Evidence map›Paper›PMID 36496368›Full record

ArticleBMC health services research2022

Job morale of physicians and dentists in Kazakhstan: a qualitative study.

Alina Sabitova, Lauren M Hickling, Medet Toleubayev, Nikolina Jovanović, Stefan Priebe

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

5 authors.

Alina SabitovaUnit for Social and Community Psychiatry, World Health Organisation Collaborating Centre for Mental Health Service Development, Queen Mary University of London, London, E13 8SP, UK. a.sabitova@qmul.ac.uk.
Lauren M HicklingUnit for Social and Community Psychiatry, World Health Organisation Collaborating Centre for Mental Health Service Development, Queen Mary University of London, London, E13 8SP, UK.
Medet ToleubayevDepartment of Plastic Surgery, Astana Medical University, Astana, 010000, Kazakhstan.
Nikolina JovanovićUnit for Social and Community Psychiatry, World Health Organisation Collaborating Centre for Mental Health Service Development, Queen Mary University of London, London, E13 8SP, UK.
Stefan PriebeUnit for Social and Community Psychiatry, World Health Organisation Collaborating Centre for Mental Health Service Development, Queen Mary University of London, London, E13 8SP, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJob morale is thought to be particularly low in Kazakhstan, adversely affecting job motivation, job satisfaction and burnout rates. Previous research suggests that high job morale has a better effect on patient outcomes and care quality. We, therefore, conducted a qualitative study to explore experiences underpinning positive and negative job morale, and to generate potential strategies for improving job morale of physicians and dentists working in public healthcare settings in Kazakhstan prior to the COVID-19 pandemic.

methodsThree focus groups containing 23 participants and 30 individual interviews were conducted, evidencing respondents' explanations of what affects job morale, and possible strategies to improve it. Data was synthesised using a thematic analysis.

resultsThe themes about what influences job morale were: being unfairly rewarded for work; feeling vulnerable and undervalued; poor working styles and practices; and high internal value-based motivation. Various strategies were identified by participants to improve job morale, and these included: ensuring adequate and equitable financial income; improving the current malpractice system; eliminating poor working styles and practices; and creating a shared responsibility for health.

conclusionsThe current study has found that despite prevailing threats, job morale amongst physicians and dentists working in public healthcare settings in Astana have been prevented from becoming negative by their strong sense of calling to medicine and the satisfaction of helping patients recover. Emphasising this rather traditional understanding of the role of physicians and dentists may be a way to improve job morale throughout training and practice.

Indexed as

Burnout, ProfessionalCOVID-19HumansJob SatisfactionMoralePandemicsBurnoutHealthcareJob moraleLow-and-middle income countriesStrategiesThematic analysis

Identifiers

PMID36496368
PMCPMC9737959

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.