{"id":"https://openalex.org/W3015485535","doi":"https://doi.org/10.18639/merj.2020.961199","title":"An Assessment of the Influence of Working Environment on Service Delivery in the Public Health Sector in Nyeri County, Kenya","display_name":"An Assessment of the Influence of Working Environment on Service Delivery in the Public Health Sector in Nyeri County, Kenya","publication_year":2020,"publication_date":"2020-01-01","ids":{"openalex":"https://openalex.org/W3015485535","doi":"https://doi.org/10.18639/merj.2020.961199","mag":"3015485535"},"language":"en","primary_location":{"id":"doi:10.18639/merj.2020.961199","doi":"https://doi.org/10.18639/merj.2020.961199","is_oa":true,"landing_page_url":"https://doi.org/10.18639/merj.2020.961199","pdf_url":null,"source":{"id":"https://openalex.org/S2737725592","display_name":"Management and Economics Research Journal","issn_l":"2469-4339","issn":["2469-4339"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310316382","host_organization_name":"HATASO","host_organization_lineage":["https://openalex.org/P4310316382"],"host_organization_lineage_names":["HATASO"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Management and Economics Research Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.18639/merj.2020.961199","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5089836840","display_name":"Mary W Theuri","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mary W Theuri","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108646220","display_name":"Stephen M. Macharia","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Stephen Macharia","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"Alice Kamau","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alice Kamau","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":75,"currency":"USD","value_usd":75},"apc_paid":{"value":75,"currency":"USD","value_usd":75},"fwci":0.2955,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.58635551,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"6","issue":null,"first_page":"1","last_page":"1"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.2079000025987625,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10186","display_name":"Nursing education and management","score":0.2079000025987625,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14358","display_name":"Healthcare Quality and Satisfaction","score":0.1687999963760376,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.16089999675750732,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/work-environment","display_name":"work environment","score":0.9929999709129333},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.925000011920929},{"id":"https://openalex.org/keywords/public-health-sector","display_name":"public health sector","score":0.875},{"id":"https://openalex.org/keywords/person-environment-fit","display_name":"person-environment fit","score":0.8460000157356262},{"id":"https://openalex.org/keywords/healthcare-workers","display_name":"healthcare workers","score":0.7760000228881836},{"id":"https://openalex.org/keywords/public-hospitals","display_name":"public hospitals","score":0.5730000138282776},{"id":"https://openalex.org/keywords/drug-shortages","display_name":"drug shortages","score":0.5929999947547913},{"id":"https://openalex.org/keywords/working-hours","display_name":"working hours","score":0.7480000257492065},{"id":"https://openalex.org/keywords/medical-equipment-maintenance","display_name":"medical equipment maintenance","score":0.765999972820282},{"id":"https://openalex.org/keywords/nyeri-county","display_name":"Nyeri County","score":0.6970000267028809}],"concepts":[{"id":"https://openalex.org/C106906290","wikidata":"https://www.wikidata.org/wiki/Q1140909","display_name":"Cronbach's alpha","level":3,"score":0.6676591038703918},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.6404812335968018},{"id":"https://openalex.org/C147859227","wikidata":"https://www.wikidata.org/wiki/Q294217","display_name":"Public sector","level":2,"score":0.6166756749153137},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5512474775314331},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.5096423625946045},{"id":"https://openalex.org/C191988596","wikidata":"https://www.wikidata.org/wiki/Q628374","display_name":"Null hypothesis","level":2,"score":0.49487394094467163},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.45045027136802673},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.436257541179657},{"id":"https://openalex.org/C49898467","wikidata":"https://www.wikidata.org/wiki/Q1517706","display_name":"Stratified sampling","level":2,"score":0.4237954318523407},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4166876971721649},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.39983293414115906},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3750186562538147},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.364107608795166},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.310488760471344},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.20946070551872253},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.12468022108078003},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.11860144138336182},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.18639/merj.2020.961199","doi":"https://doi.org/10.18639/merj.2020.961199","is_oa":true,"landing_page_url":"https://doi.org/10.18639/merj.2020.961199","pdf_url":null,"source":{"id":"https://openalex.org/S2737725592","display_name":"Management