INFLUENCE OF WORKLOAD ON PERFOMANCE OF NURSES IN REGIONAL HOSPITALS IN TANZANIA
Abstract
Health sectors are always in pursuit of finding ways to enhance their performance. One among the ways is to enhance employee performance by incorporating job characteristics that contribute to a balanced volume of employees workload, thus enhancing employee motivation, satisfaction and commitment. This study aimed at identifying the influence of workload on performance of nurses in regional hospitals in Tanzania. The study adopted descriptive survey research design using both quantitative and qualitative approaches. The theories used in the study were Job Demand Resource Theory and Herzberg’s two-factor theory. Questionnaires were used for primary data collection. To ascertain the validity and reliability of the questionnaire, a pre-test was conducted on two of the regional hospitals where the cut-off for Cronbach alpha was taken as a value of 0.7 and the aggregate alpha value of 0.755. A target population of 410 from which a sample size of 387 was randomly selected through stratified random sampling method Pearson correlation, independent t- test, one-way Analysis of Variance (ANOVA), and linear regression method were employed to analyze data. The findings showed a significant correlation between nurse workload with all nurses’ performance factors (r=0.443, p<0.05). From the findings, job rotation and, job sharing were found to affect the nurses’ performance, while part time working did not significantly affect nurse’s performance. The results also indicated a significant mediation of leadership support on nurses’ performance. The study recommended that hospital management should design proper work systems to facilitate improvement of quality and safety of care. Also, adequate supply of nurses, improved working environment, voluntary overtime, and reduction in patient length of stay were cited as some of the ways in which the regional hospitals could utilize in improving nurses workload, hence improve performance.
Keywords: Flexible Workload, performance, Job rotation, Job sharing, Organization
CITATION: Nnko, E. E., Nyang’au, S., & Odhiambo, R. (2019). Influence of workload on performance of nurses in regional hospitals in Tanzania. The Strategic Journal of Business & Change Management, 6 (3), 804 – 815.
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Adams, O.B., & Hirschfeld, M. (2013). Human resources for health -challenges for the 21st century. World Health Stat Q. Journal of Creative Behaviour, 51 (1): 28-32.
Bakker, A.B., E. Demerouti, T.W. Taris, W.B. Schaufeli and P.J.G. Schreurs, 2003. A multigroup analysis of the job demands-resources model in four home care organizations. International Journal of Stress Management, 10: 16-38. DOI: 10.1037/1072-5245.10.1.16
Carayon, P. and Gurses, A.P. (2008). Nursing Workload and Patient safety- A Human Factors Engineering Perspective. In: Hughes, R.C. (Ed) (2008). Patient Safety and Quality: an evidence-based Handbook for Nurses. USA: National Library Medicine, p.96.
Cochran, J. W. (1963). Research design: Qualitative, quantitative, and mixed methods Approaches. Thousand Oaks, CA: Sage.
Coetzer, C.F. and S. Rothmann, 2007. Job demands, job resources and work engagement of employees in a manufacturing organisation. Southern African Business Review, 11: 17-32.
De Menezes, L. M., & Kelliher, C. (2011). Flexible working and performance: A systematic review of the evidence for a business case. International Journal of Management Reviews, 13: 452–474.
Demerouti, E., A.B. Bakker, F. Nachreiner & W.B. Schaufeli, (2001). The job demands-resources model of burnout. Journal of Applied Psychology, 86: 499-512.PMID: 11419809
Dieleman, M. and Harnmeijer, J. W. (2006). Improving Health Worker Performance: In Search of Promising Practices. 2006. Geneva: WHO P17. Available at http://www.kit.nl/ net/KIT_Publicaties_output/ ShowFile2.aspx?e=1174
Hayes, B., Bonner, A., & Pryor, J. (2010). Factors contributing to nurse job satisfaction in the acute hospital setting: A review of recent literature. Journal of Nursing Management, 18(7): 804-14.
Hinno, S., Partanen, P., Vehviläinen- Julkunen, K., (2012). Nursing activities nurse staffing and adverse patient outcomes as perceived by hospital nurses. Journal of Clinical Nurses;21: (4).1584–93. Doi:10.1111/j.1365- 2702.2011.03956
Ho, W. H., Chang, C. S., Shih, Y. L., & Liang, R. D. (2009). Effects of job rotation and role stress among nurses on job satisfaction and organizational commitment. Retrieved from http://www.biomedcentral.com/1472-6963/9/8doi: 10.1186/1472-6963
Ingrid, T., Theodotha, J. M., Estomih, M., Britt, S. H., Bjørg, K., &Eldar, S. (2018). How do Tanzanian hospital nurses perceive their professional role? A qualitative study; Nursing Open Journal; 5 (3); 323-328. https://doi.org/10.1002/nop2.139
Juntunen, A., & Nikkonen, M. (1996). Professional nursing care in Tanzania: A descriptive study of nursing care in Ilembula Lutheran Hospital in Tanzania. Journal of Advanced Nursing, 24(3), 536– 544. https://doi.org/10.1046/j.1365-2648.1996.22214.x
Kwesigabo, G., Mughwira, A., Mwangu, D.,& Kaaya, E. (2012). Tanzania's health system and workforce crisis, Journal of Public Health Policy, 33(16): 35–44.
