Concept of nursing care in JSC NRCCS

Introduction

The concept of development of health system in the Republic of Kazakhstan defined new requirements to modernization and development of nursing care.

The modern theory of nursing care based on scientific approach and evidential practices, represents the specialist of nursing care as the equal partner of the doctor and multi-field team who makes independent nursing decisions, plans and carries out the nursing care based on evidential scientific practice, reflecting it in the accepted documentation.

The real personnel ratio "nursing staff – doctors" is followed by the interconnected tendencies:

- increase in medical activity of a share of the medical services which aren't demanding medical qualification, but subjects to implementation by well prepared qualified nursing staff;

- recognition of importance of a role of nursing staff in medical process;

- increase of responsibility of the nursing staff which is carrying out many-sided functions.

Quality of the nursing help in our Center is defined by compliance with the standards of practical activities based on safety of patients, prevention of mistakes, risk management, introduction of new organizational forms of care for patients and innovative technologies.

In our organization as well as around the world, at the heart of training of specialists of nursing care for patients there is a system scientific approach based on scientifically evidential protocols and methods.

The present Concept of development of nursing care in the National Research Center for Cardiac Surgery of Astana is developed for reduction of system of nursing care to the international standards according to requirements of modern health care for improvement of quality, efficiency, and safety.

Vision

As a result of improvement of nursing care on the basis of JSC NRCCS, it is expected:

1.    Implementation of coordination and management of multi-field and multi-disciplinary team to provide optimum, safe and high-quality care.

2.    Introduction and development of standards of professional service quality and to remain faithful to them.

3.    Ensuring joint cooperation and mutual respect between nursing staff and patients.

4.    Strengthening of understanding of that the patient isn't separable from the relatives, the environment surrounding him, traditions and cultural background.

5.    Development and expansion of the rights and opportunities of nursing staff.

6.    Increase of efficiency and productivity in practice of nursing care.

7.    Upgrading of education according to the international requirements and standards.

8.    To be a preferable place of employment for nursing staff and students who choose a place for practical training.

Tasks of development of nursing care in JSC NRCCS

1.     Improvement of regulatory, legal, organizational and methodical, as well as material base of nursing activity;

2.     Rise of satisfaction of the population with the provided medical services;

3.     Development and strengthening of abilities to independent decision-making within the competence;

4.     Improvement and upgrading in level of knowledge, skills;

5.     Increase of level of professional responsibility and competence of nursing staff;

6.     Standardization of practical activities of nursing staff.

Activities

No	Activities
1	To reach a ratio of nursing care specialists according to clinical complexity of patients at the level of the international standards.
2	Increase of competence of nursing care specialists in such areas as: -    general care for patients including the new powers delegated by doctors; -    improvement of service quality; -    risk management; -    safety of patients and personnel; -    continuous training; -    participation in scientific activity.
3	Development and expansions of mentoring system in such areas as: -    training and instructing of the patient, his family and relatives; -    training and professional development of the personnel, in particular on subjects: clinical cardiology, cardiosurgery, resuscitation, anesthesiology and operational interventions, both at adult age and in pediatrics; -    training, mentoring and holding master classes with colleagues from other regions and areas; -    development of programs for explanation and informing importance of prevention and timely treatment of the cardiovascular diseases intended for all population.
4	Development of indicators and tools for assessment of quality of nursing process.
5	Mastering skills of productive communication between nursing staff, multi-field team, patients and their relatives.
6	Mastering skills of research activity in the field of nursing care.

Expected results and assessment of efficiency

Implementation of the Concept will give the chance for improvement of quality of delivery of health care by specialists of nursing care and solution of priority questions of nursing care, in particular:

1.     Increase of satisfaction of the population with quality of the nursing help;

2.     Increase of occupational prestige of specialists of nursing care.

3.     Increase of level of professional responsibility of specialists of nursing care.

4.     Increase of satisfaction of nursing staff, as method of prevention of professional burnout.