scholarly journals Factors associated with the recruitment of foreign nurses in Japan: A nationwide study of hospitals

2020 ◽  
Author(s):  
Yuko Hirano ◽  
Kunio Tsubota ◽  
Shun Ohno
Keyword(s):  
Nurse Migration ◽  
Chi Square ◽  
Bilateral Agreements ◽  
Hospital Managers ◽  
Global Trend ◽  
The Future ◽  
Chi Square Test ◽  
Economic Partnership ◽  
Partnership Agreement

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.

scholarly journals Factors associated with the recruitment of foreign nurses in Japan: a nationwide study of hospitals

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Yuko O. Hirano ◽  
Kunio Tsubota ◽  
Shun Ohno
Keyword(s):  
Nurse Migration ◽  
Chi Square ◽  
Bilateral Agreements ◽  
Hospital Managers ◽  
Global Trend ◽  
The Future ◽  
Chi Square Test ◽  
Economic Partnership ◽  
Partnership Agreement

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.

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
Keyword(s):  
Nationwide Survey ◽  
Chi Square ◽  
Medical Institutions ◽  
Global Trend ◽  
The Future ◽  
New Business ◽  
Chi Square Test ◽  
Economic Partnership ◽  
Partnership Agreement ◽  
Foreign Nurse

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.

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
Keyword(s):  
Nationwide Survey ◽  
Hospital Staff ◽  
Asian Countries ◽  
Chi Square ◽  
Economic Partnership Agreement ◽  
The Future ◽  
Chi Square Test ◽  
Economic Partnership ◽  
Partnership Agreement ◽  
Foreign Nurse

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.

WEED SPECIES ASSOCIATION IN ARABLE FIELDS: OLD APPROACH, NEW APPLICATION

2018 ◽  
Vol 55 (3) ◽  
pp. 359-370
Author(s):  
G. CONCENÇO ◽  
A. ANDRES ◽  
F. SCHREIBER ◽  
I. S. MOISINHO ◽  
M. C. CORADINI ◽  
...  
Keyword(s):  
Winter Season ◽  
Point Of View ◽  
Plant Association ◽  
Weed Species ◽  
Chi Square ◽  
Species Association ◽  
Arable Fields ◽  
Species Area ◽  
Chi Square Test

SUMMARYWe aimed to assess the potential of the characterization of association among weed species as a tool to understand weed occurrence for further supporting long-term management programs. After a sequence of summer crops, which included irrigated rice and sorghum, the experimental area was submitted to subsoiling, limestone was applied, and ryegrass was planted in the winter season. Six months later, an ACCase-inhibitor herbicide was used to select only non-grassweed species. Field survey was carried out on 100 quadrats with 0.5-m width that were randomly sampled. Plant species were organized in 2 × 2 contingency tables. The results of the calculated chi-squares were compared to the respective tables, and results were presented as a paired chi-square matrix. The species–area curve was also obtained. The relative occurrence of species was determined by its frequency and presented as a wordcloud. The network analysis was obtained by using the Fruchterman–Reingold layout. The hypothesis of plant association aiming survival in arable fields was validated. The methodology of plant association based on the chi-square test was applicable to arable fields, where weed species (usually competitor plant types) occur in clusters. From a practical point of view, preference should be given to herbicides that are efficient on most species within a given cluster.

THE RELATIONS BETWEEN WORKING POSITION WITH NON-SPECIFIC NECK PAIN ON LAUNDRY WORKERS IN DENPASAR CITY

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Ni Made Wahyuni Dewi ◽  
Nila Wahyuni ◽  
Luh Putu Ratna Sundari
Keyword(s):  
Neck Pain ◽  
Hypothesis Test ◽  
Neck Disability Index ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Long Time ◽  
Chi Square Test ◽  
Neck Disability

Non-specific neck pain is a neck pain caused by bad posture in the long term. Laundry workers who everyday often perform activities ironing for a long time at risk of non-specific neck pain due to working position that are not ergonomic. The purpose of this research is to determine the relation between working position with non-specific neck pain on laundry worker in Denpasar City. This research is cross sectional analytic research with purposive sampling. The number of sample is 60 workers with the range of age 20-40 years. Independent variable measured is working position with RULA method, while the dependent variable measured is non-specific neck pain with Neck Disability Index Questionnaire. Hypothesis test used is Chi-Square Test. The resulted of Chi-Square Test on working position with non-specific neck pain variable shown the result of p value is 0,00 or p < 0,05. Based on the results of this study it can be concluded that found a significant relationship between working position against non-specific neck pain on laundry worker in Denpasar City. Keywords: Working Position, Non-Specific Neck Pain, Laundry Worker.

scholarly journals Clinical characteristics and treatment outcomes of patients with MDR tuberculosis in Dar Es Salaam region, Tanzania

