During Kyoko's first period at work, she had a difficult time in expressing her opinions openly with her colleagues for a while because of her indirectness, she was afraid to directly refuse her Australian colleagues about exchanging their working shifts and also to discuss about her colleague's mistakes with her boss.
These might be influenced by her perceptions of a working environment that is different from her previous hospital in Japan. Prunty, Klopfand shi(1990) have found that Japanese people are allegedly unwilling to argue because they consider that arguments can disrupt their terpersonal relationships Hofstede's bipolar dimension of collectivistic and in individualistic cultures can be used to explain her behaviour(Hofstede, 1980).