THE CAUSES AND EFFECT OF CRISES IN NIGERIAN TEACHING HOSPITAL

CHAPTER ONE
INTRODUCTION
BACKGROUD OF THE STUDY
The role of efficient health management in human health mand development cannot be over emphasized Nwokolo <1997> has stressed the need to involve good management practices in health care delivery in Nigeria. The thieetier of government 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 frame work, poor management has been identified as one of the major problem militating against efficient health service in Nigeria this is also the case in other countries of the would 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
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 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 life style.
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.
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