Impact of change management on the performance of Small and Medium Enterprises within the healthcare sector in Nairobi County

Date
2025
Authors
Githige, C. W.
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Publisher
Strathmore University
Abstract
This study aimed to assess the impact of change management on the performance of small and medium enterprises (SMEs) within the healthcare sector in Nairobi County. Change management is crucial for organizational success as it defines standards and procedures that enhance performance. The study focused on three objectives: examining the impact of strategic leadership change, investigating the effect of technological changes, and evaluating the influence of organizational culture change on SME performance. The findings will help SMEs develop policies to drive growth. The study was based on Kotter’s 8-step model, Lewin’s 3-step model, and the Balanced Scorecard. A cross-sectional survey design was used for data accuracy, targeting senior managers from healthcare SMEs. Self-administered questionnaires were distributed to respondents to collect data for the study, which used descriptive analysis and SPSS for both qualitative and quantitative data. The correlation tests revealed statistically significant positive linear associations between strategic leadership, technological changes, organizational culture, and the performance of SMEs within the healthcare sector in Nairobi County, Kenya. Regression analysis further confirmed a significant positive relationship between change management and SME performance. Additionally, the analysis found that technological changes and organizational culture had a significant effect on the performance of healthcare SMEs in Nairobi County. The study recommends that the government should introduce grants and subsidies to support the adoption of advanced technologies in healthcare SMEs. The study also suggests that managers and leaders should clearly communicate the organization’s vision and mission to all employees as well as aligning organizational goals with the vision and mission to ensure everyone is working towards common objectives. The study also recommends that organizations should promote behaviors and practices that create a conducive and motivating work climate.
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Citation
Githige, C. W. (2025). Impact of change management on the performance of Small and Medium Enterprises within the healthcare sector in Nairobi County [Strathmore University]. http://hdl.handle.net/11071/15800