scholarly journals Factors Associated With the Recruitment of Foreign Nurses in Japan: A Nationwide Survey of Hospitals

2020 ◽  
Author(s):  
Yuko Hirano ◽  
Kunio Tsubota ◽  
Shun Ohno

Abstract Background: Recruiting foreign nurses is now a global concernto combatnursing shortages.Japan has officially opened its labor market to foreign nurses, through aneconomic partnership agreement with three other Asian countries. However, fewhospitalsemploy foreign nurses. Weinvestigatedthe waysto expand the number of hospitals employing foreign nurses in Japan by exploring the perceptions of hospital managerswho have notpreviously employedforeign nurses.Method:An anonymous questionnairewas developed and distributed to hospitalsthat had not previously employed foreign nurses;itrequestedthe staff’s opinions on Japan’s policy on recruitment of foreign nurses and their intentions to hire foreign nurses. We randomly selected 1,879 hospitals, or 22% of the hospitals in Japan (n=8,540) with more than 20 beds.We used descriptive statistics, a Chi-square test, and a logistic regression analysis to identify the predictors and developed a model to predict the likelihood of their intention to recruit foreign nurses in the future.Results: In total, 432hospitalswere eligible for further analysis (response rate:22.9%).Half (50%) of the hospital managerswere very/quiteinterested in Japan’s policy on recruiting foreign nurses, though only 20% intended to recruit under the economic partnership agreement in the future. The likelihood of foreign nurse recruitment under the partnership agreement was associated with the degree of interest in the policy (OR 9.38;95%CI 4.42–19.90) and managers’ perception of foreign nurses (OR 5.32, 95% CI 2.38–11.89).Conclusion:The strongest factor associated with the intention to recruit foreign nurses byhospitals thathadnot previously employed themwas the degree of interest in the government’s economic partnership agreement, followed by managers’ perceptionof foreign nurses, measured by “image score”. Foreign nurses contribute to the workplace byworking together inmulticultural teams;therefore,the Japanese government shouldfosterinitiatives to raise interest among Japanese hospitalstorecruit foreign nursesand improve perceptions among hospital staff.

2020 ◽  
Author(s):  
Yuko Hirano ◽  
Kunio Tsubota ◽  
Shun Ohno

Abstract Background: Nurse migration under bilateral agreements is a recent global trend; though lack of consultation with health industries has led to challenges in the recruitment of foreign nurses by hospitals. To analyze the prevailing opinion of hospitals on the Economic Partnership Agreement (EPA), under which Japan officially recruits foreign nurses, we surveyed the hospitals that are yet to employ foreign nurses.Method: An anonymous questionnaire was developed and distributed to eligible hospitals; it requested the managers’ opinions on Japan’s policy on recruitment of foreign nurses and their intentions to hire foreign nurses. We randomly selected 1,879 hospitals, or 22% of the hospitals in Japan (n = 8,540) with more than 20 beds. We used descriptive statistics, a Chi-square test, and a logistic regression analysis to identify the predictors and developed a model to predict the likelihood of their intention to recruit foreign nurses in the future.Results: In total, 432 hospitals were eligible for further analysis (response rate: 22.9%). Half (50%) of the hospital managers were very/quite interested in Japan’s policy on recruiting foreign nurses, though only 20% intended to recruit under the EPA in the future. The likelihood of foreign nurse recruitment under the partnership agreement was associated with the degree of interest in the policy (OR 9.38; 95% CI 4.42–19.90) and managers’ perception of foreign nurses (OR 5.32, 95% CI 2.38–11.89).Conclusion: To attract more hospitals by reviewing the EPA policy, scrutinizing the needs of hospitals is key. EPA has challenges in accommodating the requests from the hospitals that urgently need foreign nurses, so it may render the new business model which effectively yields the eligible nurses from abroad. To review the EPA, it is essential to reflect upon the opinions of the medical institutions, including those who have yet to employ foreign nurses.


2020 ◽  
Author(s):  
Yuko Hirano ◽  
Kunio Tsubota ◽  
Shun Ohno

Abstract Background: Nurse migration under bilateral agreements is a recent global trend, although lack of consultation with the health industries has led to challenges in the recruitment of foreign nurses by hospitals. To analyze the prevailing perception of hospitals on the Economic Partnership Agreement (EPA), under which Japan opened the doors to foreign nurses, we surveyed hospitals that are yet to employ foreign nurses. Methods: An anonymous questionnaire was developed and distributed to eligible hospitals; it assessed managers’ perception of Japan’s policy on the recruitment of foreign nurses and their intentions to hire foreign nurses under the EPA (hereafter called EPA nurses). We randomly selected 1,879 hospitals, or 22% of the hospitals in Japan (n = 8,540), with more than 20 beds. We used descriptive statistics, a Chi-square test, and logistic regression analysis to identify the predictors and developed a model to predict the likelihood of their intention to recruit EPA nurses in the future. Results: In total, 432 hospitals were eligible for further analysis (response rate: 22.9%). Half (50%) of the hospital managers were considerably interested in Japan’s policy on recruiting EPA nurses, although only 20% intended to recruit EPA nurses in the future. Willingness to recruit EPA nurses was associated with the degree of interest in the policy (OR 9.38; 95% CI 4.42–19.90) and managers’ perception of EPA nurses (OR 5.32, 95% CI 2.38–11.89). Conclusions: To attract more hospitals to recruit foreign nurses, it is essential for the Japanese government and the sending countries to review their EPA systems. Utilizing returning nurses to assist language acquisition by the forthcoming EPA nurses could be a provisional solution. For a more fundamental solution, long-term provision, from prior to their migration until their return migration, is needed to encourage brain circulation, as opposed to brain drain, between sending and receiving countries.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Yuko O. Hirano ◽  
Kunio Tsubota ◽  
Shun Ohno

