In 2022, Yakutsk Medical College named after V.A. Vongrodsky began implementing lean manufacturing with the support of consultants from the Rosatom State Corporation. Since then, 21 projects have been developed, and two "Process Factories" have been opened. The college is currently implementing an "end-to-end stream" focused on fostering healthy, lean-oriented individuals in the Republic of Sakha (Yakutia). After three years of participating in the "Efficient Region" project, the college has achieved the status of a federal-level model institution and is a member of the League of Lean Colleges of Russia.
During the formation of the skin barrier, its dysfunction leaves the skin vulnerable to chemical damage, microbial infections, and skin diseases, which negatively impacts the child's overall health. The use of emollients, along with sound hygiene measures, helps maintain the natural barrier. The most well-known of these is Bepanthen. This medication acts as an active preventative, including preventing the development of atopic dermatitis in high-risk children. Its long-term use and the absence of fragrances, preservatives, dyes, and antiseptics confirm its effectiveness and safety.
The article substantiates the role of professional communities as an institution for nursing development. The methodological framework comprises E. Wenger's concept of "communities of practice" and R. Putnam's theory of social capital. Four historical stages in the evolution of nursing communities are identified. An original four-level model of specialist engagement ("Observer" – "Participant" – "Active Member" – "Leader") with a corresponding set of organizational and managerial technologies is developed. The sociological profile of a specialist in a megalopolis confirms the validity of the multilevel approach. It is concluded that a professional community can become an internal environment for development, transforming from an external resource into a strategic partner for both the specialist and the healthcare system.
The aim of this paper is to provide a practice-oriented review for nurses on modern therapeutic modalities in pediatric oncology, with special attention to CAR-T therapy, its place in the patient pathway, and nursing surveillance during the early post-infusion period. The manuscript draws on contemporary international guidance, publications by staff of the Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, and an analysis of clinical and organizational aspects of caring for children receiving cellular immunotherapy. In pediatric oncology, the key issue is not a generic shift toward disease chronification, but a real expansion of curative opportunities. CAR-T therapy does not replace the established fundamentals of pediatric hemato-oncology nursing; instead, it requires more structured monitoring, familiarity with cytokine release syndrome and neurotoxicity grading tools, close communication with physicians, and systematic family education. Safety still depends on infection control, central line care, assessment of hydration, nutrition, and neurologic status, and rapid recognition of behavioral changes in the child. The informational and psychological needs of parents are also addressed. The review concludes that local algorithms, targeted staff training, and integration of cellular technologies into the existing culture of high-intensity pediatric hemato-oncology care are essential.
The article analyzes the global strategy of the International Council of Nurses (ICN) for 2026: "Our Nurses. Our Future. Empowered Nurses Save Lives." It provides a systematic review of the 10 policy actions of the "Charter for Change" within the context of the Russian regulatory framework, including current professional standards and Ministry of Health decrees. Special attention is paid to the challenges of modern digital transformation, the phenomenon of "digital burnout," and the necessity of retaining workforce potential through professional longevity and mentorship programs for "third-age" employees (55+). The evidence base is supported by an exclusive research case from the MCRSC Hospital 52 (Moscow) regarding the implementation of nursing communication technologies (NURSE algorithm) in the management of patients undergoing CPAP therapy. The study justifies the transition from a model of "medical heroism" to a model of professional dignity and empowerment as a guarantee of patient safety
Objective: To determine the optimal organizational model for remote questionnaire screening for chronic non-communicable diseases among students within the framework of a pilot project of the St. Petersburg Health Committee. Materials and Methods: The study was conducted at the St. Petersburg Children's City Polyclinic No. 73 from October 2024 to January 2025. Three organizational models for remote questionnaire screening using the Telemed-3 telemedicine system were tested: individual work with students in outpatient settings, work through classroom teachers, and screening directly in educational institutions. Model effectiveness was assessed by coverage (proportion of registered users) and test completion rate (proportion of fully completed questionnaires). Additionally, questionnaire results were compared with medical records. Results: During outpatient-based work over 1.5 months, out of 540 students, 84 registered in the system (15.6%), and 44 completed testing (52.4% of registered). When screening was conducted directly at school over two days, out of 150 students, 116 registered (77.3%), and 102 completed testing (87.9% of registered). The school-based screening model demonstrated statistically significant superiority in both effectiveness indicators. Conclusion: The optimal organizational model for remote questionnaire screening of students is testing directly in educational institutions during homeroom periods or «Conversations about Important Things» lessons. This model ensures maximum coverage of the target audience and high test completion rates. Successful implementation requires interdepartmental cooperation between healthcare and educational institutions, formalized through official administrative documents.
