Factors Affecting the Reinstatement of the Japanese Dental Hygienist: A Japanese Dental Hygienist Survey Conducted in 2019

There is a shortage of dental hygienists for dental clinics in Japan. An ideal solution would be for dormant dental hygienists to re-enter the workforce. In this study, we identified the obstacles preventing these dental hygienists from re-entering the workforce. The Japan Dental Hygienists' As...

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Published inInternational journal of environmental research and public health Vol. 18; no. 4; p. 2049
Main Authors Okada, Ayako, Nomura, Yoshiaki, Ohara, Yuki, Yamamoto, Yuko, Hosoya, Noriyasu, Hanada, Nobuhiro, Takei, Noriko
Format Journal Article
LanguageEnglish
Published Switzerland MDPI 19.02.2021
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Abstract There is a shortage of dental hygienists for dental clinics in Japan. An ideal solution would be for dormant dental hygienists to re-enter the workforce. In this study, we identified the obstacles preventing these dental hygienists from re-entering the workforce. The Japan Dental Hygienists' Association surveyed all 16,113 members about their working conditions. Among the 101 items in the questionnaire, 11 items specifically targeted the reasons why dental hygienists leave their jobs. Among 8780 responses (54.5%), 1063 were from members who had resigned from jobs as dental hygienists. Three hundred and fifty-five (34.4%) answered "Yes" to the question "I would like to return to work if conditions are satisfactory." The most frequent cause for leaving a job was" Childbirth and child-rearing" (16.9%). "Working status/working hours" (15.7%) was the main obstacle to re-entry. Furthermore, dental hygienists with intentions to re-enter decided to leave their jobs most frequently because of "Childbirth and child-rearing" and "Working status/working hours." Improvement of the social support system for dental hygienists is required to ensure a sufficient supply of dental health services.
AbstractList There is a shortage of dental hygienists for dental clinics in Japan. An ideal solution would be for dormant dental hygienists to re-enter the workforce. In this study, we identified the obstacles preventing these dental hygienists from re-entering the workforce. The Japan Dental Hygienists' Association surveyed all 16,113 members about their working conditions. Among the 101 items in the questionnaire, 11 items specifically targeted the reasons why dental hygienists leave their jobs. Among 8780 responses (54.5%), 1063 were from members who had resigned from jobs as dental hygienists. Three hundred and fifty-five (34.4%) answered "Yes" to the question "I would like to return to work if conditions are satisfactory." The most frequent cause for leaving a job was" Childbirth and child-rearing" (16.9%). "Working status/working hours" (15.7%) was the main obstacle to re-entry. Furthermore, dental hygienists with intentions to re-enter decided to leave their jobs most frequently because of "Childbirth and child-rearing" and "Working status/working hours." Improvement of the social support system for dental hygienists is required to ensure a sufficient supply of dental health services.
Author Okada, Ayako
Takei, Noriko
Yamamoto, Yuko
Nomura, Yoshiaki
Ohara, Yuki
Hosoya, Noriyasu
Hanada, Nobuhiro
AuthorAffiliation 1 Department of Translational Research, Tsurumi University School of Dental Medicine, Yokohama 230-5801, Japan; okada-a@tsurumi-u.ac.jp (A.O.); hanada-n@tsurumi-u.ac.jp (N.H.)
4 Tokyo Metropolitan Institute of Gerontology, Tokyo 173-0015, Japan
5 Department of Endodontology, Tsurumi University School of Dental Medicine, Yokohama 230-5801, Japan; yamamoto-y@tsurumi-u.ac.jp (Y.Y.); hosoya-n@tsurumi-u.ac.jp (N.H.)
2 Department of Operative Dentistry, Tsurumi University School of Dental Medicine, Yokohama 230-5801, Japan
3 Japan Dental Hygienists’ Association, Tokyo 169-0071, Japan; yohara@tmig.or.jp (Y.O.); nori@pm-ms.tepm.jp (N.T.)
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10.1016/j.jebdp.2014.02.002
10.1111/j.1834-7819.2007.00012.x
10.1111/j.1601-5037.2007.00233.x
10.2174/1874210602014010355
10.1111/idh.12101
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10.1067/moe.2002.123493
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Issue 4
Keywords reinstatement
dental hygienist
working environment
Language English
License Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
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References Hopcraft (ref_14) 2008; 53
Hopcraft (ref_13) 2008; 53
Nomura (ref_17) 2020; 14
ref_12
ref_11
Adachi (ref_7) 2007; 5
ref_10
Gibbons (ref_15) 2001; 190
Kanazawa (ref_19) 2014; 6
Usui (ref_18) 2015; 13
ref_1
ref_3
ref_2
Barnes (ref_5) 2014; 14
Adachi (ref_8) 2002; 94
Yoon (ref_6) 2012; 29
Abe (ref_9) 2006; 43
Yavnai (ref_16) 2012; 76
ref_4
References_xml – volume: 76
  start-page: 1371
  year: 2012
  ident: ref_16
  article-title: Dental hygienists in Israel: Employment evaluation, job satisfaction, and training implications
  publication-title: J. Dent. Educ.