Abstract Background Nurse migration under bilateral agreements is a recent global trend, although lack of consultation with the health industries has led to challenges in the recruitment of foreign nurses by hospitals. To analyze the prevailing perception of hospitals on the Economic Partnership Agreement (EPA), under which Japan opened the doors to foreign nurses, we surveyed hospitals that are yet to employ foreign nurses. Methods An anonymous questionnaire was developed and distributed to eligible hospitals; it assessed managers’ perception of Japan’s policy on the recruitment of foreign nurses and their intentions to hire foreign nurses under the EPA (hereafter called EPA nurses). We randomly selected 1879 hospitals, or 22% of the hospitals in Japan (n = 8540), with more than 20 beds. We used descriptive statistics, a Chi-square test, and logistic regression analysis to identify the predictors and developed a model to predict the likelihood of their intention to recruit EPA nurses in the future. Results In total, 432 hospitals were eligible for further analysis (response rate: 22.9%). Half (50%) of the hospital managers were considerably interested in Japan’s policy on recruiting EPA nurses, although only 20% intended to recruit EPA nurses in the future. Willingness to recruit EPA nurses was associated with the degree of interest in the policy (OR 9.38; 95% CI 4.42–19.90) and managers’ perception of EPA nurses (OR 5.32, 95% CI 2.38–11.89). Conclusions To attract more hospitals to recruit foreign nurses, it is essential for the Japanese government and the sending countries to review their EPA systems. Utilizing returning nurses to assist language acquisition by the forthcoming EPA nurses could be a provisional solution. For a more fundamental solution, long-term provision, from prior to their migration until their return migration, is needed to encourage brain circulation, as opposed to brain drain, between sending and receiving countries.


2020 ◽  
Vol 3 (8) ◽  
pp. 87
Author(s):  
Sebastian Sterzer ◽  
Andi Killang Pakkanna

Chile and Argentina have put their radars on trade with Southeast Asian countries, in which Indonesia appears as one of the main countries. In recent years, Chile has had a more aggressive trade policy towards Indonesia. The most recent proof has been the signing of the Indonesia - Chile Comprehensive Economic Partnership Agreement (IC-CEPA), which entered into force in 2019. The objective of this article is to present a comparative analysis of trade flows between Argentina - Indonesia and Chile - Indonesia, looking for similarities and differences between both types of bilateral ties, so that they can serve as models to improve existing relations, learning from what it has happened in each one of them.


2018 ◽  
Vol 12 (2) ◽  
pp. 181-204
Author(s):  
Endah Ayu Ningsih ◽  
Telisa Aulia Falianty ◽  
Fitri Tri Budiarti

AbstrakPenelitian ini mengevaluasi tingkat pemanfaatan Indonesia-Japan Economic Partnership Agreement (IJEPA) dan Indonesia-Pakistan Preferential Trade Agreement (IPPTA) dalam ekspor dan impor Indonesia ke Jepang dan Pakistan. Tingkat pemanfaatan FTA untuk ekspor menggunakan rasio nilai perdagangan yang termuat dalam Surat Keterangan Asal (SKA) terhadap nilai ekspor ke negara mitra. Sedangkan tingkat pemanfaatan impor menggunakan rasio nilai impor produk yang memenuhi syarat terhadap total impor Indonesia dari negara mitra. Studi ini menemukan bahwa pemanfaatan IJEPA (2012-2016) cenderung menurun. Pada tahun 2016 tingkat pemanfaatan ekspor sebesar 47,2%. Sementara pemanfaatan IPPTA untuk ekspor ke Pakistan mengalami peningkatan yang signifikan sejak diimplementasi tahun 2013 dengan tingkat pemanfaatan ekspor sebesar 72,0% pada tahun 2016. Di sisi impor pemanfaatan IJEPA mencapai 67,7% sementara IPPTA hanya 18,8% (2016). Pemanfaatan impor IJEPA dan IPPTA relatif stagnan, jumlah perusahaan yang menggunakan SKA IJEPA sudah pada level jenuh, sementara pengguna SKA IPPTA masih tumbuh 18,2% per tahun. Bentuk PTA lebih memberikan dampak positif bagi peningkatan ekspor Indonesia ke negara mitra dibandingkan FTA yang komprehensif. Kebijakan melakukan FTA dalam bentuk Economic Partnership perlu disertai dengan kerja sama yang menjamin peningkatan perdagangan yang seimbang antar negara anggota. AbstractThis study aims to address the utilization level of The Indonesia-Japan Economic Partnership Agreement (IJEPA) and Indonesia-Pakistan Preferential Trade Agreement (IPPTA). The level of FTA utilization for exports was measured by the ratio of trade value recorded in the Certificate of Origin (CoO) to Indonesia’s export value to the related country. While the level of utilization of imports was defined by the ratio of the import value of eligible products to Indonesia's total imports from the related country. The study found IJEPA’s utilization during 2012-2016 tended to decrease. In 2016, the level of utilization was about 47.2%. While IPPTA utilization for exports to Pakistan experienced a significant increase since it was implemented in 2013 with a rate of export utilization was 72.0% in 2016. On the import side, the level of utilization under IJEPA reached 67.7% while IPPTA was only 18.8% at the same period. In terms of the imports utilization level of both IJEPA and IPPTA, it was relatively stagnant, while the number of companies utilize IJEPA’s CoO was saturated. In contrast, IPPTA’s CoO users still grew at 18.2% per year. This study concluded PTA provides more positive impact on increasing Indonesia's exports to related countries than comprehensive FTAs. Thus, establishing an FTA in the form of an Economic Partnership needs to be followed with the cooperation that guarantees trade balance within the parties.


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