Relationship between Workload And Work Engagement of Healthcare Workers in Public Level 5 Hospitals in Kiambu County, Kenya

Authors

  • Harrison Thumbi Kaburi St Pauls’ University Author
  • Mr. George Gachuru St Pauls’ University Supervisor
  • Dr. Jane Njenga, PhD St Pauls’ University Supervisor

DOI:

https://doi.org/10.5281/zenodo.23244380

Keywords:

Workload, Work Engagement, Healthcare Workers, Public Hospitals, Level 5 Hospitals, Kiambu County, Kenya

Abstract

Purpose of study:
The study aimed to establish the influence of workload on work engagement among healthcare workers in public level 5 hospitals in Kiambu County, Kenya. It specifically examined whether workload conditions, including staffing levels, patient assignments, shift length, overtime, rest periods, and duty distribution, were associated with healthcare workers’ levels of work engagement.

Methodology:
A correlational research design was employed among healthcare workers in three public level 5 hospitals in Kiambu County. The target population comprised 806 medical, clinical, and nursing officers, from whom 267 respondents were sampled. Data were collected using a structured digital questionnaire incorporating the Utrecht Work Engagement Scale (UWES-9) and analysed using SPSS version 29.

Findings:
The findings indicated relatively low work engagement among healthcare workers, particularly regarding vigour and absorption, although dedication and pride in work were comparatively stronger. Respondents reported substantial dissatisfaction with staffing levels, patient assignments, shift length, overtime, rest periods, and distribution of duties. Correlation analysis established a strong, negative, and statistically significant relationship between workload and work engagement (r = −.911, p < .001, N = 235). The findings demonstrate that increasing workload was associated with lower levels of work engagement. Workload therefore emerged as a critical barrier to healthcare workers’ engagement in public level 5 hospitals in Kiambu County.

Conclusion:
Workload significantly undermines work engagement among healthcare workers in public level 5 hospitals in Kiambu County. High workload was associated with lower engagement levels. The study recommends that the Kiambu County Government recruit additional healthcare personnel, address staffing shortages, reduce excessive workloads, and improve patient-to-staff ratios.

12 1

Downloads

Download data is not yet available.

Author Biographies

  • Harrison Thumbi Kaburi, St Pauls’ University

    Corresponding Author, Department of Business, School of business and leadership studies

  • Mr. George Gachuru, St Pauls’ University

    Department of Business, School of business and leadership studies

  • Dr. Jane Njenga, PhD, St Pauls’ University

    Department of Business, School of business and leadership studies

References

Abate, H. K., & Mekonnen, C. K. (2021). Job engagement and associated factors among health care professionals working in public health facilities in Ethiopia: a systematic review. Journal of multidisciplinary healthcare, 6(3), 821-830. https://doi.org/10.2147/JMDH.S300118

Aden, B. R. (2021). Factors influencing motivation and Work Engagement among healthcare workers at Garissa County Referral Hospital (Doctoral dissertation, Strathmore University). http://hdl.handle.net/11071/13303

Afulani, P. A., Nutor, J. J., Agbadi, P., Gyamerah, A. O., Musana, J., Aborigo, R. A., ... & Awoonor-Williams, J. K. (2021). Job engagement among healthcare workers in Ghana and Kenya during the COVID-19 pandemic: Role of perceived preparedness, stress, and burnout. PLOS Global Public Health, 1(10), e0000022. https://doi.org/10.1371/journal.pgph.0000022

Alkhateeb, M., Althabaiti, K., Ahmed, S., Lövestad, S., & Khan, J. (2025). A systematic review of the determinants of Work Engagement in healthcare workers in health facilities in Gulf Cooperation Council countries. Global Health Action, 18(1), 2479910. https://doi.org/10.1080/16549716.2025.2479910

Assele, D. D., Lendado, T. A., Ako, A. A., Ganta, A. G., Demissie, A. A., & Mohammed, Y. E. (2025). A systematic review and meta-analysis of job motivation and associated factors among health workers in Ethiopia. BMC Health Services Research, 25(1), 1270. https://doi.org/10.1186/s12913-025-13394-1

Deng, Q., Liu, Y., Cheng, Z., Wang, Q., & Liu, J. (2024). Global Work Engagement and fluctuation among community general practitioners: a systematic review and meta-analysis. BMC Health Services Research, 24(1), 378-401. https://doi.org/10.1186/s12913-024-10792-9

Hapsari, F. R. P., Murti, B., & Tamtomo, D. (2023). Meta Analysis of Factors Associated with Work Engagement in Health Workers. Journal of Health Policy and Management, 8(3), 214-223. https://doi.org/10.26911/thejhpm.2023.08.03.05

Isfahani, P., Poodineh Moghadam, M., Sarani, M., Bazi, A., Boulagh, F., Afshari, M., ... & Alvani, S. (2024). Job satisfaction among nurses in Eastern Mediterranean Region hospitals: a systematic review and meta-analysis. BMC nursing, 23(1), 812. https://doi.org/10.1186/s12912-024-02480-0

Kaushik, S., & Tiwari, P. K. (2023). Job Engagement: A Theoretical Foundation for Enhanced Perspective. International Journal Of Advance Research And Innovative Ideas In Education, 9(1). https://www.researchgate.net/publication/369188896_Job_Engagement_A_Theoretical_Foundation_for_Enhanced_Perspective

Kiiru, S. G., & Karanja, K. (2024). Job shadowing and employee performance at Kiambu County Level Five Hospitals; Kenya. The Strategic Journal of Business & Change Management, 11 (4), 307 – 320. https://www.strategicjournals.com/index.php/journal/article/view/3083

