The Role of Leadership Support for Career-Inclusion in Service-Delivery at Level-6 Hospitals in Kenya
Abstract
Work plays a critical role in life satisfaction for employees with disability. Career-inclusion facilitates them in service-delivery through capacity-adjusted deployment, empowerment, and job match. Leadership support for career-inclusion had not been researched and its influence on service-delivery from employees with disability in level-6 hospitals in Kenya, thus this research. The objective was to establish the influence of career-inclusion on service-delivery at level-6 hospitals in Kenya. It was cross-sectional research, using two questionnaires and an observation checklist. The target populations were 229 employees with disability and 229 supervisors sampled by census from five purposively selected hospitals. Data analysis was done using SPSS version 29 and N-Vivo version 15 for quantitative and qualitative data, respectively, and Pearson’s correlation coefficients and ANOVA to test associations and hypotheses, with a cut-off of p-value < 0.05 indicating significance. The response rate for employees with disability was 211 (92.1%) and 196 (85.6%) for supervisors. Career-inclusion contributes 46% (R².460) positive change in service-delivery with an F statistic of 151.472 and a significant p-value of 0.000 < 0.05. being greater than the critical value of 3.909 at a significant p-value of 0.000 <0.05. Thus, the null hypothesis, ‘career-inclusion has no significant influence on service-delivery at level-6 hospitals in Kenya,’ was rejected. A respondent with disability said, “…my deployment was adjusted…capacity initially… I have since been transferred…I am not happy…I have not been promoted for a long time…there is no work-adjusted hours or schedules…some tasks allocated are okay, but others cause…strain…” In conclusion, employees with disability are uniquely talented and have potential that can be exploited through leadership support for career-inclusion, backed by evidence to dissipate misconceptions. Career-inclusion has a positive influence on service delivery from employees with disability. Leaders need to improve career-inclusion by addressing the paucity of timely data, barriers to inclusion, and providing evidence to showcase the contributions of employees with disability and the importance of offering them support. Intentional regular creation of awareness is invaluable.
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Anand, P., & Sevak, P. (2017). The role of workplace accommodations in the employment of people with disabilities. IZA Journal of Labor Policy, 6(1), 12. https://doi.org/10.1186/s40173-017-0090-4
Ananian, S., & Dellaferrera, G. (2024). A study on the employment and wage outcomes of people with disabilities. ILO. https://doi.org/10.54394/YRCN8597
Baldwin, M. L., & Schumacher, E. J. (2002). A Note on Job Mobility Among Workers with Disabilities. Industrial Relations: A Journal of Economy and Society, 41(3), 430–441. https://doi.org/10.1111/1468-232X.00255
Bonaccio, S., Connelly, C. E., Gellatly, I. R., Jetha, A., & Martin Ginis, K. A. (2020). The Participation of People with Disabilities in the Workplace Across the Employment Cycle: Employer Concerns and Research Evidence. Journal of Business and Psychology, 35(2), 135–158. https://doi.org/10.1007/s10869-018-9602-5
Booker, Q. S., Austin, J. D., & Balasubramanian, B. A. (2021). Survey strategies to increase participant response rates in primary care research studies. Family Practice, 38(5), 699–702. https://doi.org/10.1093/fampra/cmab070
Bureau of Labor Statistics. (2025). Persons with a disability: labor force characteristics-2023. Accessed: May. 5th, 2025: https://www.bls.gov/news.release/disabl.nr0.htm
