Janitorial Services of Tertiary Care Hospitals, a Critical Analysis

  • Nafeesa Khan Army Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Naila Azam Foundation University Medical College, Islamabad Pakistan
  • Asima Shahzad AArmy Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Mommana Ali Rathore Army Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Syed Fawad Mashhadi Army Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Naseer Alam Tariq Army Medical College/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Keywords: Hospital environment, Infection control and disinfectants, Janitorial service, Training

Abstract

Objective: To identify the existing system of janitorial services in the army hospitals, and to give recommendations for standardized policy formulation in military hospitals.

Study Design: Cross-sectional study.

Place and Duration of Study: Tertiary Care Hospitals, namely Hospital A, B and C, at Rawalpindi Pakistan, from Oct 2019 Jan 2020.

Methodology: Responses from 401 Healthcare Administrators (HCAs), Nurses and Janitorial staff were collected through a validated questionnaire, and hospitals' documents/ SOPs, cleaning audit reports, feedback process documents, communication mechanisms and training schedules were reviewed.

Results: Out of 401 respondents, the majority were females (54.4%, 5 were HCAs, 143 were Nurses, and 70 were Janitorial staff). The availability of SOPs was associated with cleaning functional areas of hospitals (p=0.001). Awareness of the risk of infection among healthcare workers was associated with Hepatitis B vaccination (p=0.03). Knowledge of hospital areas regarding cleanliness among hospital workers was linked to providing cleanliness training according to job requirements (p=0.001).

Conclusion: Hospital A performed admirably in most areas but was found to need more human resources, with staff shortages, high turnover, and a lack of adherence to SOPs. To achieve optimum performance, existing and emerging technology must be integrated with sanitary worker preparation and career development; costs must be reduced.
Keywords: Hospital environment, Infection control and disinfectants, Janitorial service, Training

 

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Published
2023-03-13
How to Cite
Khan, N., Azam, N., Shahzad, A., Rathore, M., Mashhadi, S., & Tariq, N. (2023). Janitorial Services of Tertiary Care Hospitals, a Critical Analysis. Pakistan Armed Forces Medical Journal, 73(1), 302-05. https://doi.org/10.51253/pafmj.v73i1.7510
Section
Original Articles

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