEO and Director, Thanh Nhan Hospital.
  • Minh Phuong, RN, Head of Nursing Division, Ha Noi Department of Health.
  • VNP Leaders and Volunteers in San Francisco:

  • Father President Stephen Privett, SJ, President, University of San Francisco.
  • Judith Karshmer, PhD, RN, Dean, School of Nursing and Health Professions, University of San Francisco.
  • The Honorable Ms. Tran Thi Hieu Hanh, Deputy Consul, Vietnamese Consulate, San Francisco, CA.
  • Sharon McCole, MSN, RN, Chief Nursing Officer, San Francisco General Hospital, Department of Public Health, San Francisco, CA.
  • During the November visit, we also formed a partnership with “Project Being There”, Knoxville, TN (www.projectbeingthere.org). This organization provides financial and material support for the St. An’s Orphanage, Nam Dinh Province, which is 130km from Ha Noi. St An’s is a Catholic orphanage.

    Robert Geibert, EdD, RN lead a delegation of four volunteers including AnnMarie Hunt-Bellah, NP, RN; Ann Nguyen, MSN, RN: Tess Johnsen, MSN, RN; and Darell Bellah to visit the orphanage for the purpose of providing initial physical assessments for 80 children and the entire orphanage staff. The children ranged in age from a few months to 18 years of age. This was the first assessment by a health care professional that many of these children and staff had received.

    The volunteers developed a healthcare record for all the children and staff in Vietnamese. What is remarkable about this effort is that these volunteers did all this work in 2½ days, and then returned to Ha Noi to present seminars. I would like to thank Tracy Foster, Director of Project Being There for providing this valuable and very rewarding opportunity for our volunteers.

    In closing, I would like to express my sincere thanks to all the volunteers and to Drs. DeBourgh, Prion, and Nguyen Thanh for their dedication and support of the Vietnam Nurse Project. Drs. DeBourgh and Prion dedicate enormous time and effort to ensure that the VNP meets the needs of our colleagues in Ha Noi, and they do this in addition to their full-time teaching responsibilities at USF/SONHP.

    Dr. Nguyen Thanh, Director TNH/ICU, was honored with an appointment as affiliate faculty at the USF/SONHP during this trip. Dr. Nguyen has worked countless hours to ensure that we are well taken care of when we are in Ha Noi, and is, without question, a friend of nursing. Without his guidance and continued support, the Virtual Nursing Grand Rounds Project would not be possible.

    Dr. Nguyen is also serving as a committee member for Arunee Nakhongsri’s DNP project. He is the first Vietnamese physician to serve on a DNP committee at USF/SONHP.

    October 2012:

    I had the pleasure of traveling to Ha Noi in October 2012 for the purpose of purchasing equipment, and planning for the implementation of Virtual Nursing Grand Rounds (VNGR). VNGR is a new initiative of the Vietnam Nurse Project in cooperation with the Ha Noi Department of Health, Thanh Nhan Hospital Intensive Care Unit (TNH/ICU), and the University of San Francisco, School of Nursing and Health Professions (USF/SONHP). VNGR is a year-long demonstration project funded by the Vietnam Nurse Project with the aim of advancing the knowledge and skills of the TNH/ICU nurses.

    VNGR is a live, interactive teaching/learning demonstration project that uses actual patient cases to highlight evidence-based best practice. It will demonstrate the impact of nursing actions which will minimize risk for patient harm, and promote quality patient outcomes. It will reinforce the use of the nursing process in planning, delivering and evaluating patient care, and demonstrates how to apply evidence-based clinical best practices to nurse-managed patient care.

    The VNGR sessions will be facilitated by the USF/SONHP nursing faculties, and the Directors of the TNH/ICU and Vietnam Nurse Project, and will engage participants from USF/SONHP nursing doctoral students, and U.S. nurse experts. Apple iPads will be used as a tool to incorporate video, audio, and graphics into the presentations. Skype and/or FaceTime will enable real-time, interactive collaboration between USF and TNH participants. Interpreters will provide immediate translations into Vietnamese and English.

