The analysis of foreign experience and Russian practices of changing the role of nurses

The article provides an overview of the European experience in changing role a nurse, as well Russian practices within framework pilot project to expand functions nurses accordance with order Ministry Health Russia "On approval action plan («road map») specialists secondary medical education. author emphasizes that new challenges millennium entail shift emphasis towards patient orientation, which implies improvement quality services, and this, turn, will address issues competent distribution powers between doctors nurses. notes patient-centered care entails increase burden on their empowerment. analyzes both advantages expanding nurses: career advancement continuous professional personal development through acquisition additional knowledge competencies, possible risks: psychological resistance forms work, conflict interests nurses, unwillingness work documents, etc.