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系統識別號 U0026-2201201714450900
論文名稱(中文) 由日返印之護理移工其職涯選擇相關因素
論文名稱(英文) FACTORS ASSOCIATED WITH CAREER CHOICES OF INDONESIAN NURSES RETURNED FROM JAPAN
校院名稱 成功大學
系所名稱(中) 健康照護科學研究所
系所名稱(英) Institute of Allied Health Sciences
學年度 105
學期 1
出版年 106
研究生(中文) 依法瑞
研究生(英文) Ferry Efendi
學號 TA8017026
學位類別 博士
語文別 英文
論文頁數 108頁
口試委員 指導教授-陳靜敏
召集委員-王秀紅
口試委員-小川玲子
口試委員-王麗容
口試委員-曹瓊文
中文關鍵字 none 
英文關鍵字 Indonesian nurse returnees  return migration  returnee careers. 
學科別分類
中文摘要 背景
有鑑於印尼與日本經濟夥伴關係及雙邊協定簽署,印尼護理人員近年返國人數逐年增加。然而,但僅有少數研究探討復返遷移後的現象,有關印尼護理人員返國後其職業選擇應執行相關研究進一步探討。
目的
本研究目的旨在描述印尼護理人員從日本返國後的職涯選擇,並探討護理人員返國後影響護理工作選擇之相關因素。
方法
採橫斷性調查研究設計,於2016年期間進行四個月的調查。本研究採隨機抽樣199位返回印尼的護理人員進行調查。研究工具為自擬結構式問卷,內容包括職業選擇,依變項為影響目前護理職涯選擇的因素。自變項包含四個面向:1)移民前階段: 即個人、經濟、家庭和專業概況; 2)移民階段: 包括經濟、家庭和專業概況影響因素等; 3)影響返國決策的動機因素; 4)返國後階段: 與社會重新融合、移民過程和經濟等影響因素。資料採描述性統計、雙變項及多元回歸統計,以分析返國護理人員其職業決定影響因素。
結果
結果發現,返回印尼工作的護理人員有49.2%繼續從事護理工作。透過皮爾森相關因素分析發現性別、離開印尼前的居住地、移民前的薪資、家庭結構、在印尼的投資、在日本的職業地位(包括通過國家認證與職業分類)、於日本額外培訓、目前生活概況、接受補助、返國後居住地點和研究參與者的選擇與回歸護理與否有顯著相關。依照多元邏輯式回歸分析指出,有通過日本照服員證照者、留日期間從事護理工作及獲得政府補助者,返印後回歸護理工作比例較高。
結論
本研究結果發現移民階段和返國後的概況會影響護理人員是否繼續選擇護理工作。據此,建議國家在雙邊談判的政策擬定上,應將此兩階段及其影響因素列為優先考量,提供開放移民工作的國家,在擬定護理專業政策規範之參考。針對少數未通過國家專業考試、並未領有照服員證照及無獲得經濟補助者,應制訂返國後實務培育計劃,以減少其返國後無法在護理領域工作的情況。
英文摘要 Background
In light of the migration cycle under the Indonesia-Japan Economic Partnership Agreement or bilateral agreements, there is an ongoing migration of Indonesian nurses returning to their homeland. However, there are only a few studies that highlight the phenomenon after return. Findings from the limited number of studies on Indonesian nurse returnees suggest that more research was needed and that occupational choices should be investigated.
Aims
The purpose of this study was to describe the career choices of Indonesian nurse returnees and to examine factors associated with their choices to be a nurse upon their return from Japan.
Methods
A descriptive correlational and cross-sectional study has been performed during four months in 2016. This study employed simple random sampling by recruiting 199 Indonesian nurse returnees.
Self-administered questionnaires were utilized to understand factors associated with career choices. The dependent variable in this study was the current career choice in nursing. Independent variables in this study consisted of factors within four stages: 1) the pre-migration stage that namely consists of personal, economic, family and professional situation factors; 2) the immigration stage that consists of economic, family and professional situation factors; 3) return decisions as analyzed as motivational factors and 4) post-return conditions that consist of social reintegration, migration itinerary, and economic factors. Descriptive, bivariate, and multiple logistic regressions were performed to investigate the various factors associated with returnees’ career choices into nursing.
Results
Indonesian nurse returnees who continue working in the nursing area was 49.2%. Pearson’s chi-square test revealed that gender, place of residence before leaving the country, salary before emigration, household composition, sending investments to country of origin, occupational status in Japan (include national certification and job classification), additional training in Japan, current standards of living, the receiving of public assistance, place of residence on return were significantly associated with career choices in nursing. The findings of multiple logistic regressions indicated that returnees who had passed the national certification were more likely to choose nursing than those who had not passed. Participants who were classified as nurses were more likely to choose nursing than those who were classified as certified care workers. Returnees who were supported by the government were more likely to choose a nursing career than those who were unsupported.
Conclusions
The results show that the immigration stage and post-return conditions played an important factor in keeping nurses in nursing careers. Ongoing policy interventions should thus put a priority on these two stages within bilateral negotiations. The structure policies intervening professional nursing status in sending and receiving countries should be immediately addressed. A return to practice program for returnees who had not passed the national certification, were working as certified care worker and were unsupported should be developed to minimize the low number of nurses who are not working in nursing areas.
論文目次 The passing certificate (Chinese) ii
The passing certificate (English) iii
Abstract iv
中文摘要 vi
Acknowledgement vii
Table of contents viii
List of figures x
List of tables xi
Chapter 1: Introduction 1
1.1 Background 1
1.2 Significance of the problem 6
1.3 Purpose 7
1.4 Research questions 7
1.5 Definition of terms 7
Chapter 2: Literature Review 10
2.1 Return migration of nurses 10
2.2 Indonesia-Japan Economic Partnership Agreement (IJEPA) 31
2.3 Career choices of nurse returnees 39
Chapter 3: Methods 43
3.1 Research design 43
3.2 Population and sampling 43
3.3 Instruments and measurements 45
3.4 Data collection and procedure 51
3.5 Statistical analysis 52
3.6 Ethical considerations 53
Chapter 4: Results 54
4.1 Background characteristics of participants 54
4.2 Career choices of returned Indonesian nurses 59
4.3 Factors associated with career choices in nursing 61
Chapter 5: Discussion 66
5.1 Career choices of returnees 66
5.2 Factors associated with career choices in nursing 68
Chapter 6: Conclusion and Recommendations 74
6.1 Conclusion 74
6.2 Research limitations 75
6.3 Recommendations for nursing policy 75
References 78
Appendices 103
Questionnaire 103
Subject consent form 107
Ethical clearance 108
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