The magazine highlights the new achievements in nursing education and practice, the issues of psychology, pedagogy and management in the work of head and chief nurses. The experience of the best nurses in various branches, their scientific research work and much more is represented in this magazine. ISSN 2415-3028 (Online), ISSN 2411-1597 (Print), ICV = 54.58, ICV 2018 = 59,08
NURSING CHALLENGES IN WORKING WITH RHEUMATOLOGY PATIENTS
Introduction. Rheumatological diseases are common worldwide and their number is increasing. These conditions require comprehensive, interdisciplinary care, in which nurses play an important role through their involvement in the process. Despite the developed algorithms for working with patients, only half of them remain satisfied with the treatment process and communication with staff. A survey of Japanese nurses working with rheumatological patients, conducted in 2020, identified five main problems: communication, understanding, experience, systemic problems and collaboration. However, there are no such studies conducted among Ukrainian nurses. The aim of the study – to learn about nursing challenges in working with rheumatology patients using statistical study of the patient contingent of the rheumatology department, analysis of the structure and staffing of a model rheumatology department, analysis of questionnaires of rheumatology department nurses about the peculiarities of work in the rheumatology department, oral interview with rheumatology department nurses. The main part. In 2024, the rheumatology department of the Ternopil Regional Clinical Hospital treated 1,725 patients with rheumatic diseases. The vast majority of them had joint manifestations. 9 experienced nurses are involved in the work with them, who are involved in registration, care, fulfillment of prescriptions, monitoring and self-care teaching of patients. Nurses face such problems as a large volume of patients, communication problems, organizational difficulties and emotional burnout. Conclusions. Rheumatological diseases are widespread throughout the world. Therefore, the rheumatology department of the Ternopil Regional Clinical Hospital works with a large flow of rheumatological patients. Experienced nurses are involved in their care, who have outlined the main problems in their work.
Copyright (c) 2025 О. І. Зарудна, О. С. Маховська, С. В. Даньчак, Н. І., І. К. Венгер, Н. Л. Корпусова https://creativecommons.org/licenses/by/4.0
NURSES’ COMMUNICATION IN CRISIS SITUATIONS AS A KEY ELEMENT IN ENSURING EFFECTIVE MEDICAL CARE
Introduction. In the current realities of social development, the healthcare system faces constant changes caused by a range of new social, medical, and humanitarian challenges. Under these conditions, the role of a nurse goes far beyond the technical execution of procedures: she becomes an intermediary between the patient, the patient’s family, and the medical team. The effectiveness of communication determines not only the quality of medical care but also the psychological state of patients. The aim of the study – to determine the importance of nurses’ communication in crisis situations and to investigate its impact on the effectiveness of medical care delivery. The main part. The study involved a systematic literature search in scientific databases, including PubMed, Scopus, and Web of Science, as well as an analysis of contemporary Ukrainian and international scientific literature, a generalization of practical nursing experience during the COVID-19 pandemic, and survey data from healthcare workers in medical institutions. The analysis showed that effective communication in crisis conditions performs several key functions: it ensures the timely delivery of reliable information to patients and their relatives, helps reduce stress levels, increases trust in medical personnel, and minimizes the risk of conflicts and misunderstandings in the treatment process. In addition, well-established communication within the medical team enables coordination of staff actions and reduces the likelihood of medical errors. Problematic factors remain the high level of emotional burden, time constraints, and insufficient training in crisis communication. At the same time, the practice of implementing simulation training and courses on the development of communication skills demonstrates positive results, increasing nurses’ preparedness for action in emergency situations. Conclusions. Communication is one of the fundamental tools of nurses’ activity in crisis conditions. It determines not only the level of patients’ trust but also the effectiveness of teamwork, contributes to improving the quality of medical care, and helps preserve the health and lives of people. Further development of communicative competencies should become a priority in the training and professional development of nursing personnel.
