Chang Xinyi, Gu Xiuzhu
Department of Industrial Engineering and Economics, Institute of Science Tokyo, Meguro, Tokyo, Japan.
Department of Industrial Engineering and Economics, Institute of Science Tokyo, Meguro, Tokyo, Japan
BMJ Open. 2025 Jan 20;15(1):e088329. doi: 10.1136/bmjopen-2024-088329.
Many countries have addressed the global issue of nursing shortage by recruiting overseas nurses who are also qualified in the host country. Nevertheless, such nurses may encounter various obstacles in their personal and professional lives in the host country, leading to apprehensions about their perceptions of workplace safety in healthcare organisations.
This study investigated the current state of immigration-specific stress among overseas qualified nurses (OQNs) working in Japan and its impact on safety attitudes.
Invitation letters with a Quick Response (QR) code for a survey were sent to 119 hospitals across Japan that accepted OQNs as per the Ministry of Health, Labour and Welfare. Additionally, the survey QR code was shared with OQN-specific social media groups.
The inclusion criteria were being born and having received basic nursing education outside Japan, passing the Japanese national nursing examination, and current employment in the Japanese healthcare organisations. Valid responses were received from 214 OQNs.
Data were collected via an online survey, including the Demands of Immigration Scale and Safety Attitudes Questionnaire-Short Form (SAQ-SF) to measure stress and safety attitudes evaluation, respectively. Spearman's correlation analysis and a generalised linear model were used to analyse the relationship between immigration-specific stress and safety attitudes as perceived by OQNs.
The findings showed that various safety attitude dimensions were significantly impacted by stressors such as 'Not at home', 'Occupation' and 'Discrimination'. Notably, 'Occupation' disadvantages perceived by OQNs significantly affected all the safety attitude dimensions, such as 'Teamwork climate' (B=-5.69, [-7.78, -3.60], p<0.001), 'Job satisfaction' (B=-9.38, [-12.32, -6.44], p<0.001) and 'Stress recognition' (B=5.86, [3.17, 8.54], p<0.001).
The findings underscore the significance of implementing effective strategies such as enhancing the sense of belonging, providing better career advancement prospects and opportunities and addressing workplace discrimination to improve safety attitudes among OQNs. These interventions are crucial for enhancing patient safety in Japan.
许多国家通过招募在东道国也具备资质的海外护士来解决全球护理短缺问题。然而，这类护士在东道国的个人生活和职业生涯中可能会遇到各种障碍，这引发了人们对他们对医疗机构工作场所安全认知的担忧。
本研究调查了在日本工作的海外资质护士（OQN）中特定移民压力的现状及其对安全态度的影响。
向日本全国119家按照厚生劳动省规定接收OQN的医院发送了带有快速响应（QR）码的调查问卷邀请函。此外，调查QR码还在特定于OQN的社交媒体群组中分享。
纳入标准为在日本境外出生并接受基础护理教育、通过日本国家护理考试且目前在日本医疗机构工作。共收到214名OQN的有效回复。
通过在线调查收集数据，分别包括移民需求量表和安全态度问卷简表（SAQ-SF），以测量压力和安全态度评估。采用Spearman相关性分析和广义线性模型来分析OQN所感知的特定移民压力与安全态度之间的关系。
研究结果表明，“不在家乡”“职业”和“歧视”等压力源对各种安全态度维度有显著影响。值得注意的是，OQN所感知的“职业”劣势对所有安全态度维度都有显著影响，如“团队合作氛围”（B=-5.69，[-7.78，-3.60]，p<0.001）、“工作满意度”（B=-9.38，[-12.32，-6.44]，p<0.001）和“压力认知”（B=5.86，[3.17，8.54]，p<0.001）。
研究结果强调了实施有效策略的重要性，如增强归属感、提供更好的职业发展前景和机会以及解决工作场所歧视问题，以改善OQN的安全态度。这些干预措施对于提高日本的患者安全至关重要。
