JNA News Release2019 January Vol.27

JNA News Release
Japanese Nursing Association
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http://www.nurse.or.jp/jna/english/

The 5th China Japan Korea Nursing Conference
The 5th China Japan Korea Nursing Conference washeld from September 16 to 18, 2018 in Tokyo by theJapanese Nursing Association (JNA), the Chinese
Nursing Association (CNA), and the Korean Nursing
Association (KNA), with 327 participants (including 165
from Japan; 98 from China; and 64 from South Korea).
This conference has been held since 2009 to promoteacademic exchanges between nurses belonging tothese three associations.
This 5th Conference, which was held under the themeof “Creating New Values in Nursing,” was kicked off by
an opening ceremony, at which Dr. Yoshitake

Center: President Toshiko Fukui of the JNA;

Yokokura, President of the World Medical Association,

Right: President Kyung-Rim Shin of the KNA;

and Ms. Annette Kennedy, President of International

Left: President Xinjuan Wu of the CNA

Council of Nurses, the Director of the Nursing Division
Center: President Toshiko Fukui of the JNA;
of Health Policy Bureau of the Ministry of Health, Labour and Welfareof Japan,and the Directorof KNA;
the Medical
Right: President
Kyung-Rim
Shin of theLeft:
President Xinjuan
the CNA
Education Division of Higher Education Bureau of the Ministry ofEducation,
Culture,WuSports,
Science andTechnology of Japan gave speeches as guests of honor. (Ms. Kennedy gave a video message.)

Address by the JNA President and Lectures of theCommunity-based

Presidents of the Three Associations

Secondary, after Dr. Fukui’s lecture, President Kyung-“In order to explore a way of care matching the society

Rim Shin of the KNA gave a lecture entitled “Paradigm

that changes so rapidly, we need to look resolutely aShift in the Korean Nursing System through Legislative

basic value on which the care is built,” said PresidentAmendment.” Revision of the Higher Education Act inToshiko Fukui of the JNA, chair of this conference, “and2011, she explained, made a four-year basic educationsuch a value should not be the existing one, but acompulsory for nurses, while revision of the Medical

completely new one.” She also gave a lecture entitledService Act in 2015 clarified the scope of practice for“Creating New Values in Nursing,” speaking about thenurses, both contributing to the large progress of thechallenges facing Japan as its population is getting

country’s nursing system. Finally, President Xinjuan

older and older, initiatives taken by the JNA, and its

Wu of the CNA gave a lecture entitled “Nursingefforts to establish nursing services systems in theInnovation Leading the Future.” As new problems such

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Integrated

CareSystem.

JNA News Release2019 January Vol.27

as aging of the society and non-communicable

their populations get older. It is therefore imperative

diseases becoming the main cause of death arethat nurses are trained to use the latest technology andemerging in China, she said, the association isthat they are thus enabled to bring about innovative

promoting the establishment of a theoretical systemapproaches

that will serve the country’s specific needs and theadministrators who can properly manage nurses andconsideration of elderly care services so that nurses

help them reach their potential is also becoming more

can surely promote innovation in various areas.

important.

tonursing.

Theroleofnursing

The latter half of the session was devoted to a
Keynote Lecture and Special Session

discussion about the initiatives and healthcare

The keynote lecture entitled “Significance of Casesystems of the three Associations, and turned into a

Study Research for Nursing Discipline,” was given by

lively exchange involving all participants in the room,

Prof. Noriko Yamamoto-Mitani of the Graduate School

thus fulfilling one of the key objectives of theof Medicine, University of Tokyo. After that, for the first

Conference, namely academic exchanges.

time in the conference’s history, a Special Session washeld on the following four topics: Support for Nursing

Abstract Session (Oral Session and Poster) andPractice; Nursing Education; Elderly care; and Nursing

Site Visit

Administration/Leadership. The session started withDuring abstract sessions, 157 presentations (oral: 38;presentations by experts representing the threeposter: 119) were made, followed by active Q&A

Association introducing case examples they observed

sessions, reflecting participants’ high interest in theand initiatives taken by their Associations andsubjects of the presentations. Participants also madecountries. These presentations indicated that all of thesite visits in the afternoon on the last day.

