Professional retraining on the organization of nursing business throughout Russia. Modern aspects of management, economics of health care What is the organization of nursing

Ministry of Health of the Russian Federation

All-Russian Educational and Methodical Center

on continuous medical and pharmaceutical education

2.16. Provision of prefigure assistance in urgent co-standing.

2.17. Participation in measures to organize the activities of a medical institution in extreme conditions.

3.1. Have access to the information required for quality execution. functional duties Surnery and junior medical personnel.

3.2. Improve the labor organization's system of environment and junior medical personnel based on advanced experience, introducing new technologies.

3.3. Improve the system of assessing the labor of medium and junior medical personnel in new economic conditions.

3.4. To make suggestions to improving the quality of medical care to the population.

3.5. Apply (social impact or disciplition is perceived in oral form, recommend administrative administrations of a medical institution other measures of impact on violations in the work of secondary and junior medical lane.

3.6, apply to the administration to make moral and material promotion of medium and younger medical personnel.

3.7. Participate in the work of professional medical associations.

3.8. Adjust the qualifications and certify on the quality of qualifying categories.

4. Responsibility

A specialist for the non-fulfillment of his professional duties is responsible provided for by the present legislation.

Cycle: "Modern Aspects of Management, Health Economics"

Specialty: "Nursing Organization"

Position: "Main Nurse, Senior Nurse Ambulatory and Polyclinic Institution, in force on the Rights of Departments in theractions and Preventive Institution"

1. T e o p and i

System and health policy in Russian Federation For the protection of public health. Health Development Concepts of the Russian Federation. Primary health care. The role of the main medical sister in the implementation of federal programs for the protection of health of the population. Determination of population health indicators. Analysis of the statis of public health. and analysis of the indicators of the medical and social effects of the activities of medical institutions.

Application of the foundations of office work in the work of the main medical sister of health institutions in the analysis of the activities of the LPU: Analysis of annual statistical reports and per-vicious medical records reflecting the activities of medium and younger medical personnel.

Planning a system of measures for the organization and control of the activities of the nursing service in the outpatient clinical conditions, in the conditions of a specialized staff.

Evaluation of management efficiency. Marketing research and adjustment of the needs of the population in various types of nursing assistance based on the results marketing research, and their implementation in practical healthcare.

Organization of work by personnel planning specialists with secondary medical conjunction, placement, use, training and qualification assessment. Control over the fullness of the nursing process during the passage of production practices.

Management of health material resources. Accounting and material responsibility. Participation of the main medical sister in carrying out the inventory of material values \u200b\u200bin the LPU. Getting, implementing proper storage, accounting, spending and delivery of products containing precious metals.

The rationalization of the labor of the middle medical personnel. Counting the normative number of secondary and junior medical staff.

Drawing up estimates for the main articles. Conducting settlements on expenses. Calculation of the cost of providing medical care,

Analysis of the quality analysis of medium medical personnel.

Infectious control and infectious safety. The role of the main medical sister in the organization and monitoring of the sanitary and epidemiological regime in non-health health facilities, in structural units: control of the quality of processing medical to-mentoring and care objects; In the prevention of professional infection with viral hepatitis and HIV infection and hospital infection of patients.

The role and participation of the main medical sister in the immunoprophylaxis of infectious diseases, in organizing the sanitary and epidemiological regime in identifying particularly hazardous inventories.

The system of organizing the interaction of health care institutions with the agencies of the Sani-Tarn and Epidemiological Profile: for sanitary state LPU, food furniture and bu fette offices.

The role and participation of the main medical sister in the organization of medical support by Nasa-Lenation in emergency situations and catastrophes.

2. PR and K T \u200b\u200band to A.

Planning a system of measures to the prospects for the development of the nursing service of medical institutions using scientific and management approaches to the performance of the quality of nursing assistance to the population.

Analysis of statistical indicators for assessing public health and correction of the needs of the population in various types of nursing assistance, taking into account the analysis data. Analysis of the activities of the medical institution.

Analysis of the shape of annual statistical reports and primary medical records, from the infant activities of medium and junior medical personnel. Control over the right venation of medical records in the structural divisions of the LPU. In practical employments, analyze the performance of the LPU and various forms of annual reports (Note: by results homework or at seminars).

The organization of nursing care for patients based on the nursing process and the implementation of control over the departure of incults patients. In the classes, analyze the nursing stories of the disease.

Organization and control to ensure medical and security, sanitary and epidemiological regimes in a medical facility. In a practical occupation, it is provided for posting a central sterilization, procedural and other hospital units with the next analysis of the results.

Organization of control over sanitation and anti-epidemic work with on-village of medium medical personnel.

Acquaintance with the organization of the work of institutions of a sanitary and epidemiological profile. Implementation of the current and preventive sanitary supervision in the LPU. Control of the sanitary condition of the food, cooking technology, food storage. In a practical lesson with a visit to the food, to carry out a hygienic assessment of ready-made foods, setting the compliance of the diet number cooked dishes. Explore regulations, Reg-laminating activities of dairy kitchens.

Planning a system of measures for organizing the work of the Nursing Service of Ambula-Polyclinic Institutions, specialized hospitals, FAP, health care, emergency and emergency medical care, medical facilities for the health of Mate-Ri and the child.

In practical classes, all educational issues on this section are examined and developed in the respective LPU.

Organization of work on personnel planning of specialists with a medium medical product to improve development and retraining, certification and certification. Con-trace of the implementation of individual professional-job descriptions of sisters-whom and the younger medical personnel. Organization of the production practice of students of collees and schools.

In the lesson, analyze typical errors personnel work, on certification, etc. (note: According to the materials presented attentive to central attestation co-mission, on analyzing audience responses).

Management of material resources of health care, pharmaceutical support of medical institutions; Ruling of the labor of middle and junior medical personnel.

In practical classes, learn questions on obtaining, accounting, storing, use, inventory material values, drugs, explore the regulatory documents. Use and explore the regulatory documents for the operation of medical equipment and equipment, safety and labor protection.

