DETERMINANTS OF NURSES PERFORMANCE IN TIER THREE HEALTH FACILITIES: A CASE STUDY OF KAJIADO COUNTY, KENYA
Keywords:
Organizational factors, work environment, Tier three hospitals and performanceAbstract
Purpose: Human Resources for Health (HRH) is critical for improved productivity and efficient delivery of health services. However, insufficient health personnel in terms of numbers and level of performance are a major constraint in disease control and maintenance of a health population. A study was carried out to determine the relationship between job related factors, the work environment, organizational factors and policy practices that affect the performance of nurses in tier three health facilities in Kajiado County.
Methods: A cross sectional, descriptive study design was utilized, adopting qualitative and quantitative data collection approaches. Four tier three health facilities were included and one hundred and thirty (130) respondents were involved in the study. Purposive sampling was used Nurses working in the various departments in the respective facilities were issued with questionnaires to fill in and return. The heads of the different departments were interviewed using an interview guide. Inferential statistics was used to analyze the data. Quantitative data was analysed using SPSS version 23.0 and qualitative data was analysed through thematic content analysis.
Results: Results on organizational-relation aspects revealed lack of necessary support provision for incompetent nurses. It also revealed a substantial lack of an appraisal and review system. The findings on job related factors showed that most of the nurses were diploma holders hence the need for opportunities for further training and enhancement in education levels to advance their knowledge. Findings on organizational factors showed that inadequate staff levels led to increased workload on available staff which in turn affected the performance of nurses.
Unique Contribution to Theory, Practice and Policy: The study recommends that there should add more refresher and training courses for the nurses, recruitment of more nursing staff and improvement of resources available.
Downloads
References
Armstrong, M.(2009). Armstrongs handbook of human resources management practice.11thedition.London and Philadelphia. Journal of the Egyptian Public Health Association (JEPHAss.), 81 (3and 4), 165- 180.
Bennett, S & Franco, L.M. (1999).Public Sector Health Worker Motivation and Health Sector Reform: A conceptual framework. Major Applied Research 5, Technical Paper 1. Partnerships for Health Reform Project, Abt Associates Inc., Maryland.
Bossert, T., Barnighausen, T., Bowser, D., Mitchell, A., Gedik., G. (2007). Assessing Financing, Education, Management and Policy Context for Strategic Planning of Human Resources for Health. WHO,Geneva.
Carayon, P. and Gurses, A.P. (2008).Nursing Workload and Patient safety- A Human Factors Engineering Perspective.In: Hughes, R.C. (Ed) (2008). Patient Safety and Quality: an evidence- based Handbook for Nurses. USA: National Library Medicine, p.96.
Chan, M. (2013).WHO Occupational Health [online]. Available from: http://www.who.int [Assessed on 10 March 2013].
Chin, H. (2008). Feature. Making a fresh start: Coaching or mentoring as early performance
Cooper, D. R., Schindler, P. S., & Sun, J. (2006). Business research methods (Vol. 9). New York: McGraw-Hill Irwin.
Cormier, E. M., Pickett-Hauber, R., & Whyte, J. (2010). Cognitions and clinical performance: a comparison of high and low performing baccalaureate nursing students. International Journal of Nursing Education Scholarship, 7(1).
Dieleman, M. et al., (2009).Human Resource Management Interventions to Improve Health Workers Performance in Low and Middle Income Countries. Health Research policy and system.
Duffield, C., Diers, D., O'Brien-Pallas, L., Aisbett, C., Roche, M., King, M., & Aisbett, K. (2011). Nursing staffing, nursing workload, the work environment and patient outcomes. Applied nursing research, 24(4), 244-255.
Dussault, G. (2006). Improving the Performance of the Health Workforce: from Advocacy to Action. 47th Directive Council, 27th September. PAHO/WHO.
Dyess, M. S., Sherman, O. R., Pratt, B., & Chiang-Hanisko, L. (2016). Growing nurse leaders: Their perspectives on nursing leadership and today’s practice environment. OJ Nurs.
Fisher, A. A., Laing, J. E., Stoeckel J.E. and Townsend, J. W. (1998).Handbook for Family Planning Operations Research Design, 2nd .Ed. Population Council, New York.
Frendendall, L.D., Craig, J.B., Fowler. P.J., Damali. U. (2009). Barriers to Swift, Even Flow in the Internal Supply Chain of Perioperative Surgical Services Department: A Case Study. Decision Sciences.
Golden, L. (2012). The effects of working time on productivity and firm performance, research synthesis paper.
Halfer, D., & Graf, E. (2006). Graduate nurse perceptions of the work experience. Nursing Economics, 24(3), 150.
Hamilton, R. (2005). Nurses’ knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature. Journal of advanced nursing, 51(3), 288-297.
Hayes, B., Bonner, A. N. N., & Pryor, J. (2010). Factors contributing to nurse job satisfaction in the acute hospital setting: a review of recent literature. Journal of nursing management, 18(7), 804-814.
Hendrich, A., M. Chow, B. Skierczynki, Z. Lu. 2008. A 36-hospital time and motion study: How do medical surgical nurses spend their time? Permanente J. 12(3), 25-34.
Horwitz, F.M., &Pundit,P. (2008). Job Satisfaction and retention of nurses in the South African Labour market. South African Journal of Labour Relations, 32(2):23-44.
Iipinge, S., Dambisya, Y.M. and Loewenson, R. (2009).Incentives for Health Worker Retention in East and Southern Africa: Learning from Country Research. Equinet Discussions Paper. Windhoek: University of Namibia. 7- 8 October 2009.
Jaafarpour, M., & Khani, A. (2011). The participation of nurses in decision making. Journal of Clinical and diagnostic research, 5(1), 16-19.
Manuwa-Olumide, A. (2009). Addressing the Human Resource Challenges in Primary Health care in Nigeria: Evidence-based Approaches for Improving Health Workforce Performance. An invited paper presented on the 9th June at the National Health Conference on Primary Health Care in Nigeria 30 years after Alma-Ata, inUyo, Akwa-Ibom State, Nigeria.
Rawat, A. (2012). Gaps and Shortages in South Africa’s Health Workforce [online]. Available from: http://www.africaportal.org/articles/2012/06/19/gaps-and-shortages-south-africa’s-health-workforce.
Stress, Attitudes, Behavioral Intentions. Journal of Organizational behavior Management, 13(5), 449-495.
Westbrook, J. I., Duffield, C., Li, L., & Creswick, N. J. (2011). How much time do nurses have for patients? A longitudinal study quantifying hospital nurses' patterns of task time distribution and interactions with health professionals. BMC Health Services Research, 11(1), 319.
World Health Organization (2006).The World Health Report: Working Together for Health. WHO. Geneva.
Downloads
Published
How to Cite
Issue
Section
License
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work’s authorship and initial publication in this journal.
