Ria Utami Panjaitan

This qualitative study explored the deskilling and upskilling experiences of Indonesian nurses working in Japan during the post-COVID-19 period, with particular relevance on professional adaptation and evolving health system needs and labor demands. An exploratory qualitative design was adopted with 41 Indonesian nurses providing care in hospitals and long-term care facilities in Chiba, Meguro, Saitama and Yokohama. Data were collected during 2023 through face-to-face semi-structured interviews. Data were analysed using Braun and Clarke's six-phase inductive thematic analysis. The analysis generated seven interrelated themes: (1) deskilling experiences, (2) upskilling and reskilling strategies, (3) post-COVID-19 workplace changes, (4) bilateral cooperation dynamics, (5) cultural and professional adaptation, (6) career transition planning, and (7) perceived benefits of working in Japan. Deskilling emerged as a dominant issue, driven by occupational downgrading, restricted clinical practice, and regulatory barriers. Yet people put into action adaptive behaviours such as: informal learning; training attendance and skill reconstruction attempts. Deskilling thus appears not as a simple linear decline but rather as a hybrid phenomenon influenced both by structural factors linked to business performance and individual actions connected to the nature of work itself. These have policy implications for the design of clinical bridging programs, with structured pre-departure preparation in Japan integrated with medical Japanese language training; clinical skill maintenance under supervision in host institutions; and re-licensure pathways for returnee Indonesian nurses. Keyword: Deskilling; Upskilling; Migrant Nurses; Career Transition; Post-COVID-19; Japan–Indonesia Cooperation

Aim: This study aims to analyze the preparations needed to support Indonesian nurses returning to work in healthcare facilities after working in Kuwait. Introduction: Identifying the factors that motivate Indonesian nurses to return home from Kuwait is crucial. This understanding will help prepare those who wish to continue their nursing careers or pursue other opportunities in Indonesia, in alignment with government policies to ensure their well‐being and that of their families. Background: Nearly all Indonesian nurses who have worked in Kuwait for an extended period plan to return to Indonesia upon retirement, contract completion, or for family or other reasons. The reintegration process for these nurses needs to be optimized, considering its impact on their lives, families, and the government’s recognition and acceptance of the profession they practiced in Kuwait. Methods: This qualitative study uses a descriptive phenomenological approach. Participants consisted of 40 nurses working in government and private hospitals in Kuwait, selected through purposive sampling with maximum diversity. Data were collected using semistructured face‐to‐face interviews, which were audio‐recorded. Data analysis followed Colaizzi’s nine‐step method. The trustworthiness of the data was verified using Lincoln and Guba’s criteria. Results: Four themes emerged: motivation and decision to return, expected preparedness for reintegration, brain gain contribution to the home country, and government support. Discussion: Indonesian nurses returning to their home country face various motivations and challenges, whether continuing their nursing profession or starting their own business. The government is expected to have effective strategies to facilitate their reintegration, enabling them to make optimal contributions in healthcare or other sectors and to support the well‐being of the nurses and their families. Conclusions: Indonesian nurses returning from Kuwait are financially prepared and have gained valuable international experience. However, due to a lack of supportive government policies, they may face challenges related to differing practice systems and professional recognition. Implications for Nursing and Health Policy: The reintegration of Indonesian nurses into the local work and social environment involves navigating differences in work systems, income, professional expectations, and family well‐being. The government must develop and manage specific policies to utilize these nurses as a valuable resource in the healthcare sector.

The effects of assertive communication training on communication skills of adolescents with online game users

Introduction: The rapid development of online games is currently marked by the increasing number of adolescent game players. This was particularly true during the COVID-19 pandemic that forced all activities to be done at home. Adolescents who play online games excessively, however, can risk their self-concept. Adolescents’ ability to control the increasing habit of playing online games can help them reduce the risk of self-concept problems by enhancing their adaptive behavior at their crucial psychosocial development stage. Health education and group therapy can be employed to attain this goal. Aims: The authors of this study aim to determine the effectiveness of health education and group therapy regarding the self-concept of adolescents who play online games excessively. Methods: As the research design, this study applied a quasi-experimental pre-posttest with a control group. The research respondents were selected using the stratified, proportional, and simple random sampling techniques. Seventy-six adolescents comprised the respondents of this study, divided into two groups. The respondents’ inclusion criteria were adolescents aged 15–16 years old who had played online games for at least the last 12 months. Results: The self-concept of adolescents in the intervention group has increased after implementing health education and group therapy (p < .05). In contrast to this, the self-concept of adolescents in the control group has not changed after implementing health education and group therapy (p > .05). Conclusions: Health education and group therapy effectively improve the self-concept of adolescent gamers.

Introduction: Limited of government’s budget for psychiatric patients has contributed to the expenses should be paid from out of pocket of the poor patients. The purpose of this research was to describe the Government policy on health social security insurance for the poor people experiencing psychiatric problems in DKI Jakarta.Methods: Qualitative research method was used with phenomenology approach to identify and describe the themes relevant to government public policy in providing health insurance for poor people with mental health problems. An in-depth interview and focus group discussion were used to collect data from different informants: service user, healthcare provider, local government policy maker. The qualitative data was analyzed using content analysis.Results: The study revealed the following themes: from user perspective (understanding of psychiatric disorder, social security network/JPKM, right and obligation, the advantage and barrier for receiving services, expectation from care provider, social support and expected future direction); from the perspective of healthcare provider (understanding of social security network/JPKM, types of provided health services, recording and reporting, referral system, cost, and the criteria of poor people), from local government and health office perspective (understanding of JPKM for poor family, scope of work, working procedure, recording and reporting, cost, accountability, poor people criteria, the relationship between central Government policy with local government policy.Conclusion: The finding of this study recommend the need for leveling socialization of JPKM, the budget transparences, improving the healthcare providers’ knowledge on the mental health psychiatric problems and its needs.