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Analysis of factors influencing the moral and psychological climate among nursing staf

https://doi.org/10.24412/2790-1289-2025-2-69-82

Abstract

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

About the Authors

D. M. Demeubayeva
Al-Farabi Kazakh National University; S. D. Asfendiyarov Kazakh National Medical University
Kazakhstan

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

Almaty



A. M. Grjibovski
North-Eastern Federal University named after M. K. Ammosov
Russian Federation

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

Yakutsk



V. B. Kamkhen
Al-Farabi Kazakh National University
Kazakhstan

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

Almaty



G. T. Tashenova
S. D. Asfendiyarov Kazakh National Medical University
Kazakhstan

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

Almaty



Zh. O. Ospanova
S. D. Asfendiyarov Kazakh National Medical University
Kazakhstan

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

Almaty



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For citations:


Demeubayeva D.M., Grjibovski A.M., Kamkhen V.B., Tashenova G.T., Ospanova Zh.O. Analysis of factors influencing the moral and psychological climate among nursing staf. Actual Problems of Theoretical and Clinical Medicine. 2025;(2):69-82. (In Russ.) https://doi.org/10.24412/2790-1289-2025-2-69-82

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