(1) Background: The nursing profession has undergone a significant transformation not only in a formal context but also in terms of the increased educational competencies required of nurses and their preparedness to adapt to evolving roles and statuses. The aim of our study was to examine the experience of advanced practice nurses who conduct independent consultations on patients and to identify the main challenges they face in their practice. (2) Methods: We carried out 22 semi-structured interviews with nurses responsible for conducting independent consultations across three urban polyclinics located in Aktobe, Almaty, and Astana. All interviews were audio-recorded, transcribed verbatim, and subjected to qualitative content analysis. (3) Results: The content analysis revealed three main themes: “People awareness of the role of an independent nursing appointment”, “Adaptation of the work environment”, and “Confidence of nurses to provide independent services”. (4) Conclusions: Limited competency among nurses and the absence of quality metrics for autonomous nursing consultations present substantial obstacles to assessing and enhancing the quality of care delivered by nurses in their independent roles. Developing and implementing quality indicators for independent nursing appointment, as well as additional training within the framework of interprofessional continuous education for nurses, are important steps toward enhancing the effectiveness, safety, and accessibility of nursing care.

Background/Objectives: The implementation of advanced practice nursing in Kazakhstan is aimed at improving the accessibility and quality of primary healthcare. One of the key indicators of the effectiveness of this model is patient satisfaction, which reflects the perceived quality of care and directly influences treatment adherence. The aim of the study was to assess patient satisfaction with nurse-led consultations in primary healthcare institutions in Kazakhstan. Methods: A cross-sectional study was conducted using a questionnaire developed on the basis of Karin Bergman’s instrument and adapted to the Kazakhstani context. A total of 621 patients who attended independent nursing consultations in polyclinics in Aktobe, Almaty, Astana, and the village of Merke participated in the survey. Descriptive statistics and Pearson’s χ² test were applied, with statistical significance set at p < 0.05. Results: The majority of respondents were women, with a median age of 61 years. Awareness of independent consultations was higher among patients who regularly visited nurses (97.1% vs. 86.9%; p < 0.006). High satisfaction levels were associated with service accessibility, quality of examination, and clarity of recommendations. Among regular visitors, 99.2% reported satisfaction with the nurse’s work, and 76.6% rated the service as “excellent”. In contrast, patients with irregular visits more often reported dissatisfaction due to insufficient attention and limited knowledge of nurses. Conclusions: The findings confirm a high level of patient satisfaction with advanced practice nursing services and highlight the importance of this model in strengthening primary healthcare in Kazakhstan.

Pediatric respiratory pathology has its unique characteristics and requires specialized approaches in diagnostics, treatment, and care. In many countries, programs are being developed and implemented to optimize nursing care for children with such diseases, which can serve as a valuable source of experience for nurses. The current review aims to describe the existing data on the role of nurses in the management of respiratory diseases in children in primary care settings. Literature searches were conducted in electronic databases including PubMed/Medline, CINAHL, Cochrane Database of Systematic Reviews, and ProQuest for the period from 2012 to 2023. The following key search queries were used: nurses, nursing roles, primary health care, pediatrics, respiratory diseases. Inclusion criteria were peer-reviewed studies, including quantitative and qualitative studies, as well as mixedmethods research. Numerous studies demonstrate that nurses significantly improve the quality of life for patients by reducing the number of acute disease episodes and decreasing the need for hospitalization. This is achieved through the effective use of clinical protocols and continuous improvement of their knowledge and skills. Educational programs developed by nurses increase children's and their parents' awareness of the diseases, aiding in better inhalation techniques and overall disease management. This highlights the importance of nurses' roles in education and consultative support. Thus, extensive research confirms the importance of nursing in managing respiratory diseases in children and underscores the need for further development of nurse role in the healthcare system. Strengthening and expanding the competencies of nurses in this area can lead to more effective and high-quality care for children with respiratory diseases.