Calculate the number of posts planned for hospitals and clinics. Create estimates on the main articles. Calculate the cost of providing medical care with the priority of labor standards. Evaluate the quality and effectiveness of nursing assistance according to standards.

In practical classes on the basics of medical informatics, explore the principles of the computer, work with the Norton Commander program, with files, editing texts, crash texts, work with spreadsheets. Get acquainted with Asu Pain Nice, Polykli Nicky.

In practical training in medicine, disaster-to develop training activities for medical support of the medical institution; I will give prefigure assistance in emergency situations.

Professional requirements for a specialist "Nursing Case" operating in

Posts Home Nurse, Senior Nurse Ambulatory and Polyclinic Institution,

The existing departments in the medical and prophylactic institution.

(Postplomal training)

Skills

Basics of social hygiene and health care organizations.

Theoretical foundations of nursing business.

System and health care in the Russian Federation.

Basics of therapeutic and pre-lactic assistance to the population.

Health care system.

Fundamentals of legislation and rights in health care.

Organization of planning and economic and financial activities medical institutions in new economic conditions.

Infectious control and infectious safety.

Basics of medical informatics.

The use of a personal electronic computing machine in medicine.

Modern principles of organizing medical support for emergency situations and disasters.

Regional component.

Public health statistics.

Demographics.

Statistical indicators of assessing the activities of health institutions.

Basics of office work.

Health statistics.

Nursing, nursing process.

Medical ethics, bioethics.

The foundations of general and medical psychology.

Priorities for the Development Development Concept of the Russian Federation.

Fundamental documents on the protection of public health.

The foundations of the PMS.

The foundations of the organization of medical care to the urban population in outpatient clinical conditions.

The basics of organizing medical care to the city's population in the conditions of specialized hospitals.

The foundations of the Organization of the Medical and Profi-Lactic Assistance to the Rural Population.

Organization of nursing in medical institutions to protect the health of the mother and child.

The basics of the organization of medical and pre-lactic assistance to children.

Organization of work on medical care workers industrial enterprises.

Organization of the work of ambulance and emergency medical care.

The foundations of the organization of drug abuse, oncological and anti-tuberculosis assistance to the population of the Russian Federation.

Technologies and standards for the implementation of the workshop of the receiving and diagnostic department, the store and procedural sisters.

The foundations of the organization of the operational, toxic and resuscitation department.

The basics of the organization of therapeutic and diet nutrition in medical institutions.

Frame management.

Managing material resources.

Accounting and liability.

Medical appliances and safety equipment in health facilities.

Regulation of the labor of medium medical personnel.

The foundations of the professional and legal regulation of the nursing case, legal liability in the field of health.

Fundamentals of planning and financing of medical institutions in conditions market economy, budget, estimates, pricing and taxation.

Examination of the quality of medical care to the population.

Sanitary and epidemiological regime in LPU.

Processing Medical Products.

Prevention of professional infection with infectious diseases.

Particularly dangerous infections.

Regulatory orders and instructions.

Fundamentals of medical informatics. The principle of operation of the computer, keyboard, external devices.

Working with programs. Editing and printing texts.

Application of PEVM in medicine.

The foundations of medicine disasters.

1. Actual health problems.

2. Summer Regional Health Programs.

3. Independent study of specific sections or, relevant to this region (at the discretion of the methodological association of the School.)

Analyze statistical indicators for assessing public health. To correct the needs of the population in various types of nursing assistance based on the analysis of criteria and indicators of the state of health of the population.

Analyze the indicators of medical and social efficiency activities of medical institutions.

Analyze the forms of annual statistical reports and primary medical records, reflecting the activities of medium and younger medical personnel. Control over the correctness of medical records in the structural divisions of the medical institution.

To organize the introduction of nursing and nursing care based on the nursing process, taking into account the violated human needs, bioethics.

Organize work with the foundations of general and medical psychology, pedagogy; Use communicative communication skills.

Carry out pedagogical and mentoring activities.

Organize the work of medical institutions for restorative treatment and rehabilitation with the implementation of the basic principles of the PMS.

Exercise for sanitary-promotional work with a population of medium medical personnel.

Use scientific and managerial approaches to the organization and improvement of the quality of nursing assistance to the city's population.

Plan a system of measures to the prospects for the development of the nursing service under the conditions of the clinic.

To correct the needs of the population in various types of nursing assistance based on the analysis of criteria and indicators of the state of health of the population.

Control over the correctness of medical records in the structural divisions. Organize population dispensarization.

To receive the population, work with letters and appeals of citizens.

Use the modern office equipment of the Polyclinic activities, introduce a scientific organization of labor to the work of the clinic.

Use regulatory documents regulating the activities of outpatient polyclinic institutions.

Study, use and popularize the best domestic and foreign experience Organizations of nursing in clinical conditions.

Use management functions of planning, organizing and coordinating the work of the middle medical staff hospitals.

Use decision-making documents regulating the activities of hospitals in new economic conditions.

Organize nursing care for patients based on the nursing process.

Organize nursing care for incrypanic patients based on the nursing process.

To own the appliances of nursing manipulations.

Study, use and popularize the domestic and foreign organization of the nursing business in the LPU.

Consultative assistance to medium medical personnel, serving a rural service. Organize control of their activities in all aspects.

Implement the organization and control of the work of the medical staff of the obstetric and gynecological service. Control over compliance with the sanitary-anti-epidemic regime. Organize work on the prevention of in-hospital infection.

Organize work and monitor the work of the middle medical staff of the children's hospital.

Help and control Feldeshru Swells in planning and conducting preventive and medical and wellness work in the industrial site.

Conduct activities for medical and social rehabilitation of patients.

To organize and implement the control of secondary and junior medical personnel of stations (offices) of ambulance and emergency medical care in the timely receipt of information about the patient, the use of modern equipment, transport.

Organize the low-door work of the middle and younger medical personnel of a drug treatment, oncological and anti-tuberculosis service.

Implement the organization and control of the work of the Balatian and Procedure Medical Sitter according to the technology and standards.

