Care of the sick in Japan was primarily done in the home by untrained family members until the end of the nineteenth century. By , nurse registration had been established and public health nurses began working throughout the country. Little training was given in how to care for the sick, but students were instructed in hygiene and sanitary conditions for hospitals. Clinical nurse specialist Nurse anesthetist Nurse midwife Nurse practitioner. In the first university courses on nursing were introduced, requirements for assistant nurses were introduced, in regulations were passed for nurses working night-shifts, and throughout the s several legislative acts expanded training and employment protections for nurses. Nursing first emerged in Tokyo in , when the Tokyo Imperial University opened a small school for nurses.
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