Nursing Act (Germany)

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Basic data
Title: Law on the Professions in Nursing
Short title: Nursing Act
Previous title: Law governing the practice of
nurse, nurse
and pediatric nurse
Abbreviation: KrPflG
Type: Federal law
Scope: Federal Republic of Germany
Legal matter: Special administrative law , labor law
References : 2124-23
Original version from: July 15, 1957
( BGBl. I p. 716 )
Entry into force on: July 19, 1957
New announcement from: September 20, 1965
( BGBl. I p. 1443 )
Last revision from: July 16, 2003
( BGBl. I p. 1442 )
Entry into force of the
new version on:
January 1, 2004
Last change by: Art. 12 G of August 15, 2019
( Federal Law Gazette I pp. 1307, 1330 )
Effective date of the
last change:
March 1, 2020
(Art. 54 G of August 15, 2019)
Expiry: December 31, 2019
(Art. 15 G of July 17, 2017, Federal Law Gazette I p. 2581, 2613 )
GESTA : B041
Please note the note on the applicable legal version.

Nursing laws exist in almost all industrialized countries, including most developing countries.

In Germany such a regulation was the law on the professions in nursing ( Nursing Act - KrPflG ). In its current version, it came into force on January 1, 2004 and expired on December 31, 2019. It was replaced by the Nursing Professions Act and the Nursing Professions Reform Act.

The KrPflG regulated the permission to use professional titles

and health and nursing / child nursing education; also the recognition of equivalent training in the EU. Training to become a health and nursing assistant was no longer regulated by federal law, but by state laws. The Vocational Training Act (BBiG) did not apply to this.

The current KrPflG replaced the version of June 4, 1985 ( Federal Law Gazette I p. 893 ), which was last modified in 2002.

Content of the law

Section 1 - Permission to use professional titles

  • § 1 Use of professional titles
  • § 2 Requirements for the granting of the permit
  • § 2a information requirements

Section 2 - Training

  • § 3 Training objective - The training for nursing should enable in particular to
    • 1. Carry out the following tasks independently: a) Survey and determination of the need for care , care planning , organization, implementation and documentation of care , b) Evaluation of care, assurance and development of the quality of care, c) Advice, guidance and support for those to be cared for People and their caregivers dealing with health and illness individually and d) initiating life-sustaining immediate measures until the doctor arrives,
    • 2. Carry out the following tasks as part of the cooperation: a) independent implementation of medically initiated measures, b) measures of medical diagnostics , therapy or medical rehabilitation and c) measures in crisis and catastrophe situations, as well
    • 3. to work together in an interdisciplinary manner with other professional groups and to develop multidisciplinary and cross-professional solutions to health problems.
  • § 4 Duration and structure of the training
  • Section 4a State examination for training in accordance with Section 4 (7)
  • § 5 Requirements for access to training
    • 1. that the applicant is not unsuitable in terms of health for exercising the profession according to § 2 Paragraph 1 No. 3 and
    • 2. the secondary school leaving certificate or another equivalent, completed schooling or
    • 2a. the successful completion of another ten-year general school education (point 2a initially valid until the end of December 2017) or
    • 3. the secondary school leaving certificate or an equivalent school education, together with
      • a) successfully completed vocational training with a planned duration of at least two years or
      • b) a license as a nursing assistant or a successfully completed state-regulated training of at least one year as a nursing assistant or geriatric nursing assistant.
  • § 6 Credit for equivalent training
  • § 7 Credit for absenteeism
  • § 8 Authorization to issue ordinances (see Act on Nursing Professions (Nursing Act - KrPflG))

Section 3 - Apprenticeship Relationship

  • § 9 training contract
  • § 10 Obligations of the training provider
  • § 11 Obligations of the student
  • § 12 Training remuneration
  • § 13 probation period (6 months)
  • § 14 End of the apprenticeship relationship
  • § 15 Termination of the apprenticeship relationship
  • § 16 Employment following the training relationship
  • § 17 Nullity of Agreements
  • § 18 Members of spiritual communities, deaconesses, deaconal sisters
  • Section 18a model project according to Section 4 (7)

Section 4 - Providing Services

  • § 19 Service Provider
  • Section 19a administrative cooperation
  • Section 19b Obligations of the service provider

Section 5 - Responsibilities

  • § 20 Tasks of the competent authorities

Section 6 - Fines Regulations

  • Section 21 Administrative offenses

Section 7 - Instructions for Use

  • Section 22 Non-application of the Vocational Training Act (BBiG)
  • Section 23 Continuation of the license to use professional titles
  • § 24 Continued validity of state recognition of schools
  • § 25 Permission upon submission of evidence from other EEA signatory states
  • § 26 Time limit (§ 5 requirements for access to training number 2a expires on December 31, 2017)
  • § 27 Evaluation

Training and examination regulations for professions in nursing

According to § 8 of the Nursing Act, which has Federal Ministry of Health on 10 November 2003 in agreement with the Federal Ministry of Family Affairs and the Federal Ministry of Education and Research , the training and examination regulation for the profession of nursing (KrPflAPrV) adopted ( Federal Law Gazette I p. 1442 ), which regulates the further details, especially the examination regulations and the granting of permits.

The expansion of theoretical lessons to 2100 hours and 2500 hours of practical training was new, the practical instructions now have to be carried out by "suitable specialists" (at least 200 hours of vocational educational qualification) and night shift in the second half of the training between 80 and 120 hours. There is only a rough breakdown for practical training.

§ 20 KrPflAPrV also contains special regulations for holders of training certificates from another signatory to the European Economic Area (EEA). Last changed on April 1, 2012 with the new law to improve the identification and recognition of professional qualifications acquired abroad (BQFGEG) .

Future development

As part of a legislative process, from 2015 to 2017 the merging of the two training courses with the geriatric care training as part of a generalist nursing training was discussed. In 2017, the Nursing Profession Reform Act was passed in the form of a provisional compromise, although up to that point there was no agreement either in the professional fields concerned or in politics on the content of a future curriculum for the three years of training and the goals of internships in the various professions. Even the financing, which in future is to be provided by a fund like in nursing, was not regulated at the time. The abolition of child nursing and geriatric care training was named in the law as a possibility to be examined (evaluation after 2026). The law mentions university education as a further option.

See also

Individual evidence

  2. straightforward-schaff-ab-01-04-2012-rechtsansracht-auf-verfahren-zur-anzeichnung-auslaendischer-berufsqualierungen/ 6366.html
  3. regulated in Paragraph 63 PBRefG; Page on the creation, structure, provisions of the Nursing Profession Reform Act


  • Gabriele Baumhard, Helene Brüne and others: Handbook Practical Instructions in Nursing Professions. Authors group of the community for the promotion of nursing registered association (Ekkehard Marschelke Hrsg.). W. Tietzsch Verlag, Meßstetten / Tieringen. 2007. 217 pages. ISBN 3938289007
  • Annette Storsberg / Claudia Neumann / Ralf Neiheiser, Nursing Act. With training and examination regulations for professions in nursing. Commentary , 7th edition, Stuttgart 2011, Verlag Kohlhammer, ISBN 978-3-17-021045-5

Web links