Organize the work of secondary and junior medical personnel of the operational and re-viscous and resuscitation branch in accordance with regulatory orders and instructions.

Develop card files dishes. Make a menu, layout menu.

Control compliance with sanitary and hyenic requirements for Food Food Food References.

Identify the causes of food poisoning and introduce prevention measures.

Organize work on personnel planning of specialists with secondary medical education in a medical institution. Organize work on the arrangement, use, training and assessment of the qualifications of medium medical personnel.

To organize work to improve the skills and retraining, development of professional career, certification and certification of medium medical personnel, to provide medical care and consulting nursing and younger medical personnel.

Carry out the control of the basic actions of the nurse passing production work to fulfill the nursing process. Data collection for the nursing history of the disease. Conduct physical examination of patients. Collection of laboratory data. Interpretation of data, assessing their significance, formulating a nursing diagnosis. Determining the needs of the patient, the necessary events. Priority actions. Consultation. Writing a nursing diagnosis.

Rationally use the resources of a medical institution. Use documents regulating the procedure for writing, receiving, accounting, storing, the features of the use and conduct of inventory of material values \u200b\u200bin the LPU. To organize and control the work of the sisters of the home teams.

Use documents regulating the procedure for prescribing, receiving, accounting, storing, using medicines and materials. Implement the proper storage of drugs in the LPU. Organize training and monitor storage, appointment and accounting of narcotic drugs.

Provide therapeutic medical equipment.

Conduct work on labor protection and safety, training classes for medical equipment and equipment.

Calculate the regulatory posts of secondary medical personnel per 1 post of an outpatient reception doctor. Calculate the number of posts planned for one round-the-clock post in hospital institutions. Calculate the number of posts to ensure the work of the round-the-clock post, to ensure the work of the post at night, in the festive and. Calculate the number of posts of medium and younger medical staff in the therapeutic and pediatric compartment, taking into account the 3-power and 2-power system.

Implement professional and legal regulation of the work of medium and younger medical staff.

Use fundamental policy documents regulating the activities of a medical institution. Make a consideration on the main articles. Conduct calculations for each cost of expenses.

Evaluate the quality and effectiveness of nursing care. Compare actual and standard parameters. To analyze the quality of medical care on structural, procedural and efficient analysis.

To organize and monitor work to ensure sanitary and hygienic and sanitary and epidemiological regimes in a medical facility (adoptive department, procedural office, sterilization department, etc.). Organize control over anti-epidemic work with a population of medium medical personnel.

Organize training and control of the prevention of professional infection of medical personnel, the prevention of nosocomial infection.

Teach and carry out control of the knowledge and skills of medical personnel in identifying particularly dangerous infections.

Use electronically computing machines in the activities of the medical institution and in the work of the main medical sister.

To issue basic events in peacetime in case of large accidents, disaster, natural disasters and other extreme situations. Conduct activities to protect the population, patients affected and personnel of medicine service disasters. Proponial assistance in emergency situations. Raise professional knowledge, skills and skills. It will prepare LPU to receive patients with mass catastrophes and accidents.

The role of a nurse manager in the organization of nursing business in the LPU

In modern conditions, when the health care reform began to reform our country, the tasks of the main medical sisters of medical and preventive institutions on the organization of work are immeasurably. nursing staff In accordance with new complex problems solved in reformable health care facilities.

Improving the quality and effectiveness of management activities of the main nurses is possible only on the basis of using modern science On management.

The management of nursing staff is the targeted activity of the heads of the nursing services of therapeutic and preventive institutions (LPU) and their units using various control mechanisms and communication channels to ensure the coordinated, qualified work of nursing staff to provide patients with nursing assistance and quality. Thus, vibulatory-polyclinic institutions should ensure the work of nursing staff in newly organized day hospitals, household hospitals, ambulatory surgery centers, services of general practitioners, etc. Very complex tasks are facing the sister hospital staff after their structural restructuring in the hospital intensive observation, restorative treatment, as well as in hospitals for the treatment of patients with chronic diseases and hospitals of medical and social assistance.

In LPU, the organizational structure of managing nursing staff includes:

subjects of managing nursing staff, i.e., those who are managing nursing staff;

control objects, i.e., nursing personnel managed by control entities;

control mechanisms - various types of management impacts, with which effective management of nursing personnel is ensured and the tasks assigned to him;

Methods and information transmission channels (direct - managerial solutions and reverse - progress information management solutions) between subjects and control objects. Relationships of elements organizational structure The management of nursing staff to solve the problems of nursing business in the LPU can be represented as the following scheme:

3. Management mechanisms

Principles

1. Controls

Sister business

2. Controls

Direct connection Feedback

4. Promotions and information channels

Standards of activity

Official instructions

Check materials

Materials bypass

Statistical reports

Materials raids

As can be seen from this scheme, all four elements of the organizational structure of the management of nursing staff of the LPU are closely interacting with each other for the sake of high quality nursing in the institution.

The constant bilateral communications should be carried out between the subjects and control objects: management entities are brought to managerial management facilities, and management facilities are guided by the subjects of management information, reporting and other information on the implementation of these decisions. The most important obligatory feedback channel of the control facilities with the subjects of the Office is to monitor the progress of management decisions and the effectiveness of sister personnel.

The management mechanisms used by the head of the nursing services allow you to determine the goals of management in relation to the work of this LPU, clarify the main directions (functions) of the management activities of the main medical sisters, carry out management activities based on the most important management principles and are widely used by organizational and administrative, socio-psychological and economic and economic Management methods.

Thus, the organizational structure of the management of nursing staff of the LPU is a complex, interconnected management system, which can successfully function and ensure high quality of nursing in LPU only under the condition effective use All the potential features of each element.

Consider sequentially, which represents each of the elements of the organizational structure of the management of nursing staff of the LPU.

Sister Personnel Management Subjects

nursing Personnel Management

The subjects of the Department of Surst Personnel LPU are the leaders of the nursing services of medical institutions:

main medical sisters or deputy head physicians for work with nursing and junior medical personnel, director of hospitals (houses) of nursing care and hospices.