    The demonstration project will be launched in November 2012 from Ha Noi, and the first VNGR is scheduled for February 4, 2013. The project will be operational through October, 2013.

    The topic of the first VNGR is “Evidence-Based Nursing Care of the Mechanically Ventilated Patient, With Special Emphasis on Weaning Patients from the Mechanical Ventilator.” Each VNGR is a patient case study that has been chosen by TNH/ICU nurses and the ICU Director. The VNGR sessions will be broadcast from the USF/SONHP Simulation Center to the TNH/ICU.

    A variety of participants will collaborate in VNGR case studies. The VNP has invited nurses from the community and other universities to participate. For example, our colleagues from the Sacramento State University School of Nursing will conduct our 4th VNGR in May, 2013.

    We also have the good fortune to have talented USF/SONHP Doctorate of Nursing Practice (DNP) students involved in the demonstration project, as well as participating in our annual teaching visits each November.

    We are extremely fortunate to have two very talented colleagues in Ha Noi who are working to ensure our success with this project. They are: Dr. Susan Prion who is an USF/SONHP Associate Professor, and Associate Director of VNP; and Nguyen Thanh, M.D., who is Director of the TNH/ICU. Dr. Prion has been awarded a Fulbright Fellowship and will be working in Ha Noi, and will assist with the implementation and evaluation of this demonstration project. Our second colleague, Dr. Nguyen, has been a valued champion for the VNP, and has provided continuing support for this demonstration project as well as our annual November teaching visits.

    In San Francisco, Dr. Greg DeBourgh, USF/SONHP Professor and VNP Associate Director, serves as our educational technology and distance-learning expert to ensure the pedagogical and content integrity of all VNGR presentations. In addition, we are pleased to have as a team member DNP student Ms. Arunee Nakhongsri, NP, RN who is conducting her DNP project at TNH/ICU. Arunee’s DNP project will be the implementation of an evidence-based oral hygiene protocol for the mechanically ventilated ICU patient. Arunee will conduct the 2nd VNGR as a part of her DNP project.

    Arunee’s project will be conducted from April through October, 2013. After completing her project, Arunee will make her second visit to Ha Noi in November, 2013 to present her findings to the Ha Noi Department of Health, the TNH Director Board, and the TNH/ICU Director and nursing staff.

    I would also like to sincerely thank the following project supporters: Khac Hien, M.D., PhD, Director of the Ha Noi Department of Health; Dao Quang Minh, M.D., PhD, CEO and Director TNH; Nguyen Thanh, M.D., Director of the ICU; Ms. To Minh Cham, RN, Head of the Nursing Department, TNH; Ms. Dinh, RN, Head Nurse TNH/ICU; and the entire TNH/ICU nursing staff for their support of this project. They have made us feel most welcome in this endeavor.

    November 2011:

    Our trip to Ha Noi in November 2011 was one of the most ambitious trips to date. In addition to Vietnam Nurse Project leaders, we had the pleasure of hosting eight volunteers and their families. The delegation consisted of USF School of Nursing and Health Professions faculty, DNP students, MSN students (clinical nurse leader program), and nurses in clinical and administrative practice. The delegation volunteers were:
    • Joan Beglinger, Vice-president Patient Care Services, St Mary’s Hospital, Madison, WS.
    • Renate Flynn, Nurse Supervisor, Sonoma Valley Hospital, Sonoma, CA. Renate is also a nurse practitioner and currently a DNP student at USF.
    • Donna Hill, Documentation Specialist, Maryland.
    • Vicky Locey, Chief Operating Officer and Chief Nursing Officer Kaiser Permanente Medical Center, Vallejo, CA. Vicky began the Executive Leadership DNP program in 2012.
    • Ann Nguyen, Wound Care Specialist, St. Louise Regional Hospital, Gilroy, CA, Nursing Instructor, Mission College, Santa Clara, CA, and a current clinical nurse leader student at USF. Ann has traveled with us to VN several times.
    • Dr. Helen Nguyen, Associate Professor, USF, School of Nursing and Health Professions, and Nurse Practitioner, Children’s Hospital, Oakland, CA. Dr. Nguyen has traveled to Ha Noi with the VNP numerous times.
    • Megan Sary-Talbot, Instructor, Merritt College, Oakland, CA, and Nursing Supervisor, Alameda Hospital, Alameda, CA. Megan is a DNP student at USF.
    • Rebecca Taylor-Ford, Administrative Service Director, Kaiser Permanente Vallejo, Ca.
    • Rebecca began the Executive Leadership DNP program at USF in 2012.
    • Dr. Gregory DeBourgh, Professor, USF School of Nursing and Health Professions and Associate Director, VNP.
    • Dr. Susan Prion, Associate Professor, USF School of Nursing and Health Professions, and Assistant Director, VNP.

