Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot35010.32687/0869-866X-2020-28-s1-680-686Научная статьяProfessional training of nurses for medical organizations in the capital: problems and solutionsAleksandrovaO. A.a762rab@mail.ruYarashevaA. V.-NenakhovaYu. S.-Research Institute for Healthcare Organization and Medical ManagementFinancial University under the Government of the Russian FederationInstitute of Social and Economic Studies of Population of FCTAS of Russian Academy of Sciences151220202868068606042021Copyright © 2020,2020The current stage of development of health systems is characterized by an increasing role of specialists with secondary medical and higher (nursing) education, which imposes additional requirements on their medical, pedagogical, psychological and technical knowledge and skills. The article presents the results of a study implemented in 2019 on the development of medical personnel in the capital's healthcare system. One of the research methods was an expert survey in the form of a series of in-depth structured interviews with the leadership of medical colleges, universities and institutions of additional professional education (N = 15), the scenario of which included blocks of questions regarding the main determinants of the quality of training of nursing staff and bachelors in the direction of “Nursing”, as well as ideas for introducing the capital standard of a nurse. The analysis of the information obtained made it possible to identify a number of problems and directions for their solution: at the college level, this is, first of all, poor-quality production practice, which is due to the overload of medical staff and, in general, not serious attitude to trainees, as well as insufficient communication training of future nurses; in the case of undergraduate studies, the main problems are related to students who have gone to university just after school, who have a poor idea of their future profession and are poorly motivated to study in condition when courses that dedicated to studying nursing medical skills, initially aimed at a more professionally trained contingent, have been significantly reduced. Experts, who support the idea of expanding the functions of nurses, the main obstacles to its implementation see in the stereotypes that the chief physicians and the medical community as a whole have about the purely secondary role of the nursing staff, as well as the corresponding attitudes of the nurses themselves. Regarding the standard of the capital's nurse, experts agree that the main emphasis should be on the development of universal competencies, attention to deontological and ethical issues.medical educationnursing staffheads of nursing servicesexpanding the functions of a nurseмедицинское образованиесредний медицинский персоналруководители сестринских службрасширение функций медицинской сестры1.Strengthening health systems through nursing: Evidence from 14 European countries Ed. by A. M. Rafferty, R. Busse, B. Zander-Jentsch, W. Sermeus, L. Bruyneel. Geneva: World Health Organization; 2019.2.Lovink M. H., Persoon A., van Vught A. J. A. H., Schoonhoven L., Koopmans R. T., Laurant M. G. Substituting physicians with nurse practitioners, physician assistants or nurses in nursing homes: protocol for a realist evaluation case study. BMJ Open. 2017;7(6):e015134. doi: 10.1136/bmjopen-2016-0151343.Петрова Н. Г., Погосян С. Г., Соболева Н. И. О мотивации студентов медицинского колледжа к получению образования и их профессиональных намерениях. Медицинская сестра. 2018;(7):53-6.4.Димитрова Л. В., Двуреченская В. М., Мансурова О. В., Уварова Г. Н. Профессиональная деформация личности у медсестер разных профилей. Медицинская сестра. 2014;(1):50-3.5.Саркисова В. А. Основные направления развития сестринского образования в России. Режим доступа: http://nursemanager.ru/meropriyatiya/141-13032013-rezultaty-konferenczii-lrol-bakalavrovsestrinskogo-dela-v-prakticheskom-zdravooxraneniir.html6.Двойников С. И., Бражников А. Ю., Камынина Н. Н. Перспективы развития высшего сестринского образования в России. В кн.: Медицинское образование и профессиональное развитие. М.: ГЭОТАР-Медиа; 2011. С. 48-52.7.Михайловский М. Н. Учебно-профессиональная установка будущих бакалавров сестринского дела. Медицинская сестра. 2017;(3):50-1.8.Филиппова С. Н., Островская И. В. Бакалавры сестринского дела как кадровый потенциал в системе профессиональной подготовки среднего медицинского персонала. Медицинская сестра. 2016;(3):48-53.9.Камынина Н. Н. Анализ зарубежных систем подготовки управленческих кадров сестринских служб. Проблемы управления здравоохранением. 2011;(3):11-6.10.Мохов А. А. Возложение функций лечащего врача на средний медицинский персонал. Главная медицинская сестра. 2014;(11):44-52.