In recent years, the posts of the main doctors in working with nursing and junior medical personnel were introduced in a number of large LPUs, which contributed to improving the quality of managing nursing staff and raise the authority of the heads of the Nursing Services of the LPU.

As for homes (hospitals) of nursing care and hospices, they are institutions that work mainly medical sisters and junior medical personnel, and, therefore, the leaders of these institutions are also leaders of the nursing services of LPU data. Unfortunately, these very necessary institutions are not clear enough.

The main medical sisters, as well as the main obstetrics and the main paramedics, are the main group of the leaders of the LPU nursing services that carry out management work, primarily the senior medical sisters of the LPU units: senior medical sisters, senior operational nurses, senior midwives, senior paramedics, etc. and provide a strategy for improving a nursing business in the LPU.

In the clinics of the Moscow Medical Academy. THEM. Siechenov introduced the posts of chief medical sisters clinics while maintaining the post of the main medical sister when managing all the clinics, and the posts of senior nurses were also provided in each individual clinic.

In accordance with the nomenclature of the posts of medical and pharmaceutical personnel and specialists with higher professional education in health facilities, the institution's managers include the main nurse. Therefore, the main medical sister is an official of the institution with all the rights and liability arising from here.

A tariff-qualification characteristic to the main medical sister (Appendix 2 to the Decree of the Ministry of Labor of Russia from 27.08.97 N ° 43) It is provided that the Higher need for this post medical education Without presentation of requirements for work experience or secondary medical education and work experience on a profile for at least 5 years.

Order of the Ministry of Health of Russia dated 19.06.97 No. 249 "On the nomenclature of the specialties of the Middle Medical and Pharmaceutical Personnel" found that persons holding the posts of major nurses should have a specialty "Organization of the Nursing Court." This Order approved the Regulation on specialists in the organization of the nursing case (hereinafter referred to as the Regulation) and the qualification characteristic on these specialists.

The regulations specified the requirements for access to work in the specialty "Organization of the Nursing Court". TO professional activity As a specialist in the organization of the nursing case, persons with higher medical education are allowed in the specialty "nursing case" or secondary medical education in the specialty: "Nursing case", "therapeutic case", "obstetric matter" and a certificate with a degree in Nursing Organization " .

In position, along with the general requirements, the obligations, rights and liability of these specialists are detailed, which allows it to be used as a basis for developing job descriptions for major nurses.

Qualifying characteristics on specialists with secondary medical and pharmaceutical education in the specialty "Organization of the Nursing Court" includes a detailed list of general and special knowledge and general skills that these experts must have.

The same requirements are provided for certification and certification of major nurses.

The main medical sister is appointed and dismissed from work by order of the head physician LPU.

To improve the effectiveness of the management activities of the main nurses in a number of major LPUs, the main nurses services have been created. So, the services of the main nurses include t. N. major specialists in certain areas of activity - the main (senior) medical sisters of hospitals on surgery, pediatrics, etc.; on working with store medical sisters, procedural medical sisters, operational medical sisters; For learning nurses and control over their work, etc. In a number of LPU, methodical training rooms were created for training, etc. *

To the subjects of the management of nursing staff, i.e., mainly to the main medical sisters, the following basic requirements are imposed.

When appointed to the position of major medical sisters, it is necessary to take into account their desire to engage in management activities and not appoint to this position contrary to their desire.

Candidates for the posts of major nurses must have a certain complex of personal universal qualities, without which it is impossible to managing people.

Managers must have sufficient professional training In accordance with the requirements of the qualifying characteristics on specialists in the organization of the nursing case and possess detailed information on the activities of the LPU in which they work (or will work).

The main medical sisters should have knowledge of the activities of the Mandatory Medical Insurance Funds (OMS) and especially the requirements for themselves to the LPU.

The effective work of managers is possible only if there is a clearly defined circle of job responsibilities, rights, responsibility and subordination. It is especially important to determine the immediate superiors of the main medical sister who have the right to give her orders and instructions. As a rule, it is advisable to limit them by the Chief Physician, and in his absence - the face replacing it. As for other LPU leaders, the main medical sister must cooperate with them on equal terms, i.e. on partnerships.

The circle of persons obeying the main medical sister should be limited by senior medical sisters (midwife, paramachers, pharmacists).

6. Integrated, systemic, targeted work of major medical sisters, coverage of all topical problems of the activities of the sister staff of the LPU only in the presence of detailed and approved work plans and the regulations of their activities for the month.

Significantly expand their opportunities for the implementation of effective management activities. Intensification of the work of the Council of Medical Sisters and especially the creation of the Office of the Office in the form of the posts of the posts of the main specialists of the LPU in the directions (by surgery, pediatrics, etc., senior medical sisters for training and control, senior ceiling, procedural, Operational, district medical care institutions, etc.), the creation and organization of work of educational and methodical offices, etc. Exceptionally important for the main medical sisters should be considered by the rules of delegation of their routine functions with senior medical sisters and chief specialists.

7. In connection with the work on reforming health - structural restructuring stationary help, the redistribution of stationary amounts of medical care for the outpatient polyclinic level, the development of the network of day hospitals, outpatient surgery centers, advisory-diagnostic centers, the creation of a general practice doctor and other areas of development and transformation of medical services - it is extremely important to intensify the work on the organization and adaptation of Nursing Personnel to work in reformable and transformed LPU.

9. Effective management of the work of nursing staff is possible only under the condition of constant care for them: about their health, labor protection, creating a favorable psychological microclimate in the labor collective, optimization of the load, a convenient work schedule, providing those who want to obtain additional earnings, etc.

10. The leaders of the nursing services should constantly improve their qualifications, study new regulatory materials, the literature on the development of nursing, the experience of the advanced leaders of the nursing services and other LPUs, to introduce their positive experience in their work.

11.Revodiators of the nursing services should strive for leadership in their organizations and influence others in such a way that they effectively work for the achievement of effective nursing care to patients, while subordinates must firmly know that their efforts will be known to the head and he will appreciate them. .

