Agency : Housekeeping Services, Quality Assurance, Hospital Care
Objective : This study was carried
out in order to assess the existing practices
of housekeeping in the District
Hospital at Karauli
and to examine the efficiency of housekeeping staff or quality of their working.
Background : Housekeeping services
in a hospital is entrusted with maintaining a hygienic and clean hospital environment conducive
to patient care. The housekeeping related
activities have a direct effect on the
health, comfort and morale of the patient,
staff and visitors and are
an important public relations variable.
It is an essential ingredient in the provision of quality assurance of hospital care.
Methodology : A sample
of 11 in-house housekeeping staff (providers) was interviewed using a
structured questionnaire to evaluate their awareness about cleaning methods,
frequency of cleaning, BMW, their responsibilities in mass casualty
etc and to determine the training given to them and if they are getting
housekeeping material timely so that quality
of service is not affected.
A sample of 48 IPD patients/ attendants and 50 OPD patients/ attendants were also interviewed using a questionnaire to evaluate userís satisfaction
regarding the level of cleanliness and housekeeping services.
Findings : It was found that 55% knows the correct
method of sweeping a patientís room while only 27% knows
the correct method
of mopping. Only 9%answered
all the 5 questions related to BMW correctly
91% replied that they have got training on BMW
(it was 6 months before). 91%
replied that they got training on BMWonly
during their work in organization, no
other training was given. 67% answered that they didnít get equipments/ supplies
on time. A time-motion study
was done to determine the activity schedule of housekeeping staff at different
timings. It was found that
besides cleaning, they were also performing nursing activities and others (activities of ward boy etc)
A check list was prepared to further assess the training needs of
housekeeping staff to increase
their efficiency; the check list was filled
in by ward in charges (supervisors of housekeeping staff of their respective ward). Maximum
score (i.e. for the area in which
training is required immediately) was given to Induction training
and training on waste
disposal. Another check
list was prepared
to examine the existing
practices of housekeeping services by checking the system of record- keeping, training schedule, cleaning activities (performed or
not), and to determine if the existing system of supply of housekeeping material was working efficiently by checking the availability
of equipments/ supplies required
in cleaning procedures.
Recommendations : It proposes proper organization and planning of Housekeeping department with sufficient storage and work space, a system
to ensure availability of housekeeping material on time, an annual training
plan and its proper implementation, preparing housekeeping records and
monitoring of records and a
monitoring system to measure
the efficacy of housekeeping services .
to assess the existing practices of housekeeping in the District Hospital at Karauli and to examine the efficiency of housekeeping staff or quality of their working.