Present Medical Practice and Problems in Emergency Disease in Foreign Travelers Requiring Hospital Admission.

Osegawa, Masaaki; Morio, Hiroshi; Nomoto, Kazuhiro; Nishizawa, Masahiko; Sadahiro, Tomohito

doi:10.3893/jjaam.13.703

Cited by 8 publications

(12 citation statements)

References 6 publications

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“…Many of the nurses expressed strong concern about their foreign language skills with respect to caring for overseas visitors. These results echo conclusions reached by other investigators [7,11,22]. From a global perspective, our results mirror what has been documented in other nations.…”

Section: Discussionsupporting

confidence: 93%

A text-mining analysis of nursing care for overseas visitors in Japan

Nishikawa¹,

Kimura²,

Tsuda³

et al. 2019

Preprint

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Background The provision of health and nursing care for overseas visitors to Japan is becoming more important for nurses and hospitals owing to the sharp increase in visitor numbers. We investigated the attitudes and concerns of Japanese nurses when caring for overseas visitors, focusing on preparedness. Methods We carried out a cross-sectional text-mining study. The analysis was both qualitative and quantitative with a descriptive aim, including two open-ended questions to nurses. A total of 513 nurses participated, representing 350 hospitals from eight prefectures across Japan. We collected data from nurses enrolled in a first-level management course from August 2011 to February 2012. We analyzed the responses to the open-ended question with Text Mining Studio 5.1, and numeric data with JMP 11.0. Results Only 32.8% (167) of the nurses affirmed that their hospitals were prepared to care for overseas visitors. Nurses from hospitals that had prepared for overseas visitors were more concerned about culture and lifestyle differences. In contrast, nurses from hospitals that lacked appropriate preparation were strongly concerned about their foreign language skills. Among all hospitals, many nurses were most concerned about language communication, informed consent, and payment of medical expenses. Conclusion Hospitals in Japan should require that their nurses be better prepared to care for overseas visitors. We conclude that formal preparation will help nurses take into consideration various unique characteristics of overseas visitors to provide necessary healthcare. Japanese nursing professionals need greater knowledge of global health issues to understand patients from foreign countries.

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Section: Discussionsupporting

confidence: 93%

A text-mining analysis of nursing care for overseas visitors in Japan

Nishikawa¹,

Kimura²,

Tsuda³

et al. 2019

Preprint

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“…In Japan, international visitors went to hospitals with symptoms of diarrhea, abdominal pain, or fever [ 8 , 9 ]. In extreme cases, they required surgery [ 10 , 11 ]. Some international visitors eschewed a hospital when ill because of the expense or their unfamiliarity with hospital procedures [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Providing Japanese health care information for international visitors: digital animation intervention

Nishikawa

Yamanaka

Kiriya

et al. 2018

BMC Health Serv Res

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BackgroundOver 24 million international visitors came to Japan in 2016 and the number is expected to increase. Visitors could be at a risk of illness or injury that may result in hospitalization in Japan. We assessed the effects of a four-minute digital animation titled Mari Info Japan on the level of anxiety experienced by international visitors to Japan.MethodsWe conducted a non-randomized, controlled study at Narita International Airport outside Tokyo in December 2014. On the first day, we recruited international visitors for the intervention group at predetermined departure gates and, the following day, we sampled visitors for the control group at the same gates. We repeated this procedure twice over 4 days. The intervention group watched the digital animation and the control group read a standard travel guidebook in English. After receiving either intervention, they completed a questionnaire on their level of anxiety. The outcome was assessed using the Mari Meter-X, The State-Trait Anxiety Inventory Form Y (STAI-Y), and a face scale, before and immediately after the intervention. We analyzed data with Wilcoxon rank sum tests.ResultsWe recruited 265 international visitors (134 in the intervention group, 131 in the control group), 241 (91%) of whom completed the questionnaire. Most of them had no previous Japanese health information before arrival in Japan. The level of anxiety about health services in Japan was significantly reduced in the intervention group (Mari Meter-X median: − 5 and 0, p < 0.001 and STAI-Y median: − 3 and 0, p < 0.001). The face scale analysis showed no significant difference.ConclusionsWatching a digital animation is more effective in reducing anxiety among international visitors to Japan compared with reading a standard brochure or guidebook. Such effective animations of health information should be more widely distributed to international visitors.Trial registrationUMIN-CTR (University Hospital Medical Information Network Center Clinical Trials Registry), UMIN000015023, September 3, 2014.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3191-x) contains supplementary material, which is available to authorized users.

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“…When a foreigner is admitted to a hospital in Japan, health-care workers often get anxious to provide the appropriate care to the patient (5) . This is particularly a concern of direct health providers.…”

Section: Introductionmentioning

confidence: 99%

Addressing Practical Issues Related Tto Nursing Care For International Visitors To Hiroshima

Nishikawa

Niiya

Okayasu

2014

Rev. esc. enferm. USP

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When nine million foreigners visited Japan in 2013, the federal government set a goal to attract an additional two and a half million visitors including medical tourists by 2020. This research investigates the attitudes and concerns of Japanese nurses when they are in a situation dealing with foreign patients. The data were collected from March through September 2010, from 114 nurses at three hospitals, in close proximity to popular tourist destinations in Hiroshima. A questionnaire was developed for this research, named Mari Meter, which included a section to write answers to an open question for the nurses to express their opinions. These responses were examined statistically and by word analysis using Text Mining Studio. Japanese nurses expressed greatest concern about payment options, foreign language skills, and issues of informed consent, when dealing with foreigners. The results confirm that, in order to provide a high quality of patient care, extra preparation and a greater knowledge of international workers and visitors are required by nursing professionals in Japan.

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Present Medical Practice and Problems in Emergency Disease in Foreign Travelers Requiring Hospital Admission.

Cited by 8 publications

References 6 publications

A text-mining analysis of nursing care for overseas visitors in Japan

A text-mining analysis of nursing care for overseas visitors in Japan

Providing Japanese health care information for international visitors: digital animation intervention

Addressing Practical Issues Related Tto Nursing Care For International Visitors To Hiroshima

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