Copyright (c) 2025 Я. Е. Ганзіна, Ю. А. Денисюк https://creativecommons.org/licenses/by/4.0
MEDICATION ADHERENCE IN OUTPATIENTS WITH HEART FAILURE
Introduction. In the management of heart failure, adherence to prescribed pharmacological therapy and maintaining a high level of treatment compliance are key factors. The aim of this study was to assess the impact of the "Heart Failure Symptom Monitoring Diary" on treatment adherence among outpatients with heart failure. Main part. The study included 55 patients from the "City Polyclinic No. 2" in Chernivtsi. In the cardiology office, they received individual counseling, education, and a diary for daily self-monitoring of heart failure symptoms in outpatient settings. It was found that educational interventions improved adherence to pharmacotherapy from 39.2 % to 71.2 %, and adherence to a healthy lifestyle from 31.5 % to 82 %. Forgetfulness, missed doses, self-discontinuation of medications, and neglect of medication records significantly decreased (by 67.3 %, 58.2 %, 45.5 %, and 67.2 %, respectively) (p = 0.0007). A high level of adherence (9.1 points) after the intervention was achieved in 71 % of patients, moderate adherence in 21.8 %, and low adherence in only 7.2 % (p = 0.020). The average adherence score increased to 8.1 compared to 4.4, indicating a significant improvement. The vast majority of patients (92.7 %, n = 51) demonstrated excellent adherence (≥8 points) after the educational intervention. Among elderly female patients, who predominated in the study group, adherence increased from moderate to high (8.2 points vs. 5.1). Self-monitoring indicators improved, in particular: the frequency of regular weight monitoring increased by 62%, fluid intake control (within the recommended volume of 1–1.5 L per day) improved by 40.2%, and adherence to dietary recommendations regarding sodium restriction increased by 46.2%. Conclusions. Targeted education and the use of a monitoring diary are effective educational tools for patients with heart failure, promoting greater disease awareness and treatment adherence, improving self-monitoring, facilitating lifestyle changes in outpatient settings, and supporting the implementation of individualized treatment plans.
Copyright (c) 2025 Д. К. Григорець, І. А. Плеш, М. Г. Гулей https://creativecommons.org/licenses/by/4.0
MODERN TOOLS FOR ENSURING ACCESSIBILITY OF MEDICAL CARE IN THE WORK OF PSYCHIATRISTS AND CLINICAL PSYCHOLOGISTS
Introduction. The critical importance of telemedicine in Ukraine today is driven by the combination of wartime challenges, widespread psychological trauma, and limited access to specialized care. Telepsychiatry provides essential support for patients who have been forcibly displaced, live in high-risk areas, or lack the ability to visit a clinician in person. Remote consultations enable faster responses to changes in mental state, improve access to specialists, and reduce the stigma associated with seeking psychiatric support, telepsychiatry becomes one of the key instruments for ensuring psychological assistance to the population. The aim of the study – to provide a comprehensive analysis of the role, effectiveness, and practical implementation of telemedical tools in the work of psychiatrists and clinical psychologists, and to assess their significance in ensuring continuous, accessible, and modern care within Ukraine’s healthcare system. The main part. The article examines core telemedical solutions used in psychiatric practice, including remote clinical assessment, video consultations, digital monitoring platforms, self-tracking applications, and crisis intervention services. Special attention is given to the advantages of telepsychiatry, such as expanding access to specialized care, reducing stigma-related barriers, optimizing patient pathways, and improving adherence to treatment. The clinical aspects of telemedicine use for patients with different categories of mental disorders are explored. The article analyzes the potential for early detection of deterioration through digital tools such as regular online questionnaires, mood diaries, passive activity monitoring, and artificial intelligence–based algorithms. A separate section highlights the context of the war in Ukraine as a factor that has significantly increased the need for remote psychiatric support. Internally displaced persons, military personnel, residents of frontline territories, and individuals with chronic mental disorders often have limited opportunities for inperson consultations, making telemedicine one of the key mechanisms for supporting mental health. The article also discusses the ethical, legal, and organizational challenges of implementing telemedical interventions. Conclusions. Telemedicine is an effective tool for expanding access to psychiatric and psychological care, ensuring continuity of treatment, and facilitating earlier detection of clinical destabilization. In the current conditions, its integration into clinical practice is a necessary step toward building a resilient, flexible, and patient-centered mental healthcare system in Ukraine.
