Journal List > J Korean Acad Nurs Adm > v.26(1) > 1141976

Park and Kim: Mutual Recognition Agreement for Nursing Professionals: Policy Issues and Alternatives

Abstract

Purpose

The purpose of this study was to identify the current issues concerning a mutual recognition agreement (MRA) for nursing professionals, and to suggest policy alternatives in South Korea.

Methods

The study was conducted through a literature review.

Results

The nursing MRA was signed by the European Union, the Association of Southeast Asian Nations, Australia-New Zealand, India-Singapore, and the Caribbean Community. The United States and Japan have not concluded a nursing MRA with other countries, but they have lowered the entry barriers for foreign nurses from certain countries. In order to prepare for a nursing MRA with developed countries such as the United States, Canada and Australia, it is necessary to establish international standards for nursing and to build a verification system for the qualifications of foreign nurses. In addition, there is a need to establish an independent professional licensing authority that assumes responsibility for all the tasks regarding a nursing license.

Conclusion

The findings of this study can be used as basic data for the preparation of a nursing MRA, and can contribute to the establishment of policies for foreign nurses.

Figures and Tables

Table 1

Share of Foreign-Trained Nurses, 2017 (or nearest year)

jkana-26-1-i001

Source: Organization for Economic Cooperation and Development (2018).

Table 2

Major Receiving and Sending Countries of Foreign Nurses

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Source: Organization for Economic Cooperation and Development (2018).

Table 3

Acceptance Requirements for Foreign Nurse Candidates under Economic Partnership Agreement

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Source: Kim (2016); JLPT=Japanese language proficiency test.

Table 4

Japanese Nursing Examination Pass Rates of Foreign Nurse Candidates

jkana-26-1-i004

Source: Ministry of Health, Labor and Welfare (Japan) (2018).

