THE INFLUENCE OF MOTIVATION ON THE PERFORMANCE OF NURSING OFFICERS IN DEVOLVED UNITS, A CASE OF NYERI COUNTY, KENYA
DOI:
https://doi.org/10.47604/jhmn.1345Keywords:
Motivation, Health workers, Performance of Nursing OfficersAbstract
Purpose: The management of human resources in healthcare institutions is vital to enable the delivery of efficient and effective medical and nursing services and to achieve clientele satisfaction. Motivation of human resources for health enhance quality service provision hence better outcomes. This study therefore sought to establish the influence of motivation on the performance of nursing officers, in devolved units, a case of Nyeri County, Kenya.
Methodology: This study adopted a cross sectional descriptive research design. The respondents constituted all nursing staffs and managers in Nyeri County health facilities and at the County Director's Office. Stratified random sampling was used to come up with a sample of 248 respondents. Data was collected using questionnaire. Descriptive statistics were used in the analysis of data with the help of SPSS 23. Chi-square analysis was used to establish relationships.
Findings: The researcher found that motivation of nurses was not well done with a mean of 2.84, SD=1.090, and there were no upgrading and promotion opportunities (M=1.81, SD=1.133) for nurses in the county. There was a moderate performance of nurses with a mean value of 3.75, SD=1.100. Chi-square analysis showed that motivation (χ2 = 28.860, df=16, p=0.025) significant at 95% confidence level. The Cramer's V value was positive indicating that motivation (v=0.473) enhance performance.
Contribution to theory, practice and policy: The study concluded that motivation influences the performance of nursing officers, in devolved units in Kenya. Specifically, motivation approaches and techniques used in the health sector should be overhauled and/or reviewed as they are not effective. In particular, remuneration of staffs who have upgraded should be reviewed according to human resources policy.
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Alhyas, L., Nielsen, J. D. J., Dawoud, D., & Majeed, A. (2013). Factors affecting the motivation of healthcare professionals providing care to Emiratis with type 2 diabetes. JRSM short reports, 4(2), 1-13.
Aninanya, G. A., Howard, N., Williams, J. E., Apam, B., Prytherch, H., Loukanova, S. "¦ Otupiri, E. (2016). Can performance-based incentives improve motivation of nurses and midwives in primary facilities in northern Ghana? A quasi-experimental study. Global Health Action, 9(1), 32-40.
Ashour, A. M., Hassan, Z., & Alekam, J. M. E. (2018). A conceptual framework for upgrading safety performance by influence safety training, management commitment to safety and work environment: Jordanian Hospitals. International Journal of Business and Social Research, 8(7), 25-35.
Badubi, R., Ogbu, J., & Remilekun, G. (2017). Theories of motivation and their application in organizations: A risk analysis. International Journal of Innovation and Economic Development, 3(3), 44-51.
Bonenberger, M., Aikins, M., Akweongo, P., & Wyss, K. (2014). The effects of health worker motivation and job satisfaction on turnover intention in Ghana: a cross-sectional study. Human resources for health, 12(1), 43. Retrieved from https://human-resources-health.biomedcentral.com/articles/10.1186/1478-4491-12-43
Carrillo-GarcÃa, C., Solano-RuÃz, M. del C., MartÃnez-Roche, M. E., Gómez-GarcÃa, C. I., Carrillo-GarcÃa, C., Solano-RuÃz, M. del C., Gómez-GarcÃa, C. I. (2013). Job satisfaction among health care workers: the role of gender and age. Revista Latino-Americana de Enfermagem, 21(6), 1314-1320. Retrieved from https://doi.org/10.1590/0104-1169.3224.2369.
