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Table 5 Overview of single HRM practices in relation to performance outcomes

From: The effect of human resource management on performance in hospitals in Sub-Saharan Africa: a systematic literature review

Authors, year, country

HRM practices

Employee outcome

Team outcome

Organizational outcome

Patient outcome

MMAT Score

1. Training and education

 Ajayi, 2013, Nigeria [75]

training nurses on computer-skills

  

improved efficiency

–

***

 Eygelaar & Stellenberg, 2012, S.Africa [94]

training on nursing care

  

improved quality of care

–

****

 Issahaku et al., 2012, Ghana [100]

training (clinical and administrative staff)

improved performance

  

–

****

 Jacobs & Roodt, 2008, S.Africa [102]

knowledge sharing organizational culture /learning practice among professional nurses

reduced turnover intention

  

–

****

 Esan et al., 2014, Nigeria [148]

training residence doctors

improved job satisfaction

  

–

***

 Letlape et al., 2014, S.Africa [150]

in-service training on confidence building

  

improved quality of care

–

**

 Mduma et al., 2015, Tanzania [155]

simulation training on delivery and neonatal care

   

decreased mortality

**

 Bergman et al., 2008, Tanzania [146]

trauma team training of physicians and nurses

improved job satisfaction

improved team performance

 

–

*

 Uys et al., 2005, S.Africa [166]

training on supportive supervision

improved job satisfaction

 

improved quality of care

–

**

 Crofts et al., 2015, Zimbabwe [172]

onsite-team training on obstetric emergency care

 

improved team performance in clinical practices

 

improved maternal deaths

**

2. Salary and compensation

 Aberese-Ako et al., 2014, Ghana [69]

incentives /monthly transport allowances

improved performance

  

–

****

 Nwude & Uduji, 2013, Nigeria [120]

fair and adequate compensation

improved job performance

  

–

**

 Atambo et al., 2013, Kenya [83]

implementing incentive systems

improved performance

 

improved efficiency of service delivery

–

***

 Ashmore & Gilson, 2015, S. Africa [80]

additional wage incentives for specialists

improved retention

  

–

****

3. Rostering and scheduling

 McIntosh & Stellenberg, 2009, S. Africa [154]

implementing staff control strategy/scheduling/ to control moonlighting

turnover intention continued (not improved)

 

improved quality of care

–

**

 Nyathi & Jooste, 2008, S. Africa [121]

managing reutilization and workload

reduced absenteeism among nurses

  

–

***

 Osisioma et al., 2015, Nigeria [122]

implementation of flexible working arrangements

improved performance

  

–

**

 Rispel et al., 2014, S.Africa [126]

managing rostering & scheduling to control moonlighting

reduced intention to leave

  

–

****

4. Task shifting

 Ferrinho et al., 2015, Mozambique & Zambia [95]

task shifting practice

  

reduced staff shortage and improved quality of care

–

***

 Jennings et al., 2011, Benin [103]

task shifting practices for lay nurse aides

  

improved efficiency of health care

–

**

 Olson et al., 2014, Malawi [161]

task shifting in patient triage and treatment

  

improved quality of care

reduced inpatient mortality

***

 Sanjana et al., 2009, Zamia [164]

task shifting for lay counselors

  

reduced staff shortage, reduced rate of errors and

–

**

 Galukande et al., 2013, Uganda [96]

task shifting (surgical) practice

  

improved staff shortage

decreased mortality

****

 O’Malley et al., 2014, Namibia [162]

task shifting from doctors to nurses

  

improved quality of service

–

***

5. Managing employees

 Nigussie & Demissie, 2013, Ethiopia [158]

leadership styles of nurse managers

increased job satisfaction

  

–

****

 Okurame, 2009, Nigeria [160]

mentoring practices

improved job satisfaction

  

–

****