Patient Satisfaction with the Expanded Nurses Service in Primary Health Care: Evidence from Kazakhstan
Abdikadirova I. Yermukhanova L. Blaževičiene A. Dostanova Z. Baigozhina Z. Taushanova M. Sultanova G. Almagul K.
December 2025Multidisciplinary Digital Publishing Institute (MDPI)
Healthcare (Switzerland)
2025#13Issue 24
Background/Objectives: The implementation of advanced practice nursing in Kazakhstan is aimed at improving the accessibility and quality of primary healthcare. One of the key indicators of the effectiveness of this model is patient satisfaction, which reflects the perceived quality of care and directly influences treatment adherence. The aim of the study was to assess patient satisfaction with nurse-led consultations in primary healthcare institutions in Kazakhstan. Methods: A cross-sectional study was conducted using a questionnaire developed on the basis of Karin Bergman’s instrument and adapted to the Kazakhstani context. A total of 621 patients who attended independent nursing consultations in polyclinics in Aktobe, Almaty, Astana, and the village of Merke participated in the survey. Descriptive statistics and Pearson’s χ2 test were applied, with statistical significance set at p < 0.05. Results: The majority of respondents were women, with a median age of 61 years. Awareness of independent consultations was higher among patients who regularly visited nurses (97.1% vs. 86.9%; p < 0.006). High satisfaction levels were associated with service accessibility, quality of examination, and clarity of recommendations. Among regular visitors, 99.2% reported satisfaction with the nurse’s work, and 76.6% rated the service as “excellent”. In contrast, patients with irregular visits more often reported dissatisfaction due to insufficient attention and limited knowledge of nurses. Conclusions: The findings confirm a high level of patient satisfaction with advanced practice nursing services and highlight the importance of this model in strengthening primary healthcare in Kazakhstan.
advanced practice nursing , nurse practitioner , patient satisfaction , primary health care
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Department of Public Health and Health Care, Ospanov Medical University, West Kazakhstan Marat, Aktobe, 030019, Kazakhstan
Department of Nursing, Lithuanian University of Health Sciences, Kaunas, 44307, Lithuania
School of Nursing, Astana Medical University, Astana, 010000, Kazakhstan
National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan, Almaty, 050000, Kazakhstan
Department of Public Health and Health Care
Department of Nursing
School of Nursing
National Scientific Center of Phthisiopulmonology of the Republic of Kazakhstan
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