References

1. Kim JG. Policy direction for mutual recognition of medical professionals: Comparing licensure system of Korea and the United States. ResearchData (Korea Institute for International Economic Policy), vol 06-01. Seoul: Korea Institute for International Economic Policy;2006.
2. Kang CH, Yun SN. International migration of Korean nurses. Journal of Korean Community Nursing. 2005; 16(1):86–94.
3. Klin DS. Push and pull factors in international nurse migration. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau. 2003; 35(2):107–111. DOI: 10.1111/j.1547-5069.2003.00107.x.
4. Korean Nurses Association. History of nurses overseas employment. Korean Nurse. 2004; 43(4):14–17.
5. Organization for Economic Cooperation and Development. Health workforce migration [Internet]. France: Organization for Economic Cooperation and Development;2018. cited 2019, February 5. Available from: https://stats.oecd.org/Index.aspx?DataSetCode=HEALTH_WFMI.
6. International Council of Nurses. Career moves and migration: Critical questions guidelines. Geneva: International Council of Nurses;2010.
7. Kingma M. Nurses on the move: a global overview. Health Services Research. 2007; 42(3 Pt 2):1281–1298. DOI: 10.1111/j.1475-6773.2007.00711.x.
crossref pmid pmc
8. Kim JG. Status of mutual recognition of professional qualifications and future tasks. KIEP World Economy. 2006; 9(8):94–108.
9. Chung KS. The 23rd ICN Congress-World healthcare trends. The Korean Nurses Association News. 2005. 06. 02. Sect. Issues/Planning Available from: http://www.nursenews.co.kr/main/ArticleDetailView.asp?sSection=61&idx=6092.
10. Wang SH. WTO DDA and healthcare services negotiation. Korean Association of Internal Medicine. 2002; 63(2):355–362.
11. Yu G, Lee J, Lee K, Kyung S, Hong J. Strategy of ‘WTO Doha development agenda negotiation’ mode 4(manpower mobility). Seoul: Korea Institute for International Economic Policy;2004.
12. Song JH. Free trade agreement and international migration of health-care workers: The case of Japan. International Trade Law. 2013; (110):129–166.
13. Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. Robert Wood Johnson Foundation. Institute of Medicine (US). The future of nursing: leading change, advancing health. Washington, D.C.: National Academies Press;2011.
14. European Commission. Automatic recognition. Recognition of professional qualifications in practice. Free movement of professionals [Internet]. European Commission;cited 2019, January 20. Available from: https://ec.europa.eu/growth/single-market/services/freemovement-professionals/qualifications-recognition/automatic_en.
15. Association of Southeast Asian Nations. ASEAN mutual recognition arrangement on nursing services [Internet]. updated 2012, July 6. cited 2019, January 20. Available from: https://asean.org/?static_post=asean-mutual-recognition-arrangement-on-nursing-services.
16. Aungsuroch Y, Gunawan J. Nurse preparation towards ASEAN economic community 2015. International Journal of Health Sciences and Research. 2015; 5(3):365–372.
17. Association of Southeast Asian Nations. AJCCN achievements (2007–2015) [Internet]. Bangkok: The ASEAN Joint Coordinating Committee on Nursing;2016. updated 2016, January 25. cited 2019, January 20. Available from: https://www.asean.org/storage/2012/05/Summary-of-AJCCN-Achievement-2007-2015-Regional-and-National.pdf.
18. Indian Nursing Council. Singapore Nursing Board. The comprehensive economic cooperation agreement between the Republic of India and the Republic of Singapore mutual recognition agreement on nursing services [Internet]. cited 2019, January 22. Available from: https://www.indiannursingcouncil.org/Pdf/Mutualrecognitionagreementonnursingservices.Pdf.
19. Reid UV. Regional examination for nurse registration, commonwealth Caribbean. International Nursing Review. 2000; 47(3):174–183. DOI: 10.1046/j.1466-7657.2000.00012.x.
crossref pmid
20. Lee YD, Jung KS, Choi SB. A study on the establishment of license administration regulation with regard to the cross-border movement of medical personnel: From the perspective of mutual recognition agreement. Research Project Report, vol 2003-2-2. Seoul: Research Institute for Healthcare Policy;2003.
21. Gabriel C. NAFTA, skilled migration, and continental nursing market. Population, Space and Place. 2013; 19:389–403. DOI: 10.1002/psp.1780.
22. Kim JY. Acceptance system for foreign nurses and caregivers in Japan. Wonkwang Law Review. 2016; 32(4):93–118. DOI: 10.22397/wlri.2016.32.4.93.
23. Japan International Cooperation of Welfare Service. Pamphlet on the acceptance of foreign nurse and caregivers under EPA 2019 [Internet]. cited 2019, January 15. Available from: https://jicwels.or.jp/?page_id=16.
24. Ministry of Health, Labour and Welfare (Japan). Acceptance of foreign nurse and caregiver candidates based on economic partnership agreement [Internet]. Tokyo: Ministry of Health, Labour and Welfare;2018. cited 2019, January 15. Available from: https://www.mhlw.go.jp/content/000450797.pdf.
25. Akaba K, Takao K, Sato K. Problems over the supporting attitude to foreign candidates for EPA care workers: Using as a clue the relationship between the supporting attitude to the institutes and candidates' working and training conditions. Shakaigaku Ronso. 2012; 174:1–19.
26. Korea Health Personnel Licensing Examination Institute. Foreign nursing college recognized by the minister of health and welfare. Seoul: Korea Health Personnel Licensing Examination Institute;2019.
27. Jung YH, Ko SJ. A study on WTO/DDA negotiations and impacts in health services. International Area Studies Review. 2005; 9(2):108–139.
28. Shin EC. Mutual recognition policy of medical license for medical professionals under Free Trade Agreement. Journal of the Korean Medical Association. 2012; 55(4):316–318. DOI: 10.5124/jkma.2012.55.4.316.
crossref
29. Asakura K, Asakura T, Hyodo C, Ohara-Hirano Y. Issues of receiving foreign nurses to Japan by the schema of the Japan-Philippine Economic Partnership Agreement. Bulletin of School of Health Science, Tohoku University. 2009; 18(2):67–74.
30. Lee T, Kang KH, Ko YK, Cho SH, Kim EY. Issues and challenges of nurse workforce policy: a critical review and implication. Journal of Korean Academy of Nursing Administration. 2014; 20(1):106–116. DOI: 10.11111/jkana.2014.20.1.106.
crossref
TOOLS
ORCID iDs

Euntae Park
https://orcid.org/0000-0002-5406-7978

Jinhyun Kim
https://orcid.org/0000-0001-7141-1606

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