Chae, H., & Choi, J. N. (2018). Contextualizing the effects of job complexity on creativity and task performance: Extending job design theory with social and contextual contingencies. Journal of Occupational and Organizational Psychology, 91(2), 316-339. Retrieved from https://doi.org/10.1111/joop.12204
Daneshkohan, A., Zarei, E., Mansouri, T., Maajani, K., Ghasemi, M. S., & Rezaeian, M. (2014). Factors affecting job motivation among health workers: a study from Iran. Global Journal of Health Science, 7(3), 153-60. Retrieved from https://doi.org/10.5539/gjhs.v7n3p153
Deussom, Rachel, Jaskiewicz, Wanda (2014) "Using Evidence for Human Resources for Health Decision-Making: An Example from Uganda on Health Workforce Recruitment and Retention."
Deussom, R., Jaskiewicz, W., Dwyer, S., & Tulenko, K. (2012). "Holding health workers accountable: governance approaches to reducing absenteeism." CapacityPlus Technical Brief, IntraHealth, Washington, DC.
Ditlopo, P., Blaauw, D., Rispel, L., Thomas, S., & Bidwell, P. (2013). Policy implementation and financial incentives for nurses in South Africa: a case study on the occupation-specific dispensation. Global health action, 6(1), 19289.
Elarabi, H. M., & Johari, F. (2014). The impact of CQI on human resources management. Hospital & Health Services Administration, 3(1), 13-22.
Engeda, E. H., Birhanu, A. M., & Alene, K. A. (2014). Intent to stay in the nursing profession and associated factors among nurses working in Amhara Regional State Referral Hospitals, Ethiopia. BMC nursing, 13(1), 24. Retrieved from https://bmcnurs.biomedcentral.com/articles/10.1186/1472-6955-13-24
Goetz, K., Marx, M., Marx, I., Brodowski, M., Nafula, M., Prytherch, H. "¦ Szecsenyi, J. (2015). Working atmosphere and job satisfaction of health care staff in Kenya: An exploratory study. BioMed research international, 2015(1), 1-7. Retrieved from https://doi.org/10.1155/2015/256205
Halldorsdottir, S., Einarsdottir, E. J., & Edvardsson, I. R. (2018). Effects of cutbacks on motivating factors among nurses in primary health care. Scandinavian journal of caring sciences, 32(1), 397-406. Retrieved from https://doi.org/10.1111/scs.12474
Hamidi, Y., Mohammadibakhsh, R., Soltanian, A., & Behzadifar, M. (2017). Relationship between organizational culture and commitment of employees in health care centers in west of Iran. Electronic physician, 9(1), 3646-3652. Retrieved from https://doi.org/10.19082/3646
Hsu, L.-L., Chang, W.-H., & Hsieh, S.-I. (2015). The effects of scenario-based simulation course training on nurses' communication competence and self-efficacy: a randomized controlled trial. Journal of professional nursing, 31(1), 37. Retrieved from https://doi.org/10.1016/j.profnurs.2014.05.007
Hyde, P., Sparrow, P., Boaden, R., & Harris, C. (2013). High performance HRM: NHS employee perspectives. Journal of health organization and management, 27(3), 296-311. Retrieved from https://doi.org/10.1108/JHOM-10-2012-0206
Jooste, K., & Hamani, M. (2017). The motivational needs of primary health care nurses to acquire power as leaders in a mine clinic setting. Health SA Gesondheid, 22(1), 43-51. Retrieved from https://doi.org/10.1016/J.HSAG.2016.09.005
Korln, S., Essn, A., Lindgren, P., Amer-Wahlin, I., & von Thiele Schwarz, U. (2017). Managerial strategies to make incentives meaningful and motivating. Journal of health organization and management, 31(2), 126-141. Retrieved from https://doi.org/10.1108/JHOM-06-2016-0122
Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover. A 10-element onboarding program intervention. SAGE Open Nursing, 3(1), 1-13. Retrieved from https://doi.org/10.1177/2377960817697712
Lu, Y., Hu, X.-M., Huang, X.-L., Zhuang, X.-D., Guo, P., Feng, L.-F., "¦ Hao, Y.-T. (2016). Job satisfaction and associated factors among healthcare staff: a cross-sectional study in Guangdong Province, China. BMJ Open, 6(7), e011388. Retrieved from https://doi.org/10.1136/bmjopen-2016-011388
McAlearney, A. S., Garman, A. N., Song, P. H., McHugh, M., Robbins, J., & Harrison, M. I. (2011). High-performance work systems in health care management, Part 2. Health care management review, 36(3), 214-226.
