PERCEPTIONS OF WORK PROCESSES AND ORGANIZATIONAL DYNAMICS IN HOSPITAL GYNECOLOGY DEPARTMENTS

Abstract

Introduction. Providing quality care is a priority of the healthcare system. One of the key attributes of quality care is effective teamwork within hospital departments and communication between medical specialists and patients. Aim: to study the current practice and perceptions of work processes and organizational dynamics in hospital gynecology departments in Almaty city. Materials and methods. The cross-sectional study was conducted in the first half of 2024. We developed a survey for hospital gynecologists, which was conducted with the support of the Almaty city health department and the heads of medical organizations. Participation in the survey was voluntary and anonymous, and respondents could complete it at any time convenient for them. Results. The survey showed that the majority of respondents, both doctors and nurses had more than 11 years’ of work experience, and most reported job satisfaction. A large portion of respondents, especially nurses (75.6%), believed that medical errors resulted in reprimands, while 46.3% agreed that the administration regularly reviews processes to improve patient safety. Additionally, 47.2% felt that incident reporting often focused on the person rather than the issue, with 42.2% of nurses disagreeing compared to 31.7% of doctors. While 50.8% of doctors and 51.1% of nurses agreed that the department promotes learning from mistakes, 24.4% of nurses were uncertain, and 20.4% expressed fear when raising concerns, with nurses experiencing more fear (p < 0.001). Furthermore, 34.3% of respondents, particularly doctors (46%), believed the manager expects faster work under pressure, while 48.9% of nurses were unsure. Conclusion. Both groups reported high professional experience and job satisfaction, but nurses expressed more uncertainty, particularly regarding error management and communication. The findings highlight the need for better communication, increased support for nurses, and a stronger safety culture that encourages staff to voice concerns without fear.