Development and Improvement of Clinical Competence of Nurses in the System of Secondary Medical Education in the Kyrgyz Republic

The study aims to analyze the current state of clinical competence (CC) among nurses in the Kyrgyz Republic, identify factors influencing its development, and develop proposals to improve educational and practical training programs in medical colleges. The methodology included a theoretical review of national and international literature, regulatory documents, and qualitative semi-structured interviews with 42 nurses and 14 college instructors. Key deficits in practical training were identified: limited duration of practice, lack of qualified mentorship, and weak integration between colleges and healthcare organizations. Organizational and professional barriers included high workload, limited opportunities for professional development, low motivation, and insufficient managerial support. Respondents emphasized the need to update curricula, implement simulation training, enhance dual education, and develop practice-oriented modules. The study demonstrates that systemic modernization of secondary medical education is essential for improving nurses’ clinical competence. The proposed measures contribute to skill development, improve patient care quality, and strengthen the healthcare workforce.