The Necessity of Forming Professional Palliative Competences in Future Nurses

Author(s):  
E. Plotnikova

The article reflects the problem associated with the need to train nursing specialists to provide professional palliative medical care (PMC) in the context of innovative development of society. The article describes the problems associated with the development of the legal framework of the PMC in Russia, which regulates educational activities. At the same time, the purpose of vocational education is to train not only a competent specialist who is able to solve professional problems, but also a specialist who has personal qualities (ethical, spiritual), who is able to solve personal and social problems.

2020 ◽  
pp. 23-33
Author(s):  
Sergey Romanov ◽  
Sergey Zhukov ◽  
Svetlana Dzyubak

The article is devoted to the problems of providing medical care in outpatient settings to patients who have undergone organ transplantation. The authors analyzed the economic efficiency of the outpatient transplantation center and concluded that a new payment mechanism for this type of medical services is needed. In addition, the article describes the system of social measures necessary for recipients of organs that are performed in a medical organization due to the lack of a rehabilitation program for such patients.


Author(s):  
Liliya Andrush

The article analyzes the legal framework for the health care of police officers and their families. Three main models of providing police officers with health services (health insurance, budgetary, mixed) are outlined, and it is noted that Ukraine finances departmental health care institutions at the expense of budgetary funds and provides basic services that are free of charge. It is emphasized that the fundamental rules governing the relevant issues are contained in the Law of Ukraine “On the National Police”. Article 95 of this Law is analyzed, according to it the main categories of persons who are entitled to free medical care in the health care institutions of the Ministry of Internal Affairs (police officers, their families - children 18 or 23 years of age in the study in higher education institutions, husband or wife) main forms, family members of the dead or missing police officers, police officers with disabilities in service). It is stated that such services are eligible for some categories of former police officers and their families. It is also about the legal provision of rehabilitation, sanitary and health resorts, wellness as well as recreation measures in departmental medical rehabilitation centers, sanatoriums, rest homes, boarding houses and health institutions of different categories of police officers, their families. Various instructions and regulations are being analyzed to clarify the categories of persons applying for medical care, rehabilitation and recreation in departmental health care facilities, conditions for free rest, etc. The study also reveals a list of institutions that are part of the departmental health care system.


2020 ◽  
Vol 15 (5) ◽  
pp. 126-133
Author(s):  
V.K. Sevostyanov ◽  
◽  
Yu.Yu. Razumov ◽  
I.A. Petrova ◽  
E.P. Kakorina ◽  
...  

Objective. To analyze legislation regulating medical care for children with rheumatic diseases in the Russian Federation. Materials and methods. We analyzed regulatory documents of the Ministry of Health of Russia, including the rules of medical care for children with rheumatic diseases, the resolution regulating the distribution of medicines at a discount or for free, and regional legal acts regulating routing of children with rheumatic diseases. Results. The legislation regulating medical care for children with rheumatic diseases is imperfect and needs to be updated. We identified shortcomings in the system regulating preferential provision of certain groups of patients with medicines. The results of our analysis can be used as a rationale for changes and amendments to existing regulatory legal acts and for the development of new regulatory documents. Conclusion. This analysis of legal documents allows us to suggest amendments to the existing legal framework in order to reduce tensions (including legal tensions) associated with distribution of preferential medicines, reconsider establishment of disability in patients with juvenile idiopathic arthritis, expand opportunities to prescribe biologicals for non-disabled patients with systemic scleroderma, juvenile dermatomyositis, and systemic vasculitis in regions. We justified detailed description of regional legal documents regulating distribution of preferential medicines among patients with rheumatic diseases. Key words: rheumatic diseases in children, regulatory framework, health care organization, drug provision


