Muthuri Rose Nabi Deborah Karimi, Senkubuge Flavia, Hongoro Charles
School of Health Systems and Public Health (SHSPH), Faculty of Health Sciences, University of Pretoria, Pretoria 0028, South Africa.
Developmental, Capable and Ethical State Division, Human Sciences Research Council (HSRC), Pretoria 0001, South Africa.
Healthcare (Basel). 2021 Mar 18;9(3):350. doi: 10.3390/healthcare9030350.
Hospitals play a significant role in health systems. Studies among the health workforce have revealed their experiences with mental health challenges. In comparison, there is limited literature on their positive mental health. The purpose of this study was to explore senior managers' experiences with health status, happiness, and motivation in hospitals and the perceived impact on the health system in Kenya. This qualitative study applied a phenomenological research design. Senior managers within the hospital management teams were selected using purposive sampling. Semi-structured interviews were carried out among senior managers across eleven hospitals in Meru County, Kenya. Among the eleven participants 63.6% were female and 36.4%, were male and the mean age was 44.5 years. The audio-taped data were transcribed and analyzed using Colaizzi's phenomenological approach. The five themes revealed were: (1) Happiness in the health system; (2) Health status in the health system; (3) Motivation in the health system; (4) Challenges in the health system; (5) Possible solutions to the challenges in the health system. This study revealed the positive and negative impact of the three domains, challenges, and solutions, from the senior managers' perspective. Healthy, happy, and motivated senior managers and healthcare workers are more responsive and perform better. Policy interventions and programs promoting happiness, health status, and motivation are necessary for strengthening the health workforce and health system.
医院在卫生系统中发挥着重要作用。对卫生工作者的研究揭示了他们在心理健康方面的经历。相比之下，关于他们积极心理健康的文献有限。本研究的目的是探讨肯尼亚医院高级管理人员在健康状况、幸福感和工作积极性方面的经历，以及他们认为对卫生系统的影响。这项定性研究采用了现象学研究设计。通过目的抽样法选取医院管理团队中的高级管理人员。对肯尼亚梅鲁县11家医院的高级管理人员进行了半结构化访谈。11名参与者中，63.6%为女性，36.4%为男性，平均年龄为44.5岁。对录音数据进行转录，并采用科莱齐的现象学方法进行分析。揭示的五个主题是：(1)卫生系统中的幸福感；(2)卫生系统中的健康状况；(3)卫生系统中的工作积极性；(4)卫生系统中的挑战；(5)卫生系统中挑战的可能解决方案。本研究从高级管理人员的角度揭示了这三个领域、挑战和解决方案的积极和消极影响。健康、快乐且积极主动的高级管理人员和医护人员反应更迅速，表现也更好。有必要实施政策干预和项目来促进幸福感、健康状况和工作积极性，以加强卫生人力和卫生系统。