Associations are finding it more and more difficult toThe 6th Conference, scheduled to be hosted by KNA,

secure a sufficient number of nurses in the context ofwill take place in November 2020.

President Fukui of the JNA delivering an

Picture of participants with the presidents of theaddress at the opening ceremony

three associations taken after the opening
ceremony on Day 1.

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JNA News Release2019 January Vol.27

2017 Survey on the Actual Situation of Nurses
The JNA conducted a Survey on the Actual Situation

Employers should continue the effort to provide nursesof Nurses in 2017 (hereinafter, the survey). The survey

with a more flexible work environment that responds tois conducted once every four years targeting nurses

their various private needs and requests.

belonging to the JNA and working at various
workplaces such as hospitals, home-based nursing,

3. The most popular area where nurses want tocare facilities, administrative agencies, educational

work: home-based nursing such as home-visiting

institutions and others, and is aimed to determine hownursing

they are working and how they feel about their work.

The most popular area where nurses want to work in

In the latest survey, we asked nurses about their

the future is “home-based nursing” at 60.0%, and theworking conditions, workplaces where they want totendency of wanting to work at the home-based

work in the future, the necessary conditions that wouldnursing was found to be higher in younger nurses andenable them to work night shifts, and their experience

male nurses. In Japan, the needs for home-basedwith harassment and/or violence. Information on themedicine and nursing will continue to grow as thesurvey overview is provided in [Table 1] and thesociety ages more; more effort should be made tosurvey’s five major findings are as follows.

support nurses with an interest in working in the visiting[Figure 2]

nursing area and to prompt hospitals to expand their
1. The number of regular staff is showing a slightvisiting nursing services.

decrease while that of temporary/part-time staff isshowing a slight increase

4. Ratio of nurses who want to continue working as

The ratio of those who responded that they are

a nurse: 57.5%

currently working as a regular member of staff (bothWhile the ratio of nurses who “want to continue workingfull- and short-time) was slightly lower than in the 2009as a nurse” is the highest at 57.7%, the ratio of thoseand 2013 surveys (2009: 91.9%; 2013: 87.7%; 2017:

who “want to work in interested occupations regardless87.2%). Meanwhile, the ratio of those who respondedof nurse” is also high at 33.4%. Among the latterthat they were currently a temporary or part-time

respondents, the ratio of those who “want tomember of staff was a bit higher (2009: 4.6%; 2013:

experience another job than nursing” was the highest

6.9%; 2017: 7.4%). The trend reflects the fact that theat 50.1%, followed by those who “want to work in an

numbers of nurses who are rearing children as well as

environment that meets their needs more flexibly” atthose who are 60 years and older are increasing.

40.5%, and then by those who “are finding the nursing
job too busy” at 30.6%. The results indicate theshifts:

necessity of creating a more flexible work environment

understanding and cooperation of the family

for nurses and to thus respond to their various needs(spouse)

and requests.

2.

Key

enabler

forworkingnight[Figure 1]

We asked nurses who were not working night shifts
what conditions would allow them to work night shifts.

5. Ratio of nurses who experienced violence

The most frequent response was “understanding andand/or harassment in the past year: 52.8%

cooperation of the family (spouse)” at 40.1%, followed[Figure 3]

by “lower frequency of night shifts” at 32.6% and thenAmong the nurses who experienced violence and/or“higher allowance payment for night shifts” at 28.9%.

harassment in their workplace or at the home of a client

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JNA News Release2019 January Vol.27

in the past year, the ratio of those who experienced

17.9%. The ratio of nurses who experienced any form

“psychological abuse” was the highest at 31.5%,of violence and/or harassment was as high as 52.8%,

followed by “physical abuse” at 22.9% and then byindicating a need to introduce preventive measures.

those who experienced “social isolation (ostracism)” at[Figure 1] Conditions enabling night shifts by age group (Multiple answers were allowed)
Age 20- Age 3029
39(n=41) (n=136)

Age 40- Age 50- Age 60 or49
59
older(n=156) (n=111)(n=37)