    Our delegation members conducted seminars at three venues in Ha Noi: The Vietnam University of Traditional Medicine, School of Nursing; An Khanh Nursing School; and Thanh Nhan Hospital. The seminars were focused on:
    • Diabetic Care
    • Heart Disease Care
    • ER Trauma Care
    • ICU Care
    • Pediatric Care
    • Pulmonary Care
    • Physical Assessment and Women’s Health
    • Pre and Post Operative Care
    • Evidence-based Practice
    • Nursing Leadership and Management
    • Nursing Documentation
    • Patient Safety

    In every seminar we stressed the importance of the nursing process, physical assessment, and the inclusion of evidence-based care. To date we have had the honor to provide seminars for approximately 4,800 Ha Noi nurses, and with each trip the audiences increase both in number and diversity of practice settings.

    In addition to the content of the seminars, our Vietnam partners wanted us to provide more time for dialogue. At one of the seminars on nursing leadership and management, we allowed one hour for dialogue; however, the dialogue lasted for more than two hours. Many of the participants in the leadership and management seminars have attended our presentations in the past, and this year we had standing room only for the two presentations. Dialogue between VNP volunteers and the audience is vital to the process of information transfer, especially when creating context and further explanation of the rationale for a particular process or procedure. Evidence of increased attendance is the fact that I signed over 500 certificates of completion for the leadership and management seminars alone.

    Seminars were provided for nursing faculty, practicing nurses, nurse leaders, and student nurses. One of the things we are very proud of is the increased active participation of the audience. We are particularly honored with the increased active participation by students. In the past, if we got even one question from a student we were pleased. However, today, we enjoy a very robust question and answer session with the students and faculty actively participating. Student nurses in Hanoi have become much more comfortable with asking and answering questions, even when their faculty is present. This role modeling of open dialogue between faculty and students has influenced classrooms in our affiliated schools of nursing. Dialogue between faculty and students is not a common feature of nursing education in VN. We have observed that there is much more faculty-student, and student-student dialogue than in years past.

    I would like to take this opportunity to sincerely thank all the volunteers who have supported the VNP. The work of the VNP could not continue without the assistance of volunteers. In addition to the volunteers I would like to once again thank Dean Judith Karshmer for her continued support of this program, and the generous contributions by USF to support faculty for their work in Ha Noi.

    We are actively planning for our November 2012 visit to Ha Noi, and if you are interested in volunteering please feel free to contact me at crow.vnp@usfca.edu or (415) 491-4227.

    March 2011:

    The primary focus of this trip to Ha Noi was to present part 2 of the curriculum development workshop begun in November 2010 at the Vietnam Academy of Traditional Medicine, School of Nursing. In attendance were officials from the Ministry of Health and the Ministry of Education and Training, as well as from Bach Mai School of Nursing and the Anh Khanh School of Nursing. We also had the pleasure of meeting with the nursing faculty of the VATM/SON. The faculty at VATM provides education to students with the slimmest of resources, and they are doing an excellent job. Our focus was to present them with additional resources to support the design and implementation of an undergraduate nursing program that has the potential of being accredited by a US accrediting agency, such as American Association of Colleges of Nursing. This seminar was a two-day seminar focusing on curriculum theory, development, implementation, evaluation, and accreditation of undergraduate nursing programs. Drs. DeBourgh and Prion presented the major part of this seminar, and by all accounts it was a real success.

