2020 № 3 Planning working time in the activities of heads of nursing services
The article presents the results of the analysis of the practice of using working time by the heads of nursing services of outpatient medical organizations providing primary health care. The data obtained will help the chief and senior nurses of health organizations to optimize professional activities in the management of nursing personnel by improving the organization of work processes and increasing the effectiveness of nursing work. Given the fact that organizational problems that impede the rationalization of managerial work, identified during the study, are mostly universal, the proposed recommendations can be used in the management of managers – health managers of any level and profile of medical activity working in state and non-state medical organizations any legal form.
2021 № 4 PROFESSIONAL BURNOUT OF NURSES: FEATURES OF GENERATIONS
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.
2017 № 4 Human resources as the main resource for ensuring access to health care
The calculation of the ratio of the population to one medical worker by federal districts and Russian regions is presented. This criterion provides visibility and relevance in assessing the accessibility of health care and social status of regions. The ranking method was used for typification of territories and regional ratings were determined
2015 № 4 Administrative and legal principals for converting hospital nurses into cleaning personnel of manufacturing or office premises
Requirements of «May» Orders issued by the Russian President force institutions not only search for additional funds but also optimize the structure of institutions and cut expenses. One of the possible solutions — is to convert nurses into a cleaning personnel. The article represents an analysis of labour legislation and other normative acts, related to the issue of converting hospital nurses into a cleaning personnel.
2020 № 10 Analysis of practical experience in development and implementation of standard operating procedures in the activity of medical personnel
Innovative technologies use in the daily nurse practice makes their work more professional, comfortable, ensures safety and convenience of performing basic professional duties, reduces labor costs, and allows to quickly and efficiently ensure the implementation of new diagnostic and treatment process.
Aim: analysis of the experience in the development and implementation of SOPs for nurses for 2018–2019. in Central
City Clinical Hospital № 6, Yekaterinburg.
Methods. The work analyzed reporting documents (SOP implementation logs for each subdivision of Central City Clinical Hospital № 6, Yekaterinburg during 2018–2019 period), characterizing the number, type of developed SOPs, depending on their purpose, the timing of their implementation.
Results. During 2018–2019 period there have been all main nomenclatures SOPs developed and implemented into the
nursing practice. The main stages of the development of SOPs are analyzed, illustrative examples are given. Encountered by the staff of the medical institution SOPs development and implementation related difficulties are discussed. Main prospective activity directions in the field are determined.
Conclusion. On the basis of municipal Central City Clinical Hospital № 6, Yekaterinburg, SOPs development and implementation for various types of nursing activities have been successfully carried out.