ORIGINAL RESEARCH
Public Health
doi: 10.25005/2074-0581-2026-28-3-638-648
FACTORS INFLUENCING DECISION-MAKING IN NURSING PRACTICE IN THE REPUBLIC OF KAZAKHSTAN

L.D. ALIBEKOV1, B.K. ABDIMURATOVA2, M.N. NURLYBAYEVA2, U.D. SHOKAY2, K. KYZAIKYZY2, M.KH. MAKSUDOVA2

1Higher Medical College of the Public Health Department of Almaty, Almaty, Republic of Kazakhstan
2al-Farabi Kazakh National University, Almaty, Republic of Kazakhstan

Objective: To assess nurses’ decision-making ability and determine the influence of various factors on decision-making in nursing practice in the Republic of Kazakhstan.

Methods: A descriptive cross-sectional study design was used. An online questionnaire was distributed among 500 nurses who met the eligibility criteria and received 465 completed questionnaires. Data were collected in November-December 2023. Descriptive statistics, correlation analysis, and analysis of variance were used for data analysis.

Results: The median age of respondents was 38 years (range: 21-64 years); 32.5% held a bachelor's degree. Analysis of variance revealed an effect of age on knowledge of leadership and management (F=4.690; p=0.003) and on the ability to make accurate decisions (F=2.826; p=0.038). Respondents’ work experience influenced their level of knowledge of leadership and management in nursing (F=3.023; p=0.018).

Conclusion: The study showed that age and work experience influence knowledge of nursing management and leadership, as well as the ability to make decisions in nursing practice while considering potential moral and ethical consequences.

Keywords: Nursing practice, nursing leadership, decision-making, management, leadership competencies.

Download file:

References
  1. Oldland E, Botti M, Hutchinson AM, Redley B. A framework of nurses’ responsibilities for quality healthcare - Exploration of content validity. Collegian. 2020;27(2):150-63. https://doi.org/10.1016/j.colegn.2019.07.007
  2. Jack K, Bianchi M, Costa RDP, Grinberg K, Harnett G, Luiking ML, et al. Clinical leadership in nursing students: A concept analysis. Nurse Educ Today. 2022;108:105173. https://doi.org/10.1016/j.nedt.2021.105173
  3. Heinen M, van Oostveen C, Peters J, Vermeulen H, Huis A. An integrative review of leadership competencies and attributes in advanced nursing practice. J Adv Nurs. 2019;75(11):2378-92. https://doi.org/10.1111/jan.14092
  4. Johansen ML, O’Brien JL. Decision-making in nursing practice: A concept analysis. Nurs Forum. 2016;51(1):40-8. https://doi.org/10.1111/nuf.12119
  5. Sholehah B, Astari AM, Kapti RE. Factors influencing in clinical decision making of nurse: A systematic review. Int J Sci Soc. 2020;2(3):135-45. https://doi. org/10.54783/ijsoc.v2i3.141
  6. Heikkilä J, Tiittanen H, Valkama K. Stages of reforming the nursing service in the Republic of Kazakhstan: Plans and prospects. J Health Dev. 2018;2(27 Suppl):3-6.
  7. Abzalova RA. Innovative medical and social approaches in the Republic of Kazakhstan PHC nurses practice. J Health Dev. 2018;2(27 Suppl):7-9.
  8. Kivinen E, Lehto S, Heikkilä J. Evidence-based nursing clinical guidelines to ensure the quality and safety of nursing practices: The process of developing guidelines in the Republic of Kazakhstan. J Health Dev. 2018;2(27 Suppl):10-4.
  9. Bierer BE. Declaration of Helsinki - Revisions for the 21st century. JAMA. 2025;333(1):18-9. https://doi.org/10.1001/jama.2024.22281
  10. Silva GTRD, Santos IARD, Conceição MMD, Góis RMO, Santos AS, Amestoy SC, et al. Influencing factors in the nurses’ decision-making process in Ibero-American university hospitals. Rev Lat Am Enfermagem. 2022;30:3563. https://doi. org/10.1590/1518-8345.5648.3563
  11. Vujanić J, Prlić N, Lovrić R. Nurses’ self-assessment of caring behaviors in nursepatient interactions: A cross-sectional study. Int J Environ Res Public Health. 2020;17(14):5255. https://doi.org/10.3390/ijerph17145255
  12. Nibbelink CW, Brewer BB. Decision-making in nursing practice: An integrative literature review. J Clin Nurs. 2018;27(5-6):917-28. https://doi.org/10.1111/ jocn.14151
  13. Wood C. Leadership and management for nurses working at an advanced level. Br J Nurs. 2021;30(5):282-6. https://doi.org/10.12968/bjon.2021.30.5.282
  14. Kassym LT, Kussainova AA, Karazhigitova PA, Kussainov AA, Imanbayeva AD, Dzhakubaliyev TM, et al. Evidence-based nursing practice: Literature review. Sci Healthc. 2023;25(5):241-52. https://doi.org/10.34689/SH.2023.25.5.030
  15. Zhunussova DK, Derbissalina GA, Umbetzhanova AT, Bekbergenova ZhB, Batarbekova ShK, Belyatko AV. Development and adaptation of clinical nursing guidelines in the Republic of Kazakhstan. West Kazakhstan Medical Journal. 2020;62(4):215-19.
  16. Järvinen S, Heikkilä J, Meyermanova I, Kuanysh Z, Molotov-Luchanskiy V. Improvements in the infrastructure for nursing research in universities in Kazakhstan. Int Nurs Rev. 2023;70(1):10-7. https://doi.org/10.1111/inr.12791
  17. Tiittanen H, Heikkilä J, Baigozhina Z. Development of management structures for future nursing services in the Republic of Kazakhstan requires change of organizational culture. J Nurs Manag. 2021;29(8):2565-72. https://doi. org/10.1111/jonm.13416
  18. Huotari P, Tiittanen H. Nursing leadership competence assessment and development in healthcare in Kazakhstan. J Health Dev. 2020;4(39):17-25. https://doi.org/10.32921/2225-9929-2020-4-39-17-25