No
response/
Unknown(n=3)

All(n=484)Lower frequency of night shifts

34.1

40.4

32.1

30.6

10.8

33.3

32.6

Shorter night shifts

17.1

16.9

17.3

23.4

16.2

66.7

18.8

Higher allowance payment fornight shifts

43.9

25.0

32.7

28.8

10.8

33.3

28.9

Night-shift hours that can bechosen by nurses

2.4

17.6

10.3

18.0

8.1

33.3

13.4

Allowance payment to help
nurses hire a babysitter

12.2

9.6

1.3

0.9

0.0

0.0

4.3

Night shifts with a sleep break

19.5

13.2

19.2

21.6

10.8

33.3

17.6

Offer of childcare service
during night time

24.4

32.4

7.7

1.8

2.7

33.3

14.5

46.3

42.6

25.0

13.5

5.4

100.0

28.1

46.3

59.6

43.6

19.8

8.1

33.3

40.1

29.3

40.4

26.9

9.9

2.7

33.3

25.2

Others

31.7

23.5

32.1

42.3

67.6

0.0

34.5

No responses/Unknown

2.4

2.2

0.6

6.35.40.0

2.9

Allowed to takecompassionate leave during anight shift
Understanding andcooperation of the family(spouse)Understanding andcooperation of the family(other than spouse)

4|JNA News Release2019 January Vol.27[Figure 2] The most popular area where nurses want to work: home-based nursing such as homevisiting nursing
A. Whether interested in being employed at a different place of work from the current one(Multiple answers were allowed) (n=2,051)(Total of those who “want to work” and those who “want to work if their conditions are met”)
0%

20%

40%

60%

80%

Home-based nursing such as home-visiting nursing
Long-term care insurance facility (e.g, Healthcare facility for theelderly requiring long-term care, special nursing home for elderly)
Hospital (which mainly provides chronic phase)
Community healthcare
Healthcare in a remote rural area
Nursing education at a nursing education institution
Hospital (which mainly provides acute phase)

B. Whether interested in working at the home-based nursing; by age or gender group[Among those who are interested in working at a different area from the current one (n=2,051)]
0% 20% 40% 60% 80%

0% 20% 40% 60% 80%

Age 20-29 (n=421)
Females (n=1,916)
Age 30-39 (n=553)
Age 40-49 (n=608)
Males (n=128)
Age 50-59 (n=406)
Age 60 or older (n=60)
No response/Unknown (n=3)

5|No response/
Unknown (n=7)

JNA News Release2019 January Vol.27[Figure 3] Ratio of nurses who experienced violence and/or harassment in the past year: 52.8%
A. Having experienced violence and/or harassment (n= 2,617)
Yes0%

No20%

No response/Unknown

40%

60%

80%

100%

Sexual harassment
Physical abuse
Psychological abuse
Social isolation (ostracism)
Excessively high demands
Excessively low demands
Infringement of individuality

B. BY whom they experienced violence and/or harassment (Multiple answers were allowed) (%)
Staff
ClientClient’s

working atfamily, etc.

the sameNo
Othersresponses/
Unknown

workplace
Unwelcome sexual advances (n=420)

79.3

6.2

28.8

1.2

0.0

Physical abuse (n=600)

94.5

2.5

5.5

0.8

0.0

Psychological abuse (n=825)

40.7

18.9

64.8

3.8

1.2

Social isolation (ostracism) (n=468)

3.4

1.9

93.8

2.8

2.6

Excessively high demands (n=342)

11.4

7.6

85.7

4.7

4.4

Excessively low demands (n= 160)

9.4

5.0

86.9

3.1

4.4

Infringement of individuality (n=199)

5.5

1.0

94.5

2.0

3.5

59.5

14.5

65.4

4.2

1.2

Total (of all who experienced any ofthe above) (n=1,383)[Table 1] Information about the Survey Overview
Survey subjects

6,734 members of JNA

Survey period

Oct. 1 – Nov. 9, 2017

Survey method

Self-completed questionnaire sent and collected bymailResponses
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Valid responses: 2,617 (Valid collection rate: 38.9%)