Influence of Strategic Leadership on the Performance of Public Hospitals in Embu County, Kenya

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Published Sep 5, 2024
https://doi.org/10.71064/spu.amjr.9.1.302
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Vol. 9 No. 1 (2024): African Multidisciplinary Journal of Research (AMJR)

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Christopher J. Mutuiri Kinyua
Kenyatta University

Abstract

In Kenya’s current changing business environment, the importance of strategic leadership in ensuring organizational success and effectiveness cannot be overstated. This study presented a comprehensive analysis of strategic leadership in influencing public hospital performance, with a focus on Embu County. The study sought to determine how strategic leadership influences performance levels, employees, and customer satisfaction in public hospitals. The theoretical framework for strategic leadership was developed using the servant leadership theory. From a target population of 350, consisting of 150 healthcare workers and 200 patients, data was collected using questionnaires from a sample size of 140. The 140 respondents comprised 57.2% of clients/ patients and 42.8% of healthcare workers.  The distribution of healthcare workers comprised of the following categories: nurse-in-charge 2.9%, ordinary nurses 17.1%, clinical officers-in-charge 2.9%, ordinary clinical officers 17.1% and public hospital’s administrators 2.9%. Descriptive statistics were employed to assess quantitative data using the Statistical Package for Social Sciences (SPSS) version 24.0. Ms Excel was also used to draw charts and graphs. The findings of the study showed that 85.0% of healthcare workers and 60.0% of clients agreed that public hospitals’ vision and missions affected performance. In addition, 35.0% of healthcare workers and 32.5% of clients agreed that professional specialization impacted the performance of public hospitals. The study recommended public hospitals implement the finest strategic leadership principles, adopt a servant leadership style, implement a robust financial management system, conduct a mandatory review of their strategic objectives, develop a policy on professional specialization and craft measurable, clear, and patient-centered vision and mission statements. In conclusion, this study contributes to the growing body of strategic leadership literature by providing empirical evidence important in fostering organizational success. The insights obtained in the study will have practical implications for public hospital management and Embu County which seek to enhance efficiency in service delivery and ensure overall healthcare workers and customer satisfaction thus fostering sustainable growth.

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How to Cite
Kinyua, C. J. M. . (2024). Influence of Strategic Leadership on the Performance of Public Hospitals in Embu County, Kenya . African Multidisciplinary Journal of Research, 9(1), 114–133. https://doi.org/10.71064/spu.amjr.9.1.302

