Проблемы развития кадрового потенциала медицинских сестёр в мире

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Аннотация

В статье представлены результаты оценки состояния кадрового развития сестринского персонала в мире. Описаны основные проблемы кадрового потенциала этих специалистов: насилие на рабочем месте; профессиональное выгорание; ухудшение психического здоровья; вторичный травматический стресс и моральные травмы из-за длительного пребывания с пациентами, испытывающими страдание; разочарование в профессии из-за несоответствия профессиональной подготовки и функциональных обязанностей.

Системы здравоохранения должны переосмыслить традиционную модель развития кадрового потенциала, характеризующуюся жёсткой специализацией и предписанными ролями. Для этого необходимы расширение функций сестринского персонала, развитие сотрудничества в медицинских бригадах, интеграция цифровых технологий для решения административных задач.

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Ирина Владимировна Островская

Филиал Федерального государственного бюджетного военного образовательного учреждения высшего образования «Военно-медицинская академия имени С.М. Кирова» Министерства обороны Российской Федерации в г. Москве

Автор, ответственный за переписку.
Email: irina.ostrov@gmail.com
ORCID iD: 0000-0001-7932-4216
SPIN-код: 2400-9600

кандидат психологических наук, МВА, доцент кафедры управления сестринской деятельностью

Россия, Москва

Список литературы

  1. International Council of Nurses. International Nurses Day 2025: Caring for nurses strengthens economies. Geneva: ICN. Available at: https://www.icn.ch/sites/default/files/2025-04/ICN_IND2025_report_EN_A4_FINAL_0.pdf (accessed 18.04.2025).
  2. Kim M. Nurse Turnover Costs: A Medium-sized Hospital Case. Asia-pacific Journal of Multimedia Services convergent with Art Humanities and Sociology. 2016: 41–49. Available at: www. semanticscholar.org/paper/Nurse-Turnover-Costs%3A-A-Medium-sized-Hospital-Case-Kim/51a1 bc73e7f8954ab9996035f17fcc98e8c3ced4 (accessed 18.04.2025).
  3. Slawomirski L., Klazinga N. The economics of patient safety: From analysis to action. OECD Health Working Papers № 145. Paris: OECD Publishing, 2020. Available at: https://www. oecd.org/content/dam/oecd/en/publications/reports/2022/08/the-economics-of-patient safety_dda2a072/761f2da8-en.pdf (accessed 20.04.2025).
  4. Liu J. et al. Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis. Occupational and Environmental Medicine. 2019; 76 (12): 927–937. https:// doi.org/10.1136/oemed-2019-105849 (accessed 19.04.2025).
  5. European Nursing Research Foundation. Workplace Violence Against Nurses in the European Union. Policy Brief. 2022. Available at: enrf.eu/wp-content/uploads/2022/11/ENRF-Policy Brief-Violence-Against-Nurses-November-2022.pdf (accessed 18.04.2025).
  6. Carbajal E. 2 nurses assaulted every hour, Press Ganey analysis shows. Becker’s Hospital Review. 2022. Available at: https://www.beckershospitalreview.com/nursing/2-nurses-assaulted-every hour-press-ganey-analysis-shows.html (accessed 22.04.2025).
  7. Canadian Federation of Nurses Unions CFNU Member Survey Summary Report. 2023. Available at: https://nursesunions.ca/wp-content/uploads/2024/01/CFNU-Member-Survey-Summary-Report.pdf (accessed 20.04.2025).
  8. Sharplin G., Clarke J., Eckert M. Assessing the Global Sustainability of the Nursing Workforce: A Survey of National Nurses’ Association Presidents within the International Council of Nurses, March 2025 Rosemary Bryant AO Research Centre/ International Council of Nurses. 2025. Available at: https://www.icn.ch/sites/default/files/2025-04/ICN_NNA-Presidents-Survey-Report_EN_FINAL.pdf (accessed 20.04.2025).
  9. Ajuwa M.P. et al. Workplace violence against female healthcare workers: a systematic review and meta-analysis. BMJ Open, 2024; 14 (8): e079396. Available at: doi: https://doi. org/10.1136/bmjopen-2023-079396 (accessed 19.04.2025).
  10. Ding C. et al. Impact of workplace violence against psychological health among nurse staff from Yunnan-Myanmar Chinese border region: propensity score matching analysis. BMC Nursing, 2023; 22 (242). Available at: https://bmcnurs.biomedcentral.com/articles/10.1186/ s12912-023-01402-w (accessed 22.04.2025).
