Import Substitution of Digital Assistants in Moscow Hospitals: Transformation of Nursing Practice in the Digital Era

The article examines the process of import substitution of digital technologies in Moscow healthcare and their impact on nursing practice. The implementation of the "Digital Clinic" program in 32 metropolitan hospitals, the transition to electronic document management based on EMIAS, the use of mobile workplaces and AI assistants are analyzed. Special attention is paid to the role of nurses in the digital transformation of healthcare, the need to master new technological competencies and prospects for the development of nursing in the context of active implementation of artificial intelligence. Specific cases of using digital assistants in clinical practice are presented, advantages of domestic IT solutions over foreign analogues are shown. The importance of preparing nurses to work in a digital environment is substantiated and forecasts for the development of nursing technologies for the next 5-10 years are formulated..