Millar, R., Chen, Y., Wang, M., Fang, L., Liu, J., Xuan, Z., & Li, G. (2017). It's all about the money? A qualitative study of healthcare worker motivation in urban China. International journal for equity in health, 16(1), 120.
Ministry of Health. (2014). Kenya Health Policy 2014-2030. Nairobi, Ministry of Health.
Momanyi, G. O., Adoyo, M. A., Mwangi, E. M., & Mokua, D. O. (2016). Value of training on motivation among health workers in Narok County, Kenya. Pan African Medical Journal, 23(1), 1-12. Retrieved from https://doi.org/10.11604/pamj.2016.23.261.8414
Mwangi, S. (2017). The influence of training and development on employee performance: A case of Somalia non-governmental organization consortium in Nairobi. Retrieved from http://erepo.usiu.ac.ke/handle/11732/3162
Nasser, R., & Saadeh, B. A. (2013). Motivation for achievement and structural workplace empowerment among Palestinian healthcare professionals. Perspectives on global development and technology, 12(5-6), 543-560. Retrieved from https://doi.org/10.1163/15691497-12341273
Nishtha Langer & Amit Mehra (2010), "How training jump-starts employee performance", Indian Management Journal, 49 (6), 14-18.
Oldham, G. R., & Fried, Y. (2016). Job design research and theory: Past, present and future. Organizational behavior and human decision processes. Retrieved from https://doi.org/10.1016/J.OBHDP.2016.05.002
Oyugi, B. (2015). Potential Impact of devolution on motivation and job satisfaction of healthcare workers in Kenya: Lessons from early implementation in Kenya and experiences of other Sub-Saharan African Countries. The journal of global health care systems, 5(1), 2159-6743. Retrieved from https://kar.kent.ac.uk/64097/
Sanyal, S., & Hisam, W. M. (2018). Impact of training and development on the performance of employees - A comparative study on select banks in Sultanate of Oman. International journal of scientific research and management, 6(03), 1-8. Retrieved from https://doi.org/10.18535/ijsrm/v6i3.em02
Sato, M., Maufi, D., Mwingira, U. J., Leshabari, M. T., Ohnishi, M., & Honda, S. (2017). Measuring three aspects of motivation among health workers at primary level health facilities in rural Tanzania. 12(5), 1-12. Retrieved from https://doi.org/10.1371/journal.pone.0176973
Shah, S. M., Zaidi, S., Ahmed, J., & Rehman, S. U. (2016). Motivation and retention of physicians in primary healthcare facilities: A Qualitative study from Abbottabad, Pakistan. International journal of health policy and management, 5(8), 467-475. Retrieved from https://doi.org/10.15171/ijhpm.2016.38
Simister, J. G. (2018). Gender-based violence is a growing problem in India. Medical research archives, 6(1), 1-12.
Van den Broeck, A., & Parker, S. K. (2017). Job and work design. Oxford University Press. Retrieved from https://doi.org/10.1093/acrefore/9780190236557.013.15
Vermeeren, B., Steijn, B., Tummers, L., Lankhaar, M., Poerstamper, R.-J., & van Beek, S. (2014). HRM and its effect on employee, organizational and financial outcomes in health care organizations. Human resources for health, 12(1), 35. Retrieved from https://doi.org/10.1186/1478-4491-12-35
Weldegebriel, Z., Ejigu, Y., Weldegebreal, F., & Woldie, M. (2016). Motivation of health workers and associated factors in public hospitals of West Amhara, Northwest Ethiopia. Patient preference and adherence, 10(1), 159-69. Retrieved from https://doi.org/10.2147/PPA.S90323
World Health Organization. (2010) "Increasing access to health workers in remote and rural areas through improved retention: Global policy recommendations."
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Copyright (c) 2021 Jeremiah M. Ongori, Nelia W. Muiruri, Kulimankudya D. Vasco
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