Copyright (c) 2025 Е. П. Сас, Е. Ю. Мисула, Л. М. Сас, О. П. Венгер, Ю. І. Мисула, М. Є. Коваль, Л. О. Вакуленко https://creativecommons.org/licenses/by/4.0
COMPREHENSIVE ASSESSMENT OF THE EFFECTIVENESS OF A PHYSIOTHERAPEUTIC PROGRAM (MASSAGE AND MANUAL THERAPY) IN PATIENTS WITH DISEASES OF THE MUSCULOSKELETAL SYSTEM
Introduction. The human body is naturally capable of a wide range of muscular activity. Over the centuries, despite significant changes in socio-economic conditions, physical activity and the need for movement have not only not decreased, but on the contrary - have remained a basic life need and an important factor in maintaining health. Movement is a key natural and biological stimulator of growth, development, preservation and improvement of physiological functions, forming the harmonious development of the whole organism. Education in higher education institutions creates a specific environment when intensive mental activity is combined with pronounced hypokinesia and high neuro-emotional stress against the background of a sharp reduction in motor activity. Under the influence of physical exercises, morphological and functional restructuring occurs in the body, which contributes to a significant increase in the capabilities of individual organs, systems and their interaction, improvement of regulatory processes, as well as an expansion of the spectrum of compensatory and adaptive reactions. At the same time, both specific and nonspecific resistance of the body to the action of adverse environmental factors increases, and the ability to withstand various physical loads improves. Scientific studies confirm that physical exercises contribute to improving the functional state of the body. At the same time, to achieve maximum effect, it is necessary to rationally plan physical activity, adhere to key physiological patterns and correctly select the intensity and types of loads. The aim of the study – to determine the best physical therapy methods for restoring the musculoskeletal system in the elderly. The main part. The study was conducted at the SUNRISE massage therapist training and development center in Ternopil. 42 patients aged 50 to 76 years old with various musculoskeletal disorders were involved. Participants were selected based on the presence of traumatic injuries, structural damage, and decreased motor or sensory functions of the lower extremities, which met the main inclusion criteria in the study. The use of combined methods of influence contributed to pronounced positive changes in the functional state, which was manifested by a decrease in pain syndrome, improvement of muscle tone, expansion of the amplitude of movements in the joints and optimization of motor stereotypes. The obtained data also demonstrate an increase in the overall quality of life of the participants due to a decrease in physical limitations, improvement of the emotional state and increased confidence in their own motor capabilities. The complex rehabilitation approach has confirmed its effectiveness and can be recommended for practical use in rehabilitation centers, as well as as a basis for further scientific research on the optimization of recovery programs for various types of musculoskeletal injuries. Conclusions. All clinical and functional instruments involved in the evaluation (QUALEFFO, WOMAC, TUG, BBS, 6MWT) showed significant statistically and clinically significant improvements after patients completed a three-week physical rehabilitation program.
Copyright (c) 2025 Н. О. Давибіда, Ю. А. Залевська, Н. Ю. Парадовський https://creativecommons.org/licenses/by/4.0
THE ROLE OF PILATES AS A MODEL OF A HEALTH AND RECREATIONAL PROGRAM FOR DISEASES OF THE MUSCULOSKELETAL SYSTEM
Introduction. The article analyzes the importance of health and recreation programs in the prevention, correction and rehabilitation of musculoskeletal disorders (MSDs). The mechanisms of the influence of Pilates on the human body are revealed, a model of health and recreation program for musculoskeletal diseases is created. It is shown how a comprehensive recreational approach contributes to improving the quality of life and restoring the functions of the musculoskeletal system. The aim of the study – to scientifically substantiate the use of Pilates as a model of a health and recreational program for diseases of the musculoskeletal system and to determine its functional capabilities in the correction of motor disorders. The main part. Recreational activities are a system of activities aimed at restoring a person’s physical, mental and social resources, carried out in their free time and ensuring recovery and development. Recreational programs provide a dosed and safe load that helps improve blood circulation, normalize muscle tone and optimize the biomechanics of movements. Regular programs reduce pain intensity, improve mobility and reduce the risk of exacerbations of chronic diseases. One type of health and recreation program is Pilates. The Pilates method, created by Joseph Pilates (Pilates, 1945), has been actively integrated into the fitness industry, physical therapy and recreation in recent decades. Studies (Latey, 2001; Wells et al., 2012) confirm its effectiveness in lower back pain, postural disorders, decreased stabilization function of the core muscles and arthritic changes. Conclusions. Pilates is an effective model of a health and recreational program for people with musculoskeletal diseases. The method has a positive effect on stabilizing the spine, forming correct motor stereotypes and reducing pain. Regular implementation of the program for 6–8 weeks improves functional status and quality of life, creates conditions for restoring motor control, which is important in pathologies of the musculoskeletal system, and promotes psycho-emotional relief through breathing and body awareness.
