Meditsinskaya sestra

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 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.

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.

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.

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.