THE CAUSES AND EFFECT OF CRISIS IN NIGERIAN TEACHING HOSPITAL

CHAPTER ONE

INTRODUCTION

BACKGROUND OF THE STUDY

The role of efficient health management in human health and development cannot be over emphasized Nwokolo (1997) has stressed the need to involve good management practices in health care delivery in Nigeria. The federal, state, and Local governments are all committed at last in principals to the goal of achieving good health care for all the citizens by the year 2000?

In Nigeria health care sector different categories of hospital exist. These are the referred to a hospital the general hospital, the federal medical centers, specialist hospital, teaching and other medical institutions like the non governmental or private hospital. Currently there are teaching hospitals in almost every state of the federation. The activities of these teaching hospitals can broadly be classified into three training services, and research. In order to carry out these three activities, teaching hospital work in close collaboration with the federal ministry of health, the hospital broad, and the associated university. In any Nigerian teaching hospital four main categories of staff are usually available and these are medical staff or doctors, the paramedical staff, the scientists, the basic facilities such as space, administrative support, engineering and ensure continuous and effective delivery of hospital service. In spite of the above framework, poor management has been identified as one of the major problem militating against efficient health service in Nigeria (Abuja Health Summit 1995) this is also the case in other countries of the world where hospital administrators are usually faced with management problem. because of the growing need it has been highlighted that conflict management is an important aspect policy in Nigeria (Unity Annual Bulletin 1997)

1.1 STATEMENT OF THE PROBLEM

One of the basic management problems in hospital has been external or land internal conflict. This the enduring challenge for hospital management is how to carry out effective administration in this special environment so as to maximize efficiency and minimize waste. The incidence of conflict in hospital amenities a proper investigation into the organization framework and function of the Nigeria hospital system. Here the teaching hospitals are point of focus.

1.2 OBJECTIVE OF THE STUDY

The objectives of the study are as follows:
To examine the type of crises in the university of Nigeria teaching hospital UNTH Enugu.
To examine the causes of crises in university teaching hospital Enugu with a view to determine its impact on efficiency of the hospital.
To investigate how crises is managed in university of Nigeria teaching hospital and the and its effect.
To make recommendations based on the above findings.

1.3 RESEARCH QUESTION

1) How does the crisis affect the management of the hospital?
2) What are the problems encountered by staffs?
3) How does the staffs needs identified?
4) What are the set up of Nigerian teaching hospital?

1.3 HYPOTHESIS

The incidence of crises in the university of Nigeria teaching Hospital is a function of clash between individual goals and organizational goal. Limited amount of scarcity of resources interdependence of work activities difference in individual value and perception organizational ambiguity individual lifestyle.
The current or existing method of crises management in the university of teaching hospital contributes positively to organization performance.

1.4 SIGNIFICANCE OF THE STUDY

The concept of organizational crises with the Nigerian teaching Hospital and the general hospital at large has become a dilapidating and a controversial issue. To this effect, this research work will be of great significance in setting these controversial issue since it is aimed at analyzing the source, causes, type and effect of organizational crises. The finding of this research will also be of great help to future researcher who will intend using it as a point of references. Though the research work will be carried within the university of Nigeria teaching hospital, the finding can vividly be applied to all organization with the globe.

1.5 DEFINITION OF TERMS

CRISES: This can be seen as the reason why something happens, the sources of the problem something that is produced by an agent as a statue, then the material causes is the substance or material that constitutes the statue, the formal causes is the pattern or blueprint determining the form of the result and final cause is that of for the sake of which the result is produced i.e the end towards which the production is enough in such a case their wider applicability is much more doubtful.
EFFECT: The change or impact cause on something by somebody or something brought about by a cause or agent a result the power to produce an outcome or achieve a result: influence. The drug had immediate effect on the pain. The government’s action had no effect on the trade imbalance. A scientific law, hypothesis, or phenomenon. The photovoltaic effect, something that produces a specific impression or supports a general design or intension. The righting effect emphasized the harsh atmosphere of the drama, particular impression, large window that gave an effect of spaciousness.
The basic or general meaning, import He said he was greatly worried, or words to the effect movable belonging goods.
ORGANIZATION: It can be seen as group of people identified by a shares interest or purpose the act of process of organizing the state or manner of being organized a high degree of organization something made up elements with varied function that contribute to the whole and to collective functions; an organism a group of persons or organized for a particular purpose; an association a benevolent organization structure through which individual co-operate systematically to conduct business. The administration personal of such a structure.
CRISES: This is defined as a disagreement of clash between ideas, principles of people.

REFERENCE

Argyris C. 1957: personality and organization conflict, between systems and the individuals. New York Harper and piom publishers.

Bean J.J and Laliberly R.1990 decentralizing hospital management, a manual for supervisor- London Addison wesley publication, company management today: Canada: John wiley and sons inc.

Danmar, C.R, 1992: introduction to management New York: Harper Collins publisher Inc.

Feldman, D.C and Arnold, H.J 1983: managing individual and group Behavior in organization: Boston: Harvard Business school publication.

Glueck, R.W 1977: management: Illinois: the Dryllan press.

Griffin, R.W 1990: management: Boston: Houghton Mifflin company.