Professional Development Opportunities and Nurse Performance in Level 4 Public Hospitals in Uasin Gishu County, Kenya

Authors

  • Gladys Nafula Wasike The Catholic University of Eastern Africa
  • Dr. Pamela Eng’airo The Catholic University of Eastern Africa
  • Dr. Nehemiah Kosgei The Catholic University of Eastern Africa

DOI:

https://doi.org/10.53819/81018102t70118

Abstract

Professional development is the key to maintaining nursing competence and supporting effective performance in the growingly complex hospital environment. The study focused on the correlation between professional development opportunities and level of nurse performance in the level four public hospitals of Uasin Gishu County, Kenya. Professional development opportunities were codified in terms of availability of training, access to continuing education, mentorship, equality in access to professional development activities and the alignment of professional development activities with professional performance. Nurse performance was measured in terms of efficiency, effectiveness, timeliness, responsiveness, achievement of expected targets and quality of care. This study used a positivist philosophy and explanatory cross sectional design. A sample of 157 respondents was selected from a target population of 258 respondents, which were purposively selected from fourteen Level 4 public hospitals. 145 questionnaires were returned, for a response rate of 92.4%. The descriptive statistics, Pearson correlation and simple linear regression analyses were used. Professional development opportunities (M = 4.03, SD = 0.34) and performance of nurses (M = 4.02, SD = 0.35) were found to be favourable. Professional development opportunities were positively and significantly correlated with nurse performance (r = .624, p < .001). The results of simple linear regression indicated that PD accounted for 38.9% of the variance in nurse performance (R² = .389, B = .633, p < .001), thus the null hypothesis was rejected. The study findings indicate that professional development in the form of structured and equitable opportunities is a key organizational context factor that is related to improved nurse performance. Continuing professional development, mentorship and equal access to learning opportunities should be ingrained in public hospitals as a standard practice and development activities should be linked with clinical and career needs.

Keywords: professional development opportunities, nurse performance, continuing professional development, mentorship, Level 4 public hospitals, Uasin Gishu County

Author Biographies

Gladys Nafula Wasike, The Catholic University of Eastern Africa

School of Business and Economics, The Catholic University of Eastern Africa

Dr. Pamela Eng’airo , The Catholic University of Eastern Africa

Lecturer, School of Business and Economics, The Catholic University of Eastern Africa

Dr. Nehemiah Kosgei, The Catholic University of Eastern Africa

Lecturer, School of Business and Economics, The Catholic University of Eastern Africa

References

Almarwani, A. M., & Alzahrani, N. S. (2023). Factors affecting the development of clinical nurses' competency: A systematic review. Nurse Education in Practice, 73, 103826.

County Government of Uasin Gishu. (2025). Uasin Gishu County Statistical Abstract 2025. County Government of Uasin Gishu.

Gwadoya, W. K., & Otsyulah, J. (2023). The influence of career development strategy on employee performance of Level Five hospitals in Kenya: The case of Vihiga County Referral Hospital. European Journal of Human Resource Management Studies, 7(1), 212-224.

Kiptulon, E. K., Elmadani, M., Onchuru, M. P., Szőllősi, A., Zrínyi, M., & Ujváriné Siket, A. (2025). Retaining nurses in Sub Saharan Africa: A systematic review and meta analysis. International Journal of Nursing Sciences, 12(3), 301-309.

Lerotholi, M., & Bezuidenhout, A. (2023). Nursing profession in Africa: A study on work engagement and talent management practices in South Africa. Public Health Challenges, 2(2), e87.

Mashedi, F. M., & Munene, L. (2025). Reward management practices and medical practitioners' performance in Kenyatta National Hospital, Nairobi City, Kenya. The Strategic Journal of Business & Change Management, 12(3), 628-649.

