Actual Procedures and Current Issues of Nurse Practitioners in The Clinical Situation

Tomiyama M, Konishi M, Bando H, Yoshimoto N, Yuu M, Tanaka S, Noda Y, Yamato T, Murase M, Yoshizumi T, Kunisada Y, Kamino S, Abe A and Takehisa Y

Published on: 2025-05-15

Abstract

The system of nurse practitioners (NPs) has started in 2015 in Japan, and about 8000 NPs have contributed much for various opportunities in acute, home and community medical care. They have several competencies for dealing with clinical situation adequately. Etoh hospital, Tokushima, Japan has 13 licensed NPs, who can manage difficult procedures such as Peripherally Inserted Central Venous Catheters (PICCs). Recent issues include legal ambiguity, insufficient collaboration with doctors and uneven distribution of training institutions and financial burden. The system of NPs has been established as an important system to respond to the diversification and sophistication of medical care.