Internal Processes in Change Management and Institutional Performance of Kakamega County Referral Hospital in Kenya
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Date
2023
Authors
Hassan, Hani
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
The aim of change management is maximization of benefits and organizational objectives in the
meantime lowering the chances and possibilities of failure as change is being implemented. There
are reports that have been made concerning inadequacies within the health systems however much
provision of healthcare services is a devolved function. The aim of this study is to assess the
influence brought about by internal processes in change management on the performance of
Kakamega County Referral Hospital, Kenya. The study specifically sought to examine the
influence of employee training, culture of an organization, structure of an organization as well as
technology adoption on institutional performance. The study was anchored by human capital
theory, contingency theory and Schein’s theory of organizational culture. The study made use of
descriptive research design. The study took place in Kakamega County Referral Hospital and the
respondents were made up of 551 employees from the 5 departments of the hospital namely;
accidents and emergency, infection prevention and control, marketing and communication,
nutrition, nursing and mental health. The sampling design to be used by the study was stratified
sampling from which respondents was grouped into various strata in ensuring all the respondents
are adequately represented. Respondents were selected using simple random sampling method was
used to select the respondents. Study sample size constituted of 232 respondents as determined by
the study. Ten random respondents from the hospital were considered to be part of the pilot study.
Validity and reliability of the questionnaire was measures using content validity test and
Cronbach’s alpha coefficient test respectively. The researcher was required to brief the
management on the purpose of the research study prior to data collection. At this point, the
researcher assured the management, and all the respondents within the hospital of confidentiality
as no individual would be victimized based on the response provided. The researcher administered
the questionnaires by herself through drop and pick. Quantitative data achieved by the survey was
presented in the form of mean averages, frequencies, and percentages. Data was analysed using
descriptive analysis and inferential statistics. The study found that employee training,
organizational culture, organizational structure and information technology had a positive and
significant influence on institutional performance in Kakamega County Referral Hospital. The
study concluded that training improves performance by lowering employee turnover and raising
commitment to organizational goals and objectives. A strong culture inspires employees to
perform at their highest level by directing them toward a purpose and setting forth clear
expectations. The organizational structure empowers the employees to act with autonomous
discretion and encourages power delegation to the people who have accepted to take responsibility
for the outcomes of their tasks and information technology has enabled the hospital to effectively
store and retrieve data, rapidly communicate patient information in a legible format. The study
recommended that the hospital should conduct a training needs assessment in order to establish a
fundamental and distinct business goal for the training supports. The hospital should build strong
employee relationships by focusing on developing the people who report to them. The hospital
should create a chain of command by clearly designating who each person’s direct superior is and
make sure that the hierarchy fits with the hospital’s purpose, objectives, and goals. The hospital
should establish a health information oversight mechanism that includes leadership and relevant
stakeholders and ensure that their health information plan is coordinated with the organization’s
patient safety and risk management plan.
Description
A Research Project Submitted to the School of Business, Economics and Tourism in Partial Fulfillment for the Award of Degree in Master of Business Administration (Strategic Management) of Kenyatta University, April 2023.
Keywords
Internal Processes in Change Management, Institutional Performance, Kakamega County Referral Hospital, Kenya