ORGANIZATIONAL PRACTICES ON CHANGE IMPLEMENTATION IN PUBLIC HEALTH FACILITIES IN THARAKA NITHI COUNTY, KENYA
Abstract
The purpose of this study was to establish organizational practices on change implementation in public health facilities in Tharaka Nithi County. The specific objectives that guided this study were to establish the influence of leadership style and communication style on change implementation in public health facilities in Tharaka Nithi County. Descriptive research design and stratified sampling technique was used to select the total population of 1800. The ideal sample size of 379 was arrived at using Nassiuma’s formula. Questionnaires were used to collect primary data. Statistical Package of Social Sciences (SPSS version 24) was used to analyze data descriptively. The findings of the study revealed that there exists a positive significant relationship between leadership and communication style on change implementation in public health facilities in Tharaka Nithi County. The study concluded that despite the fact that leadership and communication influenced change implementation; to some extent most of the public health facilities were challenged to implement new changes due to inappropriate leadership and poor communication among key stakeholders. This study recommended that for effective change implementation in public health facilities in Kenya, the government should ensure that appropriate policies are developed to ensure that medical officers including doctors, clinical officers and nurses are equipped with management skills before and after graduating from their respective medical institutions. To develop capacity and promote operational efficiency and effectiveness in public health facilities in Kenya, all medical staff should be equipped with management skills and knowledge by attending on the job trainings. In addition, leaders of public health facilities should ensure that effective structures are put in place which can facilitate bottom up and top down communication among workers thus effective change implementation.
Key Words: Leadership Style, Communication Style, Change Implementation
CITATION: Francis, C. G., & Kegoro, H. (2018). Organizational practices on change implementation in public health facilities in Tharaka Nithi County, Kenya. The Strategic Journal of Business & Change Management, 5(4), 2142 - 2155.
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DOI: http://dx.doi.org/10.61426/sjbcm.v5i4.1016
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