Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot22610.32687/0869-866X-2019-27-6-1080-1085Научная статьяThe expertise of medical nurse care as a basis of medical care quality managementBogushE. A.bogush.ea@mail.ruDvoynikovS. I.-The Federal State Budget Educational Institution of Higher Education “The Samara State Medical University”151220192761080108506042021Copyright © 2019,2019The strategy focused on activating and strengthening human resources, including nurses, is extremely relevant in the modern health care of the Russian Federation. In this regard, the issue of the medical organization performance provides an emphasis on the problem related to the status of medical personnel, which is especially significant in the context of the need to implement new approaches and innovative management techniques. The purpose of study is to develop an expertise system for quality evaluation of nursing care. Three available approaches were applied: structural, procedural and end-point estimation. The structural approach was based on the quality indicators of the professional competence of nurses, their accreditation and certification, as well as personal qualities that determine the level of organizational culture and self-discipline. The procedural approach was based on the assessment of the technological processes carried out by nurses, consistency, timeliness and adequacy of their accomplishment. The result assessment approach was based on evaluation of the degree of compliance of the actual results achieved with the approved normative value.The article presents the elaborated genuine model of quality assessment, which allows to evaluate objectively all areas of the nurse’s professional activities, taking into account the proposed criteria to identify defects that influence the performance efficiency of the nurse; to determine the factors influencing the level of patient satisfaction with medical care, which resulted in the development a quality management system for nursing care, allowing to evaluate the resources, the technological process and the final result of nursing care.expert evaluation of nursing carequality managementorganization of health carenursingкачество медицинской помощиэкспертиза сестринской помощиорганизация и управление здравоохранениемсестринское дело1.Орлов А. Е. Научное обоснование системы обеспечения качества в условиях городской многопрофильной больницы. Самара: Самарский государственный медицинский университет; 2016.2.Богуш Е. А. Характеристика кадрового обеспечения современной многопрофильной больницы. Аспирантский вестник Поволжья. 2015;1(2):222-5.3.Орлов А. Е. Новые организационные подходы к управлению качеством медицинской помощи. В кн.: Актуальные вопросы здравоохранения и медицинского образования: Сборник материалов конференции, посвященной памяти проф. И. В. Полякова. СПб.; 2014. C. 128-9.4.Богуш Е. А. Анализ затрат рабочего времени медицинских сестер круглосуточного стационара онкологического профиля, по данным фотохронометража. В кн.: Аспирантские чтения. Самара; 2015. C. 84-5.5.Богуш Е. А., Двойников С. И. Анализ затрат рабочего времени медицинских сестер отделения реанимации и интенсивной терапии онкологического профиля, по данным хронометража. Аспирантский вестник Поволжья. 2015;5(6):372-5.