Development of a training program for foreign nurses candidate based on the Economic Partnership Agreement (EPA) : The significance of training experience in Japan for nurses candidate in the Philippines

Purpose & Subjects: To interview foreign nurse candidates who visited Japan from the Philippines in 2009 based on the EPA in order to reveal the significance of their training experience in Japan and obtain feedback for developing an effective training system. Methods: We intervened regarding the training program for nurse candidates and analyzed subsequent interviews with them using a qualitative inductive approach. Results: The nurse candidates sustained { i n c o n v e n i e n c e } f r o m [ u n a n t i c i p a t e d geographical conditions] and {loneliness} from [being separated from family and friends]. Before the intervention, they experienced {feelings of isolation} because they [could not say what they wanted],{unjustness} concerning [lack of their desired medical department despite it having been shown] and [a training program completely different from what they wanted], and {anguish} at [bewilderment at being made to work as a helper] and [unanticipated training program]. {Complaint} was derived from the candidates’ thoughts, such as that they [complained to the researchers even though they would get in trouble because they could not endure]. After the intervention, {change} was seen in the training system and the candidates’ feelings due to [positive change of the support system], [themselves making efforts], and [determination of new study methods]; they began to show {hope} from a [change of the training program to duties fitting of nurses] and a [shift and change in feelings]. The results of this study pointed to the importance of providing a training program that prevents loss of hope and pride in candidates who had been very proud of nursing experience until then

The Development of a Nationwide, Multicenter Electronic Database for Spinal Instrumentation Surgery in Japan: Japanese Spinal Instrumentation Society Database (JSIS-DB)

(1) Background: Despite the number of complicated and expensive spine surgery procedures maintained by the national health insurance system in Japan, until now there has been no large-scale multicenter clinical database for this field to understand and improve healthcare expenditure and treatment outcomes. The purpose of this report is to announce the establishment and methodology of a nationwide registry system for spinal instrumentation surgeries by the Japanese Spinal Instrumentation Society (JSIS), and to report the progress over the first 1.5 years of this database’s operation. (2) Methods: The JSIS recently produced an online database with an electronic server. The collected information included patient background, surgery information, and early complications of primary and revision cases. Analysis included data from February 2018, when registration began, to August 2019. (3) Results: As of August 2019, 73 facilities have completed the required paperwork to start, and 55 facilities have registered cases. Of the total 5456 registered cases, 4852 were valid and 2511 were completed. (4) Conclusions: JSIS-DB, the nationwide web-based registry system for spinal instrumentation surgery in Japan, was launched for the purpose of research, healthcare policy regulation, and improved patient care, and its methodology and progress in the first 1.5 years are reported in this study