12. In assessment of the effectiveness of the leadership of the names of the nursing services, it is advisable to use the "management grid modified by Blake and Muton. On this lattice, two main criteria are used: the degree of participation of people's interests and the degree of consideration of production interests, and the degree of" care for man "and the degree of care About production "ranked on a scale from 1 to 9.

The control grille of Blake and Muton with an indication of the middle and four extreme positions is shown in the following scheme.

Consider the position indicated on the "lattice" according to the assessment of the heads of the nursing services:

1.1 - Depleted control (fear of poverty) - the manager makes minimal efforts to only avoid dismissal. Such style is essentially impossible to be called leadership, since the leadership of nursing staff is practically not carried out;

9 - Office in the spirit of the country house (home holiday homes) - the head is almost completely focused on creating favorable conditions for subordinates, but practically does not care about improving the effectiveness of the work of nursing staff to ensure that they have a full-fledged nursing care;

1 - Power - Submission (authority - submission) - the head fully ignores the care of subordinates and focuses on ensuring the effectiveness of the work of nursing staff using its authority. This is a very hard management style;

5 - organizational management (organization) - EF-FEETICLY managing his nursing staff and caring for subordinates, the head of the nursing services reaches both the acceptable quality of nursing assistance to patients and a favorable moral and psychological climate in the labor collective and satisfaction of subordinate concern about them;

9.9 - Group control (team) is the most effective style of leadership, because thanks to the enhanced attention to subordinate, care about them and ensuring the effective guidance of nursing staff, the head seeks that the subordinates are deliberately involved in the execution of LPU objectives and provide effective nursing care for patients. This leadership style also provides an excellent moral and psychological climate in the labor collective and satisfaction of subordinates to the constant concern for them managers.

Consequently, each head of the nursing services should strive to the management style, relevant positions 5.5 and 9.9. In "The same time, the styles of the leadership corresponding to the positions 1.1, 1.9 and 9.1 are unacceptable for the leaders of the nursing services, which should take note of the first leaders of the LPU.

The specified criteria for the "management grid" are advisable to use and to assess the style of leadership of senior nurses.

13. Effective managerial activity of the heads of the sister services of the LPU is possible only on the condition that the first leaders of therapeutic and preventive institutions will fully support the main nurses in their efforts to develop nursing in the LPU and skillfully correct their work. It is very important that the leaders of nursing personnel have created optimal conditions for work: convenient work premises, reliable communication with all LPU services, personal computers and the necessary office equipment, decent wages, etc.

Surnery Human Resources Management Objects

The objects of the management of nursing and junior medical personnel include posts of Middle Medical and Pharmaceutical Personnel, Junior Medical and Pharmaceutical Personnel, listed in the Nomenclature of medical and pharmaceutical personnel and specialists with higher professional education in health facilities *.

In a number of LPU, along with those listed, new positions appeared: medical sisters - patient care consultants, medical coordinators, medical sisters of day hospitals, etc.

In recent years, special services for analysis and accounting of work with insured for OMS are created in the LPU, where medical sisters are larger and difficult work. medical statistics and medical recorders.

Operational departments (dispatching services) are organized in a series of LPU, where medical recorders and medical sisters are successfully operating.

1. Employees engaged in the positions of secondary medical and pharmaceutical personnel should have an appropriate education confirmed by a state-owned diploma, a specialist certificate and, preferably, the certification category.

2. Employees should clearly know their job responsibilities, rights and responsibility.

Employees must perform nursing manipulations in exact accordance with the standards of activities approved in the prescribed manner and communicated to the attention of employees.

The load of workers, established by the head of the institution, must comply with the physiological possibilities of workers to fulfill their duties.

For workers, it is necessary to create favorable conditions: to make optimal schedules of work and vacations; provide them with small labor mechanization; Create dispatching (operational) and transport (intease) services; introduce courier posts at the institution; organize a centralized drug service (CCN); Introduce a unified computer network that combines automated jobs (AWP); Effectively organize the work of the centralized sterilization department (CSO) and other services that provide assistance primarily by secondary medical professionals of therapeutic departments. It is especially important to introduce in institutions the most important principle of organization of work: All LPU services work for the maximum satisfaction of the needs of therapeutic offices. "

It is necessary to provide employees safe working conditions, protect their health, etc.

It is extremely important that the leaders use all the available capabilities of the current legislation for decent wages of workers (raising, surcharges, surcharges, bonuses, use of MHM, etc.).

The most important collateral factor efficient work Medium-sized medical and pharmaceutical workers - the creation of conditions for the continuous increase in their qualifications, self-training, certification and certification, as well as the inclusion of the best and promising workers in the reserve of personnel to replace the positions of managers and other positions most important for the nursing office.

Literature:

1. Heifets A.S. Article "Management activities of the main medical sisters of hospitals to monitor the work of nursing and junior medical personnel." -Fire medical sister, 2000, №1, p. 29; №2, p.7.

2. Articles: L.V. Spin and G.I. Panasyuk (Main Medical Sister, 2000, №0, p. 41-43); N.D. Lada and J.V. Yun (Main Medical Sister, 2000 №1, p. 41-43); T.I. Karev and M.G. Leusin (Main Medical Sister, 2000, №1, p.44-47).

Meson M., Albert M., Cheutori F. Management Basics / Per. from English - M.: Case LTD, 1944, p. 493 - 498.

Associate Professor of the Department of Public Health and Health, Ph.D. T.V. Matvechik Minsk 2010.

Slide 3.

Milestones of the development of the nursing profession

1966 - the decision of the WHO experts on the development of professional thinking of the sister necessary to make independent decisions; 1977 - ILO adopts the Convention "On Nursing History" (the need for Higher Nursing Education; 1979 - Ratification of the USSR of the ILO Convention; 1989 - the All-Union Meeting decides on the organization of higher nursing education; 1999 - the beginning of the preparation of sisters with higher education in Grodno State Medical University; 2001 - Creating a course "Organization of a nursing case" in Belmapo.

Slide 5.

