Influence of factors of professional environment on the problem of shortage of nurses in palliative care
- Authors: Geraskina N.S.1
-
Affiliations:
- Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation (Sechenov University)
- Issue: Vol 27, No 4 (2025)
- Pages: 6-10
- Section: Topical theme
- URL: https://journals.eco-vector.com/0025-8342/article/view/685068
- DOI: https://doi.org/10.29296/25879979-2025-04-02
- ID: 685068
Cite item
Abstract
The importance of studying the influence of professional environment factors on the retention of nurses in the profession is due to the increasing shortage of medical personnel in the healthcare system of the Russian Federation. The results of the study confirm the decrease in the provision of palliative care organizations with nurses. Nurses working with palliative patients in inpatient settings predominantly have less than 5 years of experience in palliative care, despite greater overall professional experience in the health care system. Assessment of nursing staff satisfaction with various parameters of the professional environment revealed dissatisfaction with salaries, organization of meals and rest breaks for employees. An overload has been identified in the professional activities of nurses in the palliative care system, which may contribute to staff turnover, a decrease in the quality of palliative care and requires further study.
Full Text

About the authors
Natalia S. Geraskina
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation (Sechenov University)
Author for correspondence.
Email: geraskina_n_s@staff.sechenov.ru
ORCID iD: 0000-0001-7018-2688
SPIN-code: 7715-7919
Senior Lecturer at the Department of Nursing Management and Social Work at the Institute of Psychological and Social Work
Russian Federation, MoscowReferences
- Yarasheva A.V., Aleksandrova O.A., Medvedeva E.I., Alikperova N.V., Kroshilin S.V. Problems and Prospects of Personnel Support of the Moscow Healthcare System. Economic and Social Changes: Facts, Trends, Forecast. 2020; 13 (1): 174–190 (in Russ.). doi: 10.15838/esc.2020.1.67.10.
- Petrova N.G., Ter-Minasova A.N., Pogosyan S.G., Kalinichenko O.V. Staffing shortage of nursing personnel as an actual health care problem. Medicine and health care organization. 2023; 8 (1): 43–53 (in Russ.). DOI: https://doi. org/10.56871/MHCO.2023.89.51.004.
- Vologzhina M. I. Kadrovyj deficit medicinskih rabotnikov so srednim obrazovaniem na sovremennom jetape. Problemy. Puti reshenija. Molodoj uchenyj. 2023; 17 (464): 185–187 (in Russ.).
- Latyshova A.A., Ivanova M.A. Dynamics in the number of nursing staff in public medical organizations of the Russian Federation in 2018-2022. Social'nye aspekty zdorov'a naselenia [serial online] 2023; 69 (5): 17 (in Russ.). doi: 10.21045/2071-5021-2023-69-5-17.
- Krylova N.Yu., Katsova G.B. Factors affecting the shortage of nursing staff in medical institutions. Manager Zdravoohranenia. 2023; 11: 99–106 (in Russ.). doi: 10.21045/1811-0185-2023-11-99-106.
- Poljakova O.B., Bonkalo T.I. Kadrovyj menedzhment zdravoohranenija: dajdzhest [Jelektronnyj resurs]. GBU «NIIOZMM DZM». 2024 (in Russ.). URL: https://niioz.ru/moskovskaya-meditsina/izdaniya-nii/daydzhest-meditsinskiyturizm-i-eksport-meditsinskikh-uslug/
- Deev I.A., Kobjakova O.S., Starodubov V.I. et al. Resursy i dejatel'nost' medicinskih organizacij zdravoohranenija, 2 chast'. Srednij medicinskij personal: statisticheskie materialy. FGBU «CNIIOIZ» Minzdrava Rossii. 2024. 136 s. (in Russ.). doi: 10.21045/978-5-94116-173-7-2024.
- Kotova E.G., Kobjakova O.S., Starodubov V.I. et al. Resursy i dejatel'nost' medicinskih organizacij zdravoohranenija, 2 chast'. Srednij medicinskij personal: statisticheskie materialy. CNIIOIZ Minzdrava Rossii. 2022. 152 s. (in Russ.). doi: 10.21045/978-5-94116-096-9.
- Kotova E.G., Kobjakova O.S., Starodubov V.I. et al. Resursy i dejatel'nost' medicinskih organizacij zdravoohranenija, 2 chast'. Srednij medicinskij personal: statisticheskie materialy. CNIIOIZ Minzdrava Rossii, 2021. 152 s. (in Russ.). doi: 10.21045/978-5-94116-054-9.
- Narkevich A.N., Vinogradov K.A. Methods for determining the minimum required sample size in medical research. Social'nye aspekty zdorov'a naselenia. [Social aspects of population health] [serial online]. 2019; 65 (6): 10 (in Russ.). doi: 10.21045/2071-5021-2019-65-6-10.
- Kasimovskaya N.A., Ivleva S.A. Medical and social characteristics of the Moscow health system nursing staff. Social'nye aspekty zdorov'a naselenia / Social aspects of population health [serial online] 2019; 65 (6): 3. Available from: http://vestnik.mednet.ru/content/view/1116/30/lang,ru/ (in Russ.). doi: 10.21045/2071-5021-2019-65-6-3.
- Klipinina N.V. Psychological difficulties and recommendations for professional adaptation in the work of palliative nurses. Pallium: palliative and hospice care. 2019; 4 (5): 19–22 (in Russ.).
- Hetagurova A.K., Kasimovskaja N.A. Social'no-demograficheskie i psihologicheskie faktory, vlijajushhie na uhod iz professii medicinskih sester na sovremennom jetape. Sestrinskoe delo. 2006; 7: 4–7 (in Russ.).
- Masharipova A.V., Nurgaliyeva N.K., Derbissalina G.A. Actual issues and prospects of training nurses for the palliative care system. The Russian Journal of Preventive Medicine. 2023; 26 (2): 24–30 (In Russ.). https://doi.org/10.17116/profmed20232602124.
- Hetagurova A.K., Kasimovskaja N.A. Izuchenie psihologicheskih tipov medicinskih sester dlja optimizacii processa upravlenija medicinskim kollektivom. Sestrinskoe delo. 2005; 7: 4–8 (in Russ.).
Supplementary files