Copyright (c) 2025 Л. В. Новакова, Н. М. Безпалова, М. М. Цуняк https://creativecommons.org/licenses/by/4.0
NURSING MANAGEMENT IN CONTEMPORARY UKRAINE: CHALLENGES AND PROFESSIONAL COMPETENCIES IN WARTIME CONDITIONS
Introduction. In the current wartime conditions in Ukraine, the healthcare system has undergone profound transformations, necessitating enhanced efficiency in the management of medical institutions, particularly in the field of nursing. Management in nursing practice has acquired special significance, as nurses form the backbone of the healthcare system – ensuring continuity of patient care, coordination of interdisciplinary teams, and the adaptation of medical processes to crisis situations. The aim of study – to analyze the distinctive features of nursing management in modern Ukraine, to define its conceptual foundations, and to identify the essential professional and personal qualities that enable nurses to perform effectively as managers and leaders in a healthcare system operating under the pressures of war and reconstruction. The main part. Nursing management is defined as a scientifically grounded activity aimed at the effective organization of nursing staff, the rational use of available resources, and the improvement of healthcare quality. In modern healthcare, a nurse performs not only traditional caregiving duties but also acts as a manager, coordinator, consultant, and mentor for patients and colleagues. The key professional competencies of a nurse manager include strategic thinking, decision-making ability, leadership, psychological resilience, ethical conduct, and readiness to act under uncertainty. Under wartime conditions, the need for rapid decision-making, crisis management, organization of nursing care in resource-limited settings, and the provision of moral and psychological support to the wounded, civilians, and medical personnel has become paramount. The modern model of nursing envisions the nurse as a highly educated specialist capable not only of performing clinical duties but also of effectively managing the nursing process, implementing evidence-based medical standards, and fostering the professional growth of the healthcare team. Conclusions. The professional role of the nurse in Ukraine today extends far beyond traditional patient care, encompassing managerial, educational, and psychological functions. In wartime, the nurse’s role as a manager becomes especially critical, as nurses ensure the stability, flexibility, and effectiveness of healthcare delivery. The development of managerial competencies among nurses is a strategic priority for the advancement of Ukrainian healthcare — aimed at improving the quality of nursing care, strengthening human resources, and reinforcing the resilience of the healthcare system in times of crisis.
Copyright (c) 2025 М. Я. Кічула, Г. І. Кліщ, В. М. Кічула https://creativecommons.org/licenses/by/4.0
FACTORS CONTRIBUTING TO PROFESSIONAL BURNOUT AMONG NURSES AT THE PRESENT STAGE AND PRACTICAL APPROACHES TO ITS MITIGATION
Introduction. Nurses belong to a professional group with a high risk of developing burnout syndrome. Professional burnout is defined as a complex psychophysiological state characterized by emotional, cognitive, and physical exhaustion resulting from prolonged exposure to occupational stress and excessive emotional demands. The primary factors contributing to its development include the specifics of professional activity, working conditions and work organization, as well as the individual psychological characteristics of the employee. Manifestations of the syndrome affect both somatic and psycho-emotional domains, presenting as chronic fatigue, decreased job satisfaction, apathy toward the social environment, and emotional detachment from patients. The impact of occupational stress may be intensified by personal and family difficulties, complicating the processes of adaptation and the restoration of psycho-emotional balance. The aim of the study – to analyze the factors contributing to professional burnout among nurses and to provide practical recommendations for its prevention and management as key determinants of health preservation and long-term work capacity. The main part. It was found that professional burnout among nurses manifests at both personal and professional levels. Healthcare workers experience reduced motivation to perform professional duties, decreased quality of care, and increasing levels of interpersonal conflict within the team. Prolonged emotional exhaustion may lead to the development of psychosomatic disorders, depressive states, heightened anxiety, and increased frequency of temporary work incapacity. Preventing the development of burnout syndrome requires optimizing working conditions, ensuring a rational distribution of functional responsibilities, promoting a supportive psychological climate within the team, and implementing programs for psycho-emotional support of staff. Conclusions. Professional burnout is a complex phenomenon that requires careful study at the present stage. Increasing demands placed on healthcare personnel and the extreme stress conditions of medical work underscore the need for continued research and understanding of this problem, as well as the development of effective strategies to prevent its occurrence.
