Provide Quality Care Research Articles

Outcomes of a Novel Spine Virtual Fracture Clinic in an Australian Tertiary Hospital.

This was a retrospective cohort study. To determine the proportion of referrals diverted by the spine virtual fracture clinic (SVFC) from traditional outpatient clinic management. The consistent rise in demand for orthopedic outpatient clinic services is creating marked challenges to the provision of quality care. Virtual fracture clinics for upper and lower limb fractures have reduced the burden on outpatient clinics by providing an alternative telehealth management pathway. To date, no study describes the expansion of virtual care to the spine trauma population. A study of spine fractures referred to the RMH Department of Orthopaedic Surgery was conducted comparing outcomes before (January to December 2021) and following (July 2022 to November 2023) implementation of an SVFC. The primary aim of this study was to investigate the effect of a telephone-based SVFC on outpatient clinic activity, represented by the proportion of referrals discharged without requiring an outpatient clinic appointment. Secondary aims included appointment utilization, lost to follow-up rates, duration of care, missed or misdiagnoses, unplanned operations, and complications. Of the 731 referrals managed by the SVFC, 91.1% were discharged without requiring in-person outpatient clinic attendance. Compared with the outpatient clinic historical cohort (150 referrals), SVFC management was associated with reductions in the average number of consultations per referral (1.8 vs . 2.4, P <0.001), appointments not attended (5% vs . 13%, P <0.001), referrals lost to follow-up (0% vs . 10.7%, P <0.001), and a shorter duration of care (median 48 vs . 58d, P <0.001). A total of 65 patients (8.1%) were redirected to the outpatient clinic, of which three underwent surgical intervention. No diagnostic errors, complications or adverse events were identified. This study demonstrates that an SVFC is an effective and safe alternative pathway to traditional hospital-based outpatient clinics, ith low-risk for any adverse outcomes.

How can a behavioral economics lens contribute to implementation science?

BackgroundImplementation science in health is an interdisciplinary field with an emphasis on supporting behavior change required when clinicians and other actors implement evidence-based practices within organizational constraints. Behavioral economics has emerged in parallel and works towards developing realistic models of how humans behave and categorizes a wide range of features of choices that can influence behavior. We argue that implementation science can be enhanced by the incorporation of approaches from behavioral economics.Main bodyFirst, we provide a general overview of implementation science and ways in which implementation science has been limited to date. Second, we review principles of behavioral economics and describe how concepts from BE have been successfully applied to healthcare including nudges deployed in the electronic health record. For example, de-implementation of low-value prescribing has been supported by changing the default in the electronic health record. We then describe what a behavioral economics lens offers to existing implementation science theories, models and frameworks, including rich and realistic models of human behavior, additional research methods such as pre-mortems and behavioral design, and low-cost and scalable implementation strategies. We argue that insights from behavioral economics can guide the design of implementation strategies and the interpretation of implementation studies. Key objections to incorporating behavioral economics are addressed, including concerns about sustainment and at what level the strategies work.ConclusionScholars should consider augmenting implementation science theories, models, and frameworks with relevant insights from behavioral economics. By drawing on these additional insights, implementation scientists have the potential to boost efforts to expand the provision and availability of high quality care.

Selected nursing diagnoses and interventions in patients with COVID-19 hospitalized during pandemic

Introduction. In March 2020, the WHO announced global pandemic due to the outbreak of coronavirus disease (COVID-19) caused by the SARS-CoV-2 virus. COVID-19 is considered as a highly infectious disease, with a considerable mortality rate, especially among older people with concomitant diseases (heart failure, pulmonary diseases, arterial hypertension, diabetes). The pathogen affects mainly the respiratory system, and may also lead to acute respiratory distress syndrome, sepsis. In a severe state of health of a patient nurses make many nursing diagnoses, based on which they plan and implement nursing interventions to limit the risk of complications/death. Objective. The aim of the study was presentation of selected nursing diagnoses and interventions in patients hospitalized due to COVID-19 during the period of pandemic. Materials and Method. Nursing diagnoses and nursing interventions associated with these diagnoses were analyzed among patients hospitalized due to COVID-19 during pandemic, based on practical experiences in Poland. Results. The COVID-19 pandemic was a new challenge for nurses in inpatient health care to provide patients with attentive care in a severe health condition. The efforts of nurses had to be focused on solving many care problems in the bio-psycho-social sphere in order to limit the risk of complications/death. The implementation of nursing interventions had to proceed smoothly, with consideration of the provision of secure environment of patient care and personal protection. Conclusions. The symptoms of COVID-19 are frequently multisystemic and are related with the risk of complications/death. The presented nursing diagnoses and interventions in patients ill with COVID-19 disease are an example of the provision of high quality care of patients infected with SARS-CoV-2 virus. Nursing care of a patient with COVID-19 should be characterized by the subjective approach to the patient in accordance with the holistic concept of solving health problems in the bio-psycho-social sphere.

