7 research outputs found
Strategic Planning and Organizational Performance in Seed Processing Companies in Trans Nzoia County, Kenya
No full textAbstract: This study is intended to establish the effect of strategic planning on the performance of seed processing companies in TransNzoia County, Kenya. The specific objective of the study was to identify the effect of resource availability on organizational performance in seed processing companies in TransNzoia County. The study is guided by the Resource based theory. The study adopted a descriptive research design with a target population of 89 management staff of the seed companies. Data collection instrument was questionnaire. Piloting was done to test the validity and reliability of the data collection instruments. The data was then be analyzed using SPSS version 26 and presented through tables and graphs. The data was analyzed using descriptive statistics that is a linear regression model for the study. From the findings, resource availability (β = 0.769) was found to be positively related to organizational performance in seed processing companies in TransNzoia county, Kenya. The study recommends that the management of seed companies should ensure that regular budgeting and reviews in its strategic planning and that resource availability, outcome waste or within minimum use of resources such as energy, finances, labor and time critically in driving the success of any organization. The management of seed companies should come up with regular training programs to equip employees with latest skills, knowledge, and abilities, with the aim of building organizational capabilities and improving organizational performance. The results of the study should be relevant to the management of the seed processing companies within and without TransNzoia County.
Keywords: Strategic Planning, Resource Availability.
Title: Strategic Planning and Organizational Performance in Seed Processing Companies in Trans Nzoia County, Kenya
Author: Thomas Kipkemboi Tanui, Dr. Elizabeth Nambuswa Makokha, Dr. Duncan Nyaberi
International Journal of Recent Research in Commerce Economics and Management (IJRRCEM)
ISSN 2349-7807
Vol. 9, Issue 3, July 2022 - September 2022
Page No: 134-144
Paper Publications
Website: www.paperpublications.org
Published Date: 23-September-2022
DOI: https://doi.org/10.5281/zenodo.7107783
Paper Download Link (Source)
https://www.paperpublications.org/upload/book/Strategic%20Planning%20and%20Organizational-23092022-4.pdfInternational Journal of Recent Research in Commerce Economics and Management (IJRRCEM), ISSN 2349-7807, Paper Publications, Website: www.paperpublications.or
Effects of nurses’ burnout on patients’ safety : descriptive literature review
No full textThis thesis aimed to explore how nurses' burnout affects patient safety by critically assessing the existing literature. A total of 655 articles were identified and extracted for review from various electronic databases, with the main sources including Pub Med, Ovid Medline, and CINAHL. These articles were screened based on their title, abstract, and full text. Inclusion and exclusion criteria were also applied, and only 18 of these articles proceeded to be used for further review in this thesis, which fully satisfied the search criteria set by the author of this thesis. Findings from the 18 different articles showed that nurses´ burnout causes a major effect as medication errors, increases patient illness, and Death. Nurses experiencing burnout are likely to mishandle medications, prescriptions, and distribution. They view these processes as simple and repetitive, which do not require critical thinking, which in turn leads to medication errors and adverse patient reactions
Dying Voice (An Anthropological Novel)
No full textThe subject of cattle-raids carried out by various nomadic communities on their counterparts is a subject of interest, intrigue and misinterpretation. What was the original purpose of cattle-raids in the concerned nomadic communities? How exactly were the raids carried out? What were the norms and taboos governing cattle-raids and wars in the traditional tribal folklore? Is cattle-raising compatible with modern society? Is it acceptable for perpetrators of modern cattle-raiding to hide behind 'tradition' and justify their criminal activities. The above are some of the questions that inspired this author of this book to undertake 11 years of research which is presented here in the form of a novel
Biographical Study of a Christian Worker: The Life Story of Bishop Ezekiel K. Birech, Leader of Africa Inland Church
No full textThesisThe purpose of this study was to examine the life of Bishop Ezekiel K. Birech in order to write his biography. A Christian biography serves as a means of storing the contributions of model Christian servants for the future generations to learn from what these "heroes of faith" did or have done in their lives. A biographical research involves the collection of data from lives of model people which are reconstructed into life histories that can be read. Interview method as a tool for collecting data for the project was used. The author constructed open ended questionnaires which he administered personally to the respondents. Purposive or judgmental sampling method was used to select the number of people to be interviewed. The interviewer administered questionnaires to twenty six people who had known Ezekiel Birech for more than ten years. The people interviewed were drawn from Nairobi, Baringo, Keiyo, Uasin Gishu and Nandi districts. Ezekiel Birech was born in 1916. He worked as a herdsboy, and spanner boy before going to school. He became bishop of African Inland Church in 1980 after completing theological training at the age of sixty years.Daystar Universit
Hypothermia amongst neonatal admissions in Kenya: a retrospective cohort study assessing prevalence, trends, associated factors, and its relationship with all-cause neonatal mortality
