In short: Since 2020 Germany trains registered nurses in a generalist programme (Pflegefachfrau/Pflegefachmann) under the Nursing Professions Act. Separate qualifications in geriatric care (Altenpflege) and paediatric nursing still exist as specialisations. Nursing assistants form a separate, shorter qualification that will be regulated nationwide from 2027. Each regulated title needs a state licence.
Note: This page provides general information and is not legal advice. The law and the decisions of the competent authorities are decisive; rules can change. As of October 2026.
Registered nurse (Pflegefachfrau / Pflegefachmann)
The main route for qualified nurses from abroad. Your qualification is compared with the generalist German training; afterwards you may use the protected title and work in hospitals, care homes and home care.
Geriatric care and paediatric nursing
The Nursing Professions Act still allows the specialised titles "Altenpflegerin/Altenpfleger" and "Gesundheits- und Kinderkrankenpflegerin/-pfleger". Many international nurses work in elderly care, often with the generalist licence.
Nursing assistant (Pflegefachassistenz)
From 2027 a nationwide nursing assistant training replaces different state rules. It can be an entry route for people whose qualification is not (yet) equivalent to a registered nurse. See our guide on nursing assistant training.
Which route fits you?
- Completed nursing degree or diploma → recognition as registered nurse.
- No nursing qualification yet → nursing training (Ausbildung) in Germany.
- Shorter care qualification → check recognition as nursing assistant with the competent authority.
How Berlin Tehran helps
We help healthcare professionals prepare their documents in an orderly way and coordinate with employers in Germany, following a transparent 8-step process with up to 90 days of support after arrival. We are specialised in Iran and support healthcare professionals from all countries where private recruitment is permitted. We do not provide legal advice; authorities make all decisions.
Apply as a healthcare professional Our ethical recruitment rules
Related guides
- Nursing assistant training from 2027
- Recognition: time and cost
- German language requirements
- Ethical recruitment rules
- Apply with Berlin Tehran
Frequently asked questions
Is geriatric nursing a separate profession in Germany?
Yes, "Altenpflege" still exists as a specialised title, but most new nurses are trained in the generalist programme.
Do nursing assistants need recognition?
Nursing assistant qualifications are regulated by the states and, from 2027, nationwide. Ask the competent authority about recognition.
Which job title do international nurses get?
After recognition usually Pflegefachfrau or Pflegefachmann (registered nurse).