2020 ◽  
Vol 17 (3) ◽  
pp. 78-82
Author(s):  
Anna Trutaeva

Introduction. The problem of ensuring equal scope of the right to palliative medical care of citizens living on the territory of various subjects of the Russian Federation is raised. The article describes the current legal regulation of palliative care in the Russian Federation and the existing problems of providing it. Purpose. The author aims to determine the place of legal regulation in the mechanism of ensuring the right to palliative medical care and ways to increase the degree of guarantee of this right. Methodology. Methods of analysis and synthesis, formal-logical and comparative-legal methods are used. Results. A brief overview of the current legal regulation at the Federal level and in the subjects of the Russian Federation is given, and the different scope of the right to palliative medical care of citizens living on the territory of different subjects of the Russian Federation is recorded. The article highlights the consequences of different approaches to the legal regulation of the issues under consideration, and suggests changes to them. Population by sex and age, the structure of its incidence and the degree of disability in subjects of the Russian Federation are not the same, and the bodies of state power of subjects of this level have the ability to define the needs of the population in the form of medical care that is consistent with the goal inherent in the activities of the bodies of state power of subjects of the Russian Federation in the field of social security, namely with regard to the influence of the specific features on the life of citizens and securing a reasonable differentiation of social security. Conclusion. It is concluded that it is necessary to fix the guarantee of palliative medical care in the normative legal acts of the subjects of the Russian Federation regulating the issues of public health protection, regardless of the territory of living, gender, age, diagnosis and stage of treatment.


2021 ◽  
Vol 274 ◽  
pp. 09017
Author(s):  
Rais Safin ◽  
Ilfak Vildanov ◽  
Runar Abitov ◽  
Aelina Barieva

The author's definition of applied qualifications is given. It is aimed at the formation of applied qualifications based on resource centers of secondary vocational education institutions that are part of the construction research and education cluster. The principles of organizational and pedagogical conditions of the relations of the resource center with enterprises within the context of public and private administration are identified. The results of the survey among students on the issue of whether they want to learn applied qualifications are given. The organizational and pedagogical conditions of the innovative development of the educational cluster are formulated.


Author(s):  
N. S. Motorova

The article describes the structure and powers of the provincial government in the implementation of the main directions of state social policy. It was noted that on theterritoryofBelarusthey played a major role in solving the social problems of the population due to the lack of zemstvos. The outdated legal framework and the lack of a clear division of functions hampered their effectiveness.In the mid 1880s regulatory committees were established in the structure of the provincial institutions. On the territory of the Belarusian provinces they played an important role in the implementation of social policy, as they controlled the financing of the rural­medical part and partly public charity. However, the experience of the activities of the regulatory committees was unsatisfactory. In this regard, at the end of the XIX century the Interior Ministry proposed to eliminate them, as well as to abolish the provincial food commissions and departments of public charity. It was planned to transfer their functions to the zemstvos. This proposal was implemented partially, as a result of the introduction of the institutions of local economy in theVitebsk,MinskandMogilevprovinces in 1903.At the end of the XIX century in the structure of the provincial administration ofBelaruswere created the offices which were entrusted with the functions of monitoring compliance with the workers’ legislation, and then the insurance of workers. They were formed under the influence of new social demands. These offices corresponded to new social and economic conditions, in contrast to the provincial institutions, which managed public charity, national food and health care.


Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1674
Author(s):  
Mari Igarashi ◽  
Ryuichi Ohta ◽  
Yasuo Kurita ◽  
Akinori Nakata ◽  
Tsutomu Yamazaki ◽  
...  

Nurse practitioners (NPs) provide medical care equivalent to that of physicians and facilitate access to healthcare. Although Japan’s first NP graduated in 2010, how Japanese expert NPs work effectively in clinical contexts is yet to be investigated. We aimed to identify the competencies that make expert NPs in Japan effective. Twelve Japanese expert NPs were purposely selected. The average age of the participants was 44.8 years, average NP experience was 7.5 years, and eight participants were women. Semi-structured interviews were conducted online from March to May 2021. Interviews were recorded, transcribed verbatim, and analyzed using thematic analysis. Thematic analysis revealed five themes: working in physicians’ contexts, interprofessional collaboration, involvement in nurses’ work, contribution to healthcare, and personal qualities for effective working. Japanese expert NPs can function effectively in clinical settings by flexibly and humbly collaborating with other medical professionals who have autonomous positions. They can improve the quality of healthcare by proposing practical solutions to problems faced by patients and medical organizations. These explored competencies can be applied to other aging and more complex societal contexts, and in updating the required competencies of Japanese NPs.


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