Authors' information:

Alibekova Lyazzat Dzhanibekovna,
Master of Medical Sciences, Deputy Director for Educational and Training Work, Higher Medical College, Public Health Department of Almaty
ORCID ID: 0009-0000-6109-0175
E-mail: alilyaza@mail.ru

Abdimuratova Bibinur Kozhakeldikyzy,
Master of Medical Sciences, Lecturer, Department of Nursing, al-Farabi Kazakh National University
ORCID ID: 0009-0008-9847-0970
E-mail: bibi-nur95@mail.ru

Nurlybayeva Makbal Nurlybaykyzy,
Master of Medical Sciences, Senior Lecturer, Department of Nursing, al-Farabi Kazakh National University
ORCID ID: 0009-0002-6722-3113
E-mail: makbalnurlybaeva@gmail.com

Shokay Ulbossyn Duysenkazykyzy,
Master of Medical Sciences, Senior Lecturer, Department of Nursing, al-Farabi Kazakh National University
ORCID ID: 0009-0006-5202-2035
E-mail: Shokai_ulbosyn@mail.ru

Kyzaikyzy Kaliya,
Master of Medical Sciences, Lecturer, Department of Nursing, al-Farabi Kazakh National University
ORCID ID: 0009-0009-6467-5975
E-mail: kaliya_98@bk.ru

Maksudova Makhigul Khalmurzayevna,
PhD, Senior Lecturer, Department of Nursing, al-Farabi Kazakh National University
Researcher ID: GVU-4509-2022
Scopus ID: 59492619800
ORCID ID: 0009-0004-5354-7007
E-mail: maksudova63@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Maksudova Makhigul Khalmurzayevna
PhD, Senior Lecturer, Department of Nursing, al-Farabi Kazakh National University

050035, Republic of Kazakhstan, Almaty, al-Farabi Ave., 71

Тel.: +7 (702) 5676201

E-mail: maksudova63@gmail.com


This work is licensed under a Creative Commons Attribution 4.0 International License.

Materials on the topic:
  1. ANALYTICAL ASSESSMENT OF HEALTHCARE SERVICE DELIVERY INDICATORS IN THE REPUBLIC OF TAJIKISTAN
  2. PREVALENCE OF DEPRESSION, ANXIETY, STRESS AND COPING MECHANISM AMONG UNDERGRADUATE STUDENTS
  3. PREVALENCE OF SOCIAL MEDIA ADDICTION AND ITS ASSOCIATED FACTORS AMONG UNDERGRADUATE STUDENTS AT UNIVERSITI MALAYSIA SARAWAK (UNIMAS), SARAWAK
  4. PSYCHOLOGICAL IMPACTS ON EMERGENCY MEDICAL SERVICES PERSONNEL PERFORMANCE AND PRODUCTIVITY
  5. SURVEY ON MEDICAL, DEMOGRAPHIC, AND SOCIOECONOMIC INDICATORS IN TAJIKISTAN
  6. THE EFFECTIVENESS OF DECENTRALIZED MEDICAL CARE AND INTEGRATION OF HIV SERVICES IN PRIMARY HEALTHCARE FOR PEOPLE LIVING WITH HIV IN DUSHANBE, REPUBLIC OF TAJIKISTAN
  7. INTRODUCING A QUALITY MANAGEMENT SYSTEM IN A MEDICAL ORGANIZATION: SWOT ANALYSIS
  8. INTRODUCTION OF HIV SERVICES IN THE TAJIKISTAN'S PRIMARY HEALTH CARE INSTITUTIONS: DUSHANBE EXPERIENCE, CURRENT RESULTS, AND PROSPECTS FOR FURTHER DEVELOPMENT
  9. MEDICAL AND SOCIAL APPROACHES TO ENSURE EARLY DIAGNOSIS AND PREVENTION OF ALLERGIC RHINITIS AT THE REGIONAL LEVEL
  10. QUALITY MANAGEMENT SYSTEM IN A HEALTHCARE ORGANISATION: FROM BASICS TO OPERATING MODEL

◄ Back to the list