ÌÅÄÈÊÎ-SOCIAL
ASPECTS OF MANAGEMENT OF NURSING
PRACTICE AND WAYS OF ITS PERFECTION
Z.K.Buribaeva, Jugaj V.N.
Republic Kazakhstan
The Kazakh national medical
University named S.D.Asfendijarov, Almaty,
Aktyubinsk medicine college. Àêòîáå
The standard circuit of
reforming of public health services of many countries includes definition of
problem areas for the certain period, specification of the purposes and tasks
of planned programs, and also definition of mechanisms of their realization
from which the decision of personnel aspects is essential. Imperfection of
personnel selection is expressed in impossibility to adjust movement of the
staff and preservation of personnel resources, to influence selection both duly
and qualitative preparation of the personnel. Experts mark, that in modern
conditions there was a necessity for use of new organizational and
administrative approaches for the decision of personnel problems of public
health services [Chen A.N., 2002].
Therefore during reform of
domestic system of public health services the special attention is given
administrative aspects of rendering of medical aid to the population.
Administrative functions are differentiated depending on type of system of
public health services and a stage of its development. In less scale plan
administrative functions will differ depending on type of the medical
organization, personnel structure, features of the served population. So, in
the research which has been carried out in Kyrghyzstan, the most actual
administrative functions in primary health care’s organizations in decreasing
order them priority have been allocated and ways of their improvement at an
educational level [Ajdaraliev A.A., 2002].
It is marked, that last years
professional management in medicine organizations has
changed and has extended owing to structural and financial changes, introduction
of mechanisms of quality assurance, etc. [Kulzhanov M.K., 2002]. Special value
for change of administrative aspects in public health services has accepted in
2004. The concept of medical and pharmaceutical education of Republic
Kazakhstan which assumes occurrence of new specialities, a deepening of bases
of preparation of specialists and their approach the world standards.
To nursing practice, as well as all system of public health services,
complexity, versatility, multilateral character, a variety of forms of its
organization and a wide spectrum of decided tasks are inherent. It is necessary
to note, that in nursing practice organizational features continue to prevail
characteristic for the Soviet system of public health services: centralization
of management; imperfect planning from a principle of the maximal satisfaction
of the population’s need in medical aid without taking into account regional
features and orientation on extensive parameters, absence of comparability of
parameters of expenses with the received results of activity [Zhuzzhanov O.T.,
Ibraev S.E., 1998; Kulzhanov M.K., Zhuzzhanov O.T., 1995; Izmuhambetov T.A.,
1994].
It is scientifically proved, that systems of preparation of the
administrative staff of public health services should be based on the complex
approach, including constant perfection of programs in view of varying
requirements of an administrative infrastructure of public health services.
Development of educational programs in the field of preparation of managers of
public health services should be carried out from positions of the scientific
approach that assumes quantitative and quality standard, the analysis of needs
of practical public health services in the administrative staff, an estimation
of curriculums, the account of the international experience and forecasting on
average-and long-term prospect [Ajdaraliev A.A., 2002; Chen
A.N., 2002].
In connection with above-stated the special urgency is represented with
studying opportunities of use of methodology of strategic management in nursing
practice that assumes a substantiation and definition of the basic directions
of development of this system, definition of precise system of the organization
of plans of realization of programs, definition of motivating mechanisms for
realization of programs, and also definition of development’s stages and
criteria of achievement’s estimation of the purpose [Filatov V.B., 1991]. It is
necessary to note, that for the decision of tasks of nursing management the
profound studying and ordering of all organizational technologies in nursing
practice [Shchepin O.P., 1993]. Perfection of any system, and in our work this
nursing practice, should be based on revision and ordering of making processes,
including change of motivation of the personnel [Tulebaev K.A., 1999].
We plan scientific work on development of methodical approaches to
perfection of a control system by the nursing personnel on the basis of
studying and structurization of organizational technology of management by
nursing practice by the example of the Aktyubinsk area.
Now we lead the analysis of the basic tendencies of nurses’ functioning
(uses and placements of personnel) in public health services of the Aktyubinsk
area, the medical-social status of the medical
personnel of nurses’ average link of a supervising and performing link with
allocation of the factors influencing their professional work (educational,
social-psychological, social and economic, social-professional, etc.) is determined.