16May 2018

POOR WORK ENVIRONMENT: A BARRIER TO EFFICIENCY IN HEALTHCARE DELIVERY SERVICES (A STUDY CONDUCTED AT FEDERAL MEDICAL CENTRE, OWO, ONDO STATE, NIGERIA).

  • RN, RM, Certified Nephrology Nurse, RPHN, BNsc, MPH. Renal Unit, Federal Medical Centre, P.M.B 1053, Owo, Ondo State, Nigeria.
  • MED (Audiology), MPH, PhD, Diploma in HIV/AIDS, FRSPH. Community Health Department, Obafemi Awolowo University, Ile-Ife, Osun State. Nigeria.
  • RN, RM, BNsc, MSc Nursing. Achievers University Owo, Department of Nursing Science, CONAS Ondo State, Nigeria.
  • RN, RM, RPHN, BNsc, MSc Nursing. Achievers University Owo, Department of Nursing Science, CONAS Ondo State, Nigeria.
  • RN, PGDE, MPH. University College Hospital, Ibadan, Oyo State, Nigeria.
  • RN, RM, RPHN, BNsc, MSc Nursing. Achievers University Owo, Department of Nursing Science, CONAS Ondo State, Nigeria.
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Efficiency in services is subject to adequate work environment which can be described as the surrounding conditions in which an employee operates. This study explored the knowledge, assessed the perception of health care givers about their work environment and assessed the barriers to efficiency of health care service delivery in Federal Medical Centre, Owo. A descriptive cross-sectional study was conducted among 284 health workers comprising of 171 nurses, 107 doctors and 6 community health and extension workers which was selected using multi stage sampling technique. Data was analyzed using STATA (SE 12.0) whereby frequency tables were run, mean and standard deviation was calculated. Results showed that majority (97.5%) of the workers had good knowledge of what constitutes a desirable work environment. All (100%) the workers had positive perception of a good work environment. And factors identified to be responsible for affecting conducive work environment which in turn affects workers? productivity include lack of equity and fairness, poor communication system, occupational hazards and high workload leading to burn out, lack of motivation from boss, non availability of drugs to treat patients, lack of appropriate equipments, lack of autonomy, lack of in-service training, insufficient basic amenities for day-to-day job performances and lack of team spirit. The study concluded that productivity in workers and efficiency in health care delivery services can be hampered by factors we some time overlook in work places.


