Strategy Implementation Practices and Performance of National Referral Hospitals in Kenya
DOI:
https://doi.org/10.47941/jbsm.3856Keywords:
Strategy Implementation Practices, Top Management Commitment, Individual Commitment, National Referral HospitalsAbstract
Purpose: The health sector is integral to society's well-being, addressing both acute and chronic conditions, advancing medical innovations, and responding to public health challenges like epidemics and health disparities. The general objective of the study is to examine the influence of strategy implementation practices on performance of National Referral Hospitals in Kenya. Specifically, the study sought to assess the influence of top management commitment on performance of National Referral Hospitals in Kenya and to explore the influence of individual commitment on performance of National Referral Hospitals in Kenya.
Methodology: This study used a descriptive research design. The target population was 627 management and non-management employees working in the five public national referral hospitals in Kenya. This study used stratified random sampling technique to select 244 respondents from the target population. The study’s primary data was obtained using structured questionnaires. The pretesting sample was made of 24 respondents, representing 10% of the sample size. Quantitative data was generated from the closed-ended questionnaire. Inferential and descriptive statistics were employed for analysis of quantitative data with the assistance of Statistical Package for Social Sciences (SPSS version 25).
Findings: The study found that top management commitment has a positive and significant effect on performance of National Referral Hospitals in Kenya. In addition, the study found that individual commitment has a positive and significant effect on performance of National Referral Hospitals in Kenya.
Unique Contribution to Theory, Practice and Policy: Based on the findings, the study recommends that National Referral Hospitals in Kenya should institutionalize visible and sustained commitment to performance improvement by actively championing strategic initiatives, allocating adequate financial and human resources, and consistently monitoring outcomes through clear accountability frameworks.
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References
Ahmed, N. K. S. (2025). Examining the Role of Strategy Implementation in Enhancing the Performance of Egyptian SMEs. Journal of Management World, 2(2), 1-11.
Ali, A. A., Senaji, T. A., & Awino, D. O. (2022). Governance and strategy implementation in the federal government of Somalia. Journal of Strategic Management, 2(1), 35-44.
Diis, A. H., & Kiiru, D. (2024). Strategy implementation practices and performance of national transport and safety authority in Kenya. The Strategic Journal of Business & Change Management, 11(1), 539–558.
Gasela, M. M. (2021). Strategy implementation in South African public entities between 2006 and 2016: Does leadership impact on performance during strategy implementation? Africa’s Public Service Delivery and Performance Review, 9(1), 1-11.
Genc, E. (2023). Strategy implementation, organizational culture and performance in Turkish local government. Retrieved From, https://orca.cardiff.ac.uk/id/eprint/
Ibrahim, M., Sulaiman, M., Al Kahtani, A., & Abu-Jarad, I. (2022). The relationship between strategy implementation and performance of manufacturing firms in Indonesia: the role of formality structure as a moderator. World Applied Sciences Journal, 20(7), 955-964.
Iqbal, M., Gul, M., & Ullah, H. (2022). A Comparative Study of the Role of Middle-Management in Strategy Implementation at Public and Private Sector Universities of Khyber Pakhtunkhwa, Pakistan. Business & Economic Review, 14(1), 17-46.
Karanja, R., Kahuthia, J., & Muraguri, C. (2020). Influence of individual commitment on performance of church owned primary schools in Kiambu County, Kenya. International Academic Journal of Human Resource and Business Administration, 3(8), 159-171
Karenye, K. D., & Elishiba, M. (2020). Strategy implementation practices and performance of pharmaceutical firms in Kenya. International Academic Journal of Human Resource and Business Administration, 3(9), 268-290.
Kayago, K. R., Ondari, J., Omari, S., & Akuku, C. (2023). Influence of individualized commitment on organizational performance of the South Eastern Kenya Economic Bloc (SEKEB) counties. International Academic Journal of Human Resource and Business Administration, 4(2), 418-441.
Kimeto, A. C. (2023). The influence of idealized influence and individualized commitment on organizational commitment in Commercial Banks in Kenya. American Journal of Leadership and Governance, 1(2), 39-62.
Makena, M. P., & Rukia, A. (2022). Strategy implementation practices and performance of aviation industry in Kenya. International Journal of Social Sciences Management and Entrepreneurship, 39(3), 155-169.
Munala, J. M., & Mwasiaji, E. (2023). Strategy implementation practices and organizational performance of Kenya Medical Training College. International Academic Journal of Human Resource and Business Administration, 4(2), 168-187.
Muyhuka, C. M., Mawanda, G., Mutinda, I., Sylvanus, S., & Mutua, J. (2024). Strategy implementation practices and performance of Actionaid International Kenya. African Journal of Emerging Issues, 6(9), 12-25.
Niyongabo, N. (2021). Employee commitment and organizational performance in selected private universities in Bujumbura, Burundi. Retrieved from https://irbackend.kiu.ac.ug/server/
Noranarttakun, P., & Pharino, C. (2021). Strategy Implementation to Enhance Green Industry Practices in SMEs: Lesson Learned from Thailand. Environment Asia 14(1), 93-105.
Ntakirutimana, A., & Gitahi, N. (2023). Influence of Strategy Implementations on Performance of Organizations in Rwanda: A Case Study of Water and Sanitation Corporation (WASAC). Journal of Entrepreneurship & Project Management, 7(10), 69-96.
Ntakirutimana, A., & Gitahi, N. (2023). Influence of Strategy Implementations on Performance of Organizations in Rwanda: A Case Study of Water and Sanitation Corporation (WASAC). Journal of Entrepreneurship & Project Management, 7(10), 69-96.
Nuwagaba, A., Angima, C., Namateefu, L. K., & Mugizi, T. (2023). The Impact of Strategy Implementation on the Performance of Ugandan State Agencies: A Quantitative Study. Journal of Economics and Behavioral Studies, 15(4), 69-86.
Nuwagaba, A., Angima, C., Namateefu, L. K., & Mugizi, T. (2023). The Impact of Strategy Implementation on the Performance of Ugandan State Agencies: A Quantitative Study. Journal of Economics and Behavioral Studies, 15(4), 69-86.
Nwani, B. S., & Odiri, V. I. O. (2023). Strategy implementation and organizational performance of deposit money banks in Nigeria. Nigerian Journal of Management Sciences, 24(1), 8-20.
Nwani, B. S., & Odiri, V. I. O. (2023). Strategy implementation and organizational performance of deposit money banks in Nigeria. Nigerian Journal of Management Sciences, 24(1), 8-20.
Piórkowska, N., & Ryńca, R. (2020). Factors affecting the process of strategy implementation in a higher education institution. Retrieved From, file:///C:/Users/user/Downloads/Factors_affecting_the_process_of_st.pdf
Piórkowska, N., & Ryńca, R. (2020). Factors affecting the process of strategy implementation in a higher education institution. Retrieved From, file:///C:/Users/user/Downloads/
Sadaf, A. (2023) assessed individual commitment, organizational commitment and job performance in Pakistan. Market forces college of management sciences, 8(1), 56-70.
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