TD- Doctor of Philosophy Theses and Dissertations (PhD)
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Item INFLUENCE OF STRATEGIC PLANNING AND HUMAN CAPITAL PARTICIPATION ON THE PERFORMANCE OF COMMERCIAL BANKS IN KENYA(KENYATTA UNIVERSITY, 2025-02-06) WANJAU, JACKSONNumerous extant studies linking strategic planning and organizational performance abound, but non- focused on the effect of human capital participation in such a relationship. Moreover, none of the studies focused on the Kenya’s banking industry context. Thus a study towards determining the nature of relationship among the three constructs in Kenyan banks was thoughtful. The purpose of this study was to examine the influence of strategic planning and human capital participation on organization performance in Kenya’s commercial banks. The study was guided by the following specific objectives: Establish the relationship between strategy formulation and performance of Kenya’s commercial banks, establish the relationship between strategy implementation and performance of Kenya’s commercial banks, to ascertain the effects of control systems on performance of Kenya’s commercial banks, to investigate the effects of leadership and management participation and involvement in the strategic planning process on performance of commercial banks in Kenya, and to investigate the effects of employee participation and involvement in the strategic planning process on performance of commercial banks in Kenya. In this study descriptive research design, was used as the framework for analysis of data. The population of the study comprised of all 43 commercial banks in Kenya. Stratified random sampling technique was used because Kenyan banks are in different stages of development and exhibit high level of diversity in aspects such as ownership and leadership. The researcher used a questionnaire as a primary data collection instrument. Data for this study was quantitative hence descriptive statistics and inferential statistics were employed in data analysis. To establish the relationships between variables the researcher used Pearson’s Product Moment Correlation Coefficient (r), and multiple linear regressions. Performance of the banks is done through the use of both financial and non-financial measures with the inclusion of the employees in strategy evaluation and has indicated improvement in the banks’ profitability. Currently, the management’s efforts in controlling the strategic implementation strategy have resulted to the banks’ assets growth, growth of the bank’s market shares and launch of new products. Above 90% of the banks’ performance can be explained by the influence of the strategic planning and human capital participation in strategic planning. These variables have shown strong positive correlation with the performance of the banks. Thus, increasing either of the variables will result to a corresponding increase of the banks’ performance. However management and leadership participation and involvement was found to have very minimal influence on the strategic planning process. The study recommends a need to implement a system of corporate governance for banks, in the form of a template on which banks should base the development of their own control systems. The banking supervisors should provide guidance to banks on sound strategic planning and proactive practices that should be in place. The researcher recommends further studies to be undertaken focusing on influence of management and leadership participation and involvement in strategic planning process and their influence in the performance of the banks to validate these findings.Item A MODEL OF NURSING CARE FOR CANCER PAIN MANAGEMENT AMONG ADULT PATIENTS AT GARISSA COUNTY REFERRAL HOSPITAL(2018-09-01) Affey, FatumaCancer pain is a complex feeling due to sensory and emotional hostile experiences linked with a negative impact on the quality of life of patients. More than 50% of patients with cancer complain of pain hence the need for nursing care model for pain management. Cancer pain in Garissa is a concern due to the limited access to pain management in healthcare facilities. The pastoral lifestyle of the communities exacerbates it.The nursing care model is tailored for such a unique lifestyle in the provision of holistic pain management that is assumed to cultivate care of patients at Garissa County. Phase one was a descriptive exploratory study design. A mixed method approach was utilised to recruit participants that include 94 cancer patients, 84 clinical nurses and 15 critical informants for this study. Various sampling procedures, including random, purposive and snowball sampling were employed to recruit all study participants voluntarily. Modified Brief Pain Inventory (MBPI) tool combined with focus group discussion was used to obtain data from cancer patients. ECOG performance status was also utilised to assess the functional disease progress. Questionnaires were randomly administered to all clinical nurses and Key informants caring for cancer patients to ascertain their knowledge, practice and availability of pain control medications. Descriptive statistics, Chi-square and linear regression, analysed the quantitative information while qualitative data was analysed through the categorisation of themes, a cluster of themes and direct quotes of participants. The sample population was 188 participants. Cancer patients had mean age 51year with composition of 44.7 % (42) male and 55.3% (52) female. Prevalence of cancer pain was at 78 % (73) with intensity ranging from moderate to severe. A total of 78 % (66) of clinical nurses indicated had no tool for pain assessment, 83.2 %( 70) of them did not know how to utilise WHO analgesic ladder. Majority of patients 82 %( 78) were on incorrect WHO analgesic ladder for pain management with negative PMI (p-value < 0.05) of under treatment. Majority of patients considered alternative treatment for cancer pain such as Quran recitation and Somali herbs accounting for 65% (61) and 77.6% (73) respectively. Almost all KI 93% (14) indicated the inadequate availability of pain medication. Phase two entailed the development of “Xanuun” nursing care model for pain management and pre-testing of the same from expert opinion and nurse managers GCRH. Findings from experts showed that 80% of respondents agreed that the developed model captured the challenges of cancer pain management and 60% of them predicted that the model could be utilised. However, 100% of the experts suggested that the model will bring a positive change, though 90% of them upheld that there will be potential challenges of implementing such a model. This study revealed a high prevalence of cancer pain due to under treatment and inaccessibility of pain medication associated with the dynamic of a nomadic lifestyle. The study found limited knowledge and negative attitude among clinical nurses at GCRH. Thus, recommends the need to implement contextual “Xannun” Nursing Care model at GCRH, for a better approach of cancer pain managementCollection Collection