  doi: 10.1002/j.0022-0337.2012.76.10.tb05393.x
  contributor:
    fullname: Yavnai
– volume: 53
  start-page: 61
  year: 2008
  ident: ref_14
  article-title: Working practices and job satisfaction of Victorian dental hygienists
  publication-title: Aust. Dent. J.
  doi: 10.1111/j.1834-7819.2007.00011.x
  contributor:
    fullname: Hopcraft
– ident: ref_4
– ident: ref_3
– ident: ref_2
– ident: ref_12
– volume: 29
  start-page: 525
  year: 2012
  ident: ref_6
  article-title: Health care professionals’ perspectives on oral care for long-term care residents: Nursing staff, speech-language pathologists and dental hygienists
  publication-title: Gerodontology
  doi: 10.1111/j.1741-2358.2011.00513.x
  contributor:
    fullname: Yoon
– ident: ref_10
– ident: ref_11
– volume: 190
  start-page: 207
  year: 2001
  ident: ref_15
  article-title: A national survey of dental hygienists: Working patterns and job satisfaction
  publication-title: Br. Dent. J.
  doi: 10.1038/sj.bdj.4800926a
  contributor:
    fullname: Gibbons
– volume: 43
  start-page: 157
  year: 2006
  ident: ref_9
  article-title: Professional oral care reduces influenza infection in elderly
  publication-title: Arch. Gerontol. Geriatr.
  doi: 10.1016/j.archger.2005.10.004
  contributor:
    fullname: Abe
– volume: 14
  start-page: 103
  year: 2014
  ident: ref_5
  article-title: Dental hygiene intervention to prevent nosocomial pneumonias
  publication-title: J. Evid. Based. Dent. Pract.
  doi: 10.1016/j.jebdp.2014.02.002
  contributor:
    fullname: Barnes
– volume: 53
  start-page: 67
  year: 2008
  ident: ref_13
  article-title: Attitudes of the Victorian oral health workforce to the employment and scope of practice of dental hygienists
  publication-title: Aust. Dent. J.
  doi: 10.1111/j.1834-7819.2007.00012.x
  contributor:
    fullname: Hopcraft
– volume: 5
  start-page: 69
  year: 2007
  ident: ref_7
  article-title: Professional oral health care by dental hygienists reduced respiratory infections in elderly persons requiring nursing care
  publication-title: Int. J. Dent. Hyg.
  doi: 10.1111/j.1601-5037.2007.00233.x
  contributor:
    fullname: Adachi
– volume: 14
  start-page: 355
  year: 2020
  ident: ref_17
  article-title: Factors Behind Leaving the Job and Rejoining it by the Japanese Dental Hygienist
  publication-title: Open Dent. J.
  doi: 10.2174/1874210602014010355
  contributor:
    fullname: Nomura
– volume: 13
  start-page: 74
  year: 2015
  ident: ref_18
  article-title: Workforce re-entry for Japanese unemployed dental hygienists
  publication-title: Int. J. Dent. Hyg.
  doi: 10.1111/idh.12101
  contributor:
    fullname: Usui
– volume: 6
  start-page: 267
  year: 2014
  ident: ref_19
  article-title: Prospects and Subjects of Dental Hygienists−Aiming at the Coordination with Medical Care and Elderly Care
  publication-title: Ann. Jpn. Prosthodont. Soc.
  doi: 10.2186/ajps.6.267
  contributor:
    fullname: Kanazawa
– ident: ref_1
– volume: 94
  start-page: 191
  year: 2002
  ident: ref_8
  article-title: Effect of professional oral health care on the elderly living in nursing homes
  publication-title: Oral. Surg. Oral. Med. Oral. Pathol. Oral. Radiol. Endod.
  doi: 10.1067/moe.2002.123493
  contributor:
    fullname: Adachi
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Snippet There is a shortage of dental hygienists for dental clinics in Japan. An ideal solution would be for dormant dental hygienists to re-enter the workforce. In...
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SubjectTerms Adult
Child
Child Rearing
Dental Hygienists
Female
Humans
Japan
Male
Surveys and Questionnaires
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Title Factors Affecting the Reinstatement of the Japanese Dental Hygienist: A Japanese Dental Hygienist Survey Conducted in 2019
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