Development of management structures for future nursing services in the Republic of Kazakhstan requires change of organizational culture
Tiittanen H. Heikkilä J. Baigozhina Z.
November 2021John Wiley and Sons Inc
Journal of Nursing Management
2021#29Issue 82565 - 2572 pp.
Aim: This studys aim was to describe the development of new management structures for nursing services in pilot public healthcare organizations in the Republic of Kazakhstan by focusing on cultural change from the former Soviet system to the modern nursing management system. Background: Because organizational culture plays an essential role in developing nursing management processes, the challenge in Kazakhstan is to change the deep-rooted Soviet administration practices, such as top-down management and the absence of a career structure in nursing, to meet the new public management systems requirements. Method: Participatory method was used to generate organizational culture change in 31 pilot organizations. Results: The organizational structures were reorganized with new nursing positions. Changes concerning nurses job descriptions and educational requirements were introduced to the legislation. Workforce planning and work division between the healthcare professionals were suggested, allowing new operational functions for nurses. The implemented changes facilitate the culture change in the healthcare and nursing service system. Conclusion: The shift of healthcare organizations towards a modern nursing management system has started in Kazakhstan. Implications for Nursing Management: Good understanding and competence of cultural issues related to the change processes are critical in countries that are undergoing fundamental reforms in their healthcare systems.
Central Asia , delivery of healthcare , Kazakhstan , nursing management , organizational culture
Text of the article Перейти на текст статьи
LAB University of Applied Sciences, Lahti, Finland
JAMK University of Applied Sciences, Jyväskylä, Finland
Republican Center for Health Development, Ministry of Health of the Republic of Kazakhstan, Nur-Sultan, Kazakhstan
LAB University of Applied Sciences
JAMK University of Applied Sciences
Republican Center for Health Development
10 лет помогаем публиковать статьи Международный издатель
Книга Публикация научной статьи Волощук 2026 Book Publication of a scientific article 2026