Introduction: Indonesia has a vast resource of nursing workforce for supplying the world demand. Nationally, there is growing concern at the current flows of nurse migration, particularly from Indonesia to Japan. Indonesia Japan Economic Partnership Agreement (IJEPA) has opened the gate for movement of natural persons, not exempted of nurses. Through this program, the flow of skilled migrants from Indonesia to Japan has been facilitated by government of both countries. Furthermore, advanced health care facility and aging society in Japan has demanded more foreign nurses which are lead to nursing migration. This paper focuses on the challenges and opportunities specifically talking about the issue of return.Method: Mixed method was employed, in the first quantitative section, data was collected by questionnaire. In the qualitative section, semi-structured interviews were conducted. The interviews were analysed with qualitative thematic content analysis. Data were obtained from twenty nurses, self reporting questionnaire and five nurses participated voluntarily in interview section. Result:The results showed that 18 out of 20 skilled migrants were unemployed and sought a new job. Meanwhile, two returnee continue studying to a higher degree. Evidence from the interviews revealed that it seems it is very challenging for them to live in a home country and struggle with a real life. They were seeking vacancies and looking for the best one which is matched with their qualification. Conclusion:Return migration would be very challenging and create difficulty for returning nurses to look for a new position and enhance their career. Facilitating return migration through specific program should be built. Making return attractive can increase the transfer of knowledge within a country and lessen the negative impact of brain drain.
This grounded theory study aimed to explore the subjective experiences of children living with Human Immunodeficiency Virus (HIV) from the perspective of children and their families in Indonesia. Twenty participants were interviewed, consisting of 12 children aged 9–18 years and eight family members. Using grounded theory analysis, this study identified three categories: ‘coping with diagnosis’, ‘disclosing their status’ and ‘living with the stigma of HIV’. Participants responded with shock, denial, sadness, secrecy and often had misconceptions about the virus to the diagnosis of themselves or their children. After diagnosis, children with HIV and their families continuously lived with stigma stemming from individual and societal beliefs about the virus. This stigma manifested in actions such as isolation, disclosure avoidance, secrecy, deception and social rejection. Because of these stigmatisations, many of the participants decided not to disclose the child’s HIV status and used status strategies such as telling lies, keeping secrets and keeping their distance. The participants offered insight into the need for comprehensive programs to address care gaps. This study highlights that health professionals need to develop practical guidelines to support families during the disclosure process, provide psychosocial care for children, and create stigma reduction interventions for children with HIV.
Introduction : Cardiorespiratory endurance is one of the components of fitness. Cardiorespiratory endurance is considered to have relation with health because the low grade of fitness connected to high risk of immature death especially cardiovascular disease. Sport such as aerobic exercise and yoga exercise is one of efforts to increase cardiorespiratory endurance. This study was aimed to analyze the effectiveness aerobic exercise and yoga exercise to increase of cardiorespiratory endurance in female employee.Method : The design of the study was Quasy Experimental by using non-probability sampling (purposive sampling). Total sample of this study were 21 respondents. Seven respondents as treatment aerobic exerciser, 7 respondents as treatment yoga exerciser and 7 respondents as control group. The independent variables were aerobic exercise and yoga exercise. The dependent variables were the increase cardiorespiratory endurance. The data were collected and analyzed by using paired t test and anova with significance level a < 0,05.Result : The result showed that there were no differences effectiveness aerobic exercise and yoga exercise to increase cardiorespiratory endurance for female employee which were indicated by pulse (p=0,388), blood pressure systole (p= 0,520), blood pressure diastole (p=0,131) and respiration (p=0,432).Conclusion : It can be concluded that both of gymnastic aerobic and yoga effective on increasing immunity of cardiovascular for the female. Discussion : Female employee can consider aerobic and yoga as an effort to increase cardiorespiratory endurance.
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