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ToolsSabitova, Alina, Hickling, Lauren M., Toleubayev, Medet, Jovanović, Nikolina and Priebe, Stefan (2022) Job morale of physicians and dentists in Kazakhstan: A qualitative study. BMC Health Services Research, 22. ISSN 1472-6963
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Abstract
Background: Job 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. Methods: Three 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. Results: The 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. Conclusions: The 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.
| Item Type: | Article |
|---|---|
| Additional Information: | Availability of data and materials: The datasets used and/or analysed during the current study available from the corresponding author on reasonable request. Funding information: This research was sponsored by the Science Committee of the Ministry of Education and Science of the Republic of Kazakhstan (Grant No. AP13068112). The funder had no input to the study design, analysis, interpretation of data, production of this manuscript nor decision to publish. |
| Uncontrolled Keywords: | burnout,healthcare,job morale,low-and-middle income countries,strategies,thematic analysis,health policy ,/dk/atira/pure/subjectarea/asjc/2700/2719 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 04 Mar 2025 14:30 |
| Last Modified: | 28 Mar 2025 13:14 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/98657 |
| DOI: | 10.1186/s12913-022-08919-x |
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