Pub Date : 2024-05-06DOI: 10.4038/sljma.v24i2.5420
R. Sabhapathige, L. Anuradha, D. Deerasinghe, H. Ubeysekara, N. Ubeysekara, S. Kumari
Background: Government hospitals in Sri Lanka offer all services free of charge including the patient diet. Currently patient care services are affected by increasing health care cost in state hospitals. Cost cutting measures are essential in health care management in public sector without sacrificing the standards of care provision. Analysing hospital diet costs is crucial to figuring out how to save indirect operating costs while maintaining service quality and standards.Objective: To determine the cost of diet for patients and staff in the Teaching Hospital, Karapitiya.Methods: A descriptive cross-sectional study was carried out retrospectively to determine the cost of patient and staff diet. The step-down costing method was used in this study, and secondary data was collected from kitchen records, the diet branch and the finance branch during the month of August 2023.Results: The total expenditure for the diet during the period was 9,864,157 LKR and per unit cost was 182.76 LKR to provide diet for patients and staff. The cost of breakfast, lunch and dinner was, 117 LKR, 225.39 LKR and 179.5 LKR respectively.Conclusion: The unit cost for diet was higher compared to previous Sri Lankan hospital study findings but lower than the present market price. Separate registers to record capital items and consumables are recommended to determine the diet cost in future and for the interventions to improve quality and reduce the cost.
{"title":"Cost of patient and staff diet in Teaching Hospital Karapitiya, Galle","authors":"R. Sabhapathige, L. Anuradha, D. Deerasinghe, H. Ubeysekara, N. Ubeysekara, S. Kumari","doi":"10.4038/sljma.v24i2.5420","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5420","url":null,"abstract":"Background: Government hospitals in Sri Lanka offer all services free of charge including the patient diet. Currently patient care services are affected by increasing health care cost in state hospitals. Cost cutting measures are essential in health care management in public sector without sacrificing the standards of care provision. Analysing hospital diet costs is crucial to figuring out how to save indirect operating costs while maintaining service quality and standards.Objective: To determine the cost of diet for patients and staff in the Teaching Hospital, Karapitiya.Methods: A descriptive cross-sectional study was carried out retrospectively to determine the cost of patient and staff diet. The step-down costing method was used in this study, and secondary data was collected from kitchen records, the diet branch and the finance branch during the month of August 2023.Results: The total expenditure for the diet during the period was 9,864,157 LKR and per unit cost was 182.76 LKR to provide diet for patients and staff. The cost of breakfast, lunch and dinner was, 117 LKR, 225.39 LKR and 179.5 LKR respectively.Conclusion: The unit cost for diet was higher compared to previous Sri Lankan hospital study findings but lower than the present market price. Separate registers to record capital items and consumables are recommended to determine the diet cost in future and for the interventions to improve quality and reduce the cost.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"45 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141009279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-06DOI: 10.4038/sljma.v24i2.5432
K. W. R. Wimalagunarathne, U. G. G. Chaminda, K. Withanachchi
Background: The handing over and taking over process is the transfer of professional responsibility and accountability for some or all aspects of care for new person or team at the change of shift from the outgoing worker/s to the incoming worker/s. It is a vital and effective communication essential to maintain patient safety and quality of care.Objective: To assess and improve the knowledge, attitudes and practices on shift handover of nursing officers at Neonatal Intensive Care Unit (NICU), Teaching Hospital Karapitiya.Methods: Descriptive cross-sectional study was conducted among all registered Nursing officers at NICU, TH Karapitiya, using a self-administered questionnaire, an observational checklist and key informant interviews from 03rd to 31st of January 2022. Awareness enhancing discussions and a self-assessment check list of shift handover of nursing officers were introduced and implemented to streamline the process.Results: The level of the knowledge on shift handover/ taking over is below the expected value (58%). Mistakes/errors in some aspects of patient handover practices were observed by a checklist. Improvements were observed.Conclusion: Level of the knowledge on shift handover/ taking over is below the expected standard. Mistakes/errors in some aspects of patient handover practices were observed. A Self-assessment check list of shift handover of nursing officers could be utilized to mitigate handing-over errors and to provide quality and safe health care service.