Stigma towards a nursing specialty: A qualitative analysis of the perceptions of the addiction nursing workforce.

Addiction nurses are highly skilled providers of holistic care and ensuring workforce sustainability is key to providing quality care to a traditionally marginalised group of healthcare consumers. The aim of this study was to explore perceived stigma towards the addiction nursing speciality, addiction nursing (also known as alcohol and other drug nursing) and its impact on workforce sustainability, retention and recruitment. Secondary analysis of qualitative interview data with nurses (n = 50) and survey data (n = 337) was conducted as part of a workforce mapping exercise in 2019. COREQ reporting guidelines were used. After structural coding was applied, three themes emerged: stigma experienced by clients of alcohol and other drug treatment services, stigma experienced by addiction nurses and a lack of awareness of the specialty of addiction nursing itself. Participants overwhelmingly felt that these forms of stigma made addiction nursing less attractive to new entrants, particularly new nurses and posed a threat to the sustainability of the specialty. The findings from this study indicate that urgent attention is required to address stigma towards individuals who use alcohol and other drugs, and the nurses providing care for them. Furthermore, creating awareness of the addiction nursing specialty is paramount to ensure workforce sustainability and to improve care for individuals who use alcohol and other drugs. Beyond addiction nurses, our results indicate that stigma towards other specialties (such as mental health nursing) is a substantive barrier to workforce sustainability.

Association of quality of nursing care with violence load, burnout, and listening climate

BackgroundViolence against nurses is common. Previous research has recommended further development of the measurement of violence against nurses and integration of the individual and ward-related factors that contribute to violence against hospital nurses. This study was designed to address these issues by investigating the associations between violence, the listening climate of hospital wards, professional burnout, and perceived quality of care. For this purpose, we used a new operationalization of the violence concept.MethodsWe sought nurses to participate in the study through social media which yielded 765 nurses working in various healthcare systems across Israel who volunteered to complete a self-administered online questionnaire. 80% of the sample were hospital nurses, and 84.7% were female. The questionnaire included validated measures of burnout, listening climate, and quality of care. Instead of using the traditional binary measure of exposure to violence to capture the occurrence and comprehensive impact of violence, this study measured the incremental load of violence to which nurses are subjected.ResultsThere were significant correlations between violence load and perceived quality of care and between constructive and destructive listening climates and quality of care. Violence load contributed 14% to the variance of burnout and 13% to the variance of perceived quality of care. The ward listening climate moderated the relationship between burnout and quality of care.ConclusionsThe results of this study highlight the impact of violence load among nurses and the ward listening climate on the development of burnout and on providing quality care. The findings call upon policymakers to monitor violence load and allocate resources to foster supportive work environments to enhance nurse well-being and improve patient care outcomes.

Enhancing Cranio-Maxillofacial Fracture Care in Low- and Middle-Income Countries: A Systematic Review.

Background: Cranio-maxillofacial (CMF) injuries represent a significant challenge in low- and middle-income countries (LMICs), exacerbated by inadequate infrastructure, resources, and training. This systematic review aims to evaluate the current strategies and solutions proposed in the literature to improve CMF fracture care in LMICs, focusing on education, patient transfer, and off-label solutions. Methods: A comprehensive literature search was conducted using PubMed/Medline from January 2000 to June 2023. Studies were selected based on the Preferred Reporting Items for Systematic Review and Meta-analysis Statement (PRISMA). Solutions were categorized into three main areas: education (digital and on-site teaching, fellowships abroad), patient transfer to specialized clinics, and off-label/non-operative solutions. Results: Twenty-three articles were included in the review, revealing a consensus on the necessity for enhanced education and training for local surgeons as the cornerstone for sustainable improvements in CMF care in LMICs. Digital platforms and on-site teaching were identified as key methods for delivering educational content. Furthermore, patient transfer to specialized national clinics and innovative off-label techniques were discussed as immediate solutions to provide quality care despite resource constraints. Conclusions: Effective CMF fracture care in LMICs requires a multifaceted approach, prioritizing the education and training of local healthcare professionals, facilitated patient transfer to specialized centers, and the adoption of off-label solutions to leverage available resources. Collaborative efforts between international organizations, local healthcare providers, and educational institutions are essential to implement these solutions effectively and improve patient outcomes in LMICs.