2020 ◽  
Vol 2 (4) ◽  
Author(s):  
David T Myemba ◽  
George M Bwire ◽  
Godfrey Sambayi ◽  
Betty A Maganda ◽  
Belinda J Njiro ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Clinical Characteristics ◽  
Cox Regression ◽  
Medication Use ◽  
Dar Es Salaam ◽  
Hazard Ratio ◽  
Chi Square ◽  
Mdr Tb ◽  
Chi Square Test

Abstract Background In Tanzania more than 28% of all multi-drug resistant tuberculosis (MDR-TB) cases occur in Dar es Salaam. However, information about management and clinical outcomes of patients with MDR-TB in the region is scarce, and hence the need for this study. Methods A 5-year retrospective cohort study was conducted in six centres in Dar es Salaam. Descriptive statistics were used to summarize social demographics and clinical characteristics. Associations between occurrence of adverse events, regimen change and cure were determined using the Chi-square test whereas factors associated with mortality were determined using the Log-ranking test and Cox regression model. Results Three-hundred patient files were found and reviewed. The majority were male 199 (66.3%), aged 25–44 years [176 (58.7%)] and 89 (30.1%) were HIV co-infected. 186 (62%) completed their treatment, 68 (22.0%) were on treatment and 9 (3.3%) were lost to follow-up. The majority, 152 (51.0%) were managed using long MDR-TB regimens. The overall mortality rate was 5.7 per 1000 MDR-TB patients. A higher mortality rate was associated with being ≥45 years [adjusted hazard ratio (AHR): 10.82, 95% CI: 1.14–102.74, P = 0.038), female (AHR: 5.92, 95% CI: 1.75–20.08, P = 0.004), on a short anti-TB regimen (AHR: 4.34, 95% CI: 1.41–13.35, P = 0.010), HIV co-infected [crude hazard ratio (CHR): 2.56, 95% CI: 1.01–6.50, P = 0.048), on concomitant long-term medication use (CHR: 2.99, 95% CI: 1.17–7.64, P = 0.022) and having other co-morbidities (CHR: 3.45, 95% CI: 1.32–9.02, P = 0.011). Conclusions MDR-TB mortality was associated with short anti-TB regimens, sex, age, concomitant long-term medication use and HIV coinfection. In this population, use of long and individualized regimens is recommended.

Distinct Clinical Syndromes Are Defined by ADAMTS13 Activity in Idiopathic TTP: Results of the SERF-TTP Study.

Blood ◽  
2007 ◽  
Vol 110 (11) ◽  
pp. 1320-1320
Author(s):  
Anaadriana Zakarija ◽  
Hau C. Kwaan ◽  
Nicholas Banderanko ◽  
Dilip K. Pandey ◽  
John F. Cursio ◽  
...  
Keyword(s):  
Stem Cell ◽  
Platelet Count ◽  
Adverse Events ◽  
Stem Cell Transplant ◽  
Cell Transplant ◽  
Adamts13 Activity ◽  
Chi Square ◽  
Exact Test ◽  
Chi Square Test

Abstract Background: The Surveillance, Epidemiology & Risk Factors for TTP (SERF-TTP) study is the largest prospective cohort of idiopathic TTP cases to date. Methods: Patients with first episode of idiopathic TTP were enrolled at 11 sites in the US. Exclusion criteria include solid organ or allogeneic stem cell transplant, anti-neoplastic therapy or malignancy. All patients underwent therapeutic plasma exchange (TPE). Remission is defined as platelet count >150,000/mm3. ADAMTS13 activity was measured by fluorescence resonance energy transfer assay (FRETS-vWF73, Peptides Int.). ADAMTS13 inhibitor was assessed by ELISA (Technozym ADAMTS13 INH ELISA, Technoclone) and functional inhibition of normal ADAMTS13 activity (modified FRETS). Differences between the groups was evaluated by Chi-square test, t-test or Fisher’s exact test. Results: Complete data is available for 57 cases. 84% were female & median age was 42. ADAMTS13 was severely deficient (<10%) in 53%, moderate (10–50%) in 8%, & normal (>50%) in 39%. Adverse events were frequent & most commonly include citrate toxicity and allergic reactions. Long-term followup was available for 56 patients, and overall relapse rate was 25% with median time to relapse of 11 months. The relapse rate was 41% in patients with severe ADAMST13 deficiency & 0% in patients with normal ADAMTS13 activity (p=0.0077). Conclusions: Severe ADAMTS13 deficiency does not define all cases of idiopathic TTP, yet is associated with a unique syndrome characterized by severe thrombocytopenia, normal renal function, presence of ADAMTS13 neutralizing autoantibodies & high risk of relapse. Non-ADAMTS13 deficient idiopathic TTP has clinical features similar to thrombotic microangiopathies associated with stem cell transplant or drugs such as quinine, yet has a better than expected overall survival after TPE. There is likely an alternate disease mechanism for this cohort, possibly immunologic, which may be responsive to TPE and warrants further study. ADAMTS13 < 10% n=30 ADAMTS13 > 50% n=22 p-value * t-test, ** Fisher’s Exact Test, # Chi-Square Test Presenting Labs Hemoglobin (mean) 8.5 9.2 0.22* Platelet count (mean x10^9/L) 19 57 <0.0005* Serum creatinine (mean) 1.33 3.9 0.0012* ADAMTS13 antibody (neutralizing & non-neutralizing) % 100 63.6 0.0004** ADAMTS13 neutralizing antibody % 83 35 .0003# Presenting Symptoms Neurologic symptoms present 45 52.4 0.23# Diarrhea 23 30.4 0.79# Infection 40 43.5 0.79# Past Medical History Connective Tissue Disease % 10 8.5 0.28# Family history of TTP % 0 4.6 0.11# Remission Labs Hemoglobin (mean) 12.2 8.5 0.16* Platelet count (mean x10^9/L)) 169 152 0.15* Serum creatinine (mean) 1.02 3.7 0.0009* Outcomes Therapy-related Adverse events % 71 55 0.24# Time (days) to remission (plt > 150,000) 9.7 9.2 0.89* Early remission (< 8 days) % 73 57 0.20# 30 day Exacerbation rate % 35 28 0.63# 30 day Survival % 96.6 90.0 0.56** Long-term Relapse % 41 0 0.0077**

