Exploring Learning Problems of Filipino Nurse Candidates Working in Japan: Based on the Results of a Practice National Board Examination of Japan Given in English

This article investigates the status of the education and training of Filipino nurse candidates who have been working in Japan under the Japan-Philippine Economic Partnership Agreement (JPEPA). A survey was conducted among Filipino nurse candidates, using a practice examination based on the English version of Japan’s National Board Examination for Registered Nurses in 2009. Categorized by area, the mean correct answer rate for nursing-related questions ranged between 61% and 73%; the rate for questions concerning basic knowledge of body functions and diseases ranged between 55% and 57%. There was a large gap in terms of the results of the examination between those who had previously seen the exam questions and those who had never seen them. While 57.1% of those who had previously seen the questions satisfied the acceptance criteria, only 23.7%of those who had never viewed the test satisfied it. Based on these results, the factors which serve as obstacles that Filipino nurse candidates encounter in passing the national examination include not only difficulties in acquiring Japanese proficiency but also differences between Japan and the Philippines in respect to the nursing education curriculum and basic nursing policies

Exploring Learning Problems of Filipino Nurse Candidates Working in Japan: Based on the Results of a Practice National Board Examination of Japan Given in English

This article investigates the status of the education and training of Filipino nurse candidates who have been working in Japan under the Japan-Philippine Economic Partnership Agreement (JPEPA). A survey was conducted among Filipino nurse candidates, using a practice examination based on the English version of Japan’s National Board Examination for Registered Nurses in 2009. Categorized by area, the mean correct answer rate for nursing-related questions ranged between 61% and 73%; the rate for questions concerning basic knowledge of body functions and diseases ranged between 55% and 57%. There was a large gap in terms of the results of the examination between those who had previously seen the exam questions and those who had never seen them. While 57.1% of those who had previously seen the questions satisfied the acceptance criteria, only 23.7%of those who had never viewed the test satisfied it. Based on these results, the factors which serve as obstacles that Filipino nurse candidates encounter in passing the national examination include not only difficulties in acquiring Japanese proficiency but also differences between Japan and the Philippines in respect to the nursing education curriculum and basic nursing policies

The Change in Mental Health Status of Indonesian Health Care Migrant Worker in Japan

Under the Japan – Indonesia Economic Partnership Agreement, more than 1,000 of Indonesian health care workers have migrated to Japan. Social adjustment during the process of migration is linked to mental health changes. This study aimed to figure out the strongest predictor that influences the change in mental health status as a result of migration. Baseline data were collected in Jakarta in 2013 during pre-departure orientation. Follow-up study was conducted one year after the study participants migrated to Japan in 2014. Using longitudinal design, this study employed 92 participants consisting of nurse and certified care worker candidates. The multiple linear regression analysis was conducted to figure out the predictors that influence the change in mental health status. The prediction model expected to explain 39.9% of the change in mental health status, p value < 0.01, while sex (b = 0.201, p value < 0.05), economic conditions in pre-migration (b = -0.200, p value < 0.05), and the socio cultural adaptation competency (b = -0.238, p value < 0.05). This finding assumed that female candidates and those who have economic constraint in pre-migration stage, and those who have declining in socio-cultural adaptation competency tend to have lower mental health one year after the migration

Gamma Band Neural Synchronization Deficits for Auditory Steady State Responses in Bipolar Disorder Patients

Periodic auditory click stimulation has been reported to elicit an auditory steady state response (ASSR). The ASSR has been suggested to reflect the efficiency of γ-amino butyric acid (GABA) inhibitory interneuronal activity. Although a potential role for GABAergic dysfunction has been previously proposed, the role of neural synchronization in the ASSR in people with bipolar disorder (BD) has received little attention. In the current study, we investigated ASSRs to 20 Hz, 30 Hz, 40 Hz and 80 Hz click trains in BD patients. A total of 14 (4 males) BD patients and 25 (10 males) healthy controls participated in this study. ASSRs were obtained using whole-head 306-channel magnetoencephalography to calculate, ASSR power values and phase locking factors (PLF). BD patients exhibited significantly reduced mean ASSR power and PLF values bilaterally at frequencies of 30, 40, and 80 Hz (p<0.05 for these frequencies). At 20 Hz, bipolar patients showed no significant reduction in mean ASSR power and PLF values. There was a significant negative correlation between 80 Hz-ASSR-power values obtained from the right hemisphere and scores on the Hamilton Depression Rating Scale (rho = −0.86, p = 0.0003). The current study showed reduced low and high gamma band ASSR power and PLF bilaterally with no significant beta band ASSR reduction in BD patients. BD patients are characterized by deficits in gamma band oscillations, which may be associated with GABA inhibitory interneuronal activity dysfunction

Factors influencing the psychological independence of retired community-dwelling older adults in Japan

