“…For example, the promotion of critical thinking skills has been a prominent part of Western nursing education for some time, but such skills are criticized as lacking in Japanese nursing education (Kawashima, 2003; Stockhausen & Kawashima, 2003; Kawashima & Petrini, 2004; Motani, 2005). Although these views often do not take account of the differences between Western and Eastern forms of knowing, learning and teaching, behavior, and cultural subtlety, it is generally the case that there is a cultural tradition of not encouraging critical thinking in Japanese education (Motani, 2005). In part, this is related to the Japanese traditions of honoring the respected teacher, or sensei , by not publicly questioning the teaching of the sensei , and maintaining group harmony (Turale et al.…”