Georgian medical news · 2026
NURSES' PERCEIVED PROFESSIONAL PERFORMANCE IN PRIMARY HEALTH CARE: A NATIONAL STUDY OF ORGANIZATIONAL AND WORKFORCE DETERMINANTS.
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Alaidarova M, Kazangapova A, Saltabaeva U, Zhaksylykova G, Baigenzheyeva R, Uakkazy G, Yelena G, Basharlanova M, Akanov A, Almazan J
Аннотация
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.
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.