Factors Affecting Performance of Nurses at Selected Health Facilities: A Cross-Sectional Study in Eritrea

Author(s): Tecle Haile Hagos, Senait Abraham Tesfamichael, Henok Afewerki Kidane, Yonatan Mehari Andemeskel

Background: The quality of health services provision depends on the availability of skilled, competent health professionals. Performance of professional nurses is closely related to the quality and productivity of health care provision. This study is conducted with the aim of assessing the factors that affect the performance of nurses at the selected health facilities of Eritrea.

Methods: This was a descriptive cross sectional study design conducted among 270 nurses working at different health settings. A structured questionnaire was used to collect the data. Descriptive statistics for the demographic data, independent sample t-test, one-way and factorial ANOVA, Pearson’s correlation coefficient, and mediation analysis were used to analyse the data. Statistical significance level was set at p<0.05.

Results: This study found out that with increased age and years of experience, the performance of nurses also increases (p<0.001). Nurses working in health stations and health centers where found with higher performance than those working at the community and the national referral hospital (p value & p trend <0.001). Furthermore, having clear mission and goals, and ensuring reward and recognition had significant correlation with performance (p-value<0.001). In addition, the total effect of management style on performance was positive and significant (βc =0.351, 95%CI: 0.282-0.420, p-value<0.001). This effect was significantly mediated by commitment and satisfaction (βa*b = 0.076, Boot strapped 95%CI=0.043-0.117).

Conclusions: Over all in this study, it is concluded that the view on performance was significantly related to mission and goals, reward and recognition, commitment and satisfaction as well as management style.