Navigating the Caregiving Pathway: Understanding the Contextual Influences on Sense of Coherence Among Family Caregivers.

Family caregivers of patients with chronic conditions face challenges such as emotional and physical stress, which can lead to caregiver burden. A good sense of coherence (SOC) is crucial in promoting resilience, positive health outcomes, and coping. Caregivers with a high SOC are optimistic about their caregiving roles and finding meaning and purpose in their responsibilities. In this background, we looked into the contextual influences that facilitate or impede the sense of coherence of the family caregivers of patients with chronic conditions requiring home-based long-term care. We conducted telephonic interviews with 10 self-identified primary family caregivers of patients with chronic conditions. We utilized semi-structured interview guidelines, transcribed the interviews verbatim, and performed thematic analysis. Potential factors influencing caregivers' SOC were identified through inductive coding, allowing themes to emerge from the data. However, we report themes along the three components of SOC. Good knowledge about the disease conditions, open communication with care recipients and providers, and past caregiving experiences all contribute to improving comprehensibility. Insufficient knowledge about the condition could be distressing. Effective management requires adapting care strategies through learning, planning, and utilizing available resources, and support networks, too, play a crucial role. However, insufficient caregiver support and neglecting one's health can result in distress and disruptions in care management. Maintaining positive perspectives and ascribed values to interpersonal connections can enhance meaningfulness among caregivers. These interpretations may not apply to caregivers with affective disorders. Various aspects influence the comprehensibility, manageability, and meaningfulness pertaining to the situation of family caregivers, and these in turn impact their well-being and ability to provide quality care. Understanding these factors can help create support systems with targeted interventions and strategies to reduce caregiver burden and improve quality of life.

Nursing interventions in patients with incomplete abortion

Introduction: Incomplete abortion is defined as the presence of placental remains or fetal residues inside the maternal uterus before 22 weeks of gestation, which manifests with pain and vaginal bleeding apart from severe complications such as hemorrhage if a surgical procedure is not performed. immediate. Objective: To expose Nursing interventions in patients with incomplete abortion. Methodology: Qualitative study type unique clinical case, which is based on the Nursing Care Process method, included a 37-year-old female patient, applied the evaluation guide by functional patterns of Marjory Gordon, NANDA taxonomy, NOC, NIC and the evaluation of results according to the difference between the final and baseline scores. Results: Nine affected patterns were found, of which six patterns were prioritized, which were: Perceived health management, Nutritional-Metabolic, Activity-Exercise, Cognitive-Perceptive, Self-perception-Self-concept and Sexuality-Reproduction. Six nursing diagnoses were identified, the main diagnosis was considered: Acute pain and risk of complication: Hemorrhage, following the Area Model. A change score of +2 and +3 was obtained, which improved after the application of care. Conclusions: Clinical manifestations and possible complications of the patient with Incomplete abortion were identified, which were pain and hemorrhage, nursing care was essential and the evolution and prognosis of the patient largely depended on them. Therefore, it is necessary to strengthen the skills and expertise of the professional specialist in Obstetrics and Gynecology, all to provide quality care such as executing a rapid individualized response to improve the patient's health.

Care of post-placenta praevia patients in the post anesthesia recovery department of a private clinic, 2021

Cesarean section is a surgical procedure performed on the mother's abdomen and uterus to remove the pregnancy product. Placenta previa is a major obstetric complication that occurs in the second half of pregnancy and endangers the life of both the mother and the fetus; cesarean section is the treatment of choice. Timely nursing care helps patients recover quickly and avoid serious complications. The objective is to identify the needs of the patient and manage the nursing treatment for the resolution of the registered problems. Qualitative study, single clinical case type, included a 37-year-old patient. The stages of the nursing care process were followed: assessment, with a framework validated by professionals in the area, formulation of diagnoses and planning of nursing care according to the NANDA, NOC, NIC taxonomy. The evaluation of the results was obtained by the difference in final and baseline scores. Nine altered patterns were found; Three patterns were prioritized: sexuality, reproduction, cognitive perceptual, adaptation, tolerance to the situation and stress. Seven nursing diagnoses were identified, the diagnoses were prioritized: risk of bleeding, acute pain and anxiety based on the SSPFR format (signs and symptoms, problem and related factor); the change score was +1, +2, +2, +2, +3. It is concluded that according to the needs attended to in the patient, the nursing care process was developed in its five stages, allowing to provide quality care to the patient; therefore, it is explained that timely care and adequate treatment would shorten the recovery process.

