Caring : Indonesian Journal of Nursing Science
Vol. 8 No. 1 (2026): Vol 8 No 1 2026 Caring: Indonesia Journal of Nursing Science

Sakura and Shifting Tides: Exploring the Deskilling and Upskilling Experiences of Indonesian Nurses in Post-COVID-19 Japan

Ria Utami Panjaitan (Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia)
Achir Yani S Hamid (Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia)
Wako Asato (Graduate School of Letters, Kyoto University, Japan)
Yudi Ariesta Chandra (Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia)
Andrio Adibowo Muktiwibowo (Faculty of Public Health, Universitas Indonesia, Depok, Indonesia)
Henny Permatasari (Departement of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia)
Mohamad Yusup (Chairman of the Indonesian National Nurses Association (PPNI) Overseas Board of Directors, Tokyo, Japan)
Azimatul Aliyah (Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia)



Article Info

Publish Date
18 Jul 2026

Abstract

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

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Journal Info

Abbrev

IJNS

Publisher

Subject

Nursing

Description

Caring: Indonesian Journal of Nursing Science (IJNS) is an international nursing journal published by the Faculty of Nursing, Universitas Sumatera Utara, Indonesia. IJNS is a peer reviewed journal and welcomes scientific works from nurses, academics, and practitioners in their ...