Dong, S., Eto, O., & Spitz, C. (2021). Barriers and facilitators to requesting accommodation among individuals with psychiatric disabilities: A qualitative approach. Journal of Vocational Rehabilitation, 55(2), 207–218. https://doi.org/10.3233/JVR-211157
Gréaux, M., Moro, M. F., Kamenov, K., Russell, A. M., Barrett, D., & Cieza, A. (2023). Health equity for persons with disabilities: A global scoping review on barriers and interventions in healthcare services. International Journal for Equity in Health, 22(1), 236. https://doi.org/10.1186/s12939-023-02035-w
Gutterman, A. (2023). Addressing the Human Rights Challenges of Older Persons with Disabilities. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4504570
Holt, S., Osborne‐Martin, E., & Scott, S. (2024). Disability inclusion in the workplace: A conversation on equity for disabled employees within the university publishing sphere. Learned Publishing, 37(S1), e1642. https://doi.org/10.1002/leap.1642
Ijar, P., & Pielago, Ed. D, M. (2020). Competitiveness in office work of employees with disability in relation on the productivity in the workplace. International Journal of Advanced Research, 8(11), 873–881. https://doi.org/10.21474/IJAR01/12085
Jagoe, C., McDonald, C., Rivas, M., & Groce, N. (2021). Direct participation of people with communication disabilities in research on poverty and disabilities in low and middle income countries: A critical review. PLOS ONE, 16(10), e0258575. https://doi.org/10.1371/journal.pone.0258575
Jansen, J., Van Ooijen, R., Koning, P. W. C., Boot, C. R. L., & Brouwer, S. (2021). The Role of the Employer in Supporting Work Participation of Workers with Disabilities: A Systematic Literature Review Using an Interdisciplinary Approach. Journal of Occupational Rehabilitation, 31(4), 916–949. https://doi.org/10.1007/s10926-021-09978-3
Karuga, R., Dieleman, M., Mbindyo, P., Ozano, K., Wairiuko, J., Broerse, J. E. W., & Kok, M. (2023). Community participation in the health system: Analyzing the implementation of community health committee policies in Kenya. Primary Health Care Research & Development, 24, e33. https://doi.org/10.1017/S1463423623000208
Kulkarni, M., & Gopakumar, K. V. (2014). Career Management Strategies of People With Disabilities. Human Resource Management, 53(3), 445–466. https://doi.org/10.1002/hrm.21570
Lee, J., Meijer, E., Phillips, D., & Hu, P. (2021). Disability Incidence Rates for Men and Women in 23 Countries: Evidence on Health Effects of Gender Inequality. The Journals of Gerontology: Series A, 76(2), 328–338. https://doi.org/10.1093/gerona/glaa288
Lyons, B. J., Baldridge, D. C., Yang, L.-Q., & Bryan, C. (2023). Disability Severity, Professional Isolation Perceptions, and Career Outcomes: When Does Leader–Member Exchange Quality Matter? Journal of Management, 01492063221143714. https://doi.org/10.1177/01492063221143714
Lyubykh, Z., Turner, N., Weinhardt, J. M., Davis, J., & Dumaisnil, A. (2025). Facilitating Mental Health Disclosure and Better Work Outcomes: The Role of Organizational Support for Disclosing Mental Health Concerns. Human Resource Management, hrm.22310. https://doi.org/10.1002/hrm.22310
Meacham, H., Bartram, T., & Cavanagh, J. (2020). Career Management: The Transition Process for Workers with Disability. In S. L. Fielden, M. E. Moore, & G. L. Bend (Eds.), The Palgrave Handbook of Disability at Work (pp. 99–114). Springer International Publishing. https://doi.org/10.1007/978-3-030-42966-9_6
Meyer, V. M., Benjamens, S., Moumni, M. E., Lange, J. F. M., & Pol, R. A. (2022). Global Overview of Response Rates in Patient and Health Care Professional Surveys in Surgery: A Systematic Review. Annals of Surgery, 275(1), e75– e81. https://doi.org/10.1097/SLA.0000000000004078
