Investigation of mental health in Indonesian health workers immigrating to Japan under the Economic Partnership Agreement

Sato, Fumiko; Hayakawa, Kayoko; Kamide, Kei

doi:10.1111/nhs.12275

Cited by 16 publications

(15 citation statements)

References 11 publications

(10 reference statements)

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“…There were 13 studies examining international university students studying in Japan and one of Brazilian middle school students (the youngest cohort assessed in this study) 16–29. Eleven studies exclusively examined migrant workers30–36 and four studies were on the mental well-being of economic partnership agreement care workers specifically 37–40. Two studies enrolled non-pregnant migrants41 42 and eight exclusively analysed mothers 43–50.…”

Section: Resultsmentioning

confidence: 99%

Mental well-being of international migrants to Japan: a systematic review

et al. 2019

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BackgroundMigration is a stressful process of resettlement and acculturation that can often negatively impact the mental health of migrants. International migration to Japan, a country with dominant ethnic homogeneity, is growing steadily amid an ageing domestic population and severe labour shortages.ObjectivesTo identify the contemporary barriers to, and facilitators of, mental well-being among the migrant population in Japan.DesignSystematic reviewData sourcesPubMed, ProQuest, Web of Science, Ichushi and J-StageEligibility criteriaResearch articles examining the mental well-being of international migrants in Japan that were published in English or Japanese between January 2000 and September 2018 were included.Data extraction and synthesisFull texts of relevant articles were screened and references of the included studies were hand-searched for further admissible articles. Study characteristics, mental well-being facilitators and barriers, as well as policy recommendations were synthesised into categorical observations and were then thematically analysed.ResultsFifty-five studies (23 published in English), surveying a total of 8649 migrants, were identified. The most commonly studied migrant nationalities were Brazilian (36%), followed by Chinese (27%) and Filipino (8%). Thematic analysis of barriers to mental well-being among migrants chiefly identified ‘language difficulties’, ‘being female’ and ‘lack of social support’, whereas the primary facilitators were ‘social networks’ followed by ‘cultural identity’. Policy recommendations for authorities generally described more migrant support services and cross-cultural awareness among the Japanese public.ConclusionAccess to social support networks of various types appears to be an influential factor affecting the mental well-being of international migrants in Japan. More research is necessary on how to promote such connections to foster a more inclusive and multicultural Japanese society amid rapid demographic change.PROSPERO registration numberCRD42018108421.

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Section: Resultsmentioning

confidence: 99%

Mental well-being of international migrants to Japan: a systematic review

et al. 2019

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“…Finally, the search was conducted in November 2015. In 2016 and 2017, new studies reported that the supervisor’s support is related to the vigour of migrant workers (Hoppe et al 2017 ), migrant nurses experienced work role and culture differences (Zhong et al 2017 ), and the state of qualifications was the main factor influencing mental state (Sato et al 2016 ). In several years, this systematic review will need to be updated.…”

Section: Discussionmentioning

confidence: 99%

Stress of working abroad: a systematic review

Doki

Sasahara

Matsuzaki

2018

Int Arch Occup Environ Health

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PurposeMany companies target international markets to expand their business. Companies need to manage international teams with a wide variety of skills, knowledge and values to run their business effectively; however, there are many issues of acculturation stress. Not only business travellers and expatriates, but also immigrant workers have issues adjusting to foreign culture. The aim of the present study is to identify the stress factors affecting foreign-born workers via a systematic review.MethodsThe systematic review was conducted using PubMed, PsycINFO, Embase and Cochrane Library databases. Articles on the subject of workers living abroad, such as immigrants, expatriates and business travellers, were included. The risk of bias in the included articles was assessed using the Cochrane Collaboration’s tool for assessing risk of bias for randomised controlled trials (RCTs), RoBANS for non-RCT studies, and CASP for qualitative studies.ResultsFor the systematic review, 45 out of 14,994 articles were analysed. Six components, communication, cultural differences in the workplace, daily life, relationships with family and colleagues, financial problems and social inequality, were extracted.ConclusionForeign-born workers are suffering from acculturation and occupational stress. The results of the present study can help greatly with understanding of the stress structure of working abroad.Electronic supplementary materialThe online version of this article (10.1007/s00420-018-1333-4) contains supplementary material, which is available to authorized users.

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“…The number of hospitals interested in Japan's policy to recruit foreign nurses under the EPA has decreased since 2008 (50% vs. 83%) [8], before foreign nurse recruitment started. This is due to the burden on hospitals that employ foreign nurses, and particularly, providing support to them [10,[11][12][13][14][15][16][17] (e.g. providing assistance with daily living and instruction for the NBE in Japanese) as well as the cost, which is estimated to be as much as 3.6 million yen per nurse, including 26% to cover the "extra" work of Japanese nurses to support foreign colleagues during the three-year contract [18].…”

Section: Discussionmentioning

confidence: 99%

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

Hirano¹,

Tsubota

Ohno

2020

Preprint

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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.

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Investigation of mental health in Indonesian health workers immigrating to Japan under the Economic Partnership Agreement

Cited by 16 publications

References 11 publications

Mental well-being of international migrants to Japan: a systematic review

Mental well-being of international migrants to Japan: a systematic review

Stress of working abroad: a systematic review

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

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