Moderating influence of employee engagement on the relationship between union management cooperation activity and employee performance among doctors in public service health sector in Nairobi County, Kenya

Nyakiba Agnes Ongiri, James Muya, P. Matula
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Abstract

The study main objective was to establish the influence of Union Management Cooperation Activity on employee performance among doctors in public service health sector in Nairobi County, Kenya as moderated by employee engagement. The target population was 789 medical doctors and 21 top managers. Stratified sampling technique and simple random sampling to pick 327 doctors while purposive sampling technique was used to pick 21 top managers. The study employed convergent parallel mixed methods design. A self-constructed structured questionnaire was utilized to gather quantitative data from the doctors while interview guide was adopted to collect qualitative data from top management. Quantitative data was statistically analyzed using descriptive (means & standard deviation) and inferential tools (pearson correlation and regression analysis). Qualitative data was thematically analyzed based on objectives and presented in narrative form using text. The study found that union-management cooperation activity had a positive and significant influence on the performance of doctors in public service health sector. Further, results showed that relationships between union-management cooperation activity and employee performance were significantly moderated by employee engagement. The study concluded that union-management cooperation activity was core drivers of employee performance. The study emphasizes the importance of embracing union-management cooperation within organizations. It suggests that both management and trade unions should utilize the study findings to foster cooperation, aligning with the tripartite principle and benefiting all stakeholders involved.  The study provides valuable insights for managers explore strategic options for its adoption and implementation as a fundamental aspect of employee management, especially within the healthcare sector.
员工参与对肯尼亚内罗毕县公共服务卫生部门医生工会管理合作活动与员工绩效之间关系的调节作用
研究的主要目的是确定工会管理合作活动对肯尼亚内罗毕县公共服务卫生部门医生员工绩效的影响,并通过员工参与进行调节。研究对象为 789 名医生和 21 名高层管理人员。采用分层抽样技术和简单随机抽样技术抽取了 327 名医生,并采用目的性抽样技术抽取了 21 名高层管理人员。研究采用了收敛平行混合方法设计。采用自编结构化问卷收集医生的定量数据,采用访谈指南收集高层管理人员的定性数据。定量数据采用描述性(平均值和标准偏差)和推理工具(皮尔逊相关分析和回归分析)进行统计分析。定性数据根据目标进行专题分析,并以文字叙述的形式呈现。研究发现,工会与管理层的合作活动对公共服务卫生部门医生的绩效有积极而重要的影响。此外,研究结果表明,工会-管理层合作活动与员工绩效之间的关系受到员工参与度的显著调节。研究认为,工会-管理层合作活动是员工绩效的核心驱动力。该研究强调了在组织内部开展工会-管理层合作的重要性。研究建议,管理层和工会都应利用研究结果促进合作,以符合三方原则,并使所有利益相关者受益。 这项研究为管理者提供了宝贵的见解,帮助他们探索将其作为员工管理的一个基本方面加以采用和实施的战略选择,尤其是在医疗保健行业。
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