The periodic re-evaluation of the development directions for the roles of specialists in healthcare delivery was brought into focus by the "Five-Year Quality" initiative announced by the President of the Republic of Belarus, A.G. Lukashenko [1], and was further supported by the Decree of January 1, 2026, "Declaring 2026 the Year of Belarusian Women" [2]. The professionalism of nursing leadership is the starting point for improving the quality of medical care, a significant portion of which is ensured by the work of middle-level medical personnel, predominantly women [2].At the final meeting of the Ministry of Health of the Republic of Belarus [3], the interim results of the concluding five-year period in implementing the state program "People's Health and Demographic Security of the Republic of Belarus" for 2021–2025 were analyzed as the foundation for the strategy of successful healthcare development in the country. The draft Program for Socio-Economic Development of the Republic of Belarus for 2026-2030 plans to build and reconstruct 83 healthcare facilities, including more than 40 hospitals, about 19 polyclinics, and 18 specialized centers, for which 7 billion rubles in investments will be allocated. The task is set to ensure the operation of at least three inter-district specialized medical care centers in each region, which will guarantee accessibility regardless of people's place of residence and create conditions for early disease diagnosis. Positive results were noted in conducting large-scale preventive examinations (clinical check-ups and screenings) for detecting pathologies at early stages, strengthening the material and technical infrastructure, and improving regulatory and legal mechanisms and program-targeted planning [4]. The share of government spending on healthcare, as noted by the Minister of Health of the Republic of Belarus, A.V. Khodzhaev, amounted to 4.8% of GDP, thanks to which 25 healthcare facilities were commissioned and reconstructed [3]. Alongside the material and technical capabilities of healthcare organizations, there are scientific developments aimed at improving the quality of life for patients in need of home care [5].
Modern healthcare is undergoing a paradigmatic shift from a “treat the disease” model to a “preserve health and manage aging” strategy. The “Territory of Longevity. Century of Health” project, implemented by Nizhpharm company in partnership with the Russian Gerontological Research and Clinical Center, covered 16 regions of Russia and brought together over 1,600 physicians and 1,200 patients in an educational dialogue about healthy longevity. This article reveals the concept of active longevity as a set of measures to preserve cognitive, physical, functional, social, and emotional activity; substantiates the key role of nursing staff in teaching patients’ self-health maintenance skills, improving therapy adherence, and forming healthy habits. Particular attention is paid to the problem of ageism and the need for motivational communication that transforms the patient from a passive recipient into an active participant in the health preservation process. A practical focus on the activities of nurses in the prevention of age-dependent diseases, post-treatment follow-up, and interdisciplinary interaction is presented. The material is based on the transcript of a meeting with the participation of the Director of the Russian Gerontological Research and Clinical Center and representatives of a pharmaceutical company, supplemented by current scientific data on the biology of aging, nephroprotective strategies, and multidisciplinary approaches to extending the period of healthy life.
The aim of this study is to examine nurses’ involvement in patient adaptation to CPAP (continuous positive airway pressure) therapy, a sequential mechanical ventilation regimen. The article presents studies published in PubMed and the Russian CyberLeninka online library, as well as current recommendations from leading international and national organizations, such as the American Academy of Sleep Medicine and the European Respiratory Outcomes Society. The findings demonstrate the impact of qualified nursing support on improving patient compliance and treatment effectiveness. The article analyzes key areas of educational training and organizational aspects of nursing staff activities within a multi-tiered support system for patients with obstructive sleep apnea.
The article analyzes a modern approach to quality management of medical care through ensuring epidemiological safety in healthcare organizations. The author emphasizes that epidemiological safety is systematic work aimed at minimizing the risks of healthcare-associated infections (HAIs) for both patients and medical staff. The foundation of this approach is the PDCA cycle (Plan, Do, Check, Act), which allows for the identification of weaknesses and continuous improvement of processes. Key elements of the system include teamwork among specialists, process standardization through the development of local regulations and standard operating procedures (SOPs), and microbiological monitoring to control the circulation of microorganisms and antimicrobial resistance. Special attention is given to staff training, calculating the need for disinfectants, organizing sterilization, and involving patients in safety measures. Practical experience in implementing the system is presented, highlighting the importance of safety culture and digitalization to enhance the effectiveness of quality management.