Copyright (c) 2025 О. М. Шульгай, Т. Г. Радченко https://creativecommons.org/licenses/by/4.0
MODERN APPROACHES TO THE USE OF KINESIOTAPING IN PHYSICAL THERAPY OF PATIENTS WITH KNEE JOINT INJURIES
Introduction. The knee joint is one of the most vulnerable anatomical structures of the musculoskeletal system, and its injuries — especially ruptures of the anterior and posterior cruciate ligaments, medial collateral ligament — lead to a significant decrease in working capacity and long-term loss of physical activity. Traditional rehabilitation programs include therapeutic physical education, massage, physiotherapy, but in recent years there has been a growing interest in kinesiotherapy methods as an additional means of optimizing recovery processes. The aim of the study – to analyze current data on the effectiveness of kinesiotherapy in patients with knee ligament injuries and to determine the prospects for this method. The main part. A search and analysis of scientific literature was conducted on the use of kinesiotherapy in physical therapy both in general and specifically in patients with knee ligament injuries. A review of the literature was conducted to summarize current data on the effectiveness of kinesiotherapy, determine its role in the rehabilitation program and outline the prospects for further research. The search was conducted in international electronic databases: PubMed, Scopus, Web of Science, Google Scholar, as well as in domestic scientific journals and conference proceedings. The article reviews the results of clinical studies, systematic reviews and meta-analyses that have studied the role of kinesiology taping in the treatment of knee injuries. The generalized data show that the use of tapes reduces the intensity of pain, reduces post-traumatic or postoperative edema, and also restores the range of motion. Some studies confirm the improvement of proprioception, stability of the knee joint and faster recovery of strength of the muscles of the posterior thigh. The psychological effect attracts special attention: the use of tapes increases the patient’s confidence in performing movements and reduces the fear of re-injury, which contributes to a more active participation in the rehabilitation process. However, the results of the studies are not entirely unambiguous. Some studies demonstrate only a short-term effect of kinesiology taping or do not reveal statistically significant differences compared to standard treatment methods. Insufficient standardization of application schemes and significant variability in methodology also complicate the formation of universal clinical recommendations. Conclusions. Kinesio taping can be considered as an effective adjunct in complex physical therapy for knee ligament injuries. Its feasibility is most evident in the early phase of recovery, when it is necessary to quickly reduce pain and swelling, create conditions for active development of movements and support the psycho-emotional state of the patient. Further scientific research should be aimed at standardizing taping protocols, determining optimal combinations with other physical therapy methods and assessing long-term results.
Copyright (c) 2025 Н. О. Давибіда, Д. В. Довгаль https://creativecommons.org/licenses/by/4.0
ORGANIZATION OF THE EDUCATIONAL PROCESS IN “CLINICAL NURSING IN PEDIATRICS” UNDER WARTIME CONDITIONS ON THE MOODLE PLATFORM: CHALLENGES AND ADAPTATION
Introduction. The wartime situation in Ukraine has caused significant transformations in the organization of the educational process, highlighting the need for rapid implementation of digital solutions capable of ensuring continuity of learning and maintaining the quality of training for future healthcare professionals. The Moodle platform has become a key tool for distance and blended education, enabling the adaptation of teaching the discipline “Clinical Nursing in Pediatrics” at Kharkiv National Medical University to new circumstances. The aim of the study – to analyze the specific features of organizing the educational process in the discipline “Clinical Nursing in Pediatrics” on the Moodle platform under wartime conditions and to identify the main directions of adaptation of the educational environment. The main part. The electronic course, developed according to the educational program, includes structured learning modules, interactive assignments, testing instruments, asynchronous and synchronous communication tools, case-based workshops, photo archives of laboratory and instrumental materials, and emergency diagnostic protocols. A special role is played by the case method, which promotes the development of clinical reasoning, the ability to analyze symptoms, identify leading syndromes, formulate preliminary diagnostic hypotheses, and plan additional examinations. The use of video conferences, forums, and chats ensures pedagogical interaction, reduces student anxiety, and increases engagement. The platform provides continuous access to materials, individualization of the learning trajectory, and integration with external digital resources. In 2023, the implementation of a hybrid learning model made it possible to optimally combine distance technologies with practical training in safe clinical settings. Conclusions. The use of Moodle ensured the stability and accessibility of the educational process, supported the formation of professional competencies, and enabled effective integration of theoretical and practical training of future pediatric nurses during wartime.
Copyright (c) 2025 Н. І. Макєєва, М. С. Дяченко, В. Є. Домніч, В. В. Андрущенко, В. А. Коваль https://creativecommons.org/licenses/by/4.0
FEATURES OF ACQUISITION OF PRACTICAL SKILLS IN CLINICAL ANATOMY AND OPERATIVE SURGERY BY HIGHER EDUCATION STUDENTS IN THE SPECIALTY OF «PARAMEDIC»
Introduction. Clinical anatomy and operative surgery occupies an important place in the system of higher medical education. Based on the knowledge acquired by higher education graduates in the specialty “paramedic” when studying such fundamental disciplines as human anatomy, normal physiology, clinical anatomy and operative surgery, it is designed to equip the future medical specialist with the knowledge necessary to assess the condition of an injured person in emergency situations, performing vital procedures and manipulations. The aim of the study – to investigate the features of the acquisition of practical skills in clinical anatomy and operative surgery by higher education students majoring in paramedics. The main part. The performance and mastery of practical skills in clinical anatomy and operative surgery of 125 higher education applicants in the specialty of «paramedic» was assessed, who were divided into two groups: individuals with a predominantly dominant right hand and left hand. The assessment was carried out according to a twelve-point system. It was found that right-handed students mastered the necessary practical skills better than left-handed individuals. The average score for the performance and mastery of practical skills by right-handed paramedics was (8.96±0.12), and left-handed - (8.10±0.12), and the qualitative success of the latter was lower by 13.9% (p<0.001) compared to the former. Conclusions. As a result of the pedagogical experiment and the results obtained, it was established that left-handed and right-handed higher education students in the specialty of «paramedic» are characterized by different psychophysiological features and they acquire the necessary practical skills differently. For full and effective mastery of practical skills in clinical anatomy and operative surgery, more attention should be paid to paramedics with the dominance of the right hemisphere of the brain, that is, with the predominant dominance of the left hand. Further study of the psychophysiological features of higher education students in the specialty of «paramedic» and taking them into account when performing and mastering practical skills in the academic discipline will help to master them more fully and effectively.