Okoroafor, S. C., Kwesiga, B., Ogato, J., Gura, Z., Gondi, J., Jumba, N., Ogumbo, T., Monyoncho, M., Wamae, A., Wanyee, M., Angir, M., Almudhwahi, M. A., Evalyne, C., Nabyonga-Orem, J., Ahmat, A., Zurn, P., & Asamani, J. A. (2022). Investing in the health workforce in Kenya: Trends in size, composition and distribution from a descriptive health labour market analysis. BMJ Global Health, 7(Suppl 1), e009748. https://doi.org/10.1136/bmjgh-2022-009748
Ratchasuda College, Mahidol University, Thailand, Cheausuwantavee, T., Keeratiphanthawong, S., & NISECorp S.E. Co. Ltd., Thailand. (2021). Employment for Persons with Disabilities in Thailand: Opportunities and Challenges in the Labor Market. Journal of Population and Social Studies, 29, 384–400. https://doi.org/10.25133/JPSSv292021.024
Rathiram, V., Neilson, L. O., Kassim, A. S., Mokone, W. T., & Green, C. C. (2022). Communication experiences of healthcare students whilst managing adults with communication disorders. South African Journal of Communication Disorders, 69(1). https://doi.org/10.4102/sajcd.v69i1.870
Scherer, N., Banda-Chalwe, M., Chansa-Kabali, T., Nseibo, K., Seketi, Q. E., McKenzie, J., & Smythe, T. (2024). Disability Research in Zambia: A Scoping Review. Scandinavian Journal of Disability Research, 26(1). https://doi.org/10.16993/sjdr.1095
Schloemer-Jarvis, A., Bader, B., & Böhm, S. A. (2022). The role of human resource practices for including persons with disabilities in the workforce: A systematic literature review. The International Journal of Human Resource Management, 33(1), 45–98. https://doi.org/10.1080/09585192.2021.1996433
Shahidi, F. V., Jetha, A., Kristman, V., Smith, P. M., & Gignac, M. A. (2023). The Employment Quality of Persons with Disabilities: Findings from a National Survey. Journal of Occupational Rehabilitation, 33(4), 785–795. https://doi.org/10.1007/s10926-023-10113-7
Ssemata, A. S., Smythe, T., Sande, S., Menya, A., Hameed, S., Waiswa, P., Bannink, F., & Kuper, H. (2024). Exploring the barriers to healthcare access among persons with disabilities: A qualitative study in rural Luuka district, Uganda. BMJ Open, 14(11), e086194. https://doi.org/10.1136/bmjopen-2024-086194
Teame, K., Debie, A., & Tullu, M. (2022). Healthcare leadership effectiveness among managers in Public Health institutions of Addis Ababa, Central Ethiopia: A mixed methods study. BMC Health Services Research, 22(1), 540. https://doi.org/10.1186/s12913-022-07879-6
Teborg, S., Hünefeld, L., & Gerdes, T. S. (2024). Exploring the working conditions of disabled employees: A scoping review. Journal of Occupational Medicine and Toxicology, 19(1), 2. https://doi.org/10.1186/s12995-023-00397-z
Tinta, N., Steyn, H., & Vermaas, J. (2020). Barriers experienced by people with disabilities participating in income-generating activities. A case of a sheltered workshop in Bloemfontein, South Africa. African Journal of Disability, 9. https://doi.org/10.4102/ajod.v9i0.662
Vornholt, K., Villotti, P., Muschalla, B., Bauer, J., Colella, A., Zijlstra, F., Van Ruitenbeek, G., Uitdewilligen, S., & Corbière, M. (2018). Disability and employment – overview and highlights. European Journal of Work and Organizational Psychology, 27(1), 40–55. https://doi.org/10.1080/1359432X.2017.1387536
Watkins, M. W. (2018). Exploratory Factor Analysis: A Guide to Best Practice. Journal of Black Psychology, 44(3), 219–246. https://doi.org/10.1177/0095798418771807
Weaver, L., Beebe, T. J., & Rockwood, T. (2019). The impact of survey mode on the response rate in a survey of the factors that influence Minnesota physicians’ disclosure practices. BMC Medical Research Methodology, 19(1), 73. https://doi.org/10.1186/s12874-019-0719-7
Copyright (c) 2025 Christine Mwikali Musee, PhD, Paul Kariuki, PhD, Magdalene Ndeto, PhD
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