The satisfaction of the new competencies and roles of nurses in Kazakhstan

• Published in: European journal of public health 2019-11, Vol.29 (Supplement_4)
• Main Authors: Bekbergenova, Z, Baigozhina, Z, Umbetzhanova, A, Kabdullina, G, Abdrakhmanova, A, Koikov, V
• Format: Article
• Language: English
• Subjects: Attitudes; Cross-sectional studies; Emergency medical care; Emergency medical services; Employers; Health services; Independence; Medical personnel; Nurses; Nursing; Participation; Patients; Patronage; Physicians; Polls & surveys; Program implementation; Public health; Reforms; Respondents; Satisfaction; Specialists; Training; Work
• ISSN: 1101-1262; 1464-360X
• DOI: 10.1093/eurpub/ckz186.400

Abstract Background When interviewing nursing specialists of the Republic of Kazakhstan (RK) about the level of satisfaction with the prospects of the profession with the participation of 9039 nurses, 71% of whom believe that nurses should be given special status. To study the satisfaction of the new competencies and roles of nurses in the framework of the reform of the nursing service conducted a survey of employers Methods The cross-sectional study in 1417 of employers participated, of which 11% were senior doctors, 26% deputy chief physicians, 50% of heads of departments, 13% others. Results Analysis of the survey results showed the following: more than 70% of employers have a positive attitude towards nursing service reforms. According to 48% of employers, the functionality of nurses is expanded. 54% of nurses fully cope with new functional responsibilities. 44% of respondents say that with the expansion of the functionality of nurses, doctors have more time to perform more complex skilled work. According to 44% of employers, nurses should delegate the primary reception and examination of the patient, 42% setting the primary diagnosis, 33% deciphering the results of laboratory and instrumental studies, 21% independent visiting the patient at home, 8% active prenatal and postnatal patronage, 17% rendering pre-medical and emergency medical care. 62% of employers consider it appropriate to introduce the practice of joint training of doctors and nurses and fully support the increase in the independence of the nursing service. Conclusions In general, employers support the reform of nursing, are satisfied with the new competencies of nurses and have a positive attitude towards increasing their independence. Key messages It is necessary to improve basic training programs in medical colleges and to implement effective advanced training programs for working nurses. It is advisable to practice the introduction of co-education for doctors and nurses - the practice of inter-professional teams specialists.