We conceptualize a high-tech clinic located in a мегаполис core as a prototype of a next-generation healthcare organization–digitally mature, process-driven, and deeply humanistic. In our model, technology is not a showcase but a tool that strengthens the human side of care: improves diagnostic accuracy and timeliness, reduces risks and unwarranted variability, streamlines patient journeys, and fosters trust and adherence. We rely on internationally recognized quality and safety frameworks (patient-centeredness, effectiveness, safety, timeliness) [1–3], together with organizational maturity approaches emphasizing safety culture and standardized care pathways [4–6]. A special focus is placed on nursing as a core carrier of safety culture and human contact: nurses provide patient navigation, communication support, complication prevention, procedural guidance, and translation of complex medical decisions into clear patient language. Drawing on practices and cultural benchmarks of leading global clinics (Mayo Clinic, Cleveland Clinic, Karolinska University Hospital, etc.) [7–12], we describe a competency model for physicians and nurses in a “clinic of the future” and demonstrate how infrastructure, digital environment, and internal culture shape human capital and generate constructive energy–trust, professional growth, and community impact.
Purpose. Analysis of factors influencing the retention of young Generation Z specialists in the nursing profession and development of practical recommendations for creating a motivating work environment in healthcare institutions. Materials and methods. The study is based on many years of experience in preparing medical college students for WorldSkills and EuroSkills professional competitions, analysis of staff turnover among novice nurses, and informal surveys of graduates who continued working in the profession and those who left it. The work uses data on staff turnover in partner medical institutions for the period 2021–2024, as well as the results of implementing a mentorship and motivation system at educational and clinical bases of Kazan Medical College. Results. It was established that the key factors for retaining young Generation Z specialists are: presence of a structured mentorship system, regular recognition of professional achievements, understanding the meaning of work performed, flexible schedule with respect for personal boundaries, and opportunity to participate in decision-making. Implementation of a comprehensive approach including buddy-system mentorship, public recognition tools, and creation of a Healthy Work Environment reduced staff turnover among young specialists by 45% over three years. Typical conflict situations in the «manager–young specialist» system are described and specific algorithms for their resolution are proposed. Conclusion. Retaining Generation Z in the nursing profession requires systemic changes in approaches to adaptation, motivation, and work environment organization. Representatives of this generation do not avoid professional workload but need to understand the meaning of their activities, mentor support, and recognition of achievements. The retention formula: «Mentor + Recognition + Meaning = Retention» The proposed methods can be adapted for various medical institutions and do not require significant financial investments.
The article is devoted to one of the urgent problems of modern pediatrics - herpesvirus infections, which are widespread and can affect almost all organs and systems in children of any age. Practical recommendations are given on the diagnosis, treatment and prevention of this pathology in relation to nursing outpatient and hospital practice. The article presents the features of clinical manifestations of the most common forms of herpesvirus infections: cytomegalovirus infection, infectious mononucleosis, chickenpox and sudden exanthema. The role of herpesvirus infections caused by the herpes simplex virus, Epstein-Barr virus, cytomegalovirus and human herpes virus type 6 in children with recurrent upper respiratory tract diseases is emphasized. An assessment of laboratory and immunological studies in relation to herpes infections and their mixed combinations is given. The article presents modern possibilities of complex therapy of children with various forms of herpes infections, taking into account the use of both specific and symptomatic drugs, strengthening the immune system.
Venepuncture is the most common invasive procedure in modern medical practice, with the nurse playing a pivotal role in ensuring its quality and safety. This paper presents a comprehensive approach to performing venepuncture, encompassing patient preparation, establishing effective communication, selecting optimal consumables, and assessing the cost-effectiveness of the systems used. The algorithm for preparing and performing the procedure is analyzed in detail, along with the specifics of working with different patient categories and methods for preventing complications. Particular emphasis is placed on the nurse's educational role and the formation of patient motivation for active cooperation. It is demonstrated that the quality of consumables directly impacts not only the reliability of laboratory test results but also the ergonomics of the nurse's work, the frequency of repeated procedures, and the overall cost-effectiveness of the diagnostic and treatment process.