References

  1. Adzeh, K. J. (2017). Strategic leadership: An empirical study of factors influencing leaders’ strategic thinking. American Journal of Business and Management, 6(1), 1-15.
  2. Aithal, P. S. (2015). How an effective leadership and governance supports to achieve institutional vision, mission and objectives. International Journal of Multidisciplinary Research and Development, 2(5), 154-161.
  3. Alayoubi, M. M., Al Shobaki, M. J., & Abu-Naser, S. S. (2020). Strategic leadership practices and their relationship to improving the quality of educational service in Palestinian Universities. International Journal of Business Marketing and Management (IJBMM), 5(3), 11-26.
  4. Ameso, E. A., & Prince, R. J. (2022). Striking health workers: Precarity and healthcare in neoliberal Kenya. Anthropology Today, 38(4), 11-14.
  5. Bolland, E. J. (2017). People, mission, vision and planning in strategic management. In Comprehensive StrategicManagement (pp. 57-85). Emerald Publishing Limited.
  6. Carter, S. M., & Greer, C. R. (2013). Strategic leadership: Values, styles, and organizational performance. Journal of Leadership & Organizational Studies, 20(4), 375-393.
  7. Colbert, A. E., Kristof-Brown, A. L., Bradley, B. H., & Barrick, M. R. (2008). CEO transformational leadership: The role of goal importance congruence in top management teams. Academy of management journal, 51(1), 81-96.
  8. Dennis, R. S., Kinzler-Norheim, L., & Bocarnea, M. (2010). Servant leadership theory: Development of the servant leadership assessment instrument. In Servant leadership: Developments in theory and research (pp. 169- 179). London: Palgrave Macmillan UK.
  9. Donaldson, L. (2005). For positive management theories while retaining science: Reply to Ghoshal. Academy of Management Learning & Education, 4(1), 109-113.
  10. Dyer, G., & Dyer, M. (2017). Strategic leadership for sustainability by higher education: the American College & University Presidents' Climate Commitment. Journal of Cleaner Production, 140, 111-116.
  11. Finkelstein, S. (2009). Strategic leadership: Theory and research on executives, top management teams, and boards.
  12. Gaciri, R. M. (2015). Influence of corporate governance on performance of organizations a case of alliance capital partners limited, Nairobi, Kenya (Doctoral dissertation, University of Nairobi).
  13. Galligan, D. J., & Versteeg, M. (2013). Theoretical perspectives on the social and political foundations of constitutions. Social and political foundations of constitutions, 3-48.
  14. Gerras, S. J., Clark, M., Allen, C., Keegan, T., Meinhart, R., Wong, L., & Reed, G. (2010). Strategic leadership primer. Army War College Carlisle Barracks Pa.
  15. Hambrick, D. C. (2023). Strategic leadership in organizational crises: A review and research agenda. Oxford University Press. https://academic.oup.com/book/10716
  16. Hitt, M. A., Haynes, K. T., & Serpa, R. (2010). Strategic leadership for the 21st century. Business Horizons, 53, 437-444.
  17. Hitt, M. A., Ireland, R. D., & Rowe, G. W. (2005). Strategic leadership: Strategy, resources, ethics and succession. Handbook on responsible leadership and governance in global business, 19-41.
  18. Höglund, L., Holmgren Caicedo, M., Mårtensson, M., & Svärdsten, F. (2018). Strategic management in the public sector: how tools enable and constrain strategy making. International Public Management Journal, 21(5), 822-849.
  19. Hunitie, M. (2018). Impact of strategic leadership on strategic competitive advantage through strategic thinking and strategic planning: a bi-meditational research. Verslas: teorija ir praktika, 19(1), 322-330.
  20. Iliyasu, R., & Etikan, I. (2021). Comparison of quota sampling and stratified random sampling. Biom. Biostat. Int.
  21. J. Rev, 10(1), 24-27.
  22. Ireland, R. D., & Miller, C. C. (2004). Decision-making and firm success. Academy of Management Perspectives, 18(4), 8-12.
  23. Kabetu, D. G., & Iravo, M. A. (2018). Influence of strategic leadership on performance of international humanitarian organizations in Kenya. International Academic Journal of Innovation, Leadership and Entrepreneurship, 2(2), 113-135.
  24. Kamariah, N., Idrus, M., Asdar, M., & Sudirman, I. (2013). An Inquiry on the Effect of Knowledge Management and Strategic Leadership on Dynamic Capability, Entrepreneurship Strategy, and Organizational Performance in the General Public Hospitals. IOSR Journal of Business and Management, 12(1), 01-12.
  25. Kenya, B. O. (2016). Factors influencing service delivery in public hospitals: A case of Nairobi County, Kenya (Doctoral dissertation, University of Nairobi).
  26. Kirmi & Minja. (2010). The relationship between strategic leadership and strategic alignment in the high- performing companies in South Africa. (Doctorate thesis) University of South Africa, Pretoria.
  27. Latif, L. A. (2020). Health Finance in Kenya’s Progress Towards Universal Health Coverage. Financing for Development, 1(2), 41-67.
  28. Lewis, S. (2015). Qualitative inquiry and research design: Choosing among five approaches. Health promotion practice, 16(4), 473-475.
  29. Liden, R. C., Wayne, S. J., Liao, C., & Meuser, J. D. (2014). Servant leadership and serving culture: Influence on individua and unit performance. Academy of management journal, 57(5), 1434-1452.
  30. Lola, R. M., & Paul, S. (2018). Effects of strategic leadership on performance of public sector in Kenya: A Case of a sample of public organizations. International Journal of Recent Research in Social Sciences and Humanities, 5(2), 169-174.
  31. Memon, M. A., Ting, H., Cheah, J. H., Thurasamy, R., Chuah, F., & Cham, T. H. (2020). Sample size for survey research: Review and recommendations. Journal of Applied Structural Equation Modeling, 4(2), 1-20.
  32. Mukhezakule, M., & Tefera, O. (2019). The relationship between corporate strategy, strategic leadership and sustainable organisational performance: Proposing a conceptual framework for the South African aviation industry. African Journal of Hospitality, Tourism and Leisure, 8(3), 1-19.
  33. Ntumbala, L. (2019). The relationship between central and local government and how it affects recruitment of staff in the LGAs: a case study of Kinondoni Municipal Council (Doctoral dissertation, Mzumbe University).
  34. Ojogiwa, O. T. (2021). The crux of strategic leadership for a transformed public sector management in Nigeria. International Journal of Business and Management Studies, 13(1), 83-96.
  35. Okibo, B. W., & Masika, E. (2014). Factors affecting monitoring of the strategic plan: A case of Kenya Seed Company. Journal of Business and Management, 16(4), 14-20.
  36. Rahi, S., Alnaser, F. M., & Abd Ghani, M. (2019). Designing survey research: recommendation for questionnaire development, calculating sample size and selecting research paradigms. Economic and Social Development: Book of Proceedings, 1157-1169.
  37. Sawhney, S., Gupta, A., & Kumar, K. (2017). A case for strategic management in higher education in India. In Leadership, Innovation and Entrepreneurship as Driving Forces of the Global Economy: Proceedings of the 2016 International Conference on Leadership, Innovation and Entrepreneurship (ICLIE) (pp. 403-410). Springer International Publishing.
  38. Siddiq, A., & Zaman, G. (2016). Leadership Competitiveness in Public Sector Hospitals of Pakistan. Abasyn University Journal of Social Sciences, 9(1).
  39. Sileyew, K. J. (2019). Research design and methodology. Cyberspace, 1-12.
  40. Sritoomma, N., & Wongkhomthong, J. (2021). The components of strategic leadership competencies of chief nurse executives in private hospitals in Thailand. Journal of Nursing Management, 29(7), 2047-2055.
  41. Vera, D., & Crossan, M. (2004). Strategic leadership and organizational learning. Academy of management review, 29(2), 222-240.
  42. Wakhisi, W. (2021). Effect of Strategic Leadership on Organization Performance of State-Owned Sugar Manufacturing Firms in Western Kenya. International Journal for Innovation Education and Research, 9(9), 1-55.
  43. Walker, R. M. (2013). Strategic management and performance in public organizations: findings from the Miles and Snow framework. Public Administration Review, 73(5), 675-685.
  44. Westphal, J. D., & Fredrickson, J. W. (2001). Who directs strategic change? Director experience, the selection of new CEOs, and change in corporate strategy. Strategic Management Journal, 22(12), 1113-1137.
  45. Yanow, D., & Schwartz-Shea, P. (2015). Interpretation and method: Empirical research methods and the interpretive turn. Routledge.