Self-Directed External BLS Training: Motivations for Continuing Professional Development Among Japanese Nurses

BACKGROUND: Basic Life Support (BLS) training is essential for emergency care, yet participation in external courses often relies on nurses' initiative rather than institutional support. In Japan, where continuing education is inconsistently implemented, little is known about what motivates nurses to independently pursue and repeat BLS training. This study explored the motivational and contextual factors influencing Japanese nurses' participation in external BLS training. METHOD: A qualitative study was conducted that used semi-structured interviews with eight registered nurses. Data underwent thematic analysis. RESULTS: Eight themes emerged: desire for growth and competence, career advancement and professional recognition, role of peers and colleagues, motivation rooted in past experiences, balancing financial investment with perceived value, navigating competing demands, impact of organizational policies, and sustaining competence through repetition. CONCLUSION: Japanese nurses' motivation for participating in external BLS training reflects professional values, social influences, and organizational conditions. Health care organizations can sustain participation and promote continuous professional development by providing structured support, fostering reflective learning opportunities, and addressing emotional and social factors.