When accepting Specified Skilled Workers, language ability is what facility staff worry about most.
In today's society, many people are not comfortable with English, so they worry that even if foreign nationals come, they will be unable to communicate because they cannot speak the language.

At the author's facility, workers from Myanmar come, and Myanmar's official language is Burmese.
You may wonder at first—none of the facility staff, including the author, understood it.
In addition, because the facility is in a regional area, many service users speak with strong dialects, which was another concern.

Here, I would like to focus on whether Specified Skilled Workers' Japanese ability is sufficient and whether they can communicate adequately with service users.

A Certain Level of Japanese Ability and Skills Is Required

Specified Skilled Workers need a certain level of Japanese ability and skills to work.
This is measured through Japanese language tests.
Passing the Japanese-Language Proficiency Test (JLPT) N4 or higher, or the Japan Foundation Test for Basic Japanese, plus the Nursing Care Japanese Language Evaluation Test is required, and these must be obtained.
At an everyday conversation level, work can proceed without major problems.
In addition, the Nursing Care Japanese Language Evaluation Test covers industry-specific terminology, so reading records and completing post-hire training should go smoothly.

Providing Opportunities to Study Japanese

They must continue studying Japanese after joining the company, and at that time facilities are required to provide opportunities as mandatory support.

However, this is the provision of opportunities, not the provision of instruction, so the facility does not need to instruct staff to tutor Japanese study; it remains an opportunity only.
For example, it may involve introducing a nearby Japanese language class, obtaining enrollment pamphlets, or accompanying the worker when needed.

Communication with Service Users

Even after clearing the language barrier, the greatest concern is communication with service users. Some service users are particular or use difficult language, and whether that can be understood was a question. At the author's facility as well, everyday conversation was generally fine at first, but
making small talk was difficult.

The content of communication is wide-ranging. In small talk especially, questions come up about TV programs, seasonal events, and more, but understanding that much Japanese culture is difficult and takes time.
For that reason, at our facility we ask workers to note down anything they do not understand or are unsure about in response to questions, and not to answer on the spot but to ask other staff.

Conclusion

As foreign nationals, the language barrier is something many people worry about.
To obtain the qualification they must study Japanese, and those who become Specified Skilled Workers can hold a certain level of conversation and have the reading comprehension to handle documents such as records, so there is reason for reassurance.
However, they still lack knowledge needed for communication, such as difficult vocabulary and Japanese culture, so after joining you must support them so they can communicate adequately—for example by providing opportunities to attend Japanese language classes.

About the Author

Hayato Yamashita
Director, YourBright Inc. / Practical Operations Manager, Registered Support Organization
Specializing in Specified Skilled Worker programs, international talent hiring, registered support, and status of residence operations, he is involved in the practical work of introducing international talent and supporting their acceptance.

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Systems for Continuing Japanese Learning in Nursing Care Settings

Conversation with service users is an important opportunity to deepen Japanese understanding, but everyday conversation alone does not necessarily build specialized vocabulary for nursing care records, incident reports, medication, infection control, and the like. Accepting facilities need to prepare a system that, in addition to on-the-job verbal guidance, sets study time, materials, instructors, and learning goals, and regularly checks comprehension. Psychological safety to ask about unfamiliar words is also directly tied to service user safety.

The Ministry of Health, Labour and Welfare provides free self-study support tools for foreign nursing care staff such as “Nihongo o Manabou,” study texts for the nursing care Specified Skilled Worker evaluation exam, and glossaries of nursing care and welfare terminology. On site, link sample handovers and record entries to the materials and set weekly learning scopes. Do not evaluate only the individual's Japanese ability; also review how the facility explains things and gives instructions.

  • At hire, separately check conversation, reading and writing, and understanding of nursing care terminology
  • Build ongoing study time and an assigned instructor into the work schedule
  • Turn set phrases used in handovers, nursing care records, and incident reports into teaching materials
  • Review difficult cases from conversations with service users in one-on-ones and reflect them in guidance

Related Reading

Related article: Foreign Caregiver Hiring Guide 2026 Edition

Related article: What Is a Registered Support Organization for Specified Skilled Workers

Official Information

Source: Acceptance of Foreign Nursing Care Talent (Ministry of Health, Labour and Welfare)