No full textBackgroundReports on hypothermia from high-burden countries like Kenya amongst sick newborns often include few centers or relatively small sample sizes.ObjectivesThis study endeavored to describe: (i) the burden of hypothermia on admission across 21 newborn units in Kenya, (ii) any trend in prevalence of hypothermia over time, (iii) factors associated with hypothermia at admission, and (iv) hypothermia's association with inpatient neonatal mortality.MethodsA retrospective cohort study was conducted from January 2020 to March 2023, focusing on small and sick newborns admitted in 21 NBUs. The primary and secondary outcome measures were the prevalence of hypothermia at admission and mortality during the index admission, respectively. An ordinal logistic regression model was used to estimate the relationship between selected factors and the outcomes cold stress (36.0°C–36.4°C) and hypothermia (<36.0°C). Factors associated with neonatal mortality, including hypothermia defined as body temperature below 36.0°C, were also explored using logistic regression.ResultsA total of 58,804 newborns from newborn units in 21 study hospitals were included in the analysis. Out of these, 47,999 (82%) had their admission temperature recorded and 8,391 (17.5%) had hypothermia. Hypothermia prevalence decreased over the study period while admission temperature documentation increased. Significant associations were found between low birthweight and very low (0–3) APGAR scores with hypothermia at admission. Odds of hypothermia reduced as ambient temperature and month of participation in the Clinical Information Network (a collaborative learning health platform for healthcare improvement) increased. Hypothermia at admission was associated with 35% (OR 1.35, 95% CI 1.22, 1.50) increase in odds of neonatal inpatient death.ConclusionsA substantial proportion of newborns are admitted with hypothermia, indicating a breakdown in warm chain protocols after birth and intra-hospital transport that increases odds of mortality. Urgent implementation of rigorous warm chain protocols, particularly for low-birth-weight babies, is crucial to protect these vulnerable newborns from the detrimental effects of hypothermia
Identifying and quantifying initial post-discharge needs for clinical review of sick, newborns in Kenya based on a large multi-site, retrospective cohort study
No full textBackgroundProgress in neonatal care has resulted in a 51% decrease in global neonatal mortality rates from 1990 to 2017. Enhanced survival will put pressure on health care systems to provide appropriate post-discharge, follow-up care but the scale of need for such care is poorly defined.MethodsWe conducted a retrospective cohort study of newborns discharged from 23 public hospital neonatal units (NBUs) in Kenya between January 2018 and June 2023 to identify initial follow-up needs. We first determined pragmatic follow-up categories based on survivors’ clinical conditions and morbidities. We then used individual phenotypes of individual babies to assign them to needing one or more forms of specialized clinical follow-up. We use descriptive statistics to estimate proportions of those with specific needs and patterns of need.FindingsAmong 136,249/159,792 (85.3%) neonates discharged, around one-third (33%) were low birth weight (<2,500 g), and a similar 33.4% were preterm (<37 weeks). We estimated 131,351 initial episodes of follow-up would be needed across nine distinct follow-up categories: general pediatrics, nutrition, growth & development (40.4%), auditory screening (38.8%), ophthalmology for retinopathy of prematurity (9.6%), neurology (8.0%), occupational therapy (1.3%), specialized nutrition (0.9%), surgery (0.8%), cardiology (0.2%), and pulmonary (<0.1%). Most neonates met the criteria for two (52.3%, 28,733), followed by three (39.6%, 21,738) and one follow-up episodes (5.6%, 3,098). In addition to prematurity and very low birth weight (≤1,500 g), severe infections with extended gentamicin treatment, severe jaundice managed with phototherapy, and hypoxic-ischemic encephalopathy (HIE) contributed substantially to the pattern of need for post-discharge follow-up.ConclusionsAlmost half of surviving NBU infants have multiple specialty post-discharge follow-up needs. More urgent attention needs to be focused on healthcare planning now to guide strategies to address the varied medical and developmental needs that we outline in resource-constrained contexts like Kenya
Neonatal mortality in Kenyan hospitals: a multisite, retrospective, cohort study
No full textBackground Most of the deaths among neonates in low-income and middle-income countries (LMICs) can be prevented through universal access to basic high-quality health services including essential facility-based inpatient care. However, poor routine data undermines data-informed efforts to monitor and promote improvements in the quality of newborn care across hospitals.Methods Continuously collected routine patients’ data from structured paper record forms for all admissions to newborn units (NBUs) from 16 purposively selected Kenyan public hospitals that are part of a clinical information network were analysed together with data from all paediatric admissions ages 0–13 years from 14 of these hospitals. Data are used to show the proportion of all admissions and deaths in the neonatal age group and examine morbidity and mortality patterns, stratified by birth weight, and their variation across hospitals.Findings During the 354 hospital months study period, 90 222 patients were admitted to the 14 hospitals contributing NBU and general paediatric ward data. 46% of all the admissions were neonates (aged 0–28 days), but they accounted for 66% of the deaths in the age group 0–13 years. 41 657 inborn neonates were admitted in the NBUs across the 16 hospitals during the study period. 4266/41 657 died giving a crude mortality rate of 10.2% (95% CI 9.97% to 10.55%), with 60% of these deaths occurring on the first-day of admission. Intrapartum-related complications was the single most common diagnosis among the neonates with birth weight of 2000 g or more who died. A threefold variation in mortality across hospitals was observed for birth weight categories 1000–1499 g and 1500–1999 g.Interpretation The high proportion of neonatal deaths in hospitals may reflect changing patterns of childhood mortality. Majority of newborns died of preventable causes (>95%). Despite availability of high-impact low-cost interventions, hospitals have high and very variable mortality proportions after stratification by birth weight