Map achieves the activities of the course "Organization of the Nursing Court"

The work of 3 courses "School of Senior Nurse" were organized by 7 republican conferences, seminars, readings were published 19 benefits, 7 instructions, production standard 3 master class on health ideology was developed by 5 special mortgage programs were trained 1187 Nursing Organizers and 48 teachers Colleges conducted and published 4 medical and sociological studies provided assistance to practical health care in the form of conferences and individual counseling Cooperation with the Belarusian Orthodox Church (4 conferences, 3 exhibition fairs, 3 charitable shares) in the year of health (2008) 4 republican meetings were organized 5 round tables

Slide 6.

Share of medium medical personnel in Health Organizations (2008)

Slide 7.

Features of the formation of the XXI century (under the motto of UNESCO: all professions - Higher education)

commercialization of education and educational services Administrative political requirements for the transition to Bologna agreements The tendency to preserve the established traditions of education The need to transition to remote learning

Slide 8.

Objectives for continuous self-development of a medical sister with higher education

Increased requirements for the level of intellectual abilities of specialists, the formation of sustainable motivation for learning throughout life. Creating synergistic training relationships (through training conferences on the main problems of practical healthcare). Building a model for generating knowledge, their distribution and efficient use in constantly changing circumstances. Creating conditions for the best use of intellectual property, increasing prestige and decent labor assessment. Formation of the intellectual property market through the promotion of their embodiment in the results of new medical technologies and services of the creative-based model of the focused development of individual properties of the individual

Slide 9.

Quote A.Einstein

If you want to change something small in your life, changing the attitude, but if you need big changes - thinking.

Slide 10.

Republican Conference March 26, 2010 "Problems, condition and prospects in organizing the work of the BSU"

Slide 11.

Message from the President of the Belarusian people and the National Assembly (2010)

The main landmark in all areas of activity is quality. The quality of products manufactured and services provided. Quality management. And the most important thing is the quality of people's life ... We have a general state priority and health care.

Slide 12.

"It is necessary to form a common culture of quality in the country. To bring up our people a steady desire to live qualitatively, to work, learn, fulfill the responsibilities assigned to them. This should draw a way of life! Because quality begins with a specific person, with each of us - our qualifications, responsibility. "

Slide 13.

Thank you for attention!

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Samara State Medical University

Department of nursing business

abstract

on the topic: "Development of a nursing case on modern stage”

Performed:

faculty student

NDO 186 groups

Barinova Julia Yuryevna

Checked:

Caraseva Larisa Arkadyevna

Syzran 2000 year

Plan

I. Introduction

II.Nursing program.

1. The basic concepts used in the program.

2. Terms and stages of the program implementation.

3. Resource Program.

4. Organization of program management and control over its implementation.

III.Contents of the program.

1. The main tasks of the program.

2. Program principles.

3. The main activities of the nursing staff.

IV. Improving the organization of the work of nursing staff.

V.Improving personnel policy.

Vi.Improving vocational education and development scientific research in nursing business

VII.Development of professional associations, associations and unions.

VIII.The mechanism for implementing the program.

IX.Conclusion.

The development of nursing business at the present stage.

In the near past, the care of the patients was treated as to the type of activity that you do not need a lot of specially learning

I will consider how the official Soviet ideology interpreted the concept of "medical sister" and "care for patients". These definitions, on the one hand, demonstrated the attitude of society to the activities and status of nurses, and, on the other hand, formed it. Thus, in the Decree of Naroscharava (1927) it was said: "The average health worker should be only an assistant doctor, to work according to his instructions and under his supervision, should be quite ready for the fulfillment of all procedures appointed by the doctor, and possess exactly developed technical skills."

In the popular medical encyclopedia 1963, the nurse says this: "The face of secondary medical qualifications, working under the guidance of a doctor and performing its appointments and some procedures"; Brief Medical Encyclopedia 1994 G. Defines a nurse as a "specialist with a middle medical education, working under the guidance of a doctor in the LPU."

In 1993, the basic principles of the philosophy of nursing in Russia were first formulated, according to which the nurse is "a professional education specialist who shares the philosophy of nursing and having the right to nursing work. It acts both independently and in collaboration with other professional Health workers. " First, in educational institutions, and then the concepts of "sister process", "sister diagnosis", "nursing history", "patient's" need for medical process began to be considered in medical and prophylactic.

Nursing Development Program

The state program for the development of nursing in the Russian Federation was developed in accordance with the order of the Ministry of Health of the Russian Federation of 31.12.97 No. 390 "On measures to improve the nursing case in the Russian Federation".

Currently, it became apparent that the complex of adverse demographic, socio-economic, political and environmental factors arising in recent years in the country was extremely negatively affected by the state of public health.

Increased demand for medical services occurs against the background of an increasing deficit of material and financial resources. The size of health financing from budgets of all levels and at the expense of compulsory health insurance facilities cannot provide the population with publicly available free medical help.

In the current situation, nursing staff, which constitutes the largest category of health workers, and services provided to them are considered as a valuable health care resource to meet the needs of the population in an affordable, acceptable and cost-effective medical care.

The reform of nursing education conducted in the country under the leadership of the Ministry of Health gave specific results expressed in the creation of a multi-level system of preparing the sister personnel, improving the quality of vocational education, for the first time in Russia, specialists were trained with senior nursing education.

At the same time lack legal basis The activities of Nursing Specialists, the mechanisms of its regulation, funds and methods of social protection and motivation of qualified personnel are left declared, but to the present and not implemented by the need for practical health care in the use of the existing nursing potential. The industry maintains a significant personnel imbalance in the ratio between doctors and nursing staff, the outflow of qualified

nursing Frames public institutions Health, increases load, personnel dissatisfaction and social tensions.

In this regard, there is an extreme need for thoughtful state Program Reform and development of nursing. The program should be based on the real conditions and opportunities of state and municipal health. The main directions, approaches and principles laid down in the program should serve as a guideline for software and other managerial actions at the regional and local levels.

The basic concepts used in the program:

Nursing business The component of the health care system, which includes health promotion, prevention of diseases, the provision of psychosocial assistance and care to persons with physical and (or) mental illness, as well as disabled all age groups. The nursing case covers the physical, intellectual and social aspects of life to the extent that they affect the health, the occurrence of disease, disability and death.

