Factors Influencing Nurses Performance at the Accident Centre of the Korle Bu Teaching Hospital

Abstract

Introduction: Enhancing the performance and productivity of health personnel is very vital in ensuring that health interventions are effectively rendered, however this is confronted with many challenges for African Countries. It is therefore important for employees to provide suitable solutions to these challenges. Human resource are the most vital resources of any health institution. It has been progressively perceived that effective performing health personnel is the centre of any maintainable answer for health service delivery. It is generally recognized that health institutions are not delivering the ideal yield of health interventions because of variables such as, burnout, deficient talented and experienced health personnel. Demotivated health staff, absence of managerial supervision, deprived work environment as well as insufficient compensation and many others. At The Accident Centre of the Korle Bu Teaching Hospital, there is not enough research elucidating the various factors affecting the performance of nurses. The main objective of the study is to uncover the key variables that Influence nurses performance at the Accident Centre of The Korle Bu Teaching Hospital. Method: A quantitative descriptive cross sectional survey was used to collect data, after seeking consent from randomly sampled 137 professional nurses from various units of the Accident Centre and data was collected using structured questionnaires. The collected data was entered into excel spread sheet and analyzed to generate charts, percentages, tables and frequencies. It was also exported into Stata version 15 for analysis of logistic regression so as to determine relationship between dependent and independent variables. The performance of personnel was assessed using performance checklist (appraisal tool) Result: The outcome of the study showed that there was no significant relationship between individual factors (age, gender. Highest Educational Qualification, Number years as a registered nurse and Duration on Current Ward) and performance of nurses (p >0.05). The relationship between service related factors (Category of in Service Training, Motivation and Monitoring and Evaluation) and the performance of nurses was significant, given by p<0.05. Conclusion: Service related factors (In-service training, motivation including remuneration and personal emoluments, monitoring/evaluation, continuous professional developments options i.e. workshops) were significantly associated with the performance of nurses. Working environment (overcrowding, lighting, ventilation, workload and logistics) were also significantly associated with performance of nurses. However, there was no significant association any of the individual factors (Age, Gender, Highest Educational Qualification and Number of Years as a Registered Nurse and Duration on Current Ward) and the nurses’ performance.