Japanese Nursing Association (JNA) established the Certified Nurse System in 1995, aiming at educational preparation of nurses with proficient knowledge and skills in a particular area of nursing in order to expand the scope of nursing practice and promote the quality care. In 2008, JNA approved the Stroke Rehabilitation Nursing as one of the specialized areas. In 2009, the educational programs are to open, expecting Certified Nurse in Stroke Rehabilitation Nursing (CN in SRN) in 2010. The special knowledge and skills required of the CN in SRN include pathological assessment and prevention of falling into critical state based on the continuous monitoring. In addition, they would be expected to possess such good knowledge and skills of rehabilitation as to improve the movement disorder and the disturbance of higher brain functions, enhancing the self-care capacity of patients and restructuring the life style as a whole, while helping the family members. Moreover, CN in SRN needs to advocate for the dignity of patients and the possibility of the improvement from the disease/disability, and help patients obtain the highest level of ADL and QOL as possible. Early diagnosis and intervention together with early rehabilitation is essential, where the multidisciplinary team including the CN in SRN is of great importance.