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ORGANIZATIONAL MODEL OF OPTIMIZATION OF NURSING BY INTRODUCING THE POSITION OF CLINICAL (UNIVERSAL) NURSE IN THE DEPARTMENT OF THE CENTER FOR MAXILLOFACIAL SURGERY

The trend of continuous growth in the number of patients with pathology of the maxillofacial region necessitates the optimization of the medical care service in the profile of maxillofacial surgery and the introduction of a patient-oriented approach to medical care. On the territory of the Penza Region, in order to improve the quality of medical care for patients with head and neck pathology, a Center for maxillofacial surgery was established on the basis of the State Budgetary Healthcare Institution "Penza Regional Clinical Hospital named after N.N. Burdenko" in 2020. The work of the Maxillofacial Surgery Center is based on the principles of continuity and complementarity of specialists of a medical organization in the process of providing medical care. For this purpose, new specialists and positions in the staffing table have been introduced into the structure of the Center. In the course of optimizing the medical care service in the profile of maxillofacial surgery, the role of the nursing staff has been revised in the direction of increasing its professional competence. Increasing the competence of nurses is one of the pressing issues of effective development of the healthcare system. The staff of the Maxillofacial Surgery Center has introduced a new form of organization of the work of nursing staff - a clinical (universal) nurse. A clinical nurse has been assigned the duties of a post, procedural and dressing nurse, but the number of patients under observation has been reduced. With the introduction of a new position, nurses have the opportunity to expand the potential of their professional duties, increase the level of personal development. Clinical nurses have become more independent in making decisions when providing medical care within their competencies, and have expanded the scope of professional knowledge. The expansion of the profile of the manipulations performed contributes to the development of nursing specialists, allowing them to become universal, which provides a higher level of qualification. In general, a more professional, patient-oriented approach to the provision of medical care in the Center of Maxillofacial Surgery to patients with pathology of the maxillofacial region in the Penza region has been provided.