Vol 23, No 6 (2021)

Mentoring is interaction between colleagues from different age and competency groups, which allows you to quickly learn experience and improve professional skills. The two main functions of mentoring are onboarding and retention. The competent development of mentoring in a medical organization contributes to more effective work. The process must be structured in such a way that the corporate rules of each particular medical organization are taken into account. In the long term, this will improve the quality of patient care and the migration of medical personnel to other clinics. That is, the mentoring system is an investment in the long-term development of the organization.

In the structure of malignant neoplasms, sarcomas occupy the 4th place and account for 6-8% of all malignant neoplasms of childhood. In newborns and children under 1-year-old, this type of tumor is observed in 10-12% of cases. In 50% of cases, sarcomas are localized in the head and neck region, in 25-37% of cases - in the trunk and extremities. According to the Ministry of Health of the Krasnoyarsk Territory, the incidence of sickness in children over the past decade is 6.6-6.8 per 1000 child population (2-3 children per year). Sarcomas in children are characterized by an extremely aggressive course and in many cases do not respond well to various methods of treatment, more often there is a high degree of malignancy, a high potential for metastasis, but a higher sensitivity to chemotherapy. Even 20 years ago, the surgical method was considered the main method of treating soft tissue sarcomas; the overall survival rate was no more than 10%. When studying infant mortality from malignant neoplasms, a progressive increase in mortality in osteosarcoma was noted during the first two decades of life. In recent years, favorable prospects have emerged thanks to timely, comprehensive early diagnosis and the development of new treatment programs, leading to encouraging results. In this study, the role of chemotherapy in the treatment of sarcoma in children and the role of a nurse in the prevention or reduction of side effects and complications of this type of treatment was determined.

The article reflects the results of an online survey from members of the Internet communities of mothers and patients of the neonatology department of the State Budgetary Healthcare Institution “DGKB im. PER. Bashlyaeva DZM “. Those with primary experience of breastfeeding: 78% of them are women over 30 years old, with higher education, mainly after natural childbirth. Most women are motivated to breastfeed for more than 1 year (73%), while 43% of women did not receive information about breastfeeding techniques, possible difficulties and methods of overcoming them in medical organizations. The overwhelming majority of respondents (92%) faced difficulties in breastfeeding (difficulties in the technique of attachment to the breast, cracks, lactostasis, mastitis) and received help only from private practice breastfeeding consultants. The most vulnerable group of children in terms of preserving breastfeeding is premature babies, who are not immediately applied to the breast in the delivery room, and the issues of preserving breastfeeding for the mothers of such children are especially acute. Conclusion-proposal: it is necessary to train the personnel of medical organizations in practical issues of breastfeeding support in order to overcome difficulties for nursing mothers and maintain long-term breastfeeding as a guarantee of the health of the younger generation.