Aksenova E.I., Aleksandrova O.A., Yarasheva A.V., Nenakhova Yu.S. Prospects for implementing a new nurse model in the capital healthcare: expected effects and possible risks. Zdravookhranenie Rossiiskoi Federatsii (Health Care of the Russian Federation, Russian journal), 2020, Vol. 64, No. 5, pp. 236−242.

Abstract

Increasing the role of nurses is one of the key trends supported by WHO and proven to be effective in a number of countries. Russia is also moving along this path: the relevant documents have been adopted, an experiment is underway in the pilot regions, and in 2020 further scaling of the new model of the nurse has been announced. The aim of the study. Analysis of readiness to expand the functions of a nurse. Methodology. Content analysis of the information context dedicated to the implementation of the idea of expanding the functions of nurses; studying the experience of pilot regions; sociological research in the form of a mass survey of nurses and doctors, as well as a series of expert interviews. Results. At the level of an abstract idea, the expansion of the functions of nurses is welcomed by the majority of doctors and experts, but the possibility of its successful implementation in the current conditions raises serious doubts; the same applies to the prospects for achieving the declared goals - increasing the role of nurses and improving the quality of medical care. Discussion. There is both the noticeable interest of the medical community in this issue and the problems of an informational, organizational, technical, socio-psychological nature that can reduce the effect of the reform. Informational gaps or ambiguity in understanding the essence of the innovation by different groups of medical workers, as well as a range of concerns that exist in both the nursing and medical communities, were identified. The functions that can be transferred to nurses, as well as the conditions necessary for this, are considered. Conclusion. A serious professional analysis of the opportunities and risks contained in the new reform is required: various areas of medical activity have their own specifics, without which the innovation can cause an acute negative reaction and a noticeable outflow of nursing staff from the capital's medical organizations. Increasing the role of nurses is one of the key trends supported by WHO and proven to be effectivein a number of countries. Russia is also moving along this path: the relevant documents have beenadopted, an experiment is underway in the pilot regions, and in 2020 further scaling of the newmodel of the nurse has been announced.The aim of the study. Analysis of readiness to expand the functions of a nurse. Methodology. Content analysis of the information context dedicated to the implementation of theidea of expanding the functions of nurses; studying the experience of pilot regions; sociologicalresearch in the form of a mass survey of nurses and doctors, as well as a series of expert interviews. Results. At the level of an abstract idea, the expansion of the functions of nurses is welcomed bythe majority of doctors and experts, but the possibility of its successful implementation in thecurrent conditions raises serious doubts; the same applies to the prospects for achieving the declaredgoals - increasing the role of nurses and improving the quality of medical care. Discussion. There is both the noticeable interest of the medical community in this issue and theproblems of an informational, organizational, technical, socio-psychological nature that can reducethe effect of the reform. Informational gaps or ambiguity in understanding the essence of theinnovation by different groups of medical workers, as well as a range of concerns that exist in boththe nursing and medical communities, were identified. The functions that can be transferred tonurses, as well as the conditions necessary for this, are considered. Conclusion. A serious professional analysis of the opportunities and risks contained in the newreform is required: various areas of medical activity have their own specifics, without which theinnovation can cause an acute negative reaction and a noticeable outflow of nursing staff from thecapital's medical organizations.