| [ Summary ] |
For the reference of those engaged in nephrology nursing in Japan, circumstances as to the nephrology nurse specialist, nursing system, the actual situation of clinical nephrology nursing, and nursing policy in the U.S.A. are hereinafter reported. The nephrology nurse specialist in the U.S.A. is classified according to two credentials ; one is the Advanced Practice Nurse (APN) and the other is the Certified Nephrology Nurse (CNN). Under the nursing system in the U.S.A., each technician, as a staff member of a nursing department, supports nursing duties. Although the number of nurses per patient is small, their target is exclusive nursing for a specialized field by small numbers of nurse. The quality of nephrology nursing in practice differs with the individual nurse. As a matter of policy, the object of the American Nephrology Nurses' Association (ANNA) is equalization and standardization of quality of nursing by utilizing research in the clinical setting. |