STIMULATING THE PROFESSIONAL DEVELOPMENT OF NURSES AS A WAY TO IMPROVE THE QUALITY OF MEDICAL PRACTICE
Introduction: In Kazakhstan, the level of organization of nursing services is low and requires significant changes and improvements in approaches to nursing services management. In the Republic of Kazakhstan, nurses only provide assistance to a doctor according to medical prescriptions and do not carry out independent nursing practice. In this regard, a pilot project was launched in Kazakhstan in July 2018 to introduce a new model of nursing service in healthcare organizations. Purpose of the research: to study international and domestic experience in the development of nursing services. Search strategy: We studied publicly available articles over 30 years using the following databases of scientific publications and specialized search engines: PubMed, Google Scholar, Cochrane Library, Web of Science, Scopus. Findings: The burden of chronic disease is a major economic and clinical challenge for the primary health care system. According to the American Association of Nursing Practitioners, nearly 90% of nursing practitioners are trained to take on a role in the primary care of chronic disease patients. In Kazakhstan, this approach is gradually being applied by extended/ advanced practice nurses. Advanced Nurse - a specialist with post-secondary or tertiary education in nursing who performs advanced nursing functions. Increased emphasis on developing nursing undergraduate programs could reduce preventable deaths in hospitals. Conclusion: Thus, within the framework of reforming the nursing service in the Republic of Kazakhstan, the ground has been prepared for the further development of the potential of nurses in practical health care organizations. This niche should be occupied by associations of nurses who will directly engage in the promotion of nursing services in the Republic of Kazakhstan.
Bibinur K. Sydykova¹, https://orcid.org/0000-0002-7013-3461 Almas T. Umbetpayev², Zaure А. Baigozhina³, https://orcid.org/0000-0001-7098-6782 Zaituna A. Khismetova¹, https://orcid.org/0000-0001-5937-3045 Umutzhan S. Samarova¹, http://orcid.org/0000-0003-3320-7115 Gulzat Z. Sarsenbayeva⁴, https://orcid.org/0000-0002-1518-6528 Ainur M. Yelissinova¹, https://orcid.org/0000-0002-3958-6809 Dariga S. Smailova⁵, http://orcid.org/0000-0002-7152-7104 ¹NCJSC «Semey Medical University», Semey city, the Republic of Kazakhstan; ² MSE on the REM «Polyclinic № 22 of Almaty city», Almaty city, the Republic of Kazakhstan; ³ The Republican state enterprise on the right of economic management "Republican Center for Healthcare Development", Nur-Sultan city, the Republic of Kazakhstan; ⁴ JSC «South Kazakhstan Medical Academy», Shymkent city, the Republic of Kazakhstan; ⁵ Kazakhstan’s Medical University «Kazakhstan School of Public Health», Almaty, the Republic of Kazakhstan.
1. Абдрахманова А.О., Байгожина З.А., Калиева М.А. Пути формирования новой генерации медицинских сестер в Казахстане // Клиническая медицина Казахстана. 2014. № 4 (34). С.5-9. 2. ВОЗ | Сестринское дело [Электронный ресурс]. URL: https://www.who.int/topics/nursing/ru/ (дата обращения: 08.06.2021). 3. Жетмекова Ж.Т., Танат З.Х., Ниязова Б.К. Клиническое сестринское руководство "Профилактика и лечение пролежней". 2020. 100 с. 4. Жунусова Д.К., Балтаева Ж.Ш., Мутиева У.Б., Бижанова Ш.А. Клиническое сестринское руководство "Управление хронической болью". Б.И.А. 2019. 43 с. 5. Жунусова Д.К., Бекбергенова Ж.Б., Киспаева Т.Т. Клиническое сестринское руководство "Сердечная реабилитация". 2020. 76 с. 6. Қасым Л.Т., Касымова Р.Н. Уход за взрослым пациентом с астмой: содействие контролю над астмой Adult Asthma Care: Promoting Control of Asthma. 2020. 63 с. 7. Приказ МЗ РК от 21 декабря 2020 года № ҚР ДСМ-305/2020 "Об утверждении номенклатуры специальностей и специализаций в области здравоохранения, номенклатуры и квалификационных характеристик должностей работников здравоохранения" [Электронный ресурс]. URL: https://adilet.zan.kz/rus/docs/V2000021856 (дата обращения: 10.06.2021). 