介護職特集

Page specifically about nursing

The current Japanese situation that will enter the period of many older generations among them

「Problems in 2025」 and 「The problems ofsmall birth rate and high birth rate」
Japan is a large country with a long life expectancy, but the population of old age continues to increase

By 2025 it is predicted to be the baby boomer year but this is a contrast when looking at the Japan’s population record (that dominated by people aged 75 years and over) only amounted to 128,080,000 people. Japan's population continues to decline steadily (as of November 2015 the population of Japan is about 127,110,100 people, then decreases again in November 2016 about 126.980.0000 people) although currently the Japanese are ranked top in the world as a country with a high life expectancy . In 2014, the average life expectancy of Japanese people as below.

○ Women 86.83 years old

● Male 80.5 years old

Having a long life is certainly a very pleasant thing, but it can be said that the average speed of the number of people who have long life are very quick, so it can endanger the Japanese social order

In the world, the country with the highest aging age is France 115 years, Sweden 85 years, Britain 47 years, but Japan with extreme speed is at number of 24 years. In other words, it has never existed in Japanese history where there has been a decline in birth rates and an increase in the rate of aging as quickly as this.

The percentage of people aged 65 years and older (who are considered parents) in 2013 is about 25.1% or about 1/4 of the population of Japanese people, and if this trend continues, it is estimated that 2035 it will be 33.4% and year 2060 to 2060, which means at 2.5 people there is 1 person who is elderly. So it can be said that the trend of declining birth rates and the increase in the rate of aging society continues to be high.

Perhaps lately we often hear that the problem of 2025 is that a huge relationship with the baby boom generation that occurred in the year 1947-1949 where at that time the number of babies born are about 8,000,000 people. The term baby booming is that in year 2025 it will also occur the same thing with the large number of elderly (age 75 and older).

The number of elderly people in year 2025 are estimated to be 21,790,000 people, if including the elderly people who are aged 65 years and over, it is expected to penetrate the number 36.580.000 people. Of this, it is estimated that by the 2020s, the rate of aging will increase by 30 percent. In addition, the number of people who die each year exceeds 1,500,000 people, which is twice the number of babies born each year.

Initially, in the year of shouwa 40 where there was a "baby boom generation" there was a balance of numbers but children born in shouwa 40 years did not bear so many children that this imbalance continued to increase. At present, the percentage of children in the total population of Japanese society is very small (or "birth rate decline") and the number of aged person continues to rise (or so-called "aging increase"). So it is abbreviated as "the decline in the birth rate and the rise in the aging rate" which is said to come out together with the problem in 2025. However, this problem will not only be completed by 2025, it will probably continue. With the decline in birth rates and the rise in the aging rate, the number of aged person continues to rise sharply and productive numbers of 15-65 years that will help parents 65 years and over will decrease even further.

In the 1960s, it was called an active generation where 1 elderly person could be assisted by 11.2 productive people

In 2010, 1 elderly person is only assisted by 2.8 oranng productive age

In 2060 an estimated 1 elderly person can only be assisted by 1.3 people of productive age

In the past, times of active generation, 1 elderly can be supported by 10 productive people but now 1 elderly can only be supported by 3 productive people and this trend is increasing until the ratio of 1: 1. Although the new family is young, to help their parents, they are forced to leave work, because of the financial burden, they are constantly being chased by flaws. If the need for care is so high, the family must bear high maintenance costs other than that, so not only the energy is drained but also the mind.

 

Source: Cabinet Office

The current and future conditions of the world of nursing in Japan.

The need for the number of nurses is getting higher.

Currently in Japan the "decline in birth rate and rise in aging rate" continues to rise and by becoming the society with the highest life expectancy, the need for nurses are getting higher.

As of June 2014, the need for nurses is estimated to be 5,920,000 people. Compared to the year 2000 which number only 2,180,000, it can be said that the increase up to 2.5 times. And 10 years later it is estimated the baby-booming generation whose population exceeds 8,000,000, the number of elderly will increase so that the number of nurses needed will increase.