and Economics Research Journal","issn_l":"2469-4339","issn":["2469-4339"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310316382","host_organization_name":"HATASO","host_organization_lineage":["https://openalex.org/P4310316382"],"host_organization_lineage_names":["HATASO"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Management and Economics Research Journal","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:00a38643a0484aa191978277dc9b92ae","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/00a38643a0484aa191978277dc9b92ae","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Management and Economics Research Journal , Vol 6, Pp 1-8 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.18639/merj.2020.961199","doi":"https://doi.org/10.18639/merj.2020.961199","is_oa":true,"landing_page_url":"https://doi.org/10.18639/merj.2020.961199","pdf_url":null,"source":{"id":"https://openalex.org/S2737725592","display_name":"Management and Economics Research Journal","issn_l":"2469-4339","issn":["2469-4339"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310316382","host_organization_name":"HATASO","host_organization_lineage":["https://openalex.org/P4310316382"],"host_organization_lineage_names":["HATASO"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Management and Economics Research Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.5263000130653381,"id":"https://metadata.un.org/sdg/8","display_name":"Decent work and economic growth"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4383180728","https://openalex.org/W3131369481","https://openalex.org/W2568073980","https://openalex.org/W2182092710","https://openalex.org/W4238810273","https://openalex.org/W7096275532","https://openalex.org/W4364376463","https://openalex.org/W4364376266","https://openalex.org/W2951565668","https://openalex.org/W2521034030"],"abstract_inverted_index":{"Globally,":[0],"the":[1,25,30,43,46,70,73,80,92,148,153,166,169,180,187,205,212,220,228,251,291,301],"health":[2,14,48,81,222,253,257,303],"sector":[3,49,82,223,254],"is":[4,15],"an":[5],"area":[6],"that":[7,186,219,250],"any":[8],"government":[9],"must":[10],"focus":[11,289],"on":[12,76,195,290],"since":[13],"a":[16,135,259,278],"right":[17],"of":[18,27,57,64,72,152,160,168,208,244,293],"every":[19],"human":[20],"being.":[21],"Kenya":[22,225],"particularly":[23],"initiated":[24],"idea":[26],"devolution":[28],"and":[29,129,150,176,192,235,263,267],"Big":[31],"Four":[32],"Agenda":[33],"to":[34,38,55,68,146,164,269,272,280,284],"ensure":[35],"service":[36,77,196,245,282,298],"delivery":[37,78,197,283,299],"citizens":[39],"was":[40,67,89,101,106,118,132,141,162,172],"achieved.":[41],"Nevertheless,":[42],"situation":[44],"in":[45,60,79,83,111,224,300],"public":[47,109,221,252,302],"has":[50],"been":[51],"encountering":[52],"challenges":[53],"due":[54],"dissatisfaction":[56],"personnel":[58],"culminating":[59],"strikes.":[61],"The":[62,87,96,103,183,215,247],"objective":[63],"this":[65],"study":[66,88,140,216,248],"explore":[69],"effect":[71],"working":[74,188,233,261],"environment":[75,189,262],"Nyeri":[84,112],"County,":[85],"Kenya.":[86],"guided":[90],"by":[91],"person\u2013environment":[93],"fit":[94],"theory.":[95],"descriptive":[97,175],"cross-sectional":[98],"research":[99,287],"design":[100],"used.":[102],"target":[104],"population":[105],"derived":[107],"from":[108,179],"hospitals":[110],"County.":[113],"Proportionate":[114],"stratified":[115],"random":[116],"sampling":[117],"utilized,":[119],"where":[120],"141":[121],"respondents":[122],"were":[123],"targeted,":[124],"comprising":[125],"doctors,":[126],"clinical":[127],"officers,":[128],"nurses.":[130],"Data":[131,171],"collected":[133],"using":[134,174],"closedended":[136],"questionnaire.":[137],"A":[138,156],"pilot":[139],"conducted":[142],"at":[143,204],"Mukurwe-ini":[144],"Hospital":[145],"enhance":[147,281],"validity":[149],"reliability":[151,167],"data-collection":[154],"instrument.":[155,170],"Cronbach":[157],"alpha":[158],"coefficient":[159],"0.7":[161],"used":[163],"ascertain":[165],"analyzed":[173],"inferential":[177],"statistics":[178],"78.7%":[181],"respondents.":[182],"findings":[184],"established":[185,218],"had":[190],"positive":[191],"significant":[193],"effects":[194],"(\u03b21":[198],"=":[199,202],"0.476,":[200],"p-value":[201],"0.000)":[203],"5%":[206],"level":[207],"significance,":[209],"hence":[210],"rejecting":[211],"null":[213],"hypothesis.":[214],"further":[217],"should":[226,255,288],"address":[227],"drug":[229],"shortage,":[230],"medical":[231],"staff":[232],"hours,":[234],"machine":[236],"maintenance":[237],"as":[238],"they":[239],"would":[240],"adversely":[241],"affect":[242],"quality":[243],"delivery.":[246],"recommends":[249],"provide":[256],"workers":[258],"conducive":[260],"all":[264],"necessary":[265],"tools":[266],"equipment":[268],"enable":[270],"them":[271],"discharge":[273],"their":[274],"duties":[275],"effectively":[276],"with":[277],"view":[279],"patients.":[285],"Future":[286],"importance":[292],"on\u2013the-job":[294],"training":[295],"for":[296],"effective":[297],"sector.":[304]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2020-04-17T00:00:00"}