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A nursing‐led pathway to safe task sharing in Japan: Interprofessional simulation and a common competency credential.

Aim: To propose a nursing‐led pathway for safe task sharing in Japan to address population aging and workforce shortages. Methods: This Viewpoint outlines a practical route centering on five shared competency domains (decision‐making, safety management, communication, equipment operation, and troubl...

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Published in:Japan Journal of Nursing Science Vol. 23; no. 1; pp. 1 - 5
Main Authors: Kubota, Kazumi, Nishimura, Ayako, Funaki, Jun
Format: tables/charts Journal Article
Published: Wiley-Blackwell Jan2026
Online Access:View this record in EBSCOhost
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      jtl: Japan Journal of Nursing Science
      issn: 17427932
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      dt: Jan2026
      vid: 23
      iid: 1
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        191137598
        191137598
        191137598
        10.1111/jjns.70036
        191137598
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        atl: A nursing‐led pathway to safe task sharing in Japan: Interprofessional simulation and a common competency credential.
      aug:
        au:
          Kubota, Kazumi
          Nishimura, Ayako
          Funaki, Jun
        affil: Research Organization, Shimonoseki City University, Yamaguchi, Japan
      sug:
        subj:
          Nursing Leaders
          Leadership
          Patient Safety
          Psychological Safety
          Teamwork
          Task Performance and Analysis
          Education, Interdisciplinary
          Education, Competency-Based
          Simulations
          Credentialing
          Aging
          Nursing Shortage
          Japan
          Professional Competence Evaluation
          Decision Making, Clinical
          Communication
          Competency Assessment
          Financial Support
          Legislation, Nursing
          Accountability
      ab: Aim: To propose a nursing‐led pathway for safe task sharing in Japan to address population aging and workforce shortages. Methods: This Viewpoint outlines a practical route centering on five shared competency domains (decision‐making, safety management, communication, equipment operation, and troubleshooting) verified through interprofessional simulation. We describe a common competency credential (CCC) assessed via standardized scenarios, objective rating scales, and mastery thresholds. Results: A nursing‐led policy pathway would align education, credentialing, and financing via the national fee schedule. By embedding stop rules, clear supervision levels, and psychological safety, the approach addresses concerns regarding safety, legal accountability, and hierarchy in the Japanese context. Conclusions: With the 2024 fee schedule emphasizing team‐based care, nursing‐led interprofessional simulation and a CCC offer a feasible, evidence‐informed route to safer care, greater efficiency, and a more sustainable workforce.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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