Leone, C., Bruyneel, L., Anderson, J.E, (2015). Work environment issues and intention- to-leave in Portuguese nurses: a cross-sectional study. Health Policy, 119:1584–92.
Lorber, M., & Skela Savic, B. (2012). Job satisfaction of nurses and identifying factors of job satisfaction in Slovenian Hospitals. Croatian Medical Journal, 53(3): 263-70.
Lu, H., Barriball, K., Zhang, L., & While, A.E., (2011). Job satisfaction among hospital nurses revisited: A systematic review. International Journal of Nursing Studies, 49(8): 1017-38.
Maestad, O., Torsvik, G., & Aakvik, A. (2009). Overworked? On the relationship between workload and health worker performance. Michelsen Institute (CMI Working Paper WP 2009: 2) 39 p.
Marquis, L. & Huston, J. (2009). Leadership roles and management function in nursing: theory and application (6thed.). New York: Nelson Education.
Mohammad, F., Chandrakantan, S., & Rabiul, I. (2013). Impacts of Job Demands on Nurses’ Performance Working in Public Hospitals. American Journal of Applied Sciences 10 (9): 1050-1060, ISSN: 1546-9239.
Moyo, G. ( 2011). The history of Nursing in Tanzania. Nursing History Review, 19, 161–164. https://doi.org/10.1891/1062-8061.19161
Munga, M.A., & Maestad, O. (2011). Measuring inequalities in the distribution of health workers; A comparison of two resource-poor hospitals in Tanzania. The International Journal of Health Planning and Management, 31(2): 379–395.
Myny, D. Van Goubergen., D, Gobert M., (2011). Non-direct patient care factors influencing nursing workload: a review of the literature. Journal of Advanced Nursing, 67: 2109–29. Doi: 10.1111/j.1365-2648.2011.05689.
Ojakaa, D., Olango, S., and Jarvis, J., (2014). Factors affecting motivation and retention of primary health care workers in three disparate regions in Kenya. Journal of Nursing Management, 7 (12); 1013-1046
Printz, N., Johnnie, A., Brian, S., & Dirk, V. W. (2013). Tanzania: Strategic Review of the National Supply Chain for Health Commodities. International Journal Evidence Based Health care; 14:126–241.
Shannon, A., Mc Mahon, A., George, S., Joy J., Chebet, H., Mpemben,i R., & Peter, J. W. (2014) . Experiences of and responses to disrespectful maternity care and abuse during childbirth; a qualitative study with women and men in Morogoro Region, Tanzania.
Soilkki, K., Nadeem C., & A. K. (2014). An Evaluation of the Factors Influencing the Performance of Registered Nurses at the National Referral Hospital in Namibia; Australian Journal of Business and Management Research. 4 (2).
Songstad, N.G, Rekdal, O.B, Massay, D.A, Blystad, A. (2011). Perceived unfairness in working conditions: The case of public health services in Tanzania. BMC Health Service Resource. 14(1): 22-30, doi: 10.1186/1472-6963-11-34
Tanzania Nursing and Midwifery Council. ( 2014). Standards of proficiency for nursing and midwiferyCouncil.http://tnmc.go.tz/data/Download/Revised%20Standards%20of%20Proficiency%20for%20Nursing%20and%20Midwifery%20Education%20and%20Practice%2 0in%20Tanzania.pdf
Toh, S.G., Ang E, Devi M.K., (2012).Systematic review on the relationship between the nursing shortage and job satisfaction, stress and burnout levels among nurses in oncology/ haematology settings. International Journal Evidence Based Health care ;10:126–41.
Våga, B. B., Moland, K. M., Evjen‐Olsen, B., Leshabari, S. C., & Blystad, A. ( 2013). Rethinking nursing care: An ethnographic approach to nurse –patient interaction in the context of a HIV prevention programme in rural Tanzania. International Journal of Nursing Studies, 50, 1045– 1053. https://doi.org/10.1016/j.ijnurstu.
WHO. ( 2015). Density of nursing and midwifery personnel (total number per 1000 population: Latest available year. http://gamapserver.who.int/gho/interactive_charts/health_workforce/NursingMidwiferyDensity/ tablet/atlas.html
Working Families., (2011). A families work manifesto for Workers. Retrieved from http://www.workingfamilies.org.uk/campaigns/a-families-work-manifesto-for-2015/
Zodwa, M. M. Elsie J. van Aswegen (2017). Factors affecting working conditions in public hospitals: A literature review: International Journal of Africa Nursing Sciences, 6; 28– 38.
DOI: http://dx.doi.org/10.61426/sjbcm.v6i3.1333
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