Aleksandrova O.A., Yarasheva A.V., Nenakhova Yu.S. Professional training of nurses for medical organizations in the capital: problems and solutions. Problemy sotsialnoi gigieny, zdravookhraneniya I istorii meditsiny. 2020. 28 (Special edition): 680-686.

Abstract

The current stage of development of health systems is characterized by an increasing role of specialists with secondary medical and higher (nursing) education, which imposes additional requirements on their medical, pedagogical, psychological and technical knowledge and skills. The article presents the results of a study implemented in 2019 on the development of medical personnel in the capital's healthcare system. One of the research methods was an expert survey in the form of a series of in-depth structured interviews with the leadership of medical colleges, universities and institutions of additional professional education (N = 15), the scenario of which included blocks of questions regarding the main determinants of the quality of training of nursing staff and bachelors in the direction of Nursing, as well as ideas for introducing the capital standard of a nurse. The analysis of the information obtained made it possible to identify a number of problems and directions for their solution: at the college level, this is, first of all, poor-quality production practice, which is due to the overload of medical staff and, in general, not serious attitude to trainees, as well as insufficient communication training of future nurses; in the case of undergraduate studies, the main problems are related to students who have gone to university just after school, who have a poor idea of their future profession and are poorly motivated to study in condition when courses that dedicated to studying nursing medical skills, initially aimed at a more professionally trained contingent, have been significantly reduced. Experts, who support the idea of expanding the functions of nurses, the main obstacles to its implementation see in the stereotypes that the chief physicians and the medical community as a whole have about the purely secondary role of the nursing staff, as well as the corresponding attitudes of the nurses themselves. Regarding the standard of the capital's nurse, experts agree that the main emphasis should be on the development of universal competencies, attention to deontological and ethical issues. The current stage of development of health systems is characterized by an increasing role of specialistswith secondary medical and higher (nursing) education, which imposes additional requirements on their medical, pedagogical,psychological and technical knowledge and skills. The article presents the results of a study implemented in 2019 on thedevelopment of medical personnel in the capital's healthcare system. One of the research methods was an expert survey in theform of a series of in-depth structured interviews with the leadership of medical colleges, universities and institutions ofadditional professional education (N = 15), the scenario of which included blocks of questions regarding the maindeterminants of the quality of training of nursing staff and bachelors in the direction of Nursing, as well as ideas forintroducing the capital standard of a nurse. The analysis of the information obtained made it possible to identify a number ofproblems and directions for their solution: at the college level, this is, first of all, poor-quality production practice, which isdue to the overload of medical staff and, in general, not serious attitude to trainees, as well as insufficient communicationtraining of future nurses; in the case of undergraduate studies, the main problems are related to students who have gone touniversity just after school, who have a poor idea of their future profession and are poorly motivated to study in conditionwhen courses that dedicated to studying nursing medical skills, initially aimed at a more professionally trained contingent,have been significantly reduced. Experts, who support the idea of expanding the functions of nurses, the main obstacles to itsimplementation see in the stereotypes that the chief physicians and the medical community as a whole have about the purelysecondary role of the nursing staff, as well as the corresponding attitudes of the nurses themselves. Regarding the standard ofthe capital's nurse, experts agree that the main emphasis should be on the development of universal competencies, attention todeontological and ethical issues.