The article analyzes the professional activities of the senior nurse of a hemodialysis center, using the example of work at a branch of the international Fresenius Medical Care network in Salsk, Rostov Region. Based on the author's practical experience, five key areas of activity are considered: organizing resource provision for the institution, organizing the activities of the structural unit, organizing staff work, controlling staff activities, and providing emergency medical care. Special attention is paid to the specifics of working amid the growing number of patients with chronic kidney disease requiring renal replacement therapy. The author shares experiences in daily solving diverse organizational, clinical, and managerial tasks, describes the system for controlling sanitary and epidemiological regimes, organizing the procurement and accounting of medications using serialization systems, and maintaining documentation of various categories. The issues of staff motivation are discussed in detail, including mentoring, creating a culture of respect, organizing corporate events, and implementing a reward system. Practical aspects of patient education in self-control and interaction with medical personnel are presented. The article is of interest to senior nurses of specialized departments, heads of nursing services, and specialists working in healthcare organization.
The article presents a systematic approach to cough assessment in children from the perspective of nursing staff. Classification of cough, differential diagnosis of acute, prolonged and chronic cough, warning signs requiring emergency care are discussed. Special attention is paid to the educational role of nurses in dispelling parental misconceptions, teaching safe home care methods and timely identification of critical conditions. Practical consultation algorithms, recommendations for home medicine kit contents, principles of nebulizer therapy and postural drainage are presented. The material is based on current Russian and international clinical guidelines.
Drug addiction poses a serious social danger due to its criminalization. Having a long history, drug use has reached its peak in our time. Drug addiction has a number of stages. Due to the widespread prevalence of drug addiction and high mortality from the consequences of drug use, measures for the prevention and treatment of drug addiction seem relevant. There are primary, secondary and tertiary prevention of drug addiction. Drug addiction treatment is highly effective when the patient is voluntarily willing to cooperate and wants to get rid of the bad habit. There are pharmacological and surgical methods of treating drug addiction.
The appendix is one of the factors of the human immune system – the “abdominal tonsil”, which is characterized by a large accumulation of lymphoid nodules in the submucosa, sometimes merging with each other. They perform an important protective function, taking part in the formation of cellular and humoral immunity. During appendectomy, the worm is directly removed, respectively, and the lymphoid tissue included in its structure. In this regard, there may be a decrease in immunity by reducing the content of lymphoid nodules, lymphocytes and mast cells in the body. In turn, this may lead to unfavorable consequences, such as gastrointestinal disorders, increased incidence of acute respiratory infections and bacterial diseases against the background of decreased immunity. In this regard, patients in the postoperative period after appendectomy should be educated about the importance of maintaining health and prevention of diseases associated with a decrease in the immune response of the body.
The article presents technologies for nursing newborns with low and extremely low birth weight, which are used in the Primorsky Regional Perinatal Center. These technologies make it possible to reduce infant mortality, disability and increase survival rates of premature babies.
The relevance of the problem of the health of nurses-anesthesists is related to the fact that the life and health of patients depend on their qualifications and physical condition. The purpose of the work. To assess the health of nurses-anesthesists, and identify risk factors for their health. Materials and methods. Analytical, statistical, retrospective analysis of medical documentation data for 2022-2024 was carried out. In the course of the study, the data of periodic medical examination of nurses-anesthesists on their health status were analyzed. A psychophysiological study of nurses-anesthesists was conducted using methods, psychological tests, questionnaires to assess the level of stress, anxiety, depression, and professional burnout syndrome. Results. Every year, at the Federal State Budgetary Institution “Federal Center for Cardiovascular Surgery named after S.G. Sukhanova» of the Ministry of Health of the Russian Federation (Perm) conducts periodic medical examinations of workers for the purpose of dynamic monitoring of their health, timely detection of initial forms of occupational diseases, early signs of exposure to harmful production factors of the working environment, the labor process on the health of workers in order to form risk groups for the development of occupational diseases, identify medical contraindications to the implementation of certain types of work. The health of nurses-anesthesists directly affects the quality of their professional activity. Knowledge of the psychophysiological characteristics of nurses allows increasing the motivation and efficiency of their work, reducing the risk of occupational diseases. Conclusions. The health of nurses-anesthesists is a key factor in ensuring patient safety and achieving positive treatment results. It should be noted that it is important to pay special attention to maintaining the health of nurses-anesthesists, apply a set of preventive measures, create favorable working conditions and provide them with the necessary support.
