The Elements of Management for Supporting the Activities of Trained Nurses of the Tokutei Acts in Acute Care Hospitals: A qualitative descriptive study of interviews with managers

<p>This study aimed to clarify the elements of management practices of facility and nurse managers for supporting the effective activities of nurses who completed Tokutei Acts training at acute care hospitals. Interviews were conducted with eight facility managers and 11 nurse managers from acute care hospitals where the trained nurses of the Tokutei Acts worked in Japan. Semi-structured interviews were conducted online for approximately 20 minutes and recorded. This study was conducted in March 2021. The management practices of managers who supported the activities of trained nurses included: "expect the activities of the trained nurses in the organization," "understand the trained nurses in the organization," "gain understanding of the Tokutei Acts training system and trained nurses," "plan the allocation of the trained nurses according to the functions of the organization," "send nurses to Tokutei Acts training and supported their learning" "place the trained nurses according to the organization's vision," "create an environment for the trained nurses to continue their activities in the organization," "find the effect of utilizing the trained nurses," "adjust their activities according to the organization's vision," and "inform various subjects regarding their activities." These subcategories can be interpreted as the elements of the management practice for introducing and utilizing several trained nurses in an organization: conception, training, placement, utilization, optimization, and publicity.</p>