IMPROVING ORGANIZATION OF MEDICAL CARE PROVIDED BY THE RUSSIAN RED CROSS NURSES AT PSYCHONEUROLOGICAL BOARDING FACILITY
Significance. The activity of nurses within the general structure of public actions of the National Society of the Russian Red Cross is the most important part of the system of social assistance and support to the population with significant human resources and actual potential for reforms in the market conditions. A special role is played by the Red Cross nurses in psychiatry, as rehabilitation of psychiatric patients and the disabled is currently increasing. However, there are certain unsolved problems in the organization of nursing care at psychoneurological boarding facilities. Purpose: to develop and substantiate measures to improve organization of nursing medical care at psychoneurological boarding facility. Materials and methods. The article studied socio-demographic characteristics of the Red Cross nurses providing rehabilitation services to the disabled in psychoneurological boarding facility. The study was full-designed and included 143 Red Cross nurses covering the period from 2012 to 2015. The applied methods included analytical and statistical ones. Results. Analysis of the nurses’ work profiles showed their multi-aspect involvement into rehabilitation services to the disabled. Apart from their main activities they spend 50% of their time on measures aimed at social rehabilitation. Assistance in restoring occupational skills was provided by 72.7% of Red Cross nurses with a 5-year working experience and by 88.4% of nurses with over a 20-year working experience. Assistance in restoring the ability to communicate was provided by 72.7% and 85.5% of nurses respectively. And assistance in restoring the ability of the disabled to perform leisure activities was provided by 54.5% and 82.6% of nurses respectively. The preferred forms of education of medical nurses were lessons given directly at the psychoneurological boarding facility (78.5%) and advanced certification courses (71.3%). Conclusions. Quality criteria of the nurses’ performance were developed and introduced. This allowed to allocate three groups of nurses of mercy: group with high-level of nursing care (62.3%), moderate (29.3%) and low (8.4%). Scoring allows to improve activities of nurses, introduce “quality screen” of their work. The developed measures aimed at improving organization of nursing care allowed to increase professional knowledge of nurses of mercy. This promoted quality improvements of their activities, effective prevention of acute conditions of main diseases of the disabled and improvement of their life quality resulting in the 7.5% decrease in recurrent admissions to psychiatric hospitals and reduction in the number of complaints from patients and their relatives by 37 cases.