Focus of the problem
  • 2022 № 1 Portrait of regional health authority manager

    Competent management is crucial condition for the development and functioning and requires qualified managers. In the Russian Federation over the past few years Federation there were many rotations in management of regional health authorities. These changes will be followed by lack of continuity in management decision-making, high degree of uncertainty and a low level of population and professional community trust.
    T h e a i m o f t h e s t u d y was to give a detailed information about regional health authorities managers in Russian Federation.
    M a t e r i a l s a n d m e t h o d s . This research was designed as observational study with the use of questionnaire which included the characteristics of the age and gender of the respondents, the level of their basic and additional education, additional competencies, occupational background in leadership position.
    R e s u l t s . We achieved a response from 81 respondents. We founded that rotation of managers and extremely short occupation period had significant impact on managers’ qualifications. The culture of purposeful formation of the professional skills by the respondents was poor. Only 7% of managers paid attention to their education. About 40% did not have professional retraining for management in healthcare.
    C o n c l u s i o n s . It is necessary to develop a standard set of Russian region health managers competencies and responsibilities.

    Authors: Starodubov V. I. [34] Khodakova O. V. [4] Kobyakova O. S. [11] Deev I. A. [8] Chigrina V. P. [2]

    Tags: characteristics1 manager2 regional health authority1

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  • Personnel management

    Professional burnout among nurses is an urgent public health problem, which negatively affects the quality of medical care. A specialist’s belonging to a certain generation determines its own characteristics of the response to stress factors and the development of professional burnout.
    Purpose of the study is to determine the main patterns of occurrence of professional burnout among nurses depending on the generation for development and implementation of targeted prevention methods.
    Materials and methods. A one-stage comparative study was planned and conducted using a specially designed questionnaire, including a burnout questionnaire MBI (Maslach Burnout Inventory) and questions assessing professional performance and socioeconomic status to determine the factors of professional burnout. All nurses were stratified into three generational groups.
    Results. The study involved 2486 nurses. It was found that respondents of all generations were prone to professional burnout, with a high and extremely high degree. At the same time, the third generation was most susceptible to the development of professional burnout, the first was the least. The main predictors of the development of professional burnout in the third generation were: lack of sleep and rest, low salary and large loan payments, excessive work load; in the first – the presence of chronic diseases. The second generation had a smaller percentage of respondents with an extremely high degree of professional burnout, because they were characterized by lower labor intensity, lack of sleep deficit and the highest salary.
    Findings. Thus, prevention measures can be individual for each generation, with considering the differences in predictive and protective factors. While, it is necessary to focus on the youngest, third generation, reinforcing factors preventing the development of professional burnout.

    Authors: Kobyakova O. S. [11] Deev I. A. [8] Kulikov E. S. [2] Levko A. N. [1] Tyufilin D. S. [1] Chigrina V. P. [2] Kononova L. A. [1] Chernov D. Y. [1] Kuzhuget R. A. [1]

    Tags: factors3 generations1 nurses5 prevention17 professional burnout2

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