8. Указ Президента Республики Казахстан от 19 июня 2018 года № 702 "О некоторых вопросах административно-территориального устройства Республики Казахстан" [Электронный ресурс]. URL: https://adilet.zan.kz/rus/docs/U1800000702 (дата обращения: 30.06.2021). 9. Приказ МЗ РК от 23 ноября 2020 года № ҚР ДСМ-199/2020 "Об утверждении правил оказания сестринского ухода" [Электронный ресурс]. URL: https://adilet.zan.kz/rus/docs/V2000021674 (дата обращения: 04.06.2021). 10. Приказ МЗ РК от 30 октября 2020 года № ҚР ДСМ-170/2020 "Об утверждении тарифов на медицинские услуги, предоставляемые в рамках ГОБМП и в системе ОСМС" [Электронный ресурс]. URL: http://adilet.zan.kz/rus/docs/V2000021550/links (дата обращения: 04.05.2021). 11. Смаилова Д.С., Байгожина З.А., Таштемиров К.К., Сыдыкова Б.К. Методические рекомендации по разработке и внедрению сестринской документации в организациях практического здравоохранения. 2020. [Электронный ресурс]. URL: http://www.rcrz.kz/index.php/ru/2017-03-12-10-51-13/metodicheskie-rekomendatsii (дата обращения: 01.07.2021). 12. Aiken L.H., Sermeus W., Van Den Heede K., et al. Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States // BMJ. 2012. № 344 (7851). 13. Aiken L.H. et al. Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study // Lancet. 2014. № 383 (9931). P.1824–1830. 14. Akard T.F., Hendricks-Ferguson V.L., Gilmer M.J. Pediatric palliative care nursing // Ann. Cardiothorac. Surg. 2019. № 1. P. S39–S48. 15. Al-Kandari F., Thomas D. Factors contributing to nursing task incompletion as perceived by nurses working in Kuwait general hospitals // J. Clin. Nurs. 2009. № 18 (24). P.3430–3440. 16. Bruyneel A., et al. Impact of COVID-19 on nursing time in intensive care units in Belgium // Intensive Crit. Care Nurs. 2021. №62. P.102967. 17. Dikmen Y., et al. The Level of Professionalism of Nurses Working in a Hospital in Turkey // J. caring Sci. 2016. № 5 (2). P.95–102. 18. Griffiths P., et al. Nurse staffing and patient outcomes: Strengths and limitations of the evidence to inform policy and practice. A review and discussion paper based on evidence reviewed for the National Institute for Health and Care Excellence Safe Staffing guideline development // Int. J. Nurs. Stud. 2016. № 63. P.213–225. 19. Kelly L.A., McHugh M.D., Aiken L.H. Nurse outcomes in magnet® and non-magnet hospitals // J. Nurs. Adm. 2011. № 41 (10). P.428–433. 20. Khomami H.M., Rustomfram N. Nursing efficiency in patient care: A comparative study in perception of staff nurse and hospital management in a trust hospital. // J. Fam. Med. Prim. care. 2019. №8 (5). P.1550–1557. 21. Miller B.K., Adams D., Beck L. A behavioral inventory for professionalism in nursing // J. Prof. Nurs. 1993. № 5 (9). P.290–295. 22. Poghosyan L., et al. Nurse Practitioner Practice Environments in Primary Care and Quality of Care for Chronic Diseases // Med. Care. 2018. № 56 (9). P.791–797. 23. Richards D.A., et al. Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene // J. Clin. Nurs. 2018. № 27 (11–12). P. 2179–2188. 24. Shuler P.A., Davis J.E. The Shuler Nurse Practitioner Practice Model: Clinical Application, Part 2 // J. Am. Acad. Nurse Pract. 1993. № 5 (2). P. 73–88. 25. Slemon A., Jenkins E., Bungay V. Safety in psychiatric inpatient care: The impact of risk management culture on mental health nursing practice // Nurs. Inq. 2017. № 24 (4). P. 24. 26. Smailova D.S., Sydykova B.K., Sarsenbayeva G.Z., Bolatov A.K., Mussina G.A., Baigozhina Z.A., Khismetova Z.A. Development and implementation of nursing documentation on coronavirus infection (COVID-19) at the nursing level // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 1, pp. 15-20. doi 10.34689/SH.2021.23.1.002. 27. Smigorowsky M.J., et al. Outcomes of nurse practitioner-led care in patients with cardiovascular disease: A systematic review and meta-analysis // J. Adv. Nurs. 2020. № 76(1). P. 81–95. 28. VanFosson C.A., Jones T.L., Yoder L.H. Unfinished nursing care: An important performance measure for nursing care systems // Nurs. Outlook. 2016. № 64(2). P. 124–136. 29. White E.M., Aiken L.H., McHugh M.D. Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes // J. Am. Geriatr. Soc. 2019. № 67 (10). P.2065–2071. 30. Wittenberg E., Reb A., Kanter E. Communicating with Patients and Families Around Difficult Topics in Cancer Care Using the COMFORT Communication Curriculum // Semin. Oncol. Nurs. 2018. № 34 (3). P. 264–273. 31. Wynd C.A. Current factors contributing to professionalism in nursing // J. Prof. Nurs. 2003. №19 (5). P. 251–261. 32. What is a Magnet Hospital? | Duquesne University [Электронный ресурс]. URL: https://onlinenursing.duq.edu/blog/what-is-a-magnet-hospital/ (Accessed June 8, 2021). References: 1. Abdrahmanova A.O., Bajgozhina Z.A., Kalieva M.A. Puti formirovaniya novoi generatsii meditsinskikh sester v Kazakhstane [Ways to form a new generation of nurses in Kazakhstan]. Klinicheskaya meditsina Kazakhstana [Clinical medicine of Kazakhstan]. 2014. №4 (34). p.5-9. [in Russian] 2. VOZ. Sestrinskoe delo [WHO. Nursing] [Elektronnyi resurs]. URL: https://www.who.int/topics/nursing/ru/ (data obrashheniya: 08.06.2021). [in Russian] 3. Zhetmekova Zh.T., Tanat Z.H., Nijazova B.K. Klinicheskoe sestrinskoe rukovodstvo "Profilaktika i lechenie prolezhnei" [Clinical Nursing Guide "Prevention and Treatment of Pressure Sores"]. 2020. 100 p. [in Russian] 4. Zhunusova D.K., Baltaeva Zh.Sh., Mutieva U.B., Bizhanova Sh.A. B.I.A. Klinicheskoe sestrinskoe rukovodstvo "Upravlenie hronicheskoi bol'yu" [Clinical Nursing Manual "Management of Chronic Pain"]. 2019. 43 p. [in Russian] 5. Zhunusova D.K., Bekbergenova Zh.B., Kispaeva T.T. Klinicheskoe sestrinskoe rukovodstvo "Serdechnaya reabilitatsiya" [Clinical Nursing Manual "Cardiac Rehabilitation"]. 2020. 76 p. [in Russian] 6. Kasym L.T., Kasymova R.N. Uhod za vzroslym pacientom s astmoi: sodeistvie kontrolyu nad astmoi [Adult Asthma Care: Promoting Control of Asthma]. 2020. 63 p. [in Russian] 7. Prikaz MZ RK ot 21 dekabrja 2020 goda № ҚR DSM-305/2020 "Ob utverzhdenii nomenklatury spetsial'nostei i spetsializatsii v oblasti zdravookhraneniya, nomenklatury i kvalifikatsionnykh kharakteristik dolzhnostei rabotnikov zdravookhraneniya" [On the approval of the nomenclature, features and specialization in the field of health care, the nomenclature and qualification characteristics of healthcare workers' positions"]. [Elektronnyi resurs]. URL: https://adilet.zan.kz/rus/docs/V2000021856 (data obrashheniya: 10.06.2021). [in Russian] 8. Ukaz Prezidenta Respubliki Kazahstan ot 19 iyunya 2018 goda № 702 "O nekotorykh voprosakh administrativno-territorial'nogo ustrojstva Respubliki Kazahstan [«On some issues of the administrative-territorial structure of the Republic of Kazakhstan"]. [Elektronnyj resurs]. URL: https://adilet.zan.kz/rus/docs/U1800000702 (data obrashhenija: 30.06.2021). [in Russian] 9. Prikaz MZ RK ot 23 nojabrja 2020 goda № ҚR DSM-199/2020 "Ob utverzhdenii pravil okazaniya sestrinskogo ukhoda" ["On approval of the rules for the provision of nursing care"]. [Elektronnyi resurs]. URL: https://adilet.zan.kz/rus/docs/V2000021674 (data obrashheniya: 04.06.2021). [in Russian] 10. Prikaz MZ RK ot 30 oktjabrja 2020 goda № ҚR DSM-170/2020 "Ob utverzhdenii tarifov na meditsinskie uslugi, predostavlyaemye v ramkakh GOBMP i v sisteme OSMS" ["On the approval of tariffs for medical services provided within the guaranteed volume of medical care and in the compulsory health insurance system]. [Elektronnyj resurs]. URL: http://adilet.zan.kz/rus/docs/V2000021550/links (data obrashheniya: 04.05.2021). [in Russian] 11. Smailova D.S., Bajgozhina Z.A., Tashtemirov K.K., Sydykova B.K. Metodicheskie rekomendatsii po razrabotke i vnedreniyu sestrinskoi dokumentatsii v organizatsiyakh prakticheskogo zdravookhraneniya [Guidelines for the development and implementation of nursing documentation in practical healthcare organizations. 2020]. 2020. [Elektronnyi resurs]. URL: http://www.rcrz.kz/index.php/ru/2017-03-12-10-51-13/metodicheskie-rekomendatsii (data obrashheniya: 01.07.2021). [in Russian] 12. Aiken L.H., Sermeus W., Van Den Heede K., et al. Patient safety, satisfaction, and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ. 