    We also had the pleasure of meeting with Mr. Nguyen Xuan Vang, Director General, Vietnam International Education Development, Ministry of Education and Training (MOET) to discuss the implementation of USF/SON master’s degree program at VATM. This is our fourth meeting with the Ministry of Education and Training, and their continued support of VNP is greatly appreciated.

    During the March 2011 visit, Drs. DeBourgh and Prion also had the opportunity to visit the Imperial City of Hue, and the coastal city of Hoi An, in central Vietnam. Visiting other areas during our trips to Vietnam informs our knowledge of the culture, customs, and health care needs of the people of Vietnam.

    A special announcement was made while we were in Ha Noi. Dr. DeBourgh, Associate Director of VNP, and associate professor USF/SON was promoted to the rank of professor, and we are very proud of his accomplishments. There cannot be many U.S. professors who learn of their promotion while in Ha Noi. We do know one thing, no one at the University of San Francisco has ever been promoted while in Ha Noi, and we think it grand that he is the first!

    November 2010:

    November 2010 was one of the busiest trips to date. In addition to Drs. Crow, DeBourgh and Prion, there were 7 volunteers, and we conducted 13 presentations, workshops and seminars in four locations in only 5 days. The topics, which were chosen by our Vietnam partners, included:

    Classroom Teaching Methods
    • The Use of Online Technology
    • Information Technology and Library Resources
    • Total Patient Care and Primary Care Nursing
    • Nutrition for Hospitalized Patients
    • Care of Diabetic Patients: Foot Care, Decubitus Prevention and Care
    • Pediatric Assessment
    • Care of the Cardiac Patient: Angina, MI, Heart Failure
    • Curriculum Development: Part One
    • Nursing Care of Patients on Ventilators, Ventilator-Acquired Pneumonia
    • Infection Control
    • Care of Neurology Patient: Assessment and Stroke Care
    • Trauma Care
    • Nursing Management and Leadership
    • How to Plan and Present In-service Education

    In addition to making presentations we had the opportunity to spend additional time observing nursing practice in the ICU, Medical Surgical Units, Operating Room, Emergency Room, Neonatal ICU, and Public Health. Being able to observe nurses in practice is of great value, as it helps us to better understand their practice, and to focus our presentations directly on the issues facing nurses in these areas.

    In addition to the above presentations, Helen Nguyen continued her work with the staff of the neonatal intensive care unit at Bach Mai Hospital concerning neonatal resuscitation. The work that Helen has competed is in support of her Doctorate of Nursing Practice degree at USF. All of her recommendations have been accepted and implemented in the neonatal ICU.

    The volunteers were from academia and practice settings. The volunteers were:
    • Dr Carole Heath, RN, Sonoma State University, Department of Nursing
    • Dr. Robert Geibert, RN, Kaiser Permanente, Northern CA, Oncology & Pediatrics
    • Carolyn Carroll, RN, BSN, Critical Care, Memorial Hospital, Colorado Springs, CO
    • Joan Lunnenborg, RN, MPH, Surgery Specialist
    • Judith Smith, RN, MSN, Children’s Hospital, Oakland, CA, Neonatal ICU
    • Hellen Nguyen, RN, NP, USF, and DNP Student, USF
    • Raye Lynn Thomas, MS Library Science, Librarian, Sonoma State University

    Without the volunteers, this great range of content could not have been presented. I cannot thank the volunteers enough for giving of their time and the donation of their financial resources to help the VNP meet the needs of our partners. In addition to financing their own way to Ha Noi, all the volunteers brought resources to our partners, in the form of textbooks, standards of care, nursing care plans, and library resources. Since all work and no play makes for a terrible trip, many of our volunteers were able to explore other parts of Vietnam as well as Cambodia, Thailand and Laos.

    In addition to all that we accomplished, we were honored to be invited to attend the graduation ceremony for the first class of physicians educated in both traditional and Western medicine from the Vietnam Academy of Traditional Medicine. This was a most prestigious event, hosted by VATM’s Director, Dr. Troung Binh, and attended by Vietnam’s Minister of Health.

