scholarly journals Assessing Total Quality Management (TQM) Effect on Hospital Performance in Ghana Using a Non-Probabilistic Approach: The Case of Greater Accra Regional Hospital (GARH)

Metamorphosis ◽  
2020 ◽  
Vol 19 (1) ◽  
pp. 29-41
Author(s):  
Ronald Ebenezer Essel

Background: TQM has gained extensive prominence over the last few decades and continue to play a significant role in modern healthcare delivery. Objectives: The objective of this empirical inquiry is to explore the nexus between TQM critical success factors implementation and hospital performance by soliciting employee and patient’s views within the Ghanaian context, focusing on Greater Accra Regional Hospital, a prime provider of secondary public healthcare in Ghana. Methods: A cross-sectional approach (research design) was espoused for the study which made use of quantitative research techniques for its analysis. The study was based on self-answering structured (close-end) questionnaires completed by 250 respondents selected via convenient sampling. SPSS 25.0 was utilised for data analysis. Statistical analyses include descriptive statistics, principal component analyses, exploratory factor analyses with varimax rotation, reliability analyses, and multivariate regression analyses. Results: The study found significant positive relationships between all nine TQM constructs and hospital performance. Findings further revealed that the top management leadership construct contributed most to hospital performance, while training contributed least. Conclusion: The study made recommendations that have practical implications for hospital administrators/managers. In this circumstance, findings/recommendations established, should be considered crucial for hospital administrators/managers and policy makers when dealing with decisions affecting TQM assessment by exploring the potential practicability of the nine TQM critical success factors utilised in this study as a pertinent contrivance for initiating continuous service improvement in GARH in particular and Ghana’s public healthcare sector in general.

2019 ◽  
Vol 8 (4) ◽  
pp. 3704-3711

The focus of this article is to have a discussion on TQM implementation in the hospital sector and to find out the relationship between TQM practices and organization performance of hospitals. This research is based on literature review of Quality Management and various critical success factors namely leadership, communication, employee involvement, customer focus, organization culture, strategic planning and patient loyalty. This article has made an attempt to establish a positive relation between a second order construct of Total Quality Management and their influence on the organizational performance of hospitals in Punjab. The paper has been framed with a conviction that it may prove to be beneficial for academicians and managers to excavate a relationship between Total Quality Management practices and hospital performance. Although it is a commonly accepted belief that National Accreditation Board of Hospitals i.e. NABH accredited hospitals are quality oriented, still non-NABH hospitals can enhance their organization performance focusing on the critical factors and improving their quality. In this article structural equation modelling has been used to bring out a relation between quality practices and performance. In an original way this paper proposes the critical success factors affecting TQM and how the hospitals can improve their quality and ultimately organization performance including subjective and objective performance, by focusing on these measures. The article encourages reflections from managers and practitioners concerning Quality Management in hospital/healthcare sector. We request that medical practitioners follow the procedures for improvement in critical success factors affecting TQM and ultimately, enhancement in their quality management practices in order to achieve better organization performance.


2020 ◽  
Vol 41 (6/7) ◽  
pp. 545-563
Author(s):  
Edward Asante ◽  
Patrick Ngulube

PurposeThe purpose of this study is to investigate the critical success factors for total quality management implementation and implications for sustainable academic libraries in Ghana. This study is part of a PhD project that focussed on selected technical university libraries in Ghana.Design/methodology/approachThis study adopted a quantitative approach to collect the data. Samples of 124 participants were involved in this study. PLS-SEM (Smart PLS3) software was used to analyse the data. Convergent, discriminant validity assessment was computed. Eight variables of critical success factors were tested in relation to total quality management implementation at selected academic libraries in Ghana.FindingsThis study established that out of the eight variables tested, six of them (i.e. top management commitment, employee innovation employee training, organisational culture, teamwork and effective communication, quality performance) indicated a significant positive relationship with total quality management implementation apart from strategic planning and human resource management.Research limitations/implicationsThis study was limited to eight variables as the critical success factors mentioned in the previous paragraph. The use of one methodology might be a limitation as the use of multimethod might have given a more comprehensive picture than the case. This study was limited to only technical university libraries in Ghana hence caution must be exercised when applying the results to contextually different academic environments. The results are applicable to academic universities library in Ghana and beyond if they are adjusted to suit the context.Practical implicationsThis study is timely as it may lead to effective total quality management implementation and the sustainability of technical university libraries in Ghana and Africa in general.Originality/valueThe proposed model can be used to enhance the smooth implementation of total quality management in academic libraries in general and Ghana in particular. The framework is termed as Eddie and Pat's Achievement of Quality Performance (EPAfQP) model.


2014 ◽  
Vol 39 (1) ◽  
pp. 81-101 ◽  
Author(s):  
Reza Dabestani ◽  
Allahvirdi Taghavi ◽  
Mohammad Saljoughian

Total quality management (TQM), its components, techniques and principles are extensively accepted by scholars as a comprehensive philosophy for improving organizational performance (OP). Moreover, findings suggest that a prerequisite for successfully implementing TQM is exchanging knowledge in the organization. However, the number of studies addressing the mentioned issue is limited. Also, the nature of knowledge and its interactions with TQM are not properly investigated. Current study investigates the role of employees’ different forms of knowledge sharing appreciation in their tendency to use TQM critical success factors (CSFs). In order to do so, knowledge sharing was divided into two categories of explicit and tacit, and the employees of the IT department of one of the largest companies in Middle East were selected and grouped based on their knowledge sharing characteristics. Further, ten categories were identified for TQM CSFs, and the employees’ appreciation of CSFs were measured. The data were gathered through two questionnaires. Finally, the subjects were plotted and grouped using Tacit–Explicit Analysis. The results indicated that while both Tacit and Explicit knowledge sharing positively correlates with CSF appreciation, a simultaneous increase in both types can bear much fruitful positive results.


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