Factors that influence the uptake of corporate governance practices in mission Hospitals in Nairobi County - Kenya

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dc.contributor.authorOwuor, C. A.
dc.date.accessioned2024-09-25T14:32:25Z
dc.date.available2024-09-25T14:32:25Z
dc.date.issued2024
dc.descriptionFull - text thesis
dc.description.abstractThis study assessed factors influencing the uptake of Corporate Governance Practices (CGP) in Mission Hospitals in Nairobi County, Kenya, examining the CGP, challenges encountered, and best practices implemented. Grounded in Stakeholder Theory and Agency Theory, the research targeted Mission Hospitals sponsored by the Kenya Conference of Catholic Bishops (KCCB) with a 100-bed capacity or more within Nairobi County. A mixed-method research design was adopted and a census approach employed due to the small nature of the target population. Data was collected from 72 respondents, comprising board members, trustees, owners, directors, top managers using structured questionnaires and Key Informant Interviews (KII). Out of 60 distributed questionnaires, 48 were fully completed and returned (80% response rate) while 12 were poorly completed or not returned at all. All 12 key informants participated in the interviews (100% response rate), ensuring high representativeness and generalization of study findings. The study revealed a robust adoption of CGP in mission hospitals, supported by a high cumulative mean score of 3.542 and a standard deviation of 0.920. Qualitative interview insights reaffirmed the hospitals' commitment to CGP adoption, emphasizing clear governance structures and formalized decision-making processes. Significant relationships were identified between independent variables (Vision, Empowerment, Engagement, Accountability, Stewardship) and Dependent variables (CGP uptake), with stakeholder engagement emerging as a potent enabler in the uptake of CGP. Challenges in implementing CGP included resistance to change, limited resources, regulatory complexities, and cultural considerations, requiring leadership commitment and organizational alignment for effective mitigation. Best practices for enhancing CGP uptake included having a shared strategic direction, empowerment of the Board, robust stakeholder engagement and enhancing Board accountability. Regression analysis supported stakeholder engagement's significance, rejecting the null hypothesis (p-value=0.032). Recommendations included active stakeholder involvement in governance processes, investment in board training and development, and engaging stakeholders in the vision-setting process. Future research should explore corporate governance practices' contribution to Hospital management across private and government sectors.
dc.identifier.citationOwuor, C. A. (2024). Factors that influence the uptake of corporate governance practices in mission Hospitals in Nairobi County—Kenya [Strathmore University]. http://hdl.handle.net/11071/15557
dc.identifier.urihttp://hdl.handle.net/11071/15557
dc.language.isoen
dc.publisherStrathmore University
dc.titleFactors that influence the uptake of corporate governance practices in mission Hospitals in Nairobi County - Kenya
dc.typeThesis
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