Copyright (c) 2025 М. С. Гнатюк, О. Б. Слабий, О. О. Сафронова https://creativecommons.org/licenses/by/4.0
VACCINATION IN THE CONTEXT OF ANTIBIOTIC RESISTANCE PREVENTION: A STUDY OF PUBLIC VIEWS AND IDENTIFICATION OF KEY GAPS
Introduction. Since strengthening population health is a key objective of sustainable development, the implementation of simple preventive measures—particularly timely vaccination—plays a critical role in preventing antimicrobial resistance and limiting the spread of drug-resistant infections. The aim of the study – to examine parents’ attitudes toward childhood vaccination, determine their level of awareness, identify factors influencing vaccine-related decision-making, and analyze potential barriers and motivating factors that affect the completeness and timeliness of immunization among the pediatric population. The main part. The study was conducted in a school setting and involved students, their parents, and teachers, as these interacting groups shape health-related behavioral patterns. All participants were informed about the purpose of the study and provided voluntary consent. The survey focused on adherence to the national immunization schedule, trust in vaccines, and awareness of the preventive role of immunization in reducing infections that may require antibiotic treatment. The results showed that 66 % of children are vaccinated according to the schedule, 18 % partially; 43 % of respondents firmly believe in the effectiveness of vaccination, while 22 % partially agree; only 23 % of children received additional (non-mandatory) vaccines. When making vaccination decisions, 62 % of parents rely on consultations with a physician, and the main source of information is a family doctor or pediatrician (47 %). The data indicate that although 65 % of respondents acknowledge the importance of vaccination, overall support remains insufficient, and many parents exhibit notable information gaps. Trust in vaccination is largely shaped by healthcare professionals, whereas social media and other non-official sources frequently contribute to uncertainty and the spread of misinformation. Conclusions. Most respondents recognize the importance of vaccination; however, the level of unequivocal support (43 %) remains insufficient to achieve herd immunity, and the substantial proportion of individuals who remain hesitant underscores the need for improved parental education. Nurses play a pivotal role in health education, fostering trust, and addressing informational gaps—an aspect that is particularly critical for preventing antimicrobial resistance, as vaccination reduces the necessity for antibiotic use.
Copyright (c) 2025 Ю. О. Данилевич, М. Я. Добровольська, С. В. Даньчак https://creativecommons.org/licenses/by/4.0
ORGANIZATION OF SURGICAL CARE PROVISION FOR PALLIATIVE PATIENTS: NURSING ASPECT
Introduction. Palliative care represents an integral, humanistically oriented component of the modern healthcare system. Its primary goal is to improve the quality of life of patients suffering from incurable, progressive diseases or life-limiting conditions. Within this group of patients, a significant proportion require surgical interventions. Importantly, these procedures are palliative rather than radical or curative in nature. Their main purpose is to alleviate unbearable symptoms (such as obstruction or bleeding), reduce pain, and prevent severe complications that could markedly worsen the patient’s final months or weeks of life. In this complex process, the nurse plays a key role ensuring continuity of care, careful monitoring of the patient’s condition, and upholding their dignity and comfort. Unlike conventional surgery, which focuses on saving life, palliative surgery emphasizes enhancing its quality. The aim of the study – to substantiate the features of organizing surgical care for palliative patients with an emphasis on the nursing aspect, to determine the role of the nurse in ensuring the quality of care, a comfortable course of the postoperative period and maintaining the dignity of patients in the final stages of life The main part. Analysis of literature and regulatory documents has shown that palliative surgery is aimed to alleviate symptoms and support the patient’s functional abilities, rather than treating the underlying disease. The organization of care includes assessing the patient’s condition, planning and performing the interventions, postoperative care, and interaction within a multidisciplinary team. The nurse performs the functions of vital signs monitoring, controlling pain relief, preventing infections, and providing psychological support to the patient and family. The main problems are insufficient staff training and the lack of standardized care protocols. Practical recommendations include the implementation of local algorithms, advanced training for nurses, individualized care, and the development of interdisciplinary collaboration. Conclusions. Surgical care for palliative patients is a vital and integral component of comprehensive palliative treatment aimed at relieving suffering. Professional training and consistent organizational measures in nursing practice play a crucial role, directly contributing to improved quality of care, ensuring patient safety, and most importantly enhancing their quality of life during the final stages. The systematization and humanization of nursing care represent a fundamental pathway toward ensuring a dignified end of life.
