Volume 7, Issue 2, March 2019, Page: 40-49
Evaluation of Preparedness Towards Total Quality Management at Tertiary Hospital from Health Workers Perception: A Case Study
Obi Ikechukwu Vincent, Department of Health Management and Administration, University of Nigeria, Enugu, Nigeria
Okoronkwo Ijeoma Lewechi, Department of Nursing Services, University of Nigeria, Enugu, Nigeria
Akubue Augustine Uchenna, Department of Environmental Health, Nnamdi Azikiwe University, Nnewi, Nigeria
Ughasoro Maduka, Department of Paediatrics, University of Nigeria, Enugu, Nigeria
Akubue Ngozika Peace, Health Education Department, Healthline Consulting Limited, Enugu, Nigeria
Uche Glory Igbo, Health Education Department, Healthline Consulting Limited, Enugu, Nigeria
Nnanke Etimita, Department of M&E, Breakthrough Action, Calabar, Nigeria
Emeka Onugu, Monitoring and Evaluation Units, Catholic Relief Services, Abuja, Nigeria
Emmanuel Shekarau, Case Management Unit, National Malaria Elimination Programme, Abuja, Nigeria
Abonyi Isaiah Chimezie, Department of Environmental Health Science, Nnamdi Azikiwe University, Nnewi, Nigeria
Chine Paul Udoka, ICT department, UNICEF, Enugu, Nigeria
Joseph Akem Ingwu, Department of Public Health, Ministry of Health, Calabar, Nigeria
Received: Apr. 24, 2019;       Accepted: Jun. 3, 2019;       Published: Jun. 12, 2019
DOI: 10.11648/j.ejpm.20190702.12      View  52      Downloads  8
Abstract
Background: Total quality management (TQM) in any organization is a major determinant of efficient management of resources. In this era where hospitals provide the same type of services, it is only hospitals that have embraced TQM techniques that will survive. The study assessed the management preparedness to the implementation of TQM at University of Nigeria Teaching Hospital (UNTH) Ituku/ Ozalla from the Health workers perceptive. Methods: This study was a cross sectional descriptive study. Structured questionnaire was used to collect information on the demographic characteristics of the randomly selected staff of the UNTH and their assessment of UNTH under five major domains: organizational, interpersonal, facilities, environmental and economic. Focus group discussion was also used conducted among selected staff. Results: On influence of educational factors on level of response, the study showed it has no influence on staff awareness (p= 0.264) but it influenced quality of personnel (0.049), sufficient supervision (p = 0.039), feedback mechanism (p = 0.005) and record department being computerized (p = 0.04). Number of years on the job has influence on the availability of adequate resources (p = 0.027), quality of services (0.040) and record department being computerized (p = 0.041). On the influence of cadre, it showed that level of awareness was affected but quality of personnel (p = 0.014), quality of services (p = 0.019) and availability of functional diagnostic equipment (p = 0.027) was influenced. Conclusions: TQM have been shown to have improved the efficient management of resources with attendant maximization of output. It is important that management demonstrates commitment and provide enabling environment for its sustainability. Specifically, management should institute periodic performance measurement system and strengthen the training program in the hospital. There is a need to raise the awareness on the concept and develop methods and procedures in updating existing TQM guidelines.
Keywords
Total Quality Management, University of Nigeria Teaching Hospital, Health Workers, Perception
To cite this article
Obi Ikechukwu Vincent, Okoronkwo Ijeoma Lewechi, Akubue Augustine Uchenna, Ughasoro Maduka, Akubue Ngozika Peace, Uche Glory Igbo, Nnanke Etimita, Emeka Onugu, Emmanuel Shekarau, Abonyi Isaiah Chimezie, Chine Paul Udoka, Joseph Akem Ingwu, Evaluation of Preparedness Towards Total Quality Management at Tertiary Hospital from Health Workers Perception: A Case Study, European Journal of Preventive Medicine. Vol. 7, No. 2, 2019, pp. 40-49. doi: 10.11648/j.ejpm.20190702.12
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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