The effect of combining an e-learning module with s Virtual Dementia Tour® on knowledge and attitudes toward person-centered dementia care in prelicensure nursing education

BackgroundDue to the global prevalence of dementia the U. S. Department of Health and Human Services’ National Plan to Address Alzheimer’s Disease recommended that healthcare professionals prepare to address the complex needs of people with dementia. To address this gap, nursing programs adopted experiential learning methods. While such methodologies are increasingly used, limited evidence exists to inform best teaching practices. PurposeThis study evaluated the combined effect of an e-learning module with a virtual simulation on nursing students’ knowledge and attitudes of dementia. MethodsThe study followed quasi-experimental design with a cross-over and pretest/posttest design. A convenience sample of nursing students was recruited from three public universities in the Southeast United States. ResultsSignificant improvements in attitudes toward people with dementia were found in students with previous dementia care experience or those employed to provide services to people with dementia. Experience was a stronger predictor of attitudes than education. However, the reliability of the Dementia Knowledge Assessment Scale was not sufficient in this study. SignificanceThe findings may inform best practices in nursing education to prepare graduates to provide quality care for people with dementia.

The Effect of Workplace Spirituality and HRM Practices on Job Performancethe Mediating and Moderating Approach

Providing the vital roles of nurses in defining the sustainability of the healthcare system, nursing performance is recognized to be significant in providing quality care of patients. However, job performance reported in Pakistani public hospitals over the past few years has been deteriorated. There have been numerous researches about factors that affect job performance like HRM practices, spirituality at work and employee engagement. So, in this regard, leadership desires to change the behavior to engage the nurses in improving performance. The current study examines the direct effect of HRM practices and spirituality at work on job performance and on the employee engagement. The indirect mediating effect of employee engagement is examined on the associations and the moderating effect of change leadership between employee engagement and job performance is also examined. Purposive sampling was used to collect the data. There were 390 practical data from fifteen public hospitals in Pakistan were applied for further data analysis. The software PLS-SEM was applied to measure the structural model. Further the bootstrapping supported on the effect of inner life and employee participation and career development on employee engagement and on job performance is significant. In addition, the study found the partial mediating effect of employee engagement between inner life and career development on job performance is significant. The moderating effect of change leadership between employee engagement and job performance is also significant. The empirical implication showed that HRM practices and spirituality at work confines the negative effect of shortage of nurses and also increasing nursing job performance of nurses and providing better working atmosphere. However, there is no need to any intervention from the top management to modify the nursing behaviors. Future research could increase on the scope of the study.

Rising challenges of head and neck cancer in Nigeria: The burden, trends, issues and prospects

Head and neck cancers exert a rising toll on healthcare in developing countries, Nigeria inclusive. The population has been growing in geometric progression, so is the number of people living with head and neck cancers in the country, yet few efforts have been targeted at improving existing resources and manpower dedicated to providing quality care for head and neck cancer patients. This review presents up-to-date assessment of the burden of head and neck cancers and challenges of managing patients with the disease in Nigeria, based on current literature and published peer reviewed studies in Medline, Embase, PubMed, and Cochrane Database of systematic reviews for articles in English language.

The relationship between ethnocentrism and xenophobia level and predictors: A descriptive and correlational study of nurses working in two cities where refugees live intensively in Turkey.

Determining the ethnocentrism and xenophobia levels of nurses contributes to nurses' awareness regarding their attitudes on the issue and providing quality care. This descriptive and correlational study aimed to determine the relationship between ethnocentrism and xenophobia levels of nurses working in hospitals located in two different border regions where refugees live intensively in Turkey. The study was conducted with 386 nurses who were working in two different hospitals located in two cities in the south of Turkey. Data were collected using the "Personal Information Form," "Ethnocentrism Scale," and "Xenophobia Scale." About half of the nurses did not want to care for foreign patients. There was a positive and statistically significant relationship between mean scores of the Ethnocentrism Scale and the Xenophobia Scale (p < 0.05). The regression analysis indicated that the level of ethnocentrism explains the level of xenophobia by 9%. Nurses had a high level of xenophobia and moderate ethnocentric attitudes. The level of xenophobia increased as the ethnocentrism level of nurses increased. It is recommended to conduct further studies to determine different predictors of xenophobia among nurses.

