Healthcare managers' managerial competency in enabling and managing changes: evidence from primary healthcare managers in Tanzania

Authors

DOI:

https://doi.org/10.37293/sapientiae92.04

Keywords:

Managerial competency, Preparation for change, Implementation of change, Evaluation of change, Leadership qualities for changes.

Abstract

This research article examined the primary healthcare managers' managerial competency in enabling and managing changes. The study was conducted in Tanzania. This study used a cross-sectional research approach. A census sampling approach was used to gather data from one hundred and two healthcare managers. Utilizing SPSS version 25, statistical product and service solutions were used to analyze the data that had been gathered. Results show that, about the indicators within the preparation for change, implementation of change, evaluation of change, and leadership qualities concerning lead changes constructs, respectively, (73.53%), (65.69%), and (76.47%) of the healthcare managers are competent, and (26.47%), (34.31%), and (23.53%) are less competent. The study concludes that primary healthcare managers in Tanzania have shown both levels of competence and less competent practices in facilitating and managing changes.

References

Al-Maqbali, M. (2019). Transdisciplinarity: What competencies do future healthcare managers need to succeed. Journal of Nursing Rsearch Practices, 3(1), pp.5-10. https://www.researchgate.net/publication/332414030.pdf.

Al-Momani, M.M. (2018). Exploring characteristics and perceptions of private hospital physician managers regarding their management training needs. Biomedical Research, 29(8), pp.1712-1717. https://doi.org/10.4066/.29-17-2055.

AwadAllah, M.B. and Salem, G.M. (2021). Managerial Competencies of Primary Health Care Managers. Egyptian Journal of Occupational Medicine, 44(1), pp.35–46. https://ejom.journals.ekb.eg/article_143333_c9f33b684ac494e91c77f9017d234d31.pdf.

Barsbay, M.Ç. and Öktem, M.K. (2021). The Competency Movement in Public Hospitals: Analysing the Competencies of Hospital Executive Managers. Transylvanian Review of Administrative Sciences, 17(62), pp.22-43. http://dx.doi.org/10.24193/tras.62E.2

Bilgin O, and Torun S (2023). Determination of the managerial competencies of clinical nurse managers: Self-assessment. Journal of Health and Nursing Management, 10(1), pp.1-9. http://doi.org/10.54304/SHYD.2023.41033.

Bogaert, K., Castrucci, B.C., Gould, E., Rider, N., Whang, C. and Corcoran, E. (2019). Top training needs of the governmental public health workforce. Journal of Public Health Management and Practice, 25(2 Suppl), p.S134. https://doi.org/10.1097/PHH.0000000000000936.

Cleary, S., Toit, A.D., Scott, V. and Gilson, L. (2018). Enabling relational leadership in primary healthcare settings: lessons from the DIALHS collaboration. Health Policy and Planning, 33(suppl_2), pp.ii65-ii74. https://doi.org/10.1093/135.

Daouk-Öyry, L., Sahakian L., and van de Vijver, F. (2020). Evidence-Based Management Competency Model for Managers in Hospital Settings. British Journal of Management, (00), pp.1–20. http://.doi.org/10.1111/1467-8551.12434.pdf.

Figueroa, C.A., Harrison, R., Chauhan, and Meyer, L (2019 ). Priorities and challenges for health leadership and workforce management globally: a rapid review. BMC Health Service Research 19(239). https://doi.org/10.1186/s12913-019-4080-7.

Fouka, G. and Mantzorou, M. (2011). What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing?. Health science journal, 5(1), pp.3-14. https://www.researchgate.net/publication/233959936.

Hahn, C.A. and Gil Lapetra, M. (2019). Development and use of the leadership competencies for healthcare services managers assessment. Frontiers in Public Health, 7(34). https://doi.org/10.3389/fpubh.2019.00034.

