Exchange student at VID: Thien Tang
- Published: June 10th 2025.
Who are you, and why are you in Norway?
I am a nursing student from Azusa Pacific University (APU), a Christian private university in Los Angeles, California. I am in Norway as part of a study abroad program to gain international healthcare experience and observe different nursing practices in nursing homes, home care, and hospital settings. Additionally, I want to explore how Norway’s healthcare system functions. This opportunity allows me to broaden my understanding of global healthcare and develop cultural competence.
What have you experienced in Norway during the three months you’ve been here?
During my time in Norway, I have experienced the breathtaking beauty of Norwegian nature, from the fjords to the northern lights and the magnificent seven mountains surrounding Bergen. Academically, I have engaged with the nursing curriculum at VID Specialized University, where I have observed a strong emphasis on holistic and patient-centered care. Clinically, I have had the opportunity to visit healthcare facilities, interact with Norwegian healthcare professionals, and compare their practices to those in the U.S. Outside of school, I have met many welcoming people, explored Norwegian cuisine, and hiked some of the country’s tallest mountains, including Mount Ulriken.
What are your thoughts on the healthcare system and the nursing you’ve observed?
Norway’s universal healthcare system is impressive in its accessibility and emphasis on preventive care. Despite being highly accessible and affordable for everyone, the quality of care remains uncompromised. I have observed that nurses in Norway have a high level of autonomy and play a significant role in patient care decisions. The work environment appears less stressful compared to the U.S., likely due to better staffing ratios and a strong emphasis on work-life balance. Overall, Norway’s healthcare system not only provides excellent care to residents but also ensures that nurses work in a supportive and well-structured environment.
Has anything surprised you?
Yes, I was surprised by the level of trust placed in nurses in Norway. They have significantly more independence in clinical decision-making compared to many U.S. hospitals. Another surprising aspect was the cultural approach to healthcare, patients in Norway are encouraged to take an active role in their care, with a stronger emphasis on preventive health measures rather than reactive treatment. Lastly, the high cost of living in Norway, including healthcare expenses for non-residents, was an eye-opener, especially given my experience with the expensive and often delayed care in the U.S.
From your perspective, what is good, and what could be improved?
One of the best aspects of Norway’s healthcare system is its focus on prevention, patient autonomy, and accessibility. I am impressed by the emphasis on mental health and well-being, including reasonable working hours for healthcare workers. However, from what I’ve heard from healthcare professionals, waiting times for some non-urgent procedures and specialist appointments can be lengthy. These delays can make it difficult for patients to receive timely care. While Norway’s universal healthcare system ensures access for all, improving efficiency in scheduling and specialist availability could further enhance patient outcomes and overall satisfaction.
What thoughts do you have about the similarities and differences between being a student at APU in the USA and at VID in Norway?
One major similarity is the shared Christian foundation of both universities, which emphasizes compassionate care and ethical decision making in nursing. However, there are notable differences. At APU, there is a greater integration of faith into the curriculum, whereas in Norway, faith is more of a personal aspect rather than a core part of academics. Norwegian education places a strong emphasis on group work and collaboration, while American nursing education, particularly at APU, often highlights individual performance and standardized testing. Overall, my experience in Norway has been enriching both personally and professionally, broadening my perspective on global healthcare and nursing.