  1. Aiken H, Clarke S, Douglas M (2002). Hospital Nurse Staffing and Patient Mortality, Nurse Burnout and Job Satisfaction. Nursing Outlook: volume 50, issue 5, September-October 2002, pages 187-194
  2. Ajala E (2012). The Influence of Workplace Environment on Workers? Welfare, Performance and Productivity. The African Symposium. Vol 12, No 1. ISSN# TX 6-342-323
  3. Akinyele S (2010). The Influence of Work Environment on Workers? Productivity: a case of selected oil and gas industry in Lagos, Nigeria. African Journal of Business Management. Vol 4 (3), pp. 299-307. ISSN 1993-8233
  4. Albaqami T (2015). Working Environment and Productivity. International Journal of Scientific and Engineering Research, Volume 6, Issue 12. ISSN 2229-5518
  5. Ali Y, Abdiaziz A and Abdiqani A (2013). Working Conditions and Employees? Productivity in Manufacturing Companies in Sub-Sahara African Context: Case of Somalia. Journal of Educational Research International, vol 2 No 2. ISSN-L: 2307-3713, ISSN: 2307-3721
  6. American Association of Critical ? Care Nurses (2006). AACN?s Health work Environment Initiative Backgrounder. 101 Columbia. Aliso Viejo, CA92656.
  7. Asigele O (2012). The Effect Of Working Environment On Workers Performance: The Case Of Reproductive And Child Health Care Providers In Tarime District
  8. http://ihi.eprints.org//1658/1/Asigele_Oswald.pdf Last accessed on 12th December, 2015
  9. Bluestone J, Johnson P, Fullertone J, Carr C, Alderman J and BonTempo J (2013). Effective In-service Training Design and Delivery: evidence from an intergrative literature review. Human Resources for Health2013 11:51 doi: 10.1186/1478-4491-11-51
  10. Buerhaus P, Donelan K, Ulrich B, Norman L, DesRoches C and Dittus R (2007). Impact of the Nurse Shortage on Hospital Patient Care: comparative perspective. Journal of Health Affairs. doi: 10.1377/hlthaff.26.3.853 Health Aff May 2007 vol 26 no 3 853 ? 862
  11. Business Dictionary (2018). Work Environment. http://www.businessdictionary.com/definition/work-environment.html
  12. David N (2016). What is a Desired Work Environment. http://work.chron.com/desired-work-environment-23624.html
  13. Dawn J (2006). Tips that Influence Employee Productivity. https://primgeinc.org/casestudies/empolyer/study/358/The_Work_Environment_andEmployee_Productivity (last accessed on 8/7/16)
  14. Einarsen S (2000). Aggression and Violent Behaviour. http://www.sciencedirect.com/science/article/pii/S1359178998000433 accessed on 24th July, 2016
  15. Frumence G, Nyamhanga T, Mwangu M and Hurtig A (2013). Challenges to the Implementation of Health Sector Decentralization in Tanzania: experiences from Kongwa district council. Glob Health Action. 2013; 6:10.3402/gha.v6i0.20983; doi: 10.3402/gha.v6i0.20983
  16. Graham W (2014). 7 Keys to Creating the Best work Environment. http://www.inc.com/graham-winfrey/ways-to-create-a-great-work-environment.html
  17. Heather k, Shamian J, Thomson D (2001). Impact of Magnet Hospital characteristics on Nurses? Perceptions of trust, burnout, quality of care and work Satisfaction. Journal of Nursing Economic 19 (5): 209-219
  18. Helmrich B (2015). 23 ways to create a better work environment http://www.businessnewsdaily.com/7932-create-better-work-environment.html accessed on 26th March, 2016
  19. Jones N (2010). 12 Ways to Improve Productivity at the Workplace. http://tweakyourbiz.com/growth/2010/10/07/12-ways-to-improve-productivity-at-the-workplace/
  20. McGraw-Hill (2010). Fundamentals of Human Resources Management. 4th P. 78 ISBN 9780073530468
  21. Moloney C (2011). Workplace productivity and LEED building. http://www.green-building.com/content. Last accessed February 29, 2012.
  22. Ogbimi R and Adebamowo C (2006). Questionnaire Survey of working relationships between nurses and doctors in University Teaching Hospitals in Southern Nigeria http://bmcnurs.biomedcentral.com/articles/10.1186/1472-6955-5-2, accessed 8th March, 2016
  23. Ogundele B and Olafimihan O (2009). Facilities and Equipments as Predictors of Effective Health Care Delivery in Selected State Government Hospitals in Oyo State, Nigeria. Journals of Anthropologists, 11(3): 181-187 (2009)
  24. Poh M (2013). 5 Characteristics of a Positive Work Environment. http://www.hongiat.com/blog/positive-working-environment/ last accessed 13/07/16
  25. Prakash M and Mohan S (2015) Work Environment and Its Impact on Performance: A Study on Women Employees of Bsnl Mangalore. academia.edu/6349206/WORK_ENVIRONMENT_AND_ITS_IMPACT_ON_PERFORMACE_A_STUDY_ON_WOMEN_EMPLOYEE_OF_BSNL_MANGALORE
  26. Shikdar A (2004). Identification Of Ergonomic Issues That Affect Workers In Oilrigs In Desert Environments. International Journal of Occupational Safety and Ergonomic 10, 2004, Issue 2 169-177
  27. Stavroula L, Griffiths A and Cox T (2004). Work Organization and Stress. WHO, Geneva. ISBN 92 4 159047 5.

[Ashaju-Kayode, Oluwatosin Christianah, Adegbenro, Caleb A, Akinpelu, Adewale Oladayo, Ayeni, Adebusola Raphael, Faminu Oluwafunmilola, Monehin and Samuel. (2018); POOR WORK ENVIRONMENT: A BARRIER TO EFFICIENCY IN HEALTHCARE DELIVERY SERVICES (A STUDY CONDUCTED AT FEDERAL MEDICAL CENTRE, OWO, ONDO STATE, NIGERIA). Int. J. of Adv. Res. 6 (May). 480-487] (ISSN 2320-5407). www.journalijar.com


Ashaju-Kayode, Oluwatosin Christianah
Certified Nephrology Nurse, RPHN, BNsc, MPH. Renal Unit, Federal Medical Centre, P.M.B 1053, Owo, Ondo State, Nigeria.

DOI:


Article DOI: 10.21474/IJAR01/7055      
DOI URL: https://dx.doi.org/10.21474/IJAR01/7055