Jiyenze, K. M., Sirili, N, Ngocho, J. S., Kikula, A., Chikoti, B., Kapologwe. N., Kengia, T.J. (2023). Strengthening health management, leadership,and governance capacities: What are the actual training needs in Tanzania? Health Science Reports. https://doi.10.1002/hsr2.1158.

Kakemam, E. and Dargahi, H. (2019). Competencies gap in Hospital Management in Tehran, Iran: a cross-sectional survey. Journal of Health Management, 21(4), pp.451-464. https://doi/pdf/10.1177/0972063419884412.

Kingu, U. A., Ismail, I. J., and Kibusi, S. M. (2023). Managerial Competency of Primary Healthcare Facility Managers in the Selected District Councils in Tanzania. Management & Economics Research Journal, 5(1), 45-65. https://doi.org/10.48100/merj.2023.277.

Le-Dao, H., Chauhan, A., Walpola, R., Fischer, S., Schwarz, G., Minbashian, A., Munro, A., D’Arcy, E., Allan, J. and Harrison, R. (2020). Managing complex healthcare change: a qualitative exploration of current practice in New South Wales, Australia. Journal of Healthcare Leadership, 10(12). pp.143-151. https://doi.org/10.2147/.S274958.

Liang, Z., Blackstock, F.C., Howard, P.F., Briggs, D.S., Leggat, S.G., Wollersheim, D., Edvardsson, D. and Rahman, A. (2018). An evidence-based approach to understanding the competency development needs of the health service management workforce in Australia. BMC Health Services Research, 18(976). pp.1-12. https://doi.org/10.1186/s12913-018-3760-z.

Majid, M.A.A., Othman, M., Mohamad, S.F. and Lim, S.A.H. (2017). Employee satisfaction with offshore catering job: Piloting for interviews. International Journal of Academic Research in Business and Social Sciences, 7(10), pp.729-737. http://dx.doi.org/10.6007710/3428.

Ministry of Health Commuity Development Gender Elderly and Children. Health facilty performance. Dar es Salaam: Ministry of Health. (2018). http://www.tzdpg.or.tz/fileadmin/documents/dpg_internal/dpg_working_groups_clusters/cluster_2/health/JAHSR_2018/2._Health_facility_performance.pdf.

Mugenda, O.M. and Mugenda, A.G. (2012). Research methods dictionary. Nairobi. Kenya Applied Research and Training Services, Kenya

Ndayishimiye C, Dubas-Jakóbczyk K, Holubenko, A and Domagała, A (2023) Competencies of hospital managers – A systematic scoping review. Frontiers in Public Health. 11(1130136). https://doi.org/10.3389/fpubh.2023.1130136.

Nilsen, P., Seing, I., Ericsson, C., Birken, S.A. and Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC health services research, 20(147). pp.1-8. https://doi.org/10.1186/s12913-020-4999-8

Ponto, J. (2015). Understanding and evaluating survey research. Journal of the advanced practitioner in oncology, 6(2):168-71 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4601897/

Stoller, J.K. (2014). Help wanted: developing clinician leaders. Perspectives on medical education, 3(3), pp.233-237. https://doi.org/10.1007/s40037-014-0119-y.

Tataw, B.D, and Stokes, E. W., (2023). Leadership in interProfessional healthcare practice (IPHP): Readiness, roles, and compentencies for healthcare managers and human resource professionals. Journal of Interprofessional Education & Practice, 32, https://doi.org/10.1016/j.xjep.2023.100635.

Thompson, J.M. (2010). Understanding and managing organizational change: implications for public health management. Journal of Public Health Management and Practice, 16(2), pp.167-173. https://doi.org/10.1097/phh.0b013e3181c8cb51

Yakubu, K., Dankyau, M. and Lodenyo, M. (2019). A comparison of leadership competencies among doctors practicing in public and private hospitals in Jos metropolis of Plateau State, Nigeria. Annals of African medicine, 18(1), p.23-29. https://doi.org/10.4103_9_18.

Downloads

Published

2024-01-19

Issue

Section

Articles/Papers