A Patient-Centered Multidisciplinary Medical HOME for Persons With Intellectual and Developmental Disabilities.

Innovative models of medical and psychiatric care are necessary to address the complex needs of individuals with intellectual and developmental disabilities (IDD), including autism. This article describes a subspecialty medical home program that has provided accessible, comprehensive, coordinated, patient- and family-centered care for this high-needs, underserved patient population. For more than two decades, the University of Utah Huntsman Mental Health Institute Neurobehavior HOME Program (HOME) has provided primary and behavioral health care for individuals with IDD across their lifespan. Program highlights include integrated medical and behavioral health, a unique funding structure, innovative care delivery, and case management. HOME is a clinical setting as well as a Medicaid managed care plan that has blended medical and psychiatric funding streams. This unique funding structure has demonstrated the fiscal sustainability of focusing care on preventive and proactive management of health concerns and responding to crises using a coordinated and comprehensive approach. Rethinking health care delivery and adopting models that are both financially sustainable and provide quality care to this vulnerable population is greatly needed.

Knowledge and Perception Regarding Medication Error Among Nurses.

Patient safety is the major concern in providing quality care. Medication errors have been identified as the most common type of preventable errors. This study aimed to assess the knowledge and perception regarding medication error among nurses. A quantitative cross-sectional research design was used. The study was conducted in four different private hospitals in Lalitpur. A total enumerative sampling technique was used to select 302 nurses from these hospitals. Descriptive statistical methods were used to assess socio-demographic variables and inferential statistics methods such as the chi-squared test was used to analyse the association between knowledge, perception, and its socio-demographic characteristics. Most of the respondents 244 (80.8%) agreed the cause of medication error occurs due to unclear handwriting and 217 (71.9%) agreed prescribing the wrong route or dose and time. Mostly respondents 126 (41.7%) had inadequate knowledge, 101 (33.4%) had adequate knowledge and 75 (24.8%) had moderate knowledge on medication error. Mostly respondents 273 (90.4%) had positive perception and 26 (8.6 %) had negative perception. Most of the nurses had inadequate knowledge but has positive perception on medication error. Appropriate strategies for reducing nurses' workload, barriers to reporting, and sensitization workshops in a regular basis by the administrator should be developed to address medication errors and enhance patient safety in hospital settings.

Measuring Secondary School Teachers’ Competency in the Subject of English

This study examines the qualifications of secondary school English teachers in South Punjab, Pakistan. It emphasizes the central role of teachers in education, emphasizing that their effectiveness is linked to their knowledge, skills, and attitude awareness. Competency standards are divided into academic skills, professional skills, and personal skills. Data were collected using a self-administered questionnaire based on a 5-point Likert scale, and observations, which ensured reliability. The sample consisted of 3600 high school students, equally distributed across gender and urban/rural areas. Results showed that although the teachers are competent in many areas, they lack the knowledge to teach the vocabulary components, oral communication with correct pronunciation and intonation, and assessment of student work. In addition, teachers strive to provide quality care to students. Studies have recommended needs-based training for teachers to address these weaknesses.

EUROPEAN SOCIETY OF ENDODONTOLOGY Undergraduate Curriculum Guidelines for Endodontology.

Undergraduate education should accomplish graduates who are skilled to provide quality care for patients, who are aware of their scope of practice, competency level and limits and who are open to referring patients whose needs are beyond their own skills and experience. They should also become self-efficacious. Quality performance begins with good diagnosis and decision-making. Graduates should understand when to treat, why to treat, what to treat and how to treat. These guidelines include a list of capabilities that the graduating student will be expected to have achieved to provide a minimum level of competency in endodontics. Theoretical knowledge, practical skills, understanding and insight should be assessed, with both formative and summative assessment procedures, making use of reflection and feedback. Endodontic procedures should be undertaken within the context of comprehensive patient care and should be evidence based. Students should not perform treatments on patients until they have demonstrated in a pre-clinical setting that they possess the required skills. Only if it is not possible to simulate a specific procedure sufficiently in a pre-clinical setting should students learn this procedure by performing it clinically under close supervision. Clinical endodontics should ideally be supervised by endodontists or by staff with special knowledge, interest and self-efficacy in endodontics. It is advised to ensure that students apply their knowledge and practice their skills periodically throughout the continuum of endodontic education until graduation. A philosophy of lifelong learning and evidence-based practice should be instilled in all dental undergraduates.

