STREET LEVEL BUREAUCRATS’ JOB SATISFACTION AND PROVISION OF NURSING HEALTH CARE SERVICES ARE AMONG NURSES IN HOSPITALS IN SIAYA COUNTY

Abstract

The purpose of this abstract was to espouse the contribution anchored by good terms and conducive working environment in place within the street level bureaucracy among nurses in a Siaya County Hospitals. This article took street level bureaucracy to be observable phenomenon describing a public health entity with adequate functional facilities, good conducive working environment, terms and conditions of service empowering nurses to have job satisfaction. Research employed qualitative and quantitative methodology to explain and describe impacts and the influences nurses provided on the realization of optimal care service by realizing their satisfaction in the job they discharge in health facilities domiciled in Siaya County. The study targeted the population of 500 nurses in level four and level five from Siaya Sub County comprising Alego Usonga, Gem, Bondo, Ugenya, Rarieda, and Ugunja respectively. Self-administered questionnaire were used as the instruments for the research for collecting the primary data while internet data bank, electronic source, webs were used as the instruments for collecting the secondary data beside the research articles in periodical, books, book section, journals, reports, magazines, newsprint, among others. Nurses in most Siaya health care systems at time of study in 2022/23 constituted majority component of the frontline nursing staff comprising 70% female and 30% males with majority of nurses professionally constituting (73%) diploma holders (22%) degree holders (3%) post graduate while (1%) doctorate decrying staff shortage at higher levels. The demographic distribution of nurses in health facilities by age revealed that major workforce to be 26-40 years with those aging between 26 – 30 years being the majority workforce. The study revealed and observed that the nursing space in Siaya County is mainly female dominated with ratio of 0.7:0.3 care to the clientele. Attributes that nurses require constitute good work environment, terms and conditions of service that satisfies fairly the general desires of the nurse shape contributions accorded by nursing frontline works in the provision of care service in an atmosphere that promote job satisfaction in service provision in the health facility. The finding further demonstrated operation of two third principle elucidated in constitution of Kenya (CoK, 2010 & PSC 2016). Good terms and conducive work environment strengthen nurse productivity to attainment of health policy goals, enhancement of nurse morale to exploit their professional diligence potential meeting public expectations and reinforce their personal and professional growth and esteem and ensuring their safety as they interact closely with the clientele.