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Enhancing nursing documentation in Kazakhstan: assessing utilization and standardization for improving patient care
Bibinur Sydykova1, Dariga Smailova2, Zaituna Khismetova1
1Semey State Medical University, Semey, Kazakhstan.
Nursing documentation and standard operating procedures in Kazakhstan show limited use but positive impacts on patient care. Improving adoption requires addressing awareness, resources, and resistance to change for better healthcare outcomes.
Area of Science:
- Nursing Informatics
- Healthcare Management
- Clinical Practice Standards
Background:
- Comprehensive nursing documentation is crucial in scientific medicine.
- Standardized terminologies are increasingly adopted in European healthcare systems.
- This study assesses nursing documentation and standard operating procedure (SOP) utilization in Kazakhstan's healthcare reform.
Purpose of the Study:
- To evaluate the level of use of nursing documentation forms and SOPs in Kazakhstan.
- To understand the impact of these tools within the context of healthcare reform.
Main Methods:
- A cross-sectional study was conducted from December 2021 to February 2022 in Kazakhstan.
- A randomly selected sample of 2,263 nurses with varying educational backgrounds participated.
- Data collection involved assessing awareness and utilization of specific nursing documentation and SOPs.
Main Results:
- Awareness of nursing roles and programs varied (e.g., 64.7% for pilot care services, 55.2% for International Clinical Nursing Classification).
- Utilization of specific checklists and algorithms was limited, with many nurses not employing tools like the limb edema measurement (88.4%) or MACS classification (90.9%).
- Reported changes in nursing approach due to education were observed in 54.5% of participants, indicating some educational impact.
Conclusions:
- Nursing documentation and SOPs in Kazakhstan face challenges in utilization but demonstrate positive effects on patient care.
- Overcoming resistance to change, enhancing awareness, and addressing resource limitations are key for improving adoption.
- Successful implementation is vital for advancing patient care and healthcare outcomes within the reform framework.
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