Background: In an aging society, it is necessary to promote successful aging by helping older adults maintain engagement in social activities, especially after retirement. Focusing on psychological independence is critical for helping community-dwelling older adults maintain their ability to do things independently and build appropriate relationships with neighbors. However, shifting one’s mindset from the workplace to the local community can be difficult, especially for Japanese people who prioritize work over local community activities. Few studies have investigated the factors associated with the psychological independence of community-dwelling older adults, so this study examined the factors influencing the psychological independence of older adults in T town, a typical commuter town in Japan. Methods: A self-administered, anonymous questionnaire was distributed to 246 neighborhood association members aged 65 and older. T-test, Pearson’s correlation coefficient, Cronbach’s alpha, and multiple regression analysis were used to develop a model for predicting psychological independence and its two subconstructs, purposefulness and personal accountability.Results: The results demonstrated that psychological independence,purposefulness, and personal accountability were significantly predicted byhaving abilities that are useful to other people (β = 0.399, p = 0.001; β = 0.277,p = 0.019; and β = 0.394, p = 0.001, respectively).Conclusion: The findings suggest that older adults can maintain psychologicalindependence using their existing characteristics, such as hobbies and lifeskills that are useful to others in the community

シゴ ノ ショチ タイケン ガ シンジン カンゴシ ノ シ エノ タイド ニ オヨボス エイキョウ ハジメテ ノ シゴ ノ ショチジ ニ イダイタ オモイ ニ ショウテン オ アテタ イチコウサツ

In this article I examined the thoughts of inexperienced nurses in facing their first experience ofpostmortem care and considered the influence of that experience on their concepts of life and death.Ten inexperienced nurses participated in the interviews, which were semi-structured.Ten categories of thought were identified as a result of the analysis: denial; fear; sorrow; professionalregulations; astonishment; absent-mindedness; a feeling of kindness toward the dead person; satisfaction;the ideal image of a nurse; and feeling nothing. Especially, the thought of denial was experiencedby all participants, other than religious believers.The factors which influenced the thoughts of inexperienced nurses who were facing their firstpostmortem care included the following seven: little experience in facing death; the conditions of intervention;the time at which care was carried out; the content of the postmortem care; the concepts oflife and death held; professional regulations; and the senior nurse\u27s attitude. It was clear that, in additionto concepts of life and death, the feeling of denial was strengthened

A study on the cost and willingness to recruit EPA foreign nurses and care workers in Japan: from the angle of hospitals and care facilities

Japan started accepting foreign nurses and care workers under the Economic Partnership Agreement（ EPA） in FY 2008. However, the number has been declining since FY2009 despite improved conditions. Many pointed out that the decline occurred mainly due to the constraints of supply side because the conditionality set by the EPA looked so strict for foreign workers. This paper highlights a problem of demand side ? economic cost for the hospitals and care facilities（ the employers）. A questionnaire survey was conducted and used for examining a hypothesis that high costs for the employers were a major cause of the decline. The survey revealed that employing the candidates required high economic costs including additional staff labor. Majority of employers indicated unwillingness to recruit further EPA candidates. However, statistical tests proved no significant relations between the costs and the willingness for nurses, while some positive relationships were confirmed for care workers. It suggests that non-economic factors exert strong influence on the demand for nurses. The current EPA system needs substantial modifications including easing conditionality and reducing economic costs for employers

The Socioeconomic Factors Affecting the Mental Health Status of Family Caregivers of Type 2 Diabetic Patients

As Japan’s ‘super aged society’ develops, more and more aged caregivers are obliged to take care of patients with chronic diseases. In this study, the family caregivers of type 2 diabetic patients were targeted to identify the socioeconomic conditions that affect their mental health status. The results indicated that when the caregivers were overly concerned about the patients’ care, they had higher GHQ （General Health Questionnaire） scores（ r=.685, p<0.05）. On the other hand, the more caregivers spoke frankly about their feelings to the patients, the lower their GHQ Likert Scores were（ r=.-718, p<0.05）. Suggestions for medical staff were made to establish a support system not only for type 2 diabetic patients, but also for the family caregivers of these patients

Secondary outflow driven by the protostar Ser-emb 15 in Serpens

We present the detection of a secondary outflow associated with a Class I source, Ser-emb 15, in the Serpens Molecular Cloud. We reveal two pairs of molecular outflows consisting of three lobes, namely primary and secondary outflows, using ALMA 12CO and SiO line observations at a resolution of 318 au. The secondary outflow is elongated approximately perpendicular to the axis of the primary outflow in the plane of the sky. We also identify two compact structures, Sources A and B, within an extended structure associated with Ser-emb 15 in the 1.3 mm continuum emission at a resolution of 40 au. The projected sizes of Sources A and B are 137 au and 60 au, respectively. Assuming a dust temperature of 20 K, we estimate the dust mass to be 0.0024 Msun for Source A and 0.00033 Msun for Source B. C18O line data imply the existence of rotational motion around the extended structure, however, cannot resolve rotational motion in Source A and/or B, due to insufficient angular and frequency resolutions. Therefore, we cannot conclude whether Ser-emb 15 is a single or binary system. Thus, either Source A or B could drive the secondary outflow. We discuss two scenarios to explain the driving mechanism of the primary and secondary outflows: the Ser-emb 15 system is (1) a binary system composed of Source A and B or (2) a single star system composed of only Source A. In either case, the system could be a suitable target for investigating the disk and/or binary formation processes in complicated environments. Detecting these outflows should contribute to understanding complex star-forming environments, which may be common in the star-formation processes.Comment: 21 pages, 10 figures, Accepted for publication in the Astrophysical Journa