Background: With the adoption of the Astana Declaration on primary health care, modern approaches are being introduced in the Republic of Kazakhstan. The created national foundations of the nursing management system in Kazakhstan are a visible manifestation of a new organizational culture. In connection with the large-scale reform of nursing and the creation of a new position of nurses that meets modern social challenges and international requirements, the role of nurses in healthcare has increased significantly. In this study, we measured the actual scope of nursing practice among nurses in the medical organizations in the Republic of Kazakhstan.

Methods: We performed a cross-sectional descriptive quantification study using electronic questionnaire on the actual scope of nursing practice in the Kazakh and Russian languages. The study group consisted of 146 registered nurses working in state organizations of the Republic of Kazakhstan.

Results: Nurses from primary care organizations have demonstrated the high complexity of fulfilling the scope of nursing practice. There were minor differences in the performance of simple nursing tasks depending on the level of education. Nurses with postgraduate training and bachelor's education were significantly more likely to practice high complexity of actual scope of nursing practice than nurses with a college diploma.

Conclusion: The overall mean of the actual volume of the nursing practice is 5.09. The actual scope of nursing practice of high complexity was performed more often by primary care nurses (5.65). Nursing education reform in Kazakhstan is demonstrating positive results.

Keywords: Nurse training, Scope of nursing practice, Competencies of nurses, Nursing reform, Kazakhstan


[1] 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 Nov;29(8):2565-2572. doi: 10.1111/jonm.13416. Epub 2021 Jul 27.

[2] Sydykova BK, Umbetpayev AT, Baigozhina ZА, Khismetova ZA, Samarova US, et al. Stimulating the professional development of nurses as a way to improve the quality of medical practice // Nauka i Zdravookhranenie [Science & Healthcare]. 2021;23(4):199-207. doi 10.34689/SH.2021.23.4.022

[3] Heikkilä J, Kivinen E, Naakka H, Hopia H. Improving the system of training nursing specialists: Results of the strategic partnership between JAMK University of Applied Sciences, Finland, and medical colleges of the Republic of Kazakhstan. J of Health Development. 2021;2(42): 63-68. DOI:10.32921/2225-9929-2021-2-42-63-68

[4] Braithwaite S, Tranmer J, Wilson R, Almost J, Tregunno D. Measuring Scope of Practice Enactment Among Primary Care Registered Nurses. Can J Nurs Res. 2021 Nov 20:8445621211058328. doi: 10.1177/08445621211058328. Epub ahead of print.

[5] MacLeod MLP, Stewart NJ, Kulig JC, Anguish P, Andrews ME, Banner D, et al. Nurses who work in rural and remote communities in Canada: a national survey. Hum Resour Health. 2017 May 23;15(1):34. doi: 10.1186/s12960-017-0209-0.

[6] Adolfo CS, Almazan JU, Cruz JP, Albougami ASB, Roque MY, Montayre J. Saudi Arabian nurses' workaholic tendencies and their predictive role in professional quality of life. Perspect Psychiatr Care. 2022 Jul;58(3):1144-1152. doi: 10.1111/ppc.12913. Epub 2021 Jul 12.

[7] Aljohani KA, Alamri MS, Al-Dossary R, Albaqawi H, Hosis KA, Aljohani MS, et al. Scope of Nursing Practice as Perceived by Nurses Working in Saudi Arabia. Int J Environ Res Public Health. 2022 Apr 1;19(7):4220. doi: 10.3390/ijerph19074220.

[8] Graf AC, Nattabi B, Jacob E, Twigg D. Experiences of Western Australian rural nursing graduates: A mixed method analysis. J Clin Nurs. 2021 Dec;30(23-24):3466-3480. doi: 10.1111/jocn.15849.

[9] van den Brink GT, Jans EG. Predictors of Successful Completion of the Master of Physician Assistant Studies in the Netherlands. J Physician Assist Educ. 2018 Sep;29(3):135-137. doi: 10.1097/JPA.0000000000000216

[10] Johansson L, Silén M. Research methods in nursing students' Bachelor's theses in Sweden: A descriptive study. Nurse Educ Today. 2018 Jul; 66:187-193. doi: 10.1016/j.nedt.2018.04.006.

[11] Baygozhina ZA, Koikov VV, Shalkharova ZS, Umbetzhanova AT, Bekbergnova ZB. Implementation of a new model of nursing service in health care organizations to improve the efficiency of nursing specialists and their contribution to protecting the health of the population of the Republic of Kazakhstan. J of Health Development.2020; 36(Special Issue); 69-83. [Russian]. https://doi.org/10.32921/2225-9929-2020-36-69-83.

[12] Suliman M, Aljezawi M, Almansi S, Musa A, Alazam M, Ta'an WF. Effect of nurse managers' leadership styles on predicted nurse turnover. Nurs Manag (Harrow). 2020 Sep 24;27(5):20-25. doi: 10.7748/nm.2020.e1956.

[13] Iskakova AM, Abzalova RA, Shalgumbaieva GM, Yuodaite-Rachkauskene A, Akhmetova AK, Sundeieva EA, et al. [The implementation of new nursing technologies in the Republic of Kazakhstan]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2016 May-Jun;24(3):182-5. [Russian].

[14] Zhumadilova A, Craig BJ, Bobak M. Patient-Centered Beliefs Among Patients and Providers in Kazakhstan. Ochsner J. 2018 Spring;18(1):46-52.

[15] Clinton ME, Younan LS, Fares S. Multidimensional Analysis of the Arabic Version of the Actual Scope of Nursing Practice Scale. J Nurs Meas. 2018 Dec;26(3):435-452. doi: 10.1891/1061-3749.26.3.435.

[16] Ljungbeck B, Sjögren Forss K, Finnbogadóttir H, Carlson E. Content in nurse practitioner education - A scoping review. Nurse Educ Today. 2021 Mar;98:104650. doi: 10.1016/j.nedt.2020.104650.

[17] D'Amour D, Dubois CA, Déry J, Clarke S, Tchouaket E, Blais R, et al. Measuring actual scope of nursing practice: a new tool for nurse leaders. J Nurs Adm. 2012 May;42(5):248-55. doi: 10.1097/NNA.0b013e31824337f4.

[18] Sаrsembaikyzy G, Tyulubaeva ZS. The applicability of the Clinical Classification Clainical Classification classifier in electronic document management of nursing personnel to increase the efficiency of medical services in the healthcare system of the Republic of Kazakhstan: Analytical review for the formation of a policy. J of Health Development. 2021;40(Special Issue): 36-43. [Russian]. Available from: http://jhdkz.org/gallery/Special%20issue.%20Number%2040%20(2021).pdf

[19] Veklenko GV, Smagulova GA, Seitmaganbetova NA, Dostanova ZA, Tanmaganbetova AY, Zhaubatyrova AA, et al. Nursing reform in Kazakhstan - what does a nurse want? J of Health Development. 2018;27(S2). [Russian].