IMPROVING THE SYSTEM FOR RETRAINING NURSING STAFF
Abstract
Background: The Ministry of Health of the Republic of Kazakhstan (hereinafter - the Ministry of Health of the Republic of Kazakhstan) has identified the reform of nursing as one of the strategic goals for the future. The need for a highly qualified nursing workforce with globally recognized competencies was identified as the main goal. To achieve this goal, training of nurses at the level of higher and post-secondary education is necessary. At the same time, the health care system as a whole suffers from an imbalance of medical personnel, ineffective use of nursing personnel in practical health care. The real staff disparity between nursing staff and doctors is accompanied by interconnected negative trends: - an increase in the share of medical services in medical activities that do not require medical qualifications, but which are to be carried out by well-trained nursing staff; technical work that often does not require professional training.
Methods: In the Republic, the issues of introducing electronic primary forms of nursing documentation are relevant and should be considered as structuring nursing records / classification for nursing practice and as a strategy for improving the quality of patient care. In addition, the success of the implementation of the tasks in terms of the introduction of primary forms of nursing documentation in the Republic depends not only on the heads of nursing services, but also on the heads of medical organizations (chief doctors). Today, chief nurses / deputies for nursing work in an environment of deep contradictions, when in practice outdated stereotypical approaches to nursing staff prevail. In addition, the nurses are faced with the implementation of the Comprehensive Nursing Development Plan in the Republic of Kazakhstan until 2025.
Results: From June 1, 2019, within the framework of the contract between the Ministry of Health of the Republic of Kazakhstan and the ALE "Union of Medical Colleges" (hereinafter - the Contract), the implementation of activities of subproject 1.3 "Development and implementation of a new nursing service management system in practical health care organizations" of the Project "Social Medical insurance ”“ Development of the professional environment of nursing specialists and improvement of the nursing retraining system ”(hereinafter referred to as the Project).
- A monitoring visit by key experts to 31 pilot medical organizations in 7 regions of the Republic of Kazakhstan was organized and conducted in accordance with the order of the Minister of Health of the Republic of Kazakhstan No. 419 dated July 4, 2018 "On the implementation of a pilot project to introduce a new model of nursing service in health care organizations." Based on the results, clear recommendations were presented in the form of an analytical note, the implementation of which is mandatory.
Conclusions: The introduction of nursing documentation into pilot medical organizations makes it possible to systematize the work of nurses, following an agreed algorithm of actions. The expanded functionality of nurses will reduce the burden on the medical staff and be responsible for the nursing services provided.