After the baby boom generation in 2025 will be 75 years old and 18 percent to 20% of Japan's population are elderly, and the need of the nurse's workforce will increase. The demand for care-workers will increase dramatically and compared to the current number of 1,700,000 nurses, the government estimates that by 2025 there will be an increase of 800,000 to 2,500,000 

The number of nurses that are lacking and the increase in wages are getting higher with the increase in the number of elderly population but on the contrary there is a shortage of human resources of nurses.

One of the causes of the lack of human resources is the small salary of the nurses. In 2013, the average annual income of a nursing manager is only 3,670,000 JPY, and maid is only 2,890,000 JPY. While the medical nurse salary 4.720.000 JPY and kuasi nurse 3.990.000JPY so it can be said that their salaries are very low

With the increase in aging rates, the world of nursing is now increasingly taken into account. In the midst of the development of this service industry, the number of human resources needed are increasing, the revision of nurses salaries, and improvements to the system that changed drastically are more to be expected now.

The government’s handling to balance the nurse’s number of human resources.

In 2016, the regulation is agreed to increase the number of nurses who can join Technical Intern Training for Foreign People Program.

Currently EPA countries such as the Philippines, Vietnam, and Indonesia imported foreign nurse’sworkforce about 38000 people to Japan. Every day they get nursing training in Japan

■ The government regulation of Technical Intern Training for Foreign People Program was revised on November 18, 2016, and the Extraordinary session of the diet established the rules of "protection of foreign workers and proper implementation of foreign workers" so it is deemed necessary to add nurses.

■ With the added status of the nurse on the status of residence, if the foreign worker gets a qualification (nurse), they can obtain a resident status as a nurse that is governed by the government regulation on "revised regulation on immigrant recognition and out-of-state management." At that time, even though foreigners had qualified nurses, they could not obtain special status of residence like today, but if the foreigner graduated from nursing majors school and already qualified as a nurse, they come to Japan as a trained foreign worker and during the training they get a resident status as a nurse, and if it is continued, they can work for the nursing institution.

(Foreign workers in nursing work) (Admission requirements)

To be accepted as a nurse, in addition to the requirements set forth in the regulations of foreign workers normally, requirements as listed below are required as well.

Japanese language skills required for nursing work.

When you first enter; N4 level is required, in addition to getting the same government-recognized qualification.

After the second year: after one year of training, when the transfer examination from profession level No.1 to No.2, N3 level is required and nursing qualification required by government, otherwise the training (and acceptance as skilled foreign worker) cannot be continued.

Job’s Content that recognized in training (nursing)

Below is the mandatory work and that depletes more than half the total hours worked (including related and indirect jobs)

Also peripheral work, should be under 1/3

Work that drains more than half the total hours.

Important work: Physical care (Help to wash, help to feed, help to defecate, changing body posture, help moving the patients and move)

Related work; Help without a direct contact with patients (Washing, cleaning and cooking)

Indirect work (Create a daily report and report it)

Jobs that deplete the time under 1/3 of total working hours

Peripheral work; In addition to the above (eg managing notification boards)

(Nursing work) About night work during training

Not allowed to ask trainees to work at night in the first year. From the second year, trainees are allowed to work nights

Training organizer agencies

Requirements of the trainee accepting agency (Institution or employing company)

①A recognized institution has experience in hiring nurses on national nursing examinations. To find out more, the details about the required institutions, please read the words below.

②Does not provide service or arrival service.

③Institutions that have been stable when running the business (Minimum related institutions have 3 years standing)

④Have a training mentor (those who do mentoring to trainees) who have qualified as a nurse and have experience as nurse for more than 5 years

Other requirements

○Maximum number of workers who may be admitted each year

○Reward points for nurses,The performance of nurse training participants will be assessed using reward points

○Training period to gain skills as a nurse and re-entry issues to Japan

〔If not recognized as a suggested training organization or supervising organization〕

Training period is 3 years. After the training, participants cannot go out and enter Japan because they have to get skill training.

〔If recognized as a suggested training organization or supervising organization.〕

The training period is 2 years and can be extended up to a maximum of 5 years. If the training period has expired and entered into skill training period, the participant must not enter-exit Japan

Education for Instructors and Training before coming to Japan

At the training facility, a training course for instructors and instructors in each destination country will be conducted, they conduct the training (Pre-departure to Japan) to prospective trainees who want to come and work to Japan as care work.