##plugins.themes.bootstrap3.article.main##

TZ LEAH JOSHUA TZ Hezron Onyancha TZ A. Lamu Amos Amembah https://orcid.org/0000-0002-8584-8945

Abstract

This study aimed to assess the effects of work systems on employee performance at Mawenzi Regional Referral Hospital in Moshi, Tanzania. The study was grounded in the Competing Values Framework (CVF), the study employed a convergent research design under mixed method approach, combining quantitative and qualitative approaches. The study population comprised 400 employees, using a Yamane formula (1967) a sample size of 200 healthcare workers (doctors and nurses) selected through stratified random sampling and 5 key management personnel chosen via purposive sampling. Primary data was collected using questionnaires for healthcare workers and interview guide for management. Validity and reliability were ensured through expert evaluation and Cronbach’s Alpha (α = 0.79). Quantitative data was analyzed using descriptive analysis via SPSS version 22, while qualitative data was analyzed through contextual analysis. Ethical considerations, including confidentiality and informed consent, were strictly adhered to. The findings revealed that work systems have moderate effect on employee performance with a total mean score of 3.5, with resource availability, communication efficiency, training adequacy, and procedural clarity emerging as key determinants. The study concluded that optimizing work systems through improved resource allocation, streamlined workflows, and enhanced training can boost employee performance and organizational effectiveness. It is recommended that public hospitals particularly Mawenzi Regional Referral Hospital should take deliberate steps to improve their work systems by addressing critical gaps identified in resource provision. Therefore, improving resource allocation and capacity-building efforts with departmental needs is essential.

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

How to Cite
JOSHUA, L., Onyancha, H., & Amembah, A. L. A. (2025). Effects of Work Systems on Employee’s Performance at Mawenzi Regional Referral Hospital in Moshi, Tanzania. Community Development Journal, 9(3). https://doi.org/10.33086/cdj.v9i3.8029
Section
Articles
Work systems, employee performance, public hospitals, Competing Values Framework

References

Abukhader, K., & Onbaşıoğlu, D. (2021). The effects of total quality management practices on employee performance and the effect of training as a moderating variable. Uncertain Supply Chain Management, 9(3), 521-528.

Chilongola, M., Mwakatobe, K., & Juma, E. (2021). The impact of work systems on employee performance in Tanzanian public hospitals. Journal of Healthcare Management, 10(3), 214-228. doi:10.1016/j.jhcm.2021.06.009

Inegbedion, H., Inegbedion, E., Peter, A., & Harry, L. (2020). Perception of workload balance and employee job satisfaction in work organisations. Heliyon, 6.

Ismail, A., Awawdeh, A., Al-Hiyari, A., & Jimba, K. (2020). Moderating Effects of Management Philosophy on High-Performance Work Practices–Firm Performance Relationship. Journal of African Business, 22, 379 - 393. https://doi.org/10.1080/15228916.2020.1785235

Jančiauskaitė, O., & Lalienė, R. (2023). The Impact of High-Performance Work System Practices on Employee Performance. Management/Vadyba (16487974), 39(1).

Jatoi, S., Shah, S., Shah, A., & Channar, S. (2024). A nexus among high performance work systems, employee engagement, perspective-taking, trust in leader and organisational innovation: an insight from developing country. Journal of health organization and management, 38 6, 821-842.

Kibera, F., & Tuwai, B. (2022). Organizational work systems and their effect on employee productivity in healthcare. East African Journal of Business and Economics, 12(1), 102–118.

Kim, S., Lee, H., & Park, J. (2021). Work system structure and employee performance in South Korean public sector hospitals. Asian Journal of Public Health, 8(2), 154-169. doi:10.1080/22349785.2021.902313

Kloutsiniotis, P., & Mihail, D. (2020). The effects of high-performance work systems in employees’ service-oriented OCB. International Journal of Hospitality Management, 90, 102610 - 102610.

Leonard, K. L., Masatu, M. C., & Vialou, A. (2022). Getting doctors to do their best: The roles of ability and motivation in health care. Journal of Human Resources, 47(4), 947–967. https://doi.org/10.3368/jhr.47.4.947

Lupenza, E., Kilima, F., & Kumburu, N. (2024). Performance appraisal mechanism and employee productivity in public hospitals in Mbeya – Tanzania: the mediating roles of working environment and management style. LBS Journal of Management & Research.

