Germany formally implemented the EEC sectoral nursing directives of 1977 by the Nursing Act of June 1985 (the Krankenpflegegesetz).
The federal structure accounts for a system of divided responsibility. The system of Rahmengesetzgebung applies in this legislative area according to Art. 74, no. 19 of the Basic Law3. Federal law regulates the basic training for nurses and sets out the framework for the training of nurses in general, but it is for the Länder to implement it within the guidelines of the Nursing Act and the rules and regulations for the training and general provisions of exams 1985.
Post basic nurse education is left to the Länder. This has resulted in different Länder recognising different types of specialities. In the post basic sector various, mostly independent, organisations and institutions are involved in providing the training. The DKG (Deutsche Krankenhausgesellschaft) has produced a series of recommendations that are generally used by the Länder which have not in fact legislated post basic nurse training.
http://www.robvanderpeet.nl/Europa/03 2000 02 Germany.pdf (accessed 20.04.2008)