CHALLENGES IN CARE OF CHILDREN IN CORRUPTION CASES: ECONOMIC, SOCIAL AND CULTURAL ASPECTS

Studies regarding the care of prisoners' children always involve the psychological problems that arise. So far, the existing findings do not examine the socio-economic perspective in the practice of caring for the children of prisoners. This research is important to do to find out how the family is able to organize itself. For support parenting children, what about stigma and discrimination to family prisoner influence methods they educate children their relationships with neighbors and community around impact on his upbringing and what his condition is like social economy influence parenting child prisoner? This research uses qualitative methods with in-depth interviews and participant observation, using case studies on families of corruption case inmates at Class 1 Correctional Institutions (Lapas) in Makassar City. Using an ethnographic approach with case studies through descriptive analysis of social structure, family structure, social support, and the impact of socio-economic conditions of prisoners on child care in terms of finances, education, employment, and economic support, which influence the ability of prisoner parents to provide adequate attention and care, worthy of their children. Researchers found that socioeconomic conditions play an important role in the upbringing of prisoners' children. Challenges in access to education and health services, economic limitations in providing care, and the impact of social stigma are important aspects that need to be considered in helping prisoners' families provide quality care for their children. By understanding the impact of these social and economic factors, it is hoped that this research can provide deeper insight and support in designing appropriate interventions to improve the quality of care for prisoners' children in families with limited socio-economic conditions.

The effect of nurse-led remote telephone triage on symptom management of patients with cancer: A systematic review and meta-analysis.

Cancer patients experience many symptoms. Nurse-led remote telephone triage can improve their quality of life by contributing to the management of these symptoms. This study aimed to investigate the effects of nurse-led remote telephone triage on symptom management of patients with cancer. The searches were conducted in 10 databases and gray literature from May 2023 to July 2023 without any year limitations. A fixed-effects model was used in the meta-analysis. Cochran's Q chi-squared test and I2 statistics were used for heterogeneity. The PRISMA checklist was used. Data obtained from the included studies were analyzed using CMA 3 software. Six relevant studies (1671 patients) were included. Nurse-led remote telephone triage was found to have a positive and moderate effect on parameters such as pain (Hedge's g = 0.21, p < .001), fatigue (Hedge's g = 0.28, p < .001), and depression (Hedge's g = 0.24, p < .001) in patients with cancer. Also, the remote telephone triage had a positive and low effect on outcomes such as anxiety (Hedge's g = 0.17, p = .001), nausea (Hedge's g = 0.17, p = .004), and vomiting (Hedge's g = 0.16, p = .007) but did not affect diarrhea results. This study showed that nurse-led remote telephone triage considerably improved the symptoms of patients with cancer. This study will increase oncology nurses' awareness that nurse-led remote telephone triage of patients with cancer can improve their symptoms. Remote symptom triage developed using evidence-based guidelines and protocols can significantly contribute to the regular follow-up of patients' symptoms, providing quality care, and establishing appropriate symptom management programs and systems with high levels of evidence.

The compliance of specialized medical care of patients with glaucoma to clinical recommendations (CR 96/1 “Primary open-angle glaucoma”) in Russian Federation regions

The high prevalence of primary open-angle glaucoma, its leading role in the structure of visual disability, and insufficient effectiveness of treatment, prevention and rehabilitation measures require new approaches to providing quality care of patients with glaucoma. It is important to analyze the epidemiological situation, human and technological resources in various regions of the Russian Federation. The paper evaluates the compliance of specialized medical care of patients with glaucoma with the approved clinical guidelines CR 96 “Primary open-angle glaucoma” in the regions of the Russian Federation monitored by the Helmholtz National Research Center for Eye Diseases, based on the material of on-site data collection visits. The epidemiological situation relating to glaucoma, the structure and performance indicators of ophthalmological service departments, preventive measures, human and material resources, and the correctness of statistical accounting and reporting were studied. In most regions, the times of examination and treatment correspond to the regional territorial programs covered by state guarantees. The cases when primary specialized care lags behind is associated with staff shortage at the outpatient level. Practically in all regions of the Russian Federation, diagnostic methods and conservative/surgical treatment techniques with proven high efficiency conform to CR 96/1 “Primary open-angle glaucoma”. Some of the regions, however, are insufficiently equipped for early diagnosis of glaucoma and monitoring its course.