{"title":"Assessment to improve the Knowledge, Attitude and Practices of Nursing Officers on Shift Handover at Neonatal Intensive Care Unit, Teaching Hospital, Karapitiya","authors":"K. W. R. Wimalagunarathne, U. G. G. Chaminda, K. Withanachchi","doi":"10.4038/sljma.v24i2.5432","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5432","url":null,"abstract":"Background: The handing over and taking over process is the transfer of professional responsibility and accountability for some or all aspects of care for new person or team at the change of shift from the outgoing worker/s to the incoming worker/s. It is a vital and effective communication essential to maintain patient safety and quality of care.Objective: To assess and improve the knowledge, attitudes and practices on shift handover of nursing officers at Neonatal Intensive Care Unit (NICU), Teaching Hospital Karapitiya.Methods: Descriptive cross-sectional study was conducted among all registered Nursing officers at NICU, TH Karapitiya, using a self-administered questionnaire, an observational checklist and key informant interviews from 03rd to 31st of January 2022. Awareness enhancing discussions and a self-assessment check list of shift handover of nursing officers were introduced and implemented to streamline the process.Results: The level of the knowledge on shift handover/ taking over is below the expected value (58%). Mistakes/errors in some aspects of patient handover practices were observed by a checklist. Improvements were observed.Conclusion: Level of the knowledge on shift handover/ taking over is below the expected standard. Mistakes/errors in some aspects of patient handover practices were observed. A Self-assessment check list of shift handover of nursing officers could be utilized to mitigate handing-over errors and to provide quality and safe health care service.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"39 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141010734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-06DOI: 10.4038/sljma.v24i2.5429
R. P. Weliwita, S. S. Dolamulla
Background: The significance of janitors in elevating the quality of hospital environments is paramount. Assessment of Job Satisfaction among janitorial staff in healthcare institutions is a multifaceted inquiry that encapsulates both the well-being of the workforce and its consequential impact on the quality of healthcare delivery [1]. In the context of two prominent tertiary care hospitals situated in the Kandy District, Sri Lanka, this academic article navigates through the nuanced dimensions of job satisfaction among janitorial staff and its intrinsic relationship with overall hospital performance.Objective: To assess the job satisfaction and performance of janitorial staff in two tertiary care hospitals in Kandy district, Sri Lanka.Methods: The study adopts a robust mixed-methods approach, combining descriptive cross-sectional analysis and qualitative methods, offering comprehensive insights into the nuanced dimensions of janitorial services. The demographic analysis provides a foundation, revealing key factors influencing job satisfaction, including gender distribution, age representation, income categories, and educational background.Results: The detailed statistical analysis, presented in Table 4, uncovers positive perceptions among janitorial staff across various dimensions, such as facilities, colleague support, and overall job satisfaction. Colleague support emerges as a notable strength, contributing to a positive work environment, and indicating potential for enhancing teamwork. The findings not only provide a benchmark for local contexts but also contribute to the global discourse on job satisfaction in healthcare services. The research highlights the significance of addressing unique challenges faced by janitorial staff, filling a crucial gap in the literature.Conclusion: The study offers practical implications for hospital administrators, policymakers, and researchers. By leveraging identified strengths and addressing specific areas for improvement, interventions can be implemented to enhance the well-being and performance of janitorial staff. This research not only addresses immediate challenges in the Kandy District but also contributes valuable insights to the broader discussion on job satisfaction in healthcare, paving the way for future research and interventions globally.
