medinfoАктуальные проблемы теоретической и клинической медициныActual Problems of Theoretical and Clinical Medicine2790-12892790-1297Казахстанско-Российский медицинский университет10.24412/2790-1289-2025-2-69-82medinfo-747Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL ARTICLESАНАЛИЗ ФАКТОРОВ, ВЛИЯЮЩИХ НА МОРАЛЬНО- ПСИХОЛОГИЧЕСКИЙ КЛИМАТ В КОЛЛЕКТИВЕ МЕДИЦИНСКИХ СЕСТЕРANALYSIS OF FACTORS INFLUENCING THE MORAL AND PSYCHOLOGICAL CLIMATE AMONG NURSING STAFFhttps://orcid.org/0000-0003-3541-6324ДемеубаеваД. М.DemeubayevaD. M.

Демеубаева Динара – докторант PhD кафедры политики и организации здравоохранения, факультет медицины и здравоохранения

Алматы

Demeubayeva Dinara – Phd doctoral student at the Department of Health Policy and Organization

Almaty

dinara.demeubayeva@gmail.comhttps://orcid.org/0000-0002-5464-0498ГржибовскийА. М.GrjibovskiA. M.

Гржибовский Андрей – PhD, профессор кафедры общественного здоровья, общей гигиены и биоэтики

г. Якутск

Grjibovski Andrej – PhD, Professor of the Department of Public Health, General Hygiene and Bioethics

Yakutsk

Andrej.grjibovski@gmail.comhttps://orcid.org/0000-0003-4105-4008КамхенВ. Б.KamkhenV. B.

Камхен Виталий – кандидат медицинских наук, доцент кафедры политики и организации здравоохранения

Алматы

Vitaliy Kamkhen – Candidate of Medical Sciences, Associate Professor, Associate Professor at the Department of Health Policy and Organization

Almaty

kamchen_23@mail.ruhttps://orcid.org/0000-0003-1773-8127ТашеноваГ. Т.TashenovaG. T.

Ташенова Гульнара – доктор медицинских наук, профессор кафедры детских болезней имени Н. А. Барлыбаевой

Алматы

Gulnara Tashenova – Doctor of Medical Sciences, Professor at the Department of Pediatric Diseases named after N.A. Barlybayeva

Almaty

talipovna68@gmail.comhttps://orcid.org/0000-0002-1697-0867ОспановаЖ. О.OspanovaZh. O.

Оспанова Жанна – доктор медицинских наук, доцент кафедры детских болезней имени Н. А. Барлыбаевой

Алматы

Zhanna Ospanova – Doctor of Medical Sciences, Associate Professor at the Department of Pediatric Diseases named after N.A. Barlybayeva

Almaty

ospanovazh@mail.ruКазахский Национальный университет им. Аль-Фараби; Казахский Национальный медицинский университет им. С. Д. АсфендияроваКазахстанAl-Farabi Kazakh National University; S. D. Asfendiyarov Kazakh National Medical UniversityKazakhstanСеверо-Восточный федеральный университет им. М. К. АммосоваРоссияNorth-Eastern Federal University named after M. K. AmmosovRussian FederationКазахский Национальный университет им. Аль-ФарабиКазахстанAl-Farabi Kazakh National UniversityKazakhstanКазахский Национальный медицинский университет им. С. Д. АсфендияроваКазахстанS. D. Asfendiyarov Kazakh National Medical UniversityKazakhstan202506072025026982Copyright © Демеубаева Д.М., Гржибовский А.М., Камхен В.Б., Ташенова Г.Т., Оспанова Ж.О., 20252025Демеубаева Д.М., Гржибовский А.М., Камхен В.Б., Ташенова Г.Т., Оспанова Ж.О.Demeubayeva D.M., Grjibovski A.M., Kamkhen V.B., Tashenova G.T., Ospanova Z.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://kazrosmedjournal.krmu.edu.kz/jour/article/view/747

В современных условиях системы здравоохранения морально-психологический климат в коллективе медицинских сестер становится одним из ключевых факторов, влияющих на профессиональную удовлетворенность, устойчивость кадров и качество предоставляемой помощи. Однако в Республике Казахстан данные аспекты изучены недостаточно.

Цель

Цель. Проанализировать влияние организационно-психологических факторов на моральнопсихологический климат в коллективе медсестер одного из лечебных учреждений города Алматы.

Материалы и методы

Материалы и методы. Исследование выполнено в формате кросс-секционного опроса. В анкетировании приняли участие 281 медицинских сестер. Инструмент исследования включал демографический блок и шкалу оценки удовлетворенности работой, коммуникативных характеристик и морального климата. Анализ проведен с использованием χ²-критерия, регрессионного анализа и коэффициента α Кронбаха.

Результаты

Результаты. Установлена статистически значимая связь (p < 0.001) между высоким уровнем морально-психологического климата и показателями сплоченности, доверия, конструктивной критики, свободы выражения мнений и положительного эмоционального фона. Медсестры, позитивно оценивающие климат, чаще выбирали стратегии сотрудничества и компромисса при конфликтных взаимодействиях.

Выводы

Выводы. Создание устойчивой морально-психологической среды через развитие внутри коллективных коммуникаций и поддержку сотрудников должно стать приоритетом кадровой политики в здравоохранении.

In the current healthcare context, the moral and psychological climate within nursing teams is becoming a critical factor influencing job satisfaction, staff retention, and the quality of healthcare services. However, these aspects remain insufficiently explored in the Republic of Kazakhstan.

Objective

Objective: To analyze the impact of organizational and psychological factors on the moral and psychological climate in the nursing staff of a medical facility in Almaty.

Materials and Methods

Materials and Methods. A cross-sectional survey was conducted with the participation of 281 nurses. The research instrument included demographic questions and scales for assessing job satisfaction, communication traits, and moral climate. Data were analyzed using the chi-square (χ²) test, regression analysis, and Cronbach's alpha coefficient.

Results

Results: A statistically significant association was identified between a high moral and psychological climate and indicators such as team cohesion, trust, constructive criticism, freedom of expression, and positive emotional background. Nurses who positively assessed the workplace climate were more likely to choose cooperation and compromise strategies in conflict situations.

Conclusions

Conclusions: Establishing a sustainable moral and psychological environment through improved internal communication and staff support should become a priority in healthcare human resource policy.

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The authors declare that there are no conflicts of interest present.