Nursing in Japan

Nursing Education in Japan

Credentialing system

In Japan, the qualification of public health nurses, midwives, nurses and assistant nurses is stipulated by law, while the certification of specialized nurses is not specified by law. Although many organizations and societies certify such personnel, credentialing system by JNA is socially recognized and appreciated.

This credentialing system by JNA, intended to offer quality healthcare to citizens, certificates the following three; certified nurse specialists, certified nurses and certified nurse administrators.

Certified nurse specialists

Certified nurse specialist (CNS) system is designed to contribute to the development of healthcare and welfare as well as to improve nursing science by forwarding CNSs with specific advanced nursing knowledge and skills into society to provide high-level nursing care efficiently for individuals, families and groups having complex and intractable nursing problems.

The roles of CNSs are excellent nursing practice, consultation with care providers including nurses, coordination among the concerned parties, ethical coordination to protect the rights of individuals, etc., education of nursing personnel, and research activities at clinical settings. A nurse is certified as a CNS by completing a master's program at a graduate school after obtaining a national license for nurses, and then passing the credentialing examination given by JNA after accumulating a certain amount of experience. It is required to renew the certification every five years.

Certified nurses

Certified nurse (CN) system is designed to diffuse quality nursing care at nursing sites by forwarding CNs who can provide high-level nursing practice, using skilled nursing expertise in specific nursing fields, into society.
The roles of CNs are nursing practice at high level, instruction of nurses, and consultation with nurses.
A nurse is certified as a CN by accumulating a certain amount of experience after obtaining a national license for nurses, and then passing the credentialing examination given by JNA after completing the required education program for certification. It is required to renew the certification every five years.

Certified nurse administrators

Certified nurse administrator (CNA) system is designed to provide quality organizational nursing services to individuals, families and local residents with diversified healthcare needs, establish frameworks for training of CNAs meeting certain standards, help to maintain and improve the quality of CNAs and the standard of nursing, and thereby contribute to the development of healthcare and welfare.

A nurse is certified as a CNA by accumulating a certain amount of experience after obtaining a national qualification for nurses, and then passing the credentialing examination given by JNA after completing a master's program at a graduate school or an education program for certification. It is also required to renew the certification every five years. As of January 2018, 3,228 nurses are certified as CNA.

Table 3: Number of certified nurse specialists by field (as of December 2017)
Field Registered number
Cancer Nursing 784
Psychiatric Mental Health Nursing 294
Community Health Nursing 27
Gerontological Nursing 123
Child Health Nursing 210
Women's Health Nursing 74
Chronic Care Nursing 169
Critical Care Nursing 251
Infection Control Nursing 55
Family Health Nursing 57
Home Care Nursing 47
Genetic Nursing 5
Disaster Nursing 8
Total 2,104
Table 4: Number of certified nurses by field (as of January 2018)
Field Registered number
Emergency Nursing 1,199
Wound, Ostomy and Continence Nursing 2,409
Intensive Care 1,160
Palliative Care 2,181
Cancer Chemotherapy Nursing 1,514
Cancer Pain Management Nursing 752
Visiting Nursing 568
Infection Control 2,706
Diabetes Nursing 860
Infertility Nursing 168
Neonatal Intensive Care 384
Dialysis Nursing 237
Perioperative Nursing 532
Breast Cancer Nursing 338
Dysphagia Nursing 734
Pediatric Emergency Nursing 264
Dementia Nursing 994
Stroke Rehabilitation Nursing 671
Radiation Therapy Nursing 252
Chronic Respiratory Nursing 271
Chronic Heart Failure Nursing 348
Total 18,542

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