McKenna, L., Sommers, C. L., Reisenhofer, S., Mambu, I. R., McCaughan, J., & Belihu, F. B. (2022). Professional development needs of registered nurses in Indonesia: A cross sectional study. Nurse Education Today, 119, 105543.

Ministry of Health. (2023). Health Labour Market Analysis for Kenya. Ministry of Health, Kenya.

Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses' continuing professional development, a metasynthesis of the literature. BMC Nursing, 20, 62.

Hagrass, H. M., Ibrahim, S. A. E. A., Anany, R. I. E. S., & El-Gazar, H. E. (2023). Effect of an educational program about mentorship competencies on nurse mentors’ performance: A quasi-experimental study. BMC Nursing, 22, 429.

Hakvoort, L., Dikken, J., Cramer-Kruit, J., Molendijk-van Nieuwenhuyzen, K., van der Schaaf, M., & Schuurmans, M. (2022). Factors that influence continuing professional development over a nursing career: A scoping review. Nurse Education in Practice, 65, 103481.

Ministry of Health. (2026). Kenya strengthens investment in nursing workforce to advance quality healthcare. Government of Kenya.

Nursing Council of Kenya. (2025). A continuous professional development uptake model for nurses and midwives in Kenya (Policy Brief No. 002/2025). Nursing Council of Kenya.

Odhiambo, R. A., Marwa, I. N., & Gitonga, L. K. (2024). Effectiveness of training on uptake of continuous professional development among nurses and midwives in clinical practice: Meru County, Kenya. International Journal of Professional Practice, 12(5).

World Health Organization. (2025). State of the world’s nursing 2025: Investing in education, jobs, leadership and service delivery. World Health Organization.

Muchibi, W. M., Mutua, S. M., & Juma, D. (2022). Influence of career development on employee engagement in the public health sector in Kenya. International Academic Journal of Human Resource and Business Administration, 4(1), 297-327.

Griffiths, P., & Dall’Ora, C. (2023). Nurse staffing and patient safety in acute hospitals: Cassandra calls again? BMJ Quality & Safety, 32(5), 241–243.

World Health Organization. (2026). Nursing and midwifery. World Health Organization.

Njeri, W. J., & Kepha, O. (2021). Effect of career development on employee performance at the Aga Khan University Hospital. Human Resource and Leadership, 1(1), 17-24.

Roza, N., Supriyati, Y., & Kadir. (2022). The effect of organizational culture, career development remuneration and job satisfaction on nurse performance in regional general hospital in Batam Embung Fatimah City. International Journal of Human Capital Management, 6(1), 38-53.

Saunders, M., Lewis, P., & Thornhill, A. (2019). Research methods for business students (8th ed.). Pearson.

Shikuku, D. N., Nyaoke, I., Maina, O., Eyinda, M., Gichuru, S., Nyaga, L., Iman, F., Tallam, E., Wako, I., Bashir, I., Allott, H., & Ameh, C. (2022). The determinants of staff retention after Emergency Obstetrics and Newborn Care training in Kenya: A cross sectional study. BMC Health Services Research, 22, 872.

Van Biljoen Mokhotla, C. L., & Makhene, A. (2023). Career advancement of professional nurses at a regional hospital in Gauteng. Curationis, 46(1), a2453.

Van Eerde, W., & Thierry, H. (1996). Vroom's expectancy models and work related criteria: A meta analysis. Journal of Applied Psychology, 81(5), 575-586.

Vroom, V. H. (1964). Work and motivation. John Wiley & Sons.

Yamane, T. (1967). Statistics: An introductory analysis (2nd ed.). Harper & Row.

Downloads

Published

2026-09-24

How to Cite

Wasike, G. N., Eng’airo, P., & Kosgei, N. (2026). Professional Development Opportunities and Nurse Performance in Level 4 Public Hospitals in Uasin Gishu County, Kenya. Journal of Human Resource & Leadership, 10(3), 1–17. https://doi.org/10.53819/81018102t70118

Issue

Section

Articles