Development of Guidelines for Improving Cultural Sensibilities at Long-Term Care Facilities for Older People in Japan

Thursday, July 14, 2011

Kieko Iida, MSc
Former, Graduate School of Nursing, Chiba University, Chiba, Japan
Ikuko Sakai, PhD, MHS, BSc, RN, PHN
Graduate School of Nursing, Chiba University, Chiba, Japan

Learning Objective 1: The learner will be able to list components of cultural sensitivity.

Learning Objective 2: The learner will be able to list facility managemers' roles in order to improve staff's cultural sensitivity.

Background:

Japan has been accepting registered nurse candidates and registered care worker candidates from Indonesia and the Philippines through the Economy Partnership Agreements (EPA) since 2008. Those candidates are currently receiving training in medical institutions and long-term care facilities nationwide. Also, some care facilities have been employing care workers from other countries using their own routes. The acceptance of foreign workforce is still a new phenomenon in the area of Japanese health care. In order for foreign and Japanese staff with different cultural backgrounds to work collaboratively in long-term elderly care settings, it is important to maintain attitudes that understand and respect each other’s culture. Thus providing every member of staff in long-term care a support to improve cultural sensibilities might be essential.

Objective:

To develop guidelines for improving cultural sensibilities among nursing/care staff and administrators working in long-term care facilities for older people in Japan.

Methods:

1. Review rated literature, and organize expert panels -the panel can be consisted of nursing/care administrators with experiences in accepting foreign nurses/care workers and intercultural nursing experts- in order to identify guideline components;

2. Prepare guidelines ver.1;

3. Organize an expert panel consisted of foreign nurses/care workers, and Japanese nursing/care administrators in order to collect opinions;

4. Revise the initial guidelines and prepare guidelines ver.2.

Results and Discussion:

Guidelines for facility managers, Japanese staff, and foreign staff have been created, and expert panels were organized. Currently, the revised guidelines (ver.2) are under process for practical uses. It is expected that the number of foreign nurses and care workers will increase. An intervention study will be conducted in order to establish guidelines that can be utilized in various facilities.