Abstract:
Abstract
Background: The perception of healthcare professionals towards organizational leadership has a
significant impact on the success of healthcare reform implementation. At the organizational
level, clinical personnel is currently confronted with distortive incentive systems, ineffective
management practices, and unattractive work environments. This results in a fluctuation in the
perception of the health system. Few studies have been conducted in Ethiopia to assess
healthcare professionals’ perceptions towards institutional leadership.
Objective: To assess and determine factors affecting the perception of healthcare professionals
towards hospital leadership at the University of Gondar Comprehensive Specialized Hospital,
Gondar, Ethiopia, 2022.
Methods: An institutional-based cross-sectional with a mixed method was conducted from May
28 to June 10, 2022. A total of 571 randomly selected participants were participated in this study.
Data were collected by using a structured self-administered questionnaire. The data were
analyzed using Stata version 14. Multiple linear regression was conducted to identify factors
significantly associated with the perception of healthcare professionals towards hospital
leadership. ?-coefficient with 95% CI and p-value < 0.05 were used to determine the factors
associated with the outcome variable. For the qualitative study, a total of 5 participants were
involved in IDI. TCA of the interviews was performed using Open Code software version 4.02.
Results: This study showed that the percentage mean score of HCPs' perception towards hospital
leadership was 47.8% (95% CI: (44.3, 52.2)). Net monthly salary (? = -0.13; 95% CI: (-0.24, 0.02)),
work experience (? = 0.10; 95% CI: (0.001, 0.19)), laboratory professionals (? = -0.26,
95% CI: (-0.50, -0.02)), midwifery professionals (? = -0.37; 95% CI: (-0.59, -0.14)),
environment (? = 0.34; 95% CI (0.26, 0.41)), infrastructure (? = 0.22; 95% CI: (0.15, 0.29)) and
job satisfaction (? = 0.19; 95% CI: (0.09, 0.28)) were significantly associated factors with the
perception of healthcare professionals towards hospital leadership.
Conclusion and recommendation: In this study, the percentages mean score of HCPs
perception towards hospital leadership was low. Therefore, the hospital should improve work
experience, job title, job satisfaction, environment, and infrastructure to enhance their perception.
Keywords: Healthcare professionals, Perception, Institutional Leadership, Ethiopia.