{"title":"An Assessment of Job Satisfaction of Janitorial Staff in Two Tertiary Care Hospitals in Kandy District, Sri Lanka","authors":"R. P. Weliwita, S. S. Dolamulla","doi":"10.4038/sljma.v24i2.5429","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5429","url":null,"abstract":"Background: The significance of janitors in elevating the quality of hospital environments is paramount. Assessment of Job Satisfaction among janitorial staff in healthcare institutions is a multifaceted inquiry that encapsulates both the well-being of the workforce and its consequential impact on the quality of healthcare delivery [1]. In the context of two prominent tertiary care hospitals situated in the Kandy District, Sri Lanka, this academic article navigates through the nuanced dimensions of job satisfaction among janitorial staff and its intrinsic relationship with overall hospital performance.Objective: To assess the job satisfaction and performance of janitorial staff in two tertiary care hospitals in Kandy district, Sri Lanka.Methods: The study adopts a robust mixed-methods approach, combining descriptive cross-sectional analysis and qualitative methods, offering comprehensive insights into the nuanced dimensions of janitorial services. The demographic analysis provides a foundation, revealing key factors influencing job satisfaction, including gender distribution, age representation, income categories, and educational background.Results: The detailed statistical analysis, presented in Table 4, uncovers positive perceptions among janitorial staff across various dimensions, such as facilities, colleague support, and overall job satisfaction. Colleague support emerges as a notable strength, contributing to a positive work environment, and indicating potential for enhancing teamwork. The findings not only provide a benchmark for local contexts but also contribute to the global discourse on job satisfaction in healthcare services. The research highlights the significance of addressing unique challenges faced by janitorial staff, filling a crucial gap in the literature.Conclusion: The study offers practical implications for hospital administrators, policymakers, and researchers. By leveraging identified strengths and addressing specific areas for improvement, interventions can be implemented to enhance the well-being and performance of janitorial staff. This research not only addresses immediate challenges in the Kandy District but also contributes valuable insights to the broader discussion on job satisfaction in healthcare, paving the way for future research and interventions globally.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"5 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141010827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-30DOI: 10.4038/sljma.v23i0.5403
T. Sasikumar, N. Mayuran, K. Dharshini, S. Sasikumar
{"title":"Assessment of Leprosy Training Program for Medical Officer in Eastern Province","authors":"T. Sasikumar, N. Mayuran, K. Dharshini, S. Sasikumar","doi":"10.4038/sljma.v23i0.5403","DOIUrl":"https://doi.org/10.4038/sljma.v23i0.5403","url":null,"abstract":"","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"330 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127570855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-30DOI: 10.4038/sljma.v23i0.5406
P. Jayasundara, A. Abeynayake, D. H. Liyanage
{"title":"Assessment of Healthcare Waste Management Practices of Divisional Hospitals in Colombo District, Sri Lanka","authors":"P. Jayasundara, A. Abeynayake, D. H. Liyanage","doi":"10.4038/sljma.v23i0.5406","DOIUrl":"https://doi.org/10.4038/sljma.v23i0.5406","url":null,"abstract":"","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132157062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-30DOI: 10.4038/sljma.v23i0.5404
S. Ranasinghe, A. Gunawardena, L. Panapitiya, Malkanthi Galhena, Asela Anthony
{"title":"Effective Consultation for Primary Care Settings","authors":"S. Ranasinghe, A. Gunawardena, L. Panapitiya, Malkanthi Galhena, Asela Anthony","doi":"10.4038/sljma.v23i0.5404","DOIUrl":"https://doi.org/10.4038/sljma.v23i0.5404","url":null,"abstract":"","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127890698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-30DOI: 10.4038/sljma.v23i0.5398
M. Samarakoon
{"title":"Emergency Care Gap Analysis in Health Care Institutions, Western Province","authors":"M. Samarakoon","doi":"10.4038/sljma.v23i0.5398","DOIUrl":"https://doi.org/10.4038/sljma.v23i0.5398","url":null,"abstract":"","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122350603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-30DOI: 10.4038/sljma.v23i0.5400
H. Attanayake, A. Wijewickrama, M. Karunaratne
{"title":"Arresting an Outbreak of a Pan Resistant Organism in the COVID-19 Intensive Care Unit (ICU) of the National Institute of Infectious Diseases, Angoda - “Back to Basics”","authors":"H. Attanayake, A. Wijewickrama, M. Karunaratne","doi":"10.4038/sljma.v23i0.5400","DOIUrl":"https://doi.org/10.4038/sljma.v23i0.5400","url":null,"abstract":"","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"2010 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133116503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-30DOI: 10.4038/sljma.v23i0.5407
S. Thantreege, K. T. Samararathna
{"title":"Assessment of Knowledge, Attitudes, and Practices on Infection Control Among Nursing Officers at Lady Ridgeway Hospital for Children","authors":"S. Thantreege, K. T. Samararathna","doi":"10.4038/sljma.v23i0.5407","DOIUrl":"https://doi.org/10.4038/sljma.v23i0.5407","url":null,"abstract":"","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124462581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-30DOI: 10.4038/sljma.v23i0.5409
K. Arachchi, J. Jayasinghe
{"title":"The Impact of Job Characteristics on Job Satisfaