Nexus Between Employee Motivation and Performance of Level Four Government Hospitals in Kenya: Moderating Effect of Stakeholder Engagement

This study sought to examine the relationship between employee motivation and performance of Level Four Government hospitals in Kenya. The study was guided by Two Factor Theory, Resource Based View and Stakeholder Theory. The paper reviews literature on adoption of stakeholder engagement in the relationship between employee motivation and performance of hospitals. This paper adopted positivism view with the aim of predicting and generalizing about the moderating role of stakeholder engagement on the relationship between employee motivation and performance of Level 4 hospitals in Kenya. This study employed a sequential explanatory design. The adopted design enabled for triangulation of quantitative results and qualitative findings. The paper targeted 104 Level Four government hospitals. The study used primary data. Primary data was obtained from the selected respondents using structured questionnaires. Descriptive analysis was used to analyze quantitative data through tabulations, percentages and measure of central tendency. The study results indicated that a unit increase in employee engagement raises the performance of Level Four government hospitals by 0.804. The study findings also indicated an enhancing type of moderation since the R square increased from 72.7% to 80.2% and 86.1% after the interaction term. The paper recommends that new regulations be developed to ensure that stakeholders are involved in decision-making and that programmes are linked to stakeholders in order to improve the Performance of Level Four government hospitals. The study also recommends that Level Four government hospitals' top management create policies that forbid friendships, conversations, employee interactions, and the exchanging of ideas. The workplace should be enjoyable and provide possibilities for open communication, brainstorming, and discussion.