Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot56810.32687/0869-866X-2021-29-3-503-508Научная статьяThe vector of integration of medical nurses-bachelors in practical health careSnegirevaT. G.snegireva-tg@rudn.ruShadrinaYu. E.-The Federal State Autonomous Educational Institution of Higher Education “The Peoples' Friendship University of Russia” (RUDN University)1512202129350350814072021Copyright © 2021,2021The article discusses the experience of Israel, Canada, the USA and the European countries in training nurses with higher nursing education. The considerations concerning the need to change previously established standards of professionalization of graduates with higher nursing education in health care reform are analyzed. The purpose of the study is to consider a possibility of organizing a model of partnership relationship between physician and medical nurse with higher nursing education in conditions of the reform of health care system in The Russian Federation. The study was organized in two stages. At the first stage, the results of the study carried out by The Research Institute of Health Care Organization and Medical Management of the Moscow Health Care Department were analyzed. It was established that in the conditions of modern Russian health care, there is no distinct understanding among physicians how the relationship between physicians and medical nurses should be built. At the second stage, the sociological survey was carried out based on specially developed original questionnaire covering 150 physicians in Moscow medical organizations in 2019. The survey demonstrated that physicians reconsidered the role of medical nurse and would like to expand competencies of medical nurses. However, this requires to revise the legal base to allow medical nurse with higher nursing education to fill the position “The academic medical nurse - organizer of treatment process”. The results of the study demonstrated that in medical organization the majority of physicians see in the new educational training of medical nurses a prospective area of implementing the model “The organizer of treatment process - certified medical nurse with higher nursing education”. The results of study will facilitate transition of the medical nurse business to the new professional level that will permit to improve the specialty over whole career.higher nursing educationmedical nursemodelthree-level pyramidcollegial medical nursingroleorganizer of the treatment processвысшее сестринское образованиемедицинская сестра (брат)модельтрехуровневая пирамидаколлегиальная сестринская деятельностьроль медицинской сестрыорганизатор лечебного процесса[1.Бессонов Ю. О. Стереотипы в восприятии медсестер. Медицинская сестра. 2010;(4):43.][2.Силкина Т. В. Формирование социального статуса медицинской сестры. Волгоград; 2002. 24 с.][3.Грицак Е. Н. Популярная история медицины. М.: Вече; 2003. С. 80.][4.Тарасенко Е. А. Перспективные направления организации работы сестринского персонала: зарубежный опыт и уроки для России. Здравоохранение. 2014;(8):94-101.][5.Дмитриева Г. В. Сестринское дело - особая специальность. Медицинская сестра. 2008;(4):41-2.][6.Засыпкина Е. В. Социальный статус и профессиональная роль медицинской сестры в процессе реформы отечественного здравоохранения. Волгоград; 2013. 25 с.][7.Рытякова В. И., Малкова Д. Н. Повышение квалификации среднего медицинского персонала (на базе Городской больницы № 2 скорой медицинской помощи Северодвинска). Медицинская сестра. 2006;(4):30-5.][8.Шаповалова М. А., Анопко В. П. Менеджмент в сестринском деле. Профессиональная культура как фактор формирования нового персонала ЛПУ. Сестринское дело. 2010;(7):18-9.][9.Кокина Т., Саргсяне Е., Одиня О., Умбрашко Л. Высшее образование медицинских сестер в Латвии в контексте Европейской системы образования. Учебный процесс. Журнал ГрГМУ. 2009;(3):126-9.][10.Мосолова Е. В., Гуляева Л. П., Филиппова Н. В., Лазарева И. Г. Деонтологические аспекты работы операционной медсестры. Медицинская сестра. 2010;(2):19.][11.Vademecum. Режим доступа: https://vademec.ru/news/2020/01/29/murashko-rasschityvaet-usilit-rol-medsester-v-okazanii-medpomoshchi/(дата обращения 05.06.2020).][12.Рыжков Л. В., Малинина Н. К., Кикин А. Г., Соловьева Л. Б., Сверчкова Л. С. Сестринский диагноз и медсестра общей практики. Медицинская сестра. 2008;(8):2-5.][13.Всемирная организация здравоохранения. Европейское региональное бюро. Режим доступа: https://www.who.int/ru/campaigns/year-of-the-nurse-and-the-midwife-2020 (дата обращения 10.08.2020).]