NURSES’ PERCEIVED PROFESSIONAL PERFORMANCE IN PRIMARY HEALTH CARE: A NATIONAL STUDY OF ORGANIZATIONAL AND WORKFORCE DETERMINANTS
Alaidarova M. Kazangapova A. Saltabaeva U. Zhaksylykova G. Baigenzheyeva R. Uakkazy G. Yelena G. Basharlanova M. Akanov A. Almazan J.
January 2026Georgian Association of Business Press
Georgian Medical News
2026#370Issue 130 - 37 pp.
Aim: To examine perceived professional competence of nurses in Kazakhstan’s primary health care system and identify organizational and workforce factors associated with competence and collaboration. Methods: Between April and June 2022, primary health care nurses in urban and rural Kazakhstan completed a 64-item questionnaire assessing perceived professional competence, nurse–physician collaboration, availability of resources, and preparedness for epidemic conditions. A context-specific instrument was developed based on national PHC regulations and COVID-19 protocols. Data were analyzed using descriptive statistics, Spearman correlation, multiple linear regression, and exploratory factor analysis. Results: A total of 1,134 nurses participated, with 56.66% holding technical or vocational qualifications. Most respondents rated nurse-physician collaboration positively (80% “Yes”). Higher perceived competence was associated with preparedness for pandemics, regulatory knowledge, and use of triage algorithms. Three factors explained 65% of the variance: organizational effectiveness, workforce characteristics, and epidemic-related conditions. Conclusions: Nurses’ perceived competence in Kazakhstan is shaped by organizational readiness, particularly in rural areas. Strengthening preparedness and regulatory literacy is key to enhancing resilience in PHC.
collaboration , Kazakhstan , nursing workforce , organizational readiness , perceived competence , Primary health care , воспринимаемая компетентность , Казахстан , медицинские сестры , организационная готовность , Первичная медико-санитарная помощь , сотрудничество
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Department of Nursing, NJSC “Astana Medical University”, Beibitshilik St. 49A, Astana, Kazakhstan
Department of Internal Medicine №3, NJSC “Astana Medical University”, Beibitshilik St. 49A, Astana, Kazakhstan
Department of Epidemiology and Biostatistics, NJSC “Astana Medical University”, Beibitshilik St. 49A, Astana, Kazakhstan
Department of Rehabilitation and sports medicine, NJSC “Astana Medical University”, Beibitshilik St. 49A, Astana, Kazakhstan
General practitioner department, «City» Clinic, Bolekbaev St.5, Astana, Kazakhstan
Central Clinical Hospital for Veterans of the Patriotic War, Azerbaijan Mambetov St., 26, Astana, Kazakhstan
Department of Medicine, School of Medicine, Nazarbayev University, Kerey and Zhanibek Khans St 5/1, Astana, Kazakhstan
Department of Nursing
Department of Internal Medicine №3
Department of Epidemiology and Biostatistics
Department of Rehabilitation and sports medicine
General practitioner department
Central Clinical Hospital for Veterans of the Patriotic War
Department of Medicine
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