Experience of clinical nursing guidelines development in Kazakhstan

Abstract

Issue/problem Since 2019, Kazakhstan has been implementing a project to develop standards for nursing services. The aim of project is support of practical nurses with the latest available evidence via development of clinical nursing guidelines (CPG) as well as standard operational procedures (SOP), sustainable development of this area. Description of the problem As part of reforming the system of nursing education in Kazakhstan, applied baccalaureate for nurses was introduced. Shortcomings of current nursing education, the introduction of digitalization and e-health, poor quality of medical services, justified need of standardization. Within the framework of the project, development groups including nurses and medical specialists were organized. The following priority topics were selected: management of diabetes, asthma, CHF, prevention of CVD. Development group uses a guide for adaptation which was prepared by project international partners from Finland. Three trainings were conducted for nursing professionals. These trainings step by step provide comprehensive knowledge on adaptation process. recommendations to local conditions. Results The main outcome of the joint work is the training of a nursing research committee, who will be responsible for sustainable development of this direction. The second result is guidelines for nurses, which are very demanded in the field. The third outcome is reflexing and gaining experience in overcoming barriers for further work. Lessons Adaptation of CPG is preferred approach for countries with a low level of socio-economic development because of less resource, time consuming. The adaptation process requires work commitment, a sufficient level of English proficiency, respect of authorship, but taking into account local conditions. Key messages Adaptation of nursing CPGs is an important part of standardization of medical services in order to improve the quality of medical care. Thorough planning of the process, training of development group will allow overcome barriers to implementation.