Kiptulon, E. K., Szőllősi, A., Miklós, Z., & Siket, A. U. (2025). Organisational Culture Predictors of Work Engagement Among Nurses in Kenya, Sub-Sahara Africa: A Cross-Sectional Study. Nursing open, 12(9), e70298. https://doi.org/10.1002/nop2.70298

Lidigu, L. (2025, July 9). Inside deal that ended Kiambu doctors’ 150-day strike. Nation Media Group. https://nation.africa/kenya/health/inside-deal-that-ended-kiambu-doctors-150-day-strike-5244162

Lifuleze, C. M., Muhonja, F. H., & Muchiri, J. (2025). Assessment of factors influencing Work Engagement among healthcare workers' in public hospitals in Nairobi County, Kenya. Ibom Medical Journal, 18(1), 114-122. https://doi.org/10.61386/imj.v18i1.597

Lolepo, W.I., Osung, G. A & Simiyu, B. D. (2025). Assess the Work Engagement Levels Among Healthcare Providers in Turkana County, Kenya. International Journal of Science, Architecture, Technology, and Environment, 2(11), 546-558. https://doi.org/10.63680/ijsate1125061.050

Maina, C. W. (2021). Compensation Strategies and Employee Work Engagement in the Health Sector in Kiambu County, Kenya (Doctoral dissertation, Kenyatta University). http://ir-library.ku.ac.ke/handle/123456789/23634

Maingi, J. M., Maroko, M. G., & Nyutu, J. G. (2025). Competence Needs Satisfaction and Vulnerability to Depression among Healthcare Workers in Kiambu Level 5 Hospital, Kenya. International Journal of Humanity and Social Sciences, 4(4), 1-20. https://doi.org/10.47941/ijhss.3319

Mbiyu, J. W. (2023). Assessing quality of primary healthcare services for the elderly in Kiambu County, Kenya (Doctoral dissertation, Strathmore University). http://hdl.handle.net/11071/13504

Ministry of Health (2023). Health Labour Market Analysis for Kenya. World Health organisation. https://www.afro.who.int/countries/kenya/publication/health-labour-market-analysis-kenya-2023

Ministry of Health. (2014). Kenya health policy 2014–2030: Towards attaining the highest standard of health. Government of Kenya. https://repository.kippra.or.ke/handle/123456789/4681

Mohamed, R. A., & Salih, O. (2024). Health Workers’ Work Engagement and Associated Factors at Public Primary Healthcare Centers in Hargeisa, Somaliland: A Cross‐Sectional Study. Advances in Public Health, 2024(1), 5532882. https://doi.org/10.1155/adph/5532882

Nyang'ori, F. (2021). Job engagement among healthcare professionals in selected public hospitals in Trans-Nzoia County, Kenya (Kenyatta University). http://ir-library.ku.ac.ke/handle/123456789/22700

Nyawira, L., Tsofa, B., Musiega, A., Munywoki, J., Njuguna, R. G., Hanson, K., ... & Barasa, E. (2022). Management of human resources for health: implications for health systems efficiency in Kenya. BMC health services research, 22(1), 1046. https://link.springer.com/article/10.1186/s12913-022-08432-1

Okoroafor, S. C., Kwesiga, B., Ogato, J., Gura, Z., Gondi, J., Jumba, N., ... & Asamani, J. A. (2022). Investing in the health workforce in Kenya: trends in size, composition and distribution from a descriptive health labour market analysis. BMJ global health, 7(Suppl 1), e009748. https://doi.org/10.1136/bmjgh-2022-009748

Rostami, F., Babaei-Pouya, A., Teimori-Boghsani, G., Jahangiri Mehr, A., Mehri, Z., & Feiz-Arefi, M. (2021). Mental workload and Work Engagement in healthcare workers: the moderating role of job control. Frontiers in public health, 9, 683388. https://doi.org/10.3389/fpubh.2021.683388

Tesema, M. B., Woldeamanuel, B. T., Lopiso, A. A., & Beyene, M. A. (2025). Job engagement and its associated factors among health care workers in Saint Paul’s Hospital Millennium Medical College, Ethiopia. PloS one, 20(6), e0326496. https://doi.org/10.1371/journal.pone.0326496

Walliman, N. (2021). Research methods: The basics. Routledge. https://doi.org/10.4324/9781003141693

World Health Organization. (2024, August 21). Why are so many health and care workers suffering poor mental health and what can be done about it? – Perspectives from Finland. WHO/Europe. https://www.who.int/europe/news-room/feature-stories/item/why-are-so-many-health-and-care-workers-suffering-poor-mental-health-and-what-can-be-done-about-it----perspectives-from-finland

Yasin, Y. M., Alomari, A., Al-Hamad, A., & Kehyayan, V. (2024). The impact of COVID-19 on nurses’ job engagement: a systematic review and meta-analysis. Frontiers in public health, 11, 1285101. https://doi.org/10.3389/fpubh.2023.1285101

Published

2026-10-09

How to Cite

Kaburi, H. T., Gachuru, G., & Njenga, J. (2026). Relationship between Workload And Work Engagement of Healthcare Workers in Public Level 5 Hospitals in Kiambu County, Kenya. Academic Journal of Humanities and Social Sciences Research, 3(2), 1-15. https://doi.org/10.5281/zenodo.23244380

Similar Articles

You may also start an advanced similarity search for this article.