scholarly journals HUBUNGAN PENGETAHUAN DAN SIKAP IBU RUMAH TANGGA DENGAN PENGGUNAAN GARAM BERYODIUM

2019 ◽  
Vol 1 (2) ◽  
pp. 54-57
Author(s):  
Yunita Syahputri Damanik ◽  
Efrata Sembiring
Keyword(s):  
Sampling Technique ◽  
Iodized Salt ◽  
P Value ◽  
Chi Square ◽  
Food Ingredients ◽  
Health And Nutrition ◽  
Knowledge Variable ◽  
Chi Square Test ◽  
The Impact

HUBUNGAN PENGETAHUAN DAN SIKAP IBU RUMAH TANGGA DENGAN PENGGUNAAN GARAM BERYODIUM AbstractIn Indonesia IDD (Iodine Deficiency Disorder) is one of the serious public health problems because of the impact it has on the survival and quality of human resources. A long-term sustainable effort is by iodizing salt, which is adding iodine to food ingredients. The aim of this program is that 90% or more households consume iodized salt according to the requirements, which is 30-80 parts permillion (ppm). The aim of this research was to determine the relationship between knowledge and attitudes of the housewives with the use of iodized salt in Delitua Timur, Deli Serdang. The sampling technique in this research was non probability sampling using a purposive method of 96 people. The analysis carried out using the chi-square test. The results of the research on 96 respondents for the knowledge variable obtained a p-value of 1,000 where p > 0.05 which means there was  not relationship between knowledge and the use of iodized salt. And for attitude variables obtained p-value 0.010 which means there was a relationship between attitudes and use of iodized salt in Delitua Timur, Deli Serdang. The suggested for this research to the society to increase their knowledge and positive attitude to use of iodized salt in an effort to improve health and nutrition.

scholarly journals THE CORRELATION BETWEEN DIET AND THE TYPE OF CANCER AT THE CHEMOTHERAPY ROOMS IN GENERAL HOSPITAL ABDUL WAHAB SJAHRANIE SAMARINDA

2020 ◽  
Vol 7 (2) ◽  
pp. 92-96
Author(s):  
Rini Ernawati ◽  
Niswatun Amanah
Keyword(s):  
General Hospital ◽  
Quantitative Research ◽  
Sampling Technique ◽  
The Body ◽  
Chi Square ◽  
Cross Sectional ◽  
Meal Pattern ◽  
Chi Square Test ◽  
Abnormal Cells

Cancer is an abnormality in the body organs, for instance the abnormal cells grow very quickly, and consequentlydisrupt the performance of normal cells. An unhealthy meal pattern can cause cancer and stress and in long term it can cause thedecrease of immunity, as the result someone with low immunity is at risk to get sick easily.The purpose of the research was toidentify the correlation between diet  and the type of cancer at the chemotherapy rooms in General Hospital Abdul Wahab Sjahranie.This study employed quantitative research design with cross sectional approach. The number of the population in this research was 183 respondents and 125 samples were selected to participate with purposive random sampling technique. The instruments of meal pattern questionnaire  is used to collect the data and Chi-Square test was utilized to analyse the statistics test.The finding from the correlation between the variable of meal pattern and the type of cancer showed significant result pvalue = 0.003 a<0.05. This means that there was significant correlation between diet and the type of cancer. This result indicate that  is significant influence  between meal pattern with the type of cancer

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