IN-SERVICE TRAINING AND SERVICE DELIVERY IN PUBLIC HOSPITALS IN BUNGOMA COUNTY, KENYA
Abstract
Despite the efforts of the medical society and health staff alongside the advancements in
medical technologies, patients’ dissatisfaction and complaints remain a norm rather than
an exception in Kenya today. Effective training programs create desired knowledge, skills,
attitudes and abilities of the employees to perform well on the job and impact employee
motivation and commitment. The purpose of this study was to assess the effect of in-service
training and service delivery in public hospitals in Bungoma County, Kenya. The
objectives of the study were to determine the effect of training needs assessment on service
delivery in public hospitals in Bungoma County, to evaluate the effect of training
methodology on service delivery in public hospitals in Bungoma County, to examine the
effect of training evaluation on service delivery in public hospitals in Bungoma County
and to establish the moderating effect of organizational factors on the relationship between
in-service training and service delivery in public hospitals in Bungoma County. The
researcher used a correlation research design. Stratified proportionate random sampling
was used to acquire a sample size of 196 nurses and data was collected using
questionnaires. Validity of the data collection instruments was determined by conducting
a pilot study at the Matete Health Centre in Kakamega County.Cronbach’s alpha score for
reliability was 0.7 and data analysis was done using SPSS version 21. Descriptive statistics
included measures of central tendency and measures of dispersion and inferential statistics
involved Pearson’s Product Moment Correlation test and T-test. The research findings of
this study were represented in tables. The expected result of this study was in-service
training increased nurses’ productivity and output in public hospitals through timely
initiation of treatment to patients, increasing the number of patients served while on duty
and reducing patients’ complaints to the very minimum.