Such assistance should be provided with nursing staff in health facilities and any other institutions, as well as at home, in other words, wherever there is a need for it.

Nursing staff - These are employees with medical education in the specialties of Nursing, obstetric, therapeutic business (Feldsher qualification) and admitted to professional activities in the prescribed manner.

A variety of functions that sister personnel performs, requires an understanding of the factors affecting health, causes of diseases, methods of their treatment and rehabilitation, as well as environmental, social and political conditions in which medical care is carried out and is functioning a health care system.

Terms and stages of the program implementation

To ensure the sequence in the implementation of the main directions of the Program, the work on its implementation will be carried out in stages in 1998-2005.

First stage - 1998-2000. includes the preparation of priority, urgent events (the creation of the regulatory and legal

technical and organizational base) to implement the program.

The second stage is 2001-2005 Includes the implementation of cost-effective forms and methods of work of nursing services in the health system of the Russian Federation.

Program resource provision

The program is implemented at the expense of the federal budget, the funds of the budgets of the constituent entities of the Russian Federation and the extrabudgetary sources attracted to its implementation, which are not contrary to the existing legislation.

Financial support for the solution of issues in joint ventures of the Russian Federation and its subjects is mainly due to the budgets of the constituent entities of the Russian Federation.

Organization of program management and control over its implementation

Management and control over the implementation of the program is carried out by the Ministry of Health of the Russian Federation. The main directions and provisions of the program are clarified annually and are monitored, based on the course of its implementation and the effectiveness of the use of funds.

Evaluation of the effectiveness of medical and social and economic consequences from the implementation of the program

The medical and social and economic efficiency of the program will be assessed, based on the performance and quality of the work of the nursing services of the nursing staff of health care institutions, education and social protection of the population, as well as their structural divisions, during the implementation of the main directions, provisions and activities of the program.

Decree of the Government of the Russian Federation dated 05.11.97 No. 1387 "On measures for stabilization and development of health and medical science in the Russian Federation" provides for the implementation of reforms aimed at improving the quality, availability and economic efficiency of medical care to the population in the context of forming market relations.

Important role In health reform, ensuring the availability and quality of the services provided to the population, strengthening preventivecy, the solution of the problems of medical and social assistance is given to specialists who have a secondary medical and higher sister education and the components of the largest category of health workers.

For the rational and efficient use of the existing personnel nursing potential, the formation of state policies in the field of nursing and the increase in the responsibility of the authorities of all levels for its implementation is acquired.

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GBOU SPO "Volgograd Medical College".

Abstract on discipline

Legal support of professional activities

On the topic: "Organization of the nursing case"

Fulfilled the student group m 33

Asscin Evgeny

Checked Mochkina K.A.

Volgograd 2015 year.

Introduction

1. History of SD

2. SD in Russia and other countries

3. Prospects for the development of SD

4. Nurse Responsibilities

5. Organization of health care

Conclusion

Introduction

nursing Medicine Patient Qualification

Currently in the health care of the majority developed countries The sister system is considered as an independent area of \u200b\u200bmedicine. Nursing Specialists Along with other specialists, doctors work within the interdisciplinary brigade. The term "nursing activity" itself was proposed to WHO to indicate the activities of a numerous group of medical workers who perform the functions of nurses. This professional group It is the most numerous category of medical workers. It makes a significant contribution to the conservation of public health. In many cases, medical sisters are the first and last, and sometimes the only binding link connecting the patient with the healthcare system. Nursing activity is increasingly beginning to be treated as one of the most economic resources for the provision of health services and, in particular, in such areas as public health and primary health care system.

History of nursing activities

Florence Nangel, the first research and foundation of the modern nursing business, made a coup in the public consciousness and in views on the role and place of a medical sister in the protection of society.

For the first time, allocating two areas in nursing business - care for sick and care for healthy people, she determined the care of healthy as "a person's maintenance of such a state, in which the disease does not occur", care for patients as "help suffering from illness to live the most complete Life brings satisfaction. " For the first time in history, she applied scientific methods in solving the problems of nursing.

In Russia, the sisters of mercy for the first time appeared during the Crimean War of 1854-1855 in a besieged Sevastopol, and will even argue that their appearance is connected with the name of the Great Russian Surgeon Nikolai Ivanovich Pirogov. But this will be not quite a right statement, for its advent of the Institute of Mercy, the Institute of Mercy is obliged not so much a piercing as one wonderful woman, once very famous, and now, unfortunately, very rarely remembered, - Great Princess Elena Pavlovna.

In 1856, at the request of all the same Elena Pavlovna, the medal was minted for awarding the specially distinguished sisters of the Cross-Promotional Community.

Nursing activities in Russia and in other countries

To date, nursing activity is very relevant, since there are problems that the fulfillment of which will continue to change the existing situation in the nursing case, as an integral part of the organizational health technology aimed at solving the problems of individual and public health of the population in today's complex and rapid conditions.

Nursing staff, today the largest category of medical workers and services they provide are considered as a valuable industry resource to meet the needs of the population in affordable and cost-effective medical care. But for a number of reasons, there is an outflow of sister personnel, the load on the remaining nursing staff increases, its dissatisfaction and social tensions are growing. Medical sisters are in an extremely serious position. For many years, the meaning of nursing business in our country is underestimated. The nurse was considered only as a doctor's technical assistant, and not as an independent specialist who could estimate the patient's condition and to provide qualified assistance within its competence. This was the reason for the fall in the prestige of this profession, a low payment of this work is added here. Currently, the following factors were added to this:

1. New technologies in health care, new methods of diagnosis and treatment (conditions close to competitive), increased demands on the quality of nursing care.

2. Actual reduction in financing size and a change in its principles (with orientation on the volume and quality of medical care).

3. Disappearance of the population with the quality of medical care to specialists of various levels, including sister care for sickness.

4. Lack of nursing personnel.

5. The need to raise the prestige of the medical sisters (independent support of certain activities, fully responsible for their final result).

