Evidence map›Paper›PMID 34252232›Full record

ArticleJournal of nursing management2021

Development of management structures for future nursing services in the Republic of Kazakhstan requires change of organizational culture.

Hannele Tiittanen, Johanna Heikkilä, Zaure Baigozhina

Abstract read
In one paragraph

Article in Journal of nursing management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hannele TiittanenLAB University of Applied Sciences, Lahti, Finland.ORCID https://orcid.org/0000-0002-7694-6842
Johanna HeikkiläJAMK University of Applied Sciences, Jyväskylä, Finland.ORCID https://orcid.org/0000-0001-8255-3618
Zaure BaigozhinaRepublican Center for Health Development, Ministry of Health of the Republic of Kazakhstan, Nur-Sultan, Kazakhstan.ORCID https://orcid.org/0000-0001-7098-6782

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study's aim was to describe the development of new management structures for nursing services in pilot public healthcare organizations in the Republic of Kazakhstan by focusing on cultural change from the former Soviet system to the modern nursing management system.

backgroundBecause organizational culture plays an essential role in developing nursing management processes, the challenge in Kazakhstan is to change the deep-rooted Soviet administration practices, such as top-down management and the absence of a career structure in nursing, to meet the new public management system's requirements.

methodParticipatory method was used to generate organizational culture change in 31 pilot organizations.

resultsThe organizational structures were reorganized with new nursing positions. Changes concerning nurses' job descriptions and educational requirements were introduced to the legislation. Workforce planning and work division between the healthcare professionals were suggested, allowing new operational functions for nurses. The implemented changes facilitate the culture change in the healthcare and nursing service system.

conclusionThe shift of healthcare organizations towards a modern nursing management system has started in Kazakhstan. IMPLICATIONS FOR NURSING MANAGEMENT: Good understanding and competence of cultural issues related to the change processes are critical in countries that are undergoing fundamental reforms in their healthcare systems.

Indexed as

Nursing ServicesOrganizational CultureHumansKazakhstanOrganizational InnovationWorkforceCentral Asiadelivery of healthcareKazakhstannursing managementorganizational culture

Identifiers

PMID34252232
PMCPMC9291935

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.