2012. № 344 (7851). 13. Aiken L.H. et al. Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. Lancet. 2014. № 383 (9931). P.1824–1830. 14. Akard T.F., Hendricks-Ferguson V.L., Gilmer M.J. Pediatric palliative care nursing. Ann. Cardiothorac. Surg. 2019. № 1. P. S.39–S48. 15. Al-Kandari F., Thomas D. Factors contributing to nursing task incompletion as perceived by nurses working in Kuwait general hospitals. J. Clin. Nurs. 2009. № 18 (24). P.3430–3440. 16. Bruyneel A., et al. Impact of COVID-19 on nursing time in intensive care units in Belgium. Intensive Crit. Care Nurs. 2021. №62. P.102967. 17. Dikmen Y., et al. The Level of Professionalism of Nurses Working in a Hospital in Turkey. J. caring Sci. 2016. № 5 (2). P.95–102. 18. Griffiths P., et al. Nurse staffing and patient outcomes: Strengths and limitations of the evidence to inform policy and practice. A review and discussion paper based on evidence reviewed for the National Institute for Health and Care Excellence Safe Staffing guideline development. Int. J. Nurs. Stud. 2016. № 63. P.213–225. 19. Kelly L.A., McHugh M.D., Aiken L.H. Nurse outcomes in magnet® and non-magnet hospitals. J. Nurs. Adm. 2011. № 41 (10). P.428–433. 20. Khomami H.M., Rustomfram N. Nursing efficiency in patient care: A comparative study in perception of staff nurse and hospital management in a trust hospital. J. Fam. Med. Prim. care. 2019. №8 (5). P.1550–1557. 21. Miller B.K., Adams D., Beck L. A behavioral inventory for professionalism in nursing. J. Prof. Nurs. 1993. № 5 (9). P.290–295. 22. Poghosyan L., et al. Nurse Practitioner Practice Environments in Primary Care and Quality of Care for Chronic Diseases. Med. Care. 2018. № 56 (9). P.791–797. 23. Richards D.A., et al. Fundamental nursing care: A systematic review of the evidence on the effect of nursing care interventions for nutrition, elimination, mobility and hygiene. J. Clin. Nurs. 2018. № 27 (11–12). P. 2179–2188. 24. Shuler P.A., Davis J.E. The Shuler Nurse Practitioner Practice Model: Clinical Application, Part 2. J. Am. Acad. Nurse Pract. 1993. № 5 (2). P. 73–88. 25. Slemon A., Jenkins E., Bungay V. Safety in psychiatric inpatient care: The impact of risk management culture on mental health nursing practice. Nurs. Inq. 2017. № 24 (4). P. 24. 26. Smailova D.S., Sydykova B.K., Sarsenbayeva G.Z., Bolatov A.K., Mussina G.A., Baigozhina Z.A., Khismetova Z.A. Development and implementation of nursing documentation on coronavirus infection (COVID-19) at the nursing level. Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 1, pp. 15-20. doi 10.34689/SH.2021.23.1.002. 27. Smigorowsky M.J., et al. Outcomes of nurse practitioner-led care in patients with cardiovascular disease: A systematic review and meta-analysis. J. Adv. Nurs. 2020. № 76(1). P. 81–95. 28. VanFosson C.A., Jones T.L., Yoder L.H. Unfinished nursing care: An important performance measure for nursing care systems. Nurs. Outlook. 2016. № 64(2). P. 124–136. 29. White E.M., Aiken L.H., McHugh M.D. Registered Nurse Burnout, Job Dissatisfaction, and Missed Care in Nursing Homes. J. Am. Geriatr. Soc. 2019. № 67 (10). P.2065–2071. 30. Wittenberg E., Reb A., Kanter E. Communicating with Patients and Families Around Difficult Topics in Cancer Care Using the COMFORT Communication Curriculum. Semin. Oncol. Nurs. 2018. № 34 (3). P. 264–273. 31. Wynd C.A. Current factors contributing to professionalism in nursing. J. Prof. Nurs. 2003. №19 (5). P. 251–261. 32. What is a Magnet Hospital? | Duquesne University [Электронный ресурс]. URL: https://onlinenursing.duq.edu/blog/what-is-a-magnet-hospital/ (Accessed June 8, 2021).
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Sydykova B.K., Umbetpayev A.T., Baigozhina Z.А., Khismetova Z.A., Samarova U.S., Sarsenbayeva G.Z., Yelissinova A.M., Smailova D.S. Stimulating the professional development of nurses as a way to improve the quality of medical practice // Nauka i Zdravookhranenie [Science & Healthcare]. 2021, (Vol.23) 4, pp. 199-207. doi 10.34689/SH.2021.23.4.022

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