6. Sophisticated medical and social and demographic situation (ease of population, a large percentage of chronic diseases, etc.)

7. Managing the activities of the institution that does not correspond to the realities of time.

Decree of the Government of the Russian Federation of 05.11.97 No. 1387 "On measures to stabilize and develop health and medical science in the Russian Federation" provides for the implementation of reform aimed at improving the quality, availability and economic efficiency of medical care to the population in the context of the formation of market relations. An important role in the reform of health care, ensuring the availability and quality of the services provided to the population, strengthening preventivecy, the decision of the problems of medical and social assistance is given to specialists who have a secondary medical education, an increased level of education and higher medical education in the specialty "Nursing case" and the most numerous category Health workers.

Prospects for the development of nursing activities, oriented to the needs of the patient.

In organizing and providing nursing activities, significant changes have occurred, which influenced the quality of the provision and provision of medical services. These changes are:

adoption of the laws on nursing business (determining the autonomy of the profession, responsibility and competence, place in the health care system);

recognition of the nursing process as a standard of practical activity of a medical sister (which ensured continuity and systematics in working with the patient, given its individual needs, the introduction of nursing documentation (sister map of interventions), analysis and reporting of nursing labor;

changes in the education of nursing specialists;

development of a quality and control system;

development of scientific research in nursing business.

Thus, after the organization of nursing activities, there are significant changes in the role of nursing staff to meet the needs of the population in health, as the medical sister is 45% of its working time, spends to work with patients using professional knowledge and skills in psychology and communication, management and communication leadership, etc. In fact, sensitivity and attentiveness in relation to the needs of the patient from each medical worker will help achieve success in improving the condition of the patient.

Order of the Ministry of Health and social Development Of the Russian Federation (Ministry of Health and Social Development of Russia) of July 23, 2010 N 541n Moscow

"On approval of the Unified qualifying reference book Positions of managers, specialists and employees, section "Qualification characteristics of posts of workers in the field of health care"

Nurse

Official duties. Promotional medical care provides a fence of biological materials for laboratory research. Carries out care for patients in a medical organization and at home. Carries out the sterilization of medical instruments, dressing agents and objects of patients. Assists when conducting a physician-diagnostic manipulation and small operations in outpatient and stationary conditions. It prepares patients to various types of research, procedures, operations, to the ambulatory reception of the doctor. Provides medical appointments. Carriage, storage, use of medicines and ethyl alcohol. Leads personal accounting, information (computer) database of the health status of the serviced population. Manages the activities of junior medical personnel. Leads medical records. Sanitary and educational work among patients and their relatives to strengthen the health and prevention of diseases, propaganda healthy image Life. Carries out the collection and disposal of medical waste. Performs measures to comply with the sanitary and hygienic regime, the rules of asepsis and antiseptics, the conditions for the sterilization of tools and materials, prevention of post-section complications, hepatitis, HIV infection.

Must know: laws and other regulatory legal acts of the Russian Federation in the field of health care; theoretical foundations of nursing business; Basics of therapeutic and diagnostic process, disease prevention, healthy lifestyle propaganda; rules of operation of medical instruments and equipment; statistical indicators characterizing the health of the population and the activities of medical organizations; Rules for collecting, storing and removing waste medical organizations; the foundations of the functioning of budget and insured medicine and voluntary health insurance; Fundamentals of valeology and sorenologies; Fundamentals of dietology; Basics of clinicalization, social significance of diseases; Basics of medicine disasters; rules for conducting accounting and reporting documentation of the structural unit, the main types of medical records; medical ethics; psychology of professional communication; Basics of labor legislation; The rules of the internal labor regulation; Rules for labor protection and fire safety.

Requirements for qualifications. Average professional education By the specialty "Therapeutic case", "obstetric matter", "nursing case" and a specialist certificate of a specialty "Nursing", "General practice", "Nursing in pediatrics" without presentation of work on experience.

Senior medical sister - secondary vocational education (elevated) in the specialty "Therapeutic case", "obstetric matter", "nursing" and a certificate of a specialist in the specialty "Nursing case", "general practice", "nursing in pediatrics" without presentation Performance requirements.

Article 29. Organization of health health

1. The organization of health is carried out by:

1) state regulation in the field of health, including regulatory legal regulation;

2) developing and implementing measures to prevent the emergence and dissemination of diseases, including socially significant diseases and diseases that are dangerous to others, and to form a healthy lifestyle of the population;

3) organization of first aid, all types of medical care, including citizens suffering from socially significant diseases, diseases of danger to others, rare (orphan) diseases;

4) ensuring the sanitary and epidemiological well-being of the population;

5) providing certain categories of citizens of the Russian Federation by drugs, medical products and specialized products medical nutrition in accordance with the legislation of the Russian Federation;

6) management of health care based on state regulation, as well as self-regulation carried out in accordance with federal law.

Conclusion

The purpose of the development of nursing is Improving the quality of nursing assistance through rational use of the potential of nursing staff, providing improving the quality and life expectancy of the population, contributing to patient satisfaction with the quality of medical services, their availability and efficiency.

As noted in the concept of development of the health care system in the Russian Federation until 2020, the effective functioning of the health system is determined by the main system-forming factors:

· Improving the organizational system to ensure the formation of a healthy lifestyle and providing high-quality free medical care to all citizens of the Russian Federation (within the framework of state guarantees);

· Development of health infrastructure and resource support, which includes financial, logistical and technological equipment of medical institutions based on innovative approaches and standardization principle;

· The presence of a sufficient number of prepared medical personnel capable of solving the tasks assigned to the health of the Russian Federation.

An important role in health reform, ensuring the availability of medical care, strengthening preventivecy, solving medical and social assistance tasks belongs to specialists with secondary medical education.

Bibliography

1. "Constitution of the Russian Federation"

2. Federal Law "Fundamentals of the legislation of the Russian Federation on the protection of citizens' health" of 07.22.1993

3. http://sneek.ru/

4. http://www.rg.ru/

5. http://www.sisterflo.ru/

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Quote A.Einstein

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