    I am also pleased to announce that Dr. Susan Prion has joined the VNP Leadership Team as the Assistant Director for Curriculum Development and Accreditation. Besides being an excellent teacher, Dr. Prion recently implemented the first Doctorate in Nursing Practiced Program for Executive Leadership in the California. Dr. Prion’s focus for the VNP will be curriculum development and evaluation, and accreditation.

    I would also like to thank Dr. Judith Karshmer, Dean of the School of Nursing at USF for her continued support of the program. Moreover, I would like to thank the University of San Francisco for providing faculty development funds to support the USF/SON faculty’s work in Vietnam.

    Lastly, I would like to thank our Vietnam partners for their continued support of the project. Our partners provide transportation, administrative support and translation services for all of our presentations. Without their on-going support we would not be able to accomplish so much. I would especially like to thank, Dr. Truong Binh, Director of VATM, Dr. Le Luong Dong, Associate Professor and Deputy Director VATM, Dr. Thuc Le Ba, Vice-rector of the School of Nursing at Bach Mai Hospital, Dr. Quy, Director of the An Khanh School of Nursing, Dr. Chinh, CEO of Thanh Hospital, and Dr. Thanh, Director of the ICU, Thanh Nhan Hospital. A special thank you goes to Ms Pham Ngan Ha, MA, Faculty of Foreign Languages, VATM. Often Ms Pham is translating 6 to 8 hours each day. Also, we would like to congratulate her on completing her Masters Degree.

    August 2010:

    In my capacity as the Vietnam Nurse Project Director, I traveled to Hanoi in April 2010 to follow up from our trip in November 2009, and to conduct a planning meeting for our upcoming trip in November 2010. At the planning meeting were representatives from Bach Mai Nursing School, Vietnam Academy of Traditional Medicine, An Khanh Nursing School and Thanh Nhan Hospital, as well as staff from the Ministry of Education and Training.

    Also on the trip in April 2010, I had to pleasure to meet Father Julio Guieletti, SJ, who is representing Chicago Loyola in Ho Chi Minh City.  Loyola is also interested in assisting nurses and faculty in the development of their practice.  Father Guieletti was recently in San Francisco and met with Dean Karshmer and Gregory DeBourgh, Associate Professor and Associate Director of the VNP, to explore ways we might cooperate in our endeavors in VN.  There will be much more information about this potential partnership in future updates.

    After returning from Hanoi in April 2010, I held a planning meeting with the Project volunteers to arrange assignments for the three venues we will be working at for our November 2010 trip. The volunteers are all paying their own way as a gesture of support for the VNP. The USF faculties are generously supported through Faculty Development funds from the School of Nursing.

    As a result of our recent planning meeting, we have scheduled a full week of lectures, workshops and seminars with our VN partners during the November 2010 visit.  The lectures, seminars and workshops are designed for practicing nurses, student nurses, and faculty. We will be providing all the materials for the workshops, and other resources such as textbooks and other teaching materials.

    For our next visit in November 2010, this will be the largest group of volunteers, faculty and students ever, with 11 people making the trip to Hanoi. The clinical expertise of the volunteers and faculty includes: pediatric and adult emergency room care, well-baby care, critical care, surgery, trauma care, public health, library services, neo-natal intensive care, curriculum development, and management and leadership.

    The goal of our workshops presented to our partners in Hanoi is to provide contemporary nursing material about teaching, clinical practice, and management and leadership, yet not attempt to turn the VN nurse into a US nurse. We work closely with our VN partners to be sure that we make our presentations consistent with the Vietnamese culture in general, and consistent with the healthcare and nursing culture specifically.  The nurses in VN truly care for the whole patient, mind and body.  On tours of the hospitals, we see patients participating in yoga, meditation, and massage therapy; therapies rarely, if ever, seen in the US.  Therefore, the US nurses who travel to VN have much to learn from our VN colleagues in treating the entire patient and not just their disease.  Every nurse who has travelled to Vietnam with the VNP states that the experience changed their lives and the way they practice nursing.

    In addition to the November visit, I will be returning to Thanh Hospital in September to work specifically with the nurse leaders and managers.