Contextual influences on health worker motivation in district hospitals in Kenya

Mbindyo, Patrick; Gilson, Lucy; Blaauw, Duane; English, Mike

doi:10.1186/1748-5908-4-43

Cited by 129 publications

(146 citation statements)

References 27 publications

(59 reference statements)

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“…Motivating health-care workers in resource-poor settings can sometimes be a challenge. Nevertheless, supportive leadership and effective management at hospital level has been shown to modify the impact of resource shortfalls and foster good working relations between cadres [26,29]. …”

Section: Discussionmentioning

confidence: 99%

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Moshiro

Ersdal

Mdoe

et al. 2018

Global Health Action

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Background: Intrapartum-related hypoxia accounts for 30% of neonatal deaths in Tanzania. This has led to the introduction and scaling-up of the Helping Babies Breathe (HBB) programme, which is a simulation-based learning programme in newborn resuscitation skills. Studies have documented ineffective ventilation of non-breathing newborns and the inability to follow the HBB algorithm among providers. Objective: This study aimed at exploring barriers and facilitators to effective bag mask ventilation, an essential component of the HBB algorithm, during actual newborn resuscitation in rural Tanzania. Methods: Eight midwives, each with more than one year’s working experience in the labour ward, were interviewed individually at Haydom Lutheran Hospital, Tanzania. The audio recordings were transcribed and translated into English and analysed using qualitative content analysis. Results: Midwives reported the ability to monitor labour properly, preparing resuscitation equipment before delivery, teamwork and frequent ventilation training as the most effective factors in improving actual ventilation practices and promoting the survival of newborns. They thought that their anxiety and fear due to stress of ventilating a non-breathing baby often led to poor resuscitation performance. Additionally, they experienced difficulties assessing the baby’s condition and providing appropriate clinical responses to initial interventions at birth; hence, further necessary actions and timely initiation of ventilation were delayed. Conclusions: Efforts should be focused on improving labour monitoring, birth preparedness and accurate assessment immediately after birth, to decrease intrapartum-related hypoxia. Midwives should be well prepared to treat a non-breathing baby through high-quality and frequent simulation training with an emphasis on teamwork training.

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Section: Discussionmentioning

confidence: 99%

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Moshiro

Ersdal

Mdoe

et al. 2018

Global Health Action

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“…First, recent studies have measured structural factors of service delivery such as worker satisfaction and motivation [6][7][8][9] and have uncovered a number of predictors of dissatisfaction. These include public vs. private sector employment, workload, availability of resources, salaries [10], and low levels of staffing, management support and control over their practice [11].…”

Section: Introductionmentioning

confidence: 99%

Impact of Organizational Factors on Adherence to Laboratory Testing Protocols in Adult HIV Care in Lusaka, Zambia

et al. 2011

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“…[14] In Kenya, rates of job satisfaction have been reported to be less than 50% for all allied healthcare workers, a large proportion of which were nurses. [15,16] In contrast, healthcare workers' motivation has been found to be high in African based hospitals with supportive leadership, despite significant shortages in equipment, tools and supplies. [16] Studies examining job satisfaction in Kenyan hospitals have further revealed that while healthcare staff were highly satisfied with their colleagues' recognition of their work contributions, they were considerably less satisfied with their rates of compensation, remuneration, the distribution of remuneration, work environment and resources.…”

Section: Introductionmentioning

confidence: 99%

“My hands are tied”: Nurses’ perception of organizational culture in Kenyan private hospitals

Mbuthia¹,

Brownie

Holroyd

2017

JHA

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It is estimated that by 2030 the global shortage of nurses and midwives will be 7.6 million, with African countries among the most adversely affected. Within this context, it is important to understand the specific organizational factors that contribute to registered nurses (RNs)' decisions to remain or leave their workplaces in East Africa. The aim of this study was to commence exploration of these factors by exploring nurses' perceptions of organizational culture of selected private hospitals in Kenya. A small-scale exploratory qualitative approach was employed, with eight nurses undertaking semi-structured interviews. There were five female and three male nurses. All participants were RNs; two held a bachelor's degree in nursing and the rest held diplomas in nursing. The thematic analysis revealed four major themes and nine sub-themes. The major themes included: restrictive work environment, top-down leadership, normalizing the abnormal in team dynamics and professionalism, and ethical concerns. These findings suggest an urgent need for Kenyan private hospital administrators to create a hospital work environment that provides more autonomy for nurses. There is a need for inclusive leadership styles that target hospital organizational structures and processes in order to address nursing workforce team dynamics. A merit-based salary and progressive reward systems are recommended to empower nurses to remain in the workforce.

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Contextual influences on health worker motivation in district hospitals in Kenya

Cited by 129 publications

References 27 publications

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Factors affecting effective ventilation during newborn resuscitation: a qualitative study among midwives in rural Tanzania

Impact of Organizational Factors on Adherence to Laboratory Testing Protocols in Adult HIV Care in Lusaka, Zambia

“My hands are tied”: Nurses’ perception of organizational culture in Kenyan private hospitals

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