Mhechela, J., Mbao, E., Yusuf, D., & Waziri, T. (2020). The Relationship between Work Stress and Employees’ Performance in Public Health Sectors: A Case of Mbeya Regional Hospital, Tanzania. The International Journal of Humanities & Social Studies.

Miller, A., Thompson, G., & Davis, K. (2022). Inadequate work systems and employee burnout in healthcare: A longitudinal study in the United States. Journal of Health Administration Research, 12(1), 56-74. doi:10.1177/23250682.2022.1171192

Mnzava, A. B., Mwakisole, A. H., & Mwaisaka, J. M. (2024). Non-standard working practices and nurses’ job performance: Experience from public hospitals in Tanzania. International Journal of Research and Innovation in Social Science, 8(2), 90–98. https://www.researchgate.net/publication/380437400

Msuya, M. S., & Kumar, A. B. (2022). The role of supervisor work-life support on the correlation between work autonomy, workload and performance: perspective from Tanzania banking employees. Future Business Journal, 8(1), 26.

Mtweve, A., & Ntui, P. (2023). The Effect of Long Working Hours as the Source of Stress on Employee Task Performance at a Teaching Referral Hospital in Nyamagana District, Mwanza-Tanzania. Journal of Purchasing, Logistics and Supply Chain Management System.

Mwakiluma, L. A. (2024). The effects of management control systems on local government authorities’ employee performance in Tanzania. International Journal of Development and Management Review, 19(1), 121-139.

Mwanza, J., & Mbilinyi, D. (2023). Organizational work systems and employee efficiency in Tanzanian public health facilities. East African Journal of Public Health, 9(5), 329-344. doi:10.1002/eajph.2023.05

Mwita, K., & Andrea, P. (2020). Assessment of employee performance management in Tanzania public health facilities. Journal of Management and Research, 6, 169-173.

Nnko, E. (2024). Non-standard Working Practices and Nurses’ Job Performance: Experience from Public Hospitals in Tanzania. African Journal of Empirical Research.

Nnko, S. A., Mwakalebela, A. M., & Wambura, L. M. (2020). Workload and employee performance in regional referral hospitals in Tanzania. The Strategic Journal of Business & Change Management, 6(4), 132–146. https://www.strategicjournals.com/index.php/journal/article/view/1333

Okereke, L., & Asha,, B. (2022). Effect of Non-Monetary Rewards on Employees’ Performance in Mount Meru Referral Hospital in Arusha, Tanzania. Volume 2, Issue 4.

Padamata, K., & Vangapandu, R. (2023). High-performance work systems and employee attitudes: evidence from Indian healthcare industry. International Journal of Productivity and Performance Management

Qureshi, S. F., & Tasneem, K. A. (2021). High-Performance Work System & Employee Performance in Public Sector: Testing the Mediating Effect of Job Engagement.

Umar, T., Yammama, B., & Shaibu, R. (2020). The Implications of Adopting and Implementing Electronic Human Resource Management Practices on Job Performance. **, 8, 96. https://doi.org/10.11648/J.JHRM.201200802.17

Wali, A., Muthuveloo, R., Teoh, A., & Wali, W. (2022). Disentangling the relationship between employees’ dynamic capabilities, innovative work behavior and job performance in public hospitals. International Journal of Innovation Science.

Wang, Z., Xing, L., & Zhang, Y. (2021). Do high-performance work systems harm employees’ health? An investigation of service-oriented HPWS in the Chinese healthcare sector. The International Journal of Human Resource Management, 32, 2264 - 2297.

Yohana, E. C. (2023). Investigation of the Role of Leadership on Employee Performance in Tanzania: A Case of Government and Private Organizations in Moshi Municipality (Doctoral dissertation, The Open University of Tanzania).

Ministry of Health and Social Welfare. (2019). Staffing levels for Ministry of Health and Social Welfare departments, health service facilities, health training institutions and agencies: 2014–2019 (Revised). Government of the United Republic of Tanzania. https://www.moh.go.tz

LEAH JOSHUA, MWENGE CATHOLIC UNIVERSITY

Hezron Onyancha, MWENGE CATHOLIC UNIVERSITY

A. Lamu Amos Amembah, MWENGE CATHOLIC UNIVERSITY