Abstract
Background: Total quality management (TQM) in any organization is a major determinant of efficient management of resources. In this era where hospitals provide the same type of services, it is only hospitals that have embraced TQM techniques that will survive. The study assessed the management preparedness to the implementation of TQM at University of Nigeria Teaching Hospital (UNTH) Ituku/ Ozalla from the Health workers perceptive. Methods: This study was a cross sectional descriptive study. Structured questionnaire was used to collect information on the demographic characteristics of the randomly selected staff of the UNTH and their assessment of UNTH under five major domains: organizational, interpersonal, facilities, environmental and economic. Focus group discussion was also used conducted among selected staff. Results: On influence of educational factors on level of response, the study showed it has no influence on staff awareness (p= 0.264) but it influenced quality of personnel (0.049), sufficient supervision (p = 0.039), feedback mechanism (p = 0.005) and record department being computerized (p = 0.04). Number of years on the job has influence on the availability of adequate resources (p = 0.027), quality of services (0.040) and record department being computerized (p = 0.041). On the influence of cadre, it showed that level of awareness was affected but quality of personnel (p = 0.014), quality of services (p = 0.019) and availability of functional diagnostic equipment (p = 0.027) was influenced. Conclusions: TQM have been shown to have improved the efficient management of resources with attendant maximization of output. It is important that management demonstrates commitment and provide enabling environment for its sustainability. Specifically, management should institute periodic performance measurement system and strengthen the training program in the hospital. There is a need to raise the awareness on the concept and develop methods and procedures in updating existing TQM guidelines.
Highlights
In the world, the changes and development occurring in both service and manufacturing sectors of the economies have resulted to a challenging and increasing competitive environment for them
The study shows that the management of University of Nigeria Teaching Hospital (UNTH) has not shown enough positive attitudes towards implementing the principles of Total quality management (TQM) in the hospital resulting from poor allocation of human and material resources to its implementation
Among the different components of TQM, the interpersonal factors were considered lacking in the hospital: this creates a need for the management and staff to revisit the concepts of TQM and review its implementation practices within the hospital
Summary
The changes and development occurring in both service and manufacturing sectors of the economies have resulted to a challenging and increasing competitive environment for them. This obvious growth in the service sector of the economy is expected to be followed by increase in the product marketing and management skill as well [2, 3] This growth is likely to affect internal workings and operations of organizations (e.g internal efficiency leading to increased productivity of labor and profits) and to the external operations of these organizations (e.g consumer behavior leading to customer satisfaction and loyalty); and a shift from a focus on organizational structure to a focus that will be on process [4, 5]. There is a need to raise the awareness on the concept and develop methods and procedures in updating existing TQM guidelines
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