Visualization of Nursing Management Practices that Empower Nursing Teams in Acute Rehabilitation Units

Thursday, July 14, 2011

Ikuko Sakai, PhD, MHS, BSc, RN, PHN1
Kieko Iida, MSc, BSc, RN, PHN2
Kana Kurokochi, MSc, BSc, RN, PHN1
Etsuko Kikuchi, MSc, BSc, RN1
Yuka Matsudaira, MSc, BSc, RN, PHN1
Satomi Sugawara, MSc, BSc, RN, PHN1
Naomi Bando, MBA, BSc, RN1
(1)Graduate School of Nursing, Chiba University, Chiba, Japan
(2)Former, Graduate School of Nursing, Chiba University, Chiba, Japan

Learning Objective 1: The learner will be able to list the characteristics of nursing managent in acute rehabilitation units.

Learning Objective 2: The learner will be able to list the experiences of nursing managers in acute rehabilitation units.


To visualize and theorize nursing management practices that empower nursing teams in acute rehabilitation units.


(1) Selection of research subjects and data collection: By using network sampling, the authors interviewed nursing administrators and managers working in acute rehabilitation units (approximately ten subjects) to collect narratives regarding “team-empowering experiences as nursing administrators.”

(2) Research period: December 2010 - March 2011

(3) Analysis method: Interviews were approximately sixty minutes per interviewee.  The interviews were taped, or notes were taken during the sessions.  Data include the taped or written formats of the interviews, and the contents of narratives were hermeneutically analyzed.

Findings and Discussion

 As a management practice that empowers nursing teams, “establishing an environment in which nursing and care teams have a dialogue” in order to “determine rehabilitation goals and strategies that would best fit the requests of a patient under a multiprofessional team with conflicting policies” was identified.  Also, the interviewees were paying attention to “the nurturing of a nursing career capable of collaborating with a multiprofessional team,” and were working with members of staff in a way that they could balance “capacity building as a nurse” and “capacity building for interprofessional practices”.  These management practices were supported by the faith in “long-term recovery of a patient.” 

The authors further plan to study indicators and assessment methods for qualitatively and quantitatively evaluating components and development processes of professionalism, as well as team-empowering practices, for nursing teams in acute rehabilitation units.