Management style and retention of nurses in a public and private hospital in Ejisu-Juaben Municipality of Ashanti Region, Ghana
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Date
June, 2019
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Abstract
Introduction: Retention of health professionals in the health sector in Ghana is crucial to
address human resource needs of the health sector and promoting efficient and effective
healthcare system. Nurses are one of the key professionals whose role in the healthcare
industry cannot be underestimated. Hence, this study assessed management style and
retention of nurses in Ejisu Government Hospital and Living Waters Hospital all in EjisuJuaben Municipality of Ashanti Region, Ghana.
Methodology: The study was quantitative using descriptive cross-sectional study design.
Simple random sampling method was employed in selecting 135 respondents. Data were
collected by administering structured questionnaires and analyzed using STATA statistical
software Version 14.2. Statistical significance for all testing was set at 0.05.
Results: Most of the respondents (19.70%) strongly agreed to their nurse managers
exhibiting participatory management style yet more than half of the respondents (52.71%)
intend leaving their current facility. More so, there was a significant relationship between
benevolent authoritative style and intention to leave. Extrinsic factors strongly admitted
influencing nurses‘ retention; salary and rewards (39.53%), conducive working environment
(35.66%) and opportunity for career advancement (34.88%). Whereas intrinsic factors
strongly admitted influencing nurses‘ retention were; self–motivation (27.91%) as well as
professional autonomy (22.48%). Socio-demographic factors such Marital status
(AOR=1.90 CI=0.45-7.99; p-value=0.38), Number of children (AOR=2.60; CI=0.60-11.18;
p-value=0.20) and Work experience (AOR=1.96; CI=0.51-7.13; p-value=0.34) did not
influence nurses‘ intention to leave.
Conclusion and Recommendation: Most of the respondents strongly agreed to their
managers practicing participatory management style, yet benevolent authoritative
management style, was statistically significant with nurses‘ intention to leave. Therefore,
healthcare managers should make necessary efforts to be proactive, involve nurses in
decision making, communicate effectively and provide support that will improve
commitment and job satisfaction among nurses.
Description
A dissertation submitted to the School of Graduate Studies, Kwame Nkrumah University of Science and Technology, in partial fulfilment of the requirements for the award of degree of Master of Public Health; Health Services Planning
and Management.
Keywords
Management style, Nurses, Private hospital, Ejisu-Juaben, Ghana