title: [Nursing certification system in cancer nursing].
abstract: The Japanese Nursing Association (JNA) started an advanced nursing certification system and gave the first certification to certified nurse specialist (CNS) in cancer nursing in 1996. CNS is recognized for excellent nursing practice in a specific area, and for demonstrating six roles: excellent nursing practice, consultation, ethical coordination, education, coordination, and research activities. To receive CNS certification need nurse (or public health nurse or nurse midwife) qualification, master's degree, at least five-years clinical experience, and after that to pass a JNA certification examination. Certified nurse (CN) demonstrates three roles in high level of nursing practice by using matured nursing skills and knowledge, leadership, and consultation in a specific nursing area. CN need nurse qualification, at least fiveyears clinical experience, completing educational program at least 6 months, and passing a JNA certification examination. Both of CNS and CN requier certification renewal every five years. The number of people who get certification of CNS's in cancer nursing become 104, and of CN in cancer nursing area become 942 (chemotherapy 204, palliative care 420, cancer pain 267, breast cancer 51) in 2007. CNS's in cancer nursing activities are not understood broaden, because they have various work positions and activities, and are very few in Japan. But they are considered to be a change agent in cancer health care system. Also they will expand their activity setting. There is a prospect that CNS in cancer nursing will increase in number with nursing graduate school increasing. It shows that we will face some problems, for example educational contents or methods, certification system and so on.
authors.affiliation: Toranomon Hospital, Minato-ku, Tokyo, Japan.
authors.forename: Kumi
authors.initials: K
authors.lastname: Hasegawa
mesh_terms: D002568:Certification; D006801:Humans; D009369:Neoplasms / Q000451:nursing*; D009720:Nurse Clinicians / Q000193:education* / Q000592:standards*; D012955:Societies, Medical