  11. Alenezi A. The Impact of Resilience on Workplace Violence Experienced by Mental Health Nurses: A Cross-Sectional Survey. Journal of Nursing Management. 2024: 4449445. Available at: https:// doi.org/10.1155/2024/4449445 (accessed 18.04.2025).
  12. World Health Organization (2019). QD85 Burnout. In International statistical classification of diseases and related health problems (11th ed.). Available at: https://icd.who.int/browse/2025-01/ mms/en#129180281 (accessed 20.04.2025).
  13. Woo T. et al. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. Journal of Psychiatric Research. 2020; 123: 9–20. Available at: https://doi. org/10.1016/j.jpsychires.2019.12.015 (accessed 20.04.2025).
  14. Owuor R.A., Mutungi K., Anyango R., Mwita, C.C. Prevalence of burnout among nurses in sub-Saharan Africa: a systematic review. JBI Evidence Synthesis. 2020; 18 (6): 1189–1207. Available at: https://doi.org/10.11124/JBISRIR-D-19-00170 (accessed 22.04.2025).
  15. Leiter M. P., Maslach C. Nurse turnover: the mediating role of burnout. Journal of Nursing Management. 2009; 17 (3): 331–339. Available at: https://doi.org/10.1111/j.1365-2834.2009.01004 (accessed 18.04.2025).
  16. Dall’Ora C. et al. Burnout in nursing: a theoretical revie’. Human Resources for Health. 2020; 18 (41). Available at: https://doi.org/10.1186/s12960-020-00469-9 (accessed 20.04.2025).
  17. Bostan S. et al. Assessments of Anxiety Levels and Working Conditions of Health Employees Working in COVID-19 Pandemic Hospitals. Electronic Journal of General Medicine. 2020; 17 (5) (accessed 18.04.2025).
  18. Galanis P. et al. Nurses’ burnout and associated risk factors during the COVID-19 pan demic: A systematic review and meta-analysis. Journal of Advanced Nursing. 2021; 77 (8): 3286–3302. Available at: https://doi.org/10.1111/jan.14839 (accessed 18.04.2025).
  19. Euronews. A third of nurses’ report witnessing patients die due to staff shortages, new global survey finds. Euronews. 2023 October 13. Available at: https://www.euronews.com/health/2023/ 10/13/a-third-of-nurses-report-witnessing-patients-die-due-to-staff-shortages-new global-survey (accessed 22.04.2025).
  20. Bock C. et al. Secondary Traumatic Stress, Mental State, and Work Ability in Nurses – Results of a Psychological Risk Assessment at a University Hospital. Frontiers in Psychiatry. 2020; 11 (2980. Available at: https://doi.org/10.3389/fpsyt.2020.00298 (accessed 22.04.2025).
  21. Rushton C.H. et al. Moral Injury and Moral Resilience in Health Care Workers during COVID-19 Pandemic. Journal of Palliative Medicine. 2022; 25 (5): 712–719. Available at: https://doi. org/10.1089/jpm.2021.0076 (accessed 19.04.2025).
  22. Public Services International. PSI reveals half of world’s health and care workers are on verge of quitting. 2023. Available at: https://publicservices.international/resources/news/ psi-reveals-half-of-worlds-health-and-care-workers-are-on-verge-of-quitting?id=14193&lang=en (accessed 20.04.2025).
  23. Wu L. et al. Why not nursing? A systematic review of factors influencing career choice among healthcare students. International Nursing Review. 2015; 62 (4): 547–562. Available at: https://doi.org/10.1111/INR.12220 (accessed 22.04.2025).
  24. Maben J., Latter S., Clark J.M. (). ‘The sustainability of ideals, values and the nursing mandate: evidence from a longitudinal qualitative study. Nursing Inquiry. 2007; 14 (2): 99–113. https://doi.org/10.1111/j.1440-1800.2007.00357.x (accessed 21.04.2025).
  25. Maeda A., Socha-Dietrich K. Skills for the Future Health Workforce: Preparing Health Professionals for People-Centred Care. OECD Health Working Paper. 2021 (124). Paris: OECD Publishing. Available at: https://www.oecd.org/content/dam/oecd/en/publications/ reports/2021/02/skills-for-the-future-health-workforce_f455ea1b/68fb5f08-en.pdf (accessed 20.04.2025).
  26. Schoenstein M., Ono T., Lafortune G. Skills use and skills mismatch in the health sector: What do we know and what can be done? Health Workforce Policies in OECD Countries. Paris: OECD Publishing. 2016: 163–182. Available at: https://www.oecd.org/en/publi cations/health-workforce-policies-in-oecd-countries_9789264239517-en.html (accessed 18.04.2025).
  27. O’Hara C., Reid M. The under 35 nursing workforce in 2022: Overworked, under supported, and burned out. Journal of Nursing Regulation. 2024; 15 (1): 45–55. https://doi.org/ 10.1016/S2155-8256(24)00028-0 (accessed 22.04.2025).

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