Articles with tag: «nursing  staff»

    Sociology of health care
  • 2020 № 6 Subjective assessment of satisfaction of mothers of newborns with the attitude of para- medical personnel of obstetric care organizations

    Purpose.   To assess the satisfaction of mothers of newborns with the attitude of paramedical personnel in obstetric care organizations of the metropolis.
    Methods. An anonymous survey of 2949 mothers of newborns was conducted in 4 obstetric care organizations in St. Pe- tersburg. To assess the satisfaction of mothers, the methods recommended by FFOMS were used. Mathematical data pro- cessing was carried out using spreadsheets “MS Office Excel 2010” and the statistical software package PASW STATISTICS. Results. The obstetric care organizations of St. Petersburg have a “high level” of an integral indicator of satisfaction with the attitude of paramedical personnel in providing medical care to newborns (77.4%), which is higher in maternity hospitals than in perinatal centers (integral indicator (78.5% and 75.1%, respectively.) Regardless of the level of organization of obstetric care, mothers were more satisfied with the human qualities of the paramedical staff working with newborns (“high level” on the FFOMS scale). Motors were less satisfied with the amount of time and attention that nurses paid to children (“average level” according to the FFOMS scale). In contrast to maternity hospitals, when assessing the activities of nurses of perinatal centers, 16.7% more mothers were indicated in the rush and insufficient time, and 32 more were indifferent, 3%. Overall, 72.4% of mothers rated the work of secondary medicine the maternity staff of obstetric institutions with newborns was “excellent” and “good” (on av- erage 4.03 ± 0.07 points), but in maternity hospitals the respondents more often rated “good” and less often “satisfactory”. Conclusions. The study showed a high satisfaction of mothers with the attitude of paramedical personnel to newborns in obstetric organizations of a megalopolis, regardless of the level of medical care provided to them. The attitude of nurses in maternity hospitals was rated higher than in perinatal centers.
    Scope   of   the   results. Development of organizational measures aimed at improving the quality of medical services in obstetric care organizations.

    Authors: Moiseeva K.  E. [1] Yuryev V.  K. [1]

    Tags: level of satisfaction1 maternal satisfaction1 newborns1 nursing  staff4 organization of obstetric care1

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  • Personnel management
  • 2019 № 6 Medical staff resources of the Moscow psychiatric service during its reform

    Medical staff resources of the Moscow psychiatric service during its reform. Since 2010, a modernization of the psychiatric service has been carried out in Moscow. Reforms affect both outpatient and inpatient units. An analysis of the staff resources of the service reflects the effectiveness of the reforms. The aim of the study was to improve the quality of psychiatric care based on the analysis of staff resources of the Moscow psychiatric service. The article presents data on the staff resources of the psychiatric service in 2008-2017. During the modernization of the psychiatric service, the number of psychiatrists was at a high level, the provision of psychiatrists to the Moscow population of was higher than the average provision to the Russian Federation. Growth in the number and staffing of ambulatory rates in psychiatric institutions in Moscow in 2015-2017 partially compensated for the decrease in the number and staffing rates in psychiatric hospitals, however, there is currently a staff shortage in the psychiatric service of Moscow, as indicated by the excess of job-sharing coefficients in individual institutions. During the study period, there was a positive change in the number of visits per 1 psychiatrist.

    Authors: Masyakin V. A. [1]

    Tags: community-based  psychiatry2 health care  surveys2 medical staff7 mental  health  services2 nursing  staff4

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  • Management in healthcare
  • 2022 № 10 Features of the organization of work of paramedical personnel of emergency medical care in the conditions of COVID‑19

    In recent years, the ambulance service in our country has been undergoing changes in the direction of reducing the number of stations, medical personnel, as well as persons who have been assisted on trips, which has increased the burden on this healthcare sector in the context of the spread of a new coronavirus infection.
    The purpose of the study is to develop proposals to improve the organization of the work of the ЕMС in the conditions of the spread of a new coronavirus infection.
    Materials and methods. To study the organization of work, information was copied from call cards (n=134 before the
    pandemic, during the pandemic n=2058), the study of the frequency and validity of ЕMС calls was carried out using a developed questionnaire.
    Statistical processing of the material was carried out using the Statistika 10.0 software package. Statistical differences were considered significant at p<0.05.
    Results and discussions. It was found that in the conditions of the spread of a new coronavirus infection, the number of calls and the time spent on their full processing increased, and factors affecting the duration of the call were also identified. In addition, an increase in the number of unreasonable calls was detected and their causes were determined.
    Findings. The developed proposals for improving the work of the ЕMС will reduce time losses when making a call and increase public awareness of the reasons for calling an ambulance

    Authors: Noskova V.  A. [2] Snegireva A. S. [1] Pozdeyeva T. V. [1]

    Tags: ambulance2 call waiting time1 covid-1927 new coronavirus infection2 nursing  staff4 paramedic3 public awareness2 unreasonable call1

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  • Focus of problem
  • 2020 № 6 Pregnant technologies in primary health care in rural doctor’s ambulatory

    The priority state project currently being implemented, “Creating a New Model of a Medical Organization Providing Primary Health Care,” is especially relevant for implementation in hard-to-reach areas. Since rural health care is character- ized by a shortage of personnel, a weak medical and diagnostic base, low material and technical equipment, a low level of development of information technologies, and a large territorial extent. Objective: to evaluate the effectiveness of the implementation of lean manufacturing technologies with the participation of nursing specialists in the work of a medical out- patient clinic. Materials and methods. To determine the directions for the implementation of lean manufacturing methods, a questionnaire was conducted among patients (n = 232). Mapping and visualization, as well as timing of the processes before and after the introduction of organizational measures in two areas of the medical ambulance clinic “Reception of healthy children” and “Reception of patients with acute disease and with exacerbation of chronic.” Results and discussions. In order to eliminate (minimize) the revealed losses, re-planning of the premises was carried out, the functions were redistributed and the working hours of the medical staff were structured, templates-forms of documentation were developed. Conclusion and conclusions. The introduction of organizational measures allowed us to significantly reduce the waiting time for admission of a healthy child on the day of the disease without additional financial costs, as well as to increase patient satisfaction.

    Authors: Pyreva E. V. [1] Noskova V.  A. [2] Pozdeeva T.  V. [4]

    Tags: a  medical outpatient clinic1 a  new  organizational  model1 elimination  of  losses1 general practitioner4 implementation effectiveness.1 lean  technologies2 medical care in hard-to-reach areas1 nursing  staff4 primary health care19

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