Copyright (c) 2025 Ю. Я. Коцаба, І. В. Яворська, Р. К. Волков, Н. І. Рега https://creativecommons.org/licenses/by/4.0
APPLICATION OF A COMPREHENSIVE APPROACH OF MASSAGE AND MANUAL THERAPY IN THE REHABILITATION OF ANKLE, KNEE AND HIP JOINTS
Introduction. Arthritis is one of the most common inflammatory diseases of the musculoskeletal system, leading to persistent disorders of motor activity and disability of the population. According to statistics, about 1–2 % of the adult population of the world suffers from various forms of arthritis, and in the structure of rheumatological pathology they occupy one of the leading places. Lesions of the large joints of the lower extremities – ankle, knee and hip – are of particular clinical and social importance, since it is these joints that provide support, walking, balance and movement. Pathological changes in them sharply reduce functional independence, limit working capacity and significantly worsen the quality of life of patients. That is why physical therapy is of great importance, which is aimed at reducing pain syndrome, improving joint mobility, strengthening muscles, correcting motor stereotypes and restoring patients’ functional ability by massage and manual therapy methods. The aim of the study – to investigate the effectiveness of using a comprehensive approach of massage and manual therapy in restoring the functions of the ankle, knee and hip joints, as well as to substantiate the feasibility of combining them in the rehabilitation process. The main part. The study was conducted at the private rehabilitation center «SUNRISE» in Ternopil. The study involved 30 patients diagnosed with arthritis of the large joints of the lower extremities (ankle, knee, and hip). The program lasted 8 weeks. As a result of the study, it was found that the proposed physical rehabilitation program, which included the course application of massage and manual therapy, had a positive effect on the functional state, level of physical activity, balance, mobility and quality of life in patients with musculoskeletal disorders. Conclusions. Thus, the study showed that the use of rehabilitation massage and manual therapy contributes to the comprehensive recovery of patients with arthritis of large joints of the lower extremities: reducing pain, increasing functional activity, improving endurance, mobility and expanding the amplitude of movements. This emphasizes the feasibility of using the developed technique in the clinical practice of rehabilitation centers and its prospects for further dissemination.
Copyright (c) 2025 Н. О. Давибіда, О. М. Довгань, М. М. Іванечко https://creativecommons.org/licenses/by/4.0
THE ROLE OF THE NURSE IN INFECTION CONTROL IN CONTEMPORARY MEDICAL PRACTICE
Introduction. Healthcare-associated infections (HAIs) remain a serious challenge for modern healthcare, as they complicate underlying diseases, increase mortality, prolong hospitalization, and cause significant economic losses. Effective infection control is grounded in aseptic and antiseptic principles, standard precautions, and strict hygiene compliance. Nurses play a pivotal role in the practical implementation of these measures The aim of the study – to conduct a review and thorough analysis of scientific literature and modern approaches regarding infection control in medical practice in different countries with a detailed disclosure of the importance of asepsis and antisepsis, to assess the role of the nurse as a specialist who implements the principles of epidemiological safety in medical institutions and is directly responsible for a safe medical environment for patients and medical staff. The main part. Bibliographic and descriptive-analytical methods were applied. Sources were retrieved from PubMed, Scopus, Web of Science, Google Scholar, national electronic libraries, documents of the Ministry of Health of Ukraine, the World Health Organization, and professional nursing associations. Inclusion criteria comprised relevance, scientific validity, data on the nursing role in infection prevention, and practical significance. Analysis of Ukrainian and international practices showed that effective infection control requires a systemic approach, continuous professional education, and sufficient resources. Major challenges in Ukraine include limited funding, restricted access to modern equipment, and incomplete reporting of HAIs. The review highlights the critical importance of hand hygiene, rational use of personal protective equipment, adherence to sterilization and disinfection protocols, and epidemiological surveillance. Nurses perform a leading role by ensuring daily compliance with aseptic and antiseptic practices, maintaining hygiene, organizing patient care, and conducting educational activities for both staff and patients. Conclusions. Adaptation of the Ukrainian healthcare system to international infection control standards is essential for enhancing patient and staff safety. Nurses remain central figures in implementing infection prevention strategies. Strengthening their competencies, ensuring compliance monitoring, and providing adequate resources are strategic priorities for reducing HAIs and improving the quality of medical care.
