Evidence map›Paper›PMID 39748439›Full record

ArticleJournal of health, population, and nutrition2025

A mixed method exploration of job morale of physicians working in public healthcare settings in Kazakhstan during the COVID-19 pandemic.

Alina Kuandyk, Mariya Dmitriyeva, Nazerke Toleukhanova, Maev Conneely, Timur Suleimenov, Dauren Sarssenov, Raimzhan Mamytkhan, Madiyar Sakhayev, Arman Tleubergenov, Medet Toleubayev

Abstract read
In one paragraph

Article in Journal of health, population, and nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Stress Levels Among Primary Health Care Workers in Almaty, Kazakhstan: A Cross-Sectional Study.International journal of environmental research and public health · 2026
    Article
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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

10 authors.

Alina KuandykDepartment of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana, 010000, Kazakhstan. alina.sabitova@nu.edu.kz.
Mariya DmitriyevaDepartment of Surgery, Astana Medical University, Astana, Kazakhstan.
Nazerke ToleukhanovaHealth and Well-being Department, Nazarbayev University, Astana, Kazakhstan.
Maev ConneelyDivision of Psychiatry, University College London, London, UK.
Timur SuleimenovUniversity Medical Center of Nazarbayev University, Astana, Kazakhstan.
Dauren SarssenovDepartment of Surgery, Astana Medical University, Astana, Kazakhstan.
Raimzhan MamytkhanDepartment of Surgery, Astana Medical University, Astana, Kazakhstan.
Madiyar SakhayevDepartment of Surgery, Astana Medical University, Astana, Kazakhstan.
Arman TleubergenovDepartment of Surgery, Astana Medical University, Astana, Kazakhstan.
Medet ToleubayevDepartment of Surgery, Astana Medical University, Astana, Kazakhstan.

Funding

Science Committee of the Ministry of Education and Science of the Republic of Kazakhstan Grant No. AP13068112
6 · The paper itself

Abstract

backgroundPhysicians faced increased workloads during the COVID-19 pandemic, which exposed them to considerable physical and psychological stress. Gaining insight into shapers of job morale of physicians can help healthcare administrators assess the effectiveness of current work conditions and support systems, enabling them to develop policies that improve work environments and prepare healthcare systems for future resurgences of COVID-19 and other future unknown challenges. Therefore, the present study aimed to improve the understanding of physicians' experiences of job morale in Kazakhstan during the COVID-19 pandemic.

methodsThis was an explanatory sequential mixed method study that adopted an online structured questionnaire and semi-structured individual interviews as tools for data collection. The Warr-Cook-Wall scale, Maslach Burnout Inventory Human Services Survey for Medical Personnel, and Beck Depression Inventory were used to measure job morale indicators. The interview topic guide, in turn, covered two key areas: general views on physicians' job morale during the COVID-19 pandemic and specific experiences which worsened or improved job morale during the COVID-19 pandemic. Descriptive statistics and regression models were utilised to analyse the quantitative data, while thematic analysis was employed for the qualitative data.

resultsA total of 2086 survey responses and 30 interviews were analysed. Although job motivation was moderate, physicians were rather satisfied with their jobs. The prevalence of burnout was 30.97%, and signs of severe depression symptoms were detected among 3.69% of participants. Four themes emerged from the thematic analysis: (1) fear of uncertainty; (2) media scrutiny; (3) resurgence in appreciation; and (4) heightened sense of duty.

conclusionsDespite the significant challenges posed by the COVID-19 pandemic, physicians in Kazakhstan's public healthcare sector maintained generally positive job morale. This was mainly due to their strong sense of calling and a renewed appreciation for their role. Future research should rigorously examine longitudinal changes in job morale and the relationship between physicians' job morale and patient experiences.

Indexed as

Burnout, ProfessionalCOVID-19Job SatisfactionMoralePhysiciansSARS-CoV-2AdultAttitude of Health PersonnelFemaleHumansKazakhstanMaleMiddle AgedPandemicsSurveys and QuestionnairesWorkloadBurnoutCOVID-19 pandemicJob moraleJob motivationJob satisfactionKazakhstanPhysicians

Identifiers

PMID39748439
PMCPMC11697930

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LicenceCC BY-NC-ND
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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.