THE INFLUENCE OF BALANCED PROCESSING CONSTRUCT AMONG HEALTH LEADERS ON THE GOVERNANCE OF COUNTY REFERRAL HOSPITALS IN KENYA

Main Article Content

EUNICE MUTEMI
JUDITH KIMIYWE, PhD
AUGUSTUS NYAKUNDI, PhD

Abstract

Authentic Leadership has received considerable attention because of its potential implications on the governance of an organization. Scholars have outlined authentic leadership as a possible solution for the governance of hospitals today. This study focused on five County referral hospitals. The preparedness of County referral hospitals was a challenge during the implementation of devolution in Kenya. The transfer of national government services to the County governments was occasioned by the promulgation of the Kenyan constitution 2010. Authentic leadership is one of the most effective types of leadership and its influence on the governance of health institutions has rarely been addressed in Kenya. The objective of this study was to determine the influence of balanced processing on the governance of County referral hospitals in Kenya. This mixed methods study was anchored on pragmatism philosophy where both qualitative and quantitative data were collected. Questionnaires and interview schedules were used to collect data. The study population included County health leaders such as director of health, County health management team and health program managers. This included doctors, nurses, nutritionists, clinical officers, public health officers, and health workers in the sampled five County referral hospitals. The study employed both purposive and random sampling techniques. Quantitative data was analyzed using SPSS, while qualitative data was analyzed based on emerging themes in narrative form as guided by the study objectives. It was determined that there exists a relationship between balanced processing, leadership efficacy and governance of County referral hospitals in Kenya. The government and key stakeholders could apply the results in policy making. Effective policy could ensure that all health institutions engage and develop leaders’ authentic leadership knowledge and skills. The Ministry of Health should utilize the capacity building recommendations to develop those in service in order to improve the leadership and governance of health institutions in Kenya and beyond.

Article Details

Section
Articles
Author Biographies

JUDITH KIMIYWE, PhD, Kenyatta University, Kenya

Head, Research Department

AUGUSTUS NYAKUNDI, PhD, Chuka University, Kenya

Head, Department of Communication

References

Abhayawansa, S., Adams, C.A. & Neesham, C. (2021). Accountability and governance in pursuit of Sustainable Development Goals: conceptualising how governments create value.  Accounting, Auditing & Accountability Journal, 34(4). 923-945. https://doi.org/10.1108/AAAJ-07-2020-4667

Alsayegh, M. F., Ditta, A., Mahmood, Z., & Kouser, R. (2023). The Role of Sustainability Reporting and Governance in Achieving Sustainable Development Goals: An International Investigation. Sustainability, 15(4), 3531. https://doi.org/10.3390/su15043531

Austin, E., LeRouge, C., Hartzler, A. L., Segal, C., & Lavallee, D. C. (2020). Capturing the patient voice: implementing patient-reported outcomes across the health system. Quality of life Research: an international journal of quality of life aspects of treatment, care and rehabilitation, 29(2), 347–355. https://doi.org/10.1007/s11136-019-02320-8

Constitution, K. (2010). The Constitution of Kenya 2010. Kenya Law Reports.

Fjeldstad, Ø. D., Johnson, J. K., Margolis, P. A., Seid, M., Höglund, P., & Batalden, P. B. (2020). Networked health care: Rethinking value creation in learning health care systems. Learning Health Systems, 4(2). https://doi.org/10.1002/lrh2.10212

Glass, L.-M., & Newig, J. (2019). Governance for achieving the Sustainable Development Goals: How important are participation, policy coherence, reflexivity, adaptation and Democratic Institutions? Earth System Governance, 2, 100031. https://doi.org/10.1016/j.esg.2019.100031

Government of Makueni County. (2018). Republic of Kenya Government of Makueni County Makueni County Integrated Development Plan (Cidp) 2018-22. 2018–2022. https://www.devolution.go.ke/wp-content/uploads/2020/02/Makueni-CIDP-2018-2022.pdf

Guerrero, E. G., Frimpong, J., Kong, Y., Fenwick, K., & Aarons, G. A. (2020). Advancing theory on the multilevel role of leadership in the implementation of evidence-based health care practices. Health Care Management Review, 45(2), 151.

Health Policy Project. (2015). Health Policy Project / Kenya Overview Evidence guides planning and monitoring for improved maternal health New Policies and Guidelines Strengthen Health System Outcomes.

Inkoom, Baah. D.K., & Gyapong, A.Y. (2016). Decentralization in Africa: Local government and health care in Ghana, Malawi and Tanzania. In Governing Urban Africa (pp. 99–124). doi:10.1057/978-1-349-95109-3_4

Lee, H., Chiang, H., & Kuo, H. (2019). Relationship between authentic leadership and nurses’ intent to leave: The mediating role of work environment and burnout. Journal of Nursing Management, 27(1), 52–65.

Malakoane, B., Heunis, J. C., Chikobvu, P., Kigozi, N. G., & Kruger, W. H. (2020). Public health system challenges in the Free State, South Africa: A situation appraisal to inform health system strengthening. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-019-4862-y

Mansour, W., Aryaija‐Karemani, A., Martineau, T., Namakula, J., Mubiri, P., Ssengooba, F., & Raven, J. (2022). Management of human resources for health in health districts in Uganda: A decision space analysis. The International Journal of Health Planning and Management, 37(2), 770–789.

Massoud MR, Kimble L. 2018. The USAID ASSIST Project’s approach to improving health care in low and middle-income countries. Technical Report. USAID ASSIST Project.

Mbai, A., Nyamute, W., Ochieng, D. E., & Muthoni, M. (2022). Corporate diversification, firm size and performance of Commercial Banks in Kenya. African Development Finance Journal, 1(1), 12–24.

Mwai, D., & Gathecha, G. (2021). National strategic plan for the prevention and control of non- communicable diseases. UNESCO.

Mwai, D., Hussein, S., Olago, A., Kimani, M., Njuguna, D., Njiraini, R., Wangia, E., Olwanda, E., Mwaura, L., & Rotich, W. (2023). Investment case for primary health care in low-and middle-income countries: A case study of Kenya. Plos One, 18(3), e0283156.

Nyikuri, M., Kumar, P., English, M., & Jones, C. (2020). “I train and mentor, they take them”: A qualitative study of nurses’ perspectives of neonatal nursing expertise and its development in Kenyan hospitals. Nursing Open, 7(3), 711–719.

Nzinga, J., McGivern, G., & English, M. (2019). Hybrid clinical-managers in Kenyan hospitals. Journal of health organization and management, 33(2), 173–187. https://doi.org/10.1108/JHOM-08-2017-0203

Schmidt, E., Groeneveld, S., & Van de Walle, S. (2017). A change management perspective on public sector cutback management: Towards a framework for analysis. Public Management Review, 19(10), 1538–1555.

Strasser, R., Mitchell, D., Logozzo, J., Preston, P., & Walker, N. (2018). Challenges of capacity and development for health system sustainability. Healthc Pap, 17(3), 18–27.

Wardhani, R., Rossieta, H., & Martani, D. (2017). Good governance and the impact of government spending on performance of local government in Indonesia. International Journal of Public Sector Performance Management, 3(1), 77–102.

World Bank. (2020). Global economic prospects, June 2020. The World Bank.

World Health Organization. (2018). Delivering quality health services. http://apps.who.int/bookorders.