Copyright (c) 2025 І. М. Стрельнікова, В. І. Смирнова https://creativecommons.org/licenses/by/4.0
CIRCUIT TRAINING: THEORETICAL AND METHODOLOGICAL PRINCIPLES AND PRACTICAL APPLICATION IN THE PHYSICAL TRAINING OF FOOTBALL PLAYERS
Introduction. The article considers the theoretical and methodological foundations and practical aspects of the use of circuit (interval) training in the physical training of football players. An analysis of modern scientific sources was conducted, the structure and principles of building the training process were determined, and an experimental circuit training program was developed for the U-18 youth team. The results of the eight-week experiment (n=24) showed a significant improvement in the indicators of speed-strength qualities, aerobic endurance and functional readiness of football players. The feasibility of using circuit training in the preparatory period was substantiated. The aim of the study – to substantiate theoretically and experimentally verify the effectiveness of circuit training in the training of football players. The main part. Circuit training as a separate method of organizing physical exercise classes was proposed in 1953 by English scientists R. Morgan and G. Adamson in the city of Leeds (Morgan & Adamson, 1953). They were the first to systematize exercises in the form of “stations” that were performed in a circle with a given number of repetitions, duration and rest intervals. The effectiveness of circuit training is based on the principle of the complex effect of physical exercises on the main functional systems of the body. During the exercises, all energy mechanisms are activated: anaerobic-alactic, which provides short-term, intense efforts; anaerobic-glycolytic, which is responsible for work of medium duration; aerobic, which provides endurance during long work (McArdle et al., 2015). The main principles of constructing circuit training are the sequence of exercises, where the exercises are arranged so that the loads on different muscle groups alternate. Heart rate (HR) monitoring and subjective stress level according to the Borg scale are used. Conclusions. Circuit training provides effective development of physical qualities of football players due to complex influence on strength, speed and endurance characteristics. After the author’s training program, we received a significant improvement in speed, explosive strength and endurance tests. The method is recommended to be used in the preparatory period with heart rate control (85–90 % HRmax).
Copyright (c) 2025 Л. В. Новакова, В. Л. Назарук, Я. І. Боровицька https://creativecommons.org/licenses/by/4.0
PRACTICAL EXPERIENCE IN THE APPLICATION OF INNOVATIVE METHODS IN PHYSICAL THERAPY (REVIEW OF CASES, PROGRAMS, RESEARCH)
Introduction. Physical therapy, as a complex of scientifically based methods of influencing the body through physical exercises, massage, manual techniques, physical factors and motor activity, has proven its effectiveness in the processes of rehabilitation, prevention and general improvement. At the same time, classical methods of physical therapy need to be adapted to the needs of modern society, in particular through the use of innovative technologies that allow individualizing the process, increasing the motivation of participants and providing deeper control over the dynamics of changes in health. The latest technologies, such as telerehabilitation, virtual and augmented reality, biofeedback, fitness trackers, mobile health applications, interactive platforms for physical exercises, significantly expand the capabilities of physical therapy. They allow you to create adaptive, flexible, accessible programs that can be used both in medical institutions and at home, ensuring the continuity of the recovery and rehabilitation process. Thus, the relevance of the topic is due to the need for a comprehensive approach to the recovery of the population of different ages using effective, scientifically based physical therapy tools and modern technologies. This will not only contribute to reducing the incidence rate, but also increase the quality of life, social adaptation and duration of active longevity of the population. The aim of the study – to investigate and verify the effectiveness of the application of a comprehensive physical therapy program using the latest health technologies to restore the health of people of different age groups in a fitness center. The main part. The experimental study was conducted at the Harbor Fitness center in New York, Brooklyn, which has the appropriate conditions for conducting physical therapy classes using innovative technologies. 45 people were involved in the experimental study. The results obtained indicate that different age groups react differently to innovative methods: children and adolescents perceive gamified physical activity better, which allows them to effectively influence flexibility, posture, coordination, and increase motivation. Adults respond positively to personalized mobile applications and fitness trackers, which allow them to integrate exercise into their daily routine, which is important for the prevention of physical inactivity and stress reduction. Elderly people showed a stable improvement in coordination and psycho-emotional functions through the use of VR and telemonitoring, which also contributed to a decrease in the feeling of isolation. Conclusions. All selected clinical functional scales and tests (QUALEFFO, WOMAC, TUG, BBS, 6MWT) showed statistically and clinically significant dynamics after a three-week rehabilitation program.
Copyright (c) 2025 Н. О. Давибіда, Н. М. Безпалова, І. П. Магдич https://creativecommons.org/licenses/by/4.0