Health and Nursing Aides

from Wikipedia, the free encyclopedia

The health and nursing assistant or state-certified nursing assistant is a state- regulated health profession with a two-year (in some federal states one-year) training in the nursing sub-area in the German health system .

Nursing assistants are part of the professional care team and assist the nursing staff in health and nursing or child care with their tasks. Nursing assistants take on care activities on their own responsibility or in consultation with the nursing staff, especially basic care tasks such as storage, help with eating, using the toilet, accompaniment, personal care, making beds as well as paperwork, documentation, employment offers, domestic help and hygiene.

The two-year apprenticeship as health and nursing assistant has replaced the previous nursing assistant training in some federal states since August 1, 2007. Colloquially, the graduates of the qualification measures to become everyday companions in the dementia care according to § 87b SGB ​​XI are also referred to colloquially as care assistants, but they have usually attended a six-month training course with a different focus. In Switzerland, a significantly shorter training course to become a nursing assistant is offered; in Austria there is a similarly structured one-year training course, the graduates of which are known as nursing assistants.


The 1- or 2-year (depending on the federal state) training to become a health and nursing assistant is intended to provide the knowledge, skills and abilities to care for the sick, as well as the associated household and other assistance tasks in ward, functional and other areas of the health system convey (training objective). The training usually comprises over 500 hours of theoretical training and over 1,100 hours of practical training in a clinic. At the end of the training there is a practical and oral final exam before a state examination board.

The students are granted a training allowance of around 750 euros per month.

Since January 2004, training as a health and nursing assistant has been subject to state law, i. In other words, each federal state decides whether the training is offered and how it is structured. Before that, it was regulated nationwide by the Nursing Act. Such laws exist in Baden-Württemberg, Bavaria, Berlin, Brandenburg, Hamburg, Hesse, Lower Saxony, Rhineland-Palatinate, Saarland, Saxony and Saxony-Anhalt. In Bremen, Mecklenburg-Western Pomerania and Schleswig-Holstein, however, the training is no longer offered or has been replaced by other training.

In the federal states of Hesse and North Rhine-Westphalia there has been a one-year vocational training course to become a "state-approved geriatric care assistant " since 2006 . The training essentially corresponds to the training to become a nursing assistant.

In any case, the job title is protected and recognized nationwide, i. This means that nursing assistants can also work in the federal states in which no health and nursing assistant training is offered. Different job titles are sometimes used in the various federal states:

  • Health and nursing assistant in North Rhine-Westphalia
  • Health and nursing assistant in Hamburg (two-year training)
  • Nursing assistant in Hesse, Lower Saxony, Saarland, Saxony-Anhalt
  • Nursing assistant (nursing) in Bavaria
  • State-certified nursing assistant in Saxony ( § 58 BFSO)

See also


  • Bernd Hein: Nursing Aid Altenpflegehilfe Textbook for the nursing assistant. Elsevier Verlag, Munich 2007, ISBN 978-3-437-27940-9 .
  • Manfred Engl: Employment Compass Health and Nursing. Employment opportunities and alternatives. Edition Aumann, Coburg 2011, ISBN 978-3-942230-01-8 .

Individual evidence

  1. Health and nursing assistant. February 20, 2017. Retrieved March 21, 2017 .
  2. Educational measure for elderly care. (No longer available online.) In: Arbeiterwohlfahrt Essen. Arbeiterwohlfahrt Essen, Bildungsinstitut Altenpflege, specialist seminar for geriatric care, archived from the original on November 22, 2009 ; Retrieved December 25, 2009 . Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. @1@ 2Template: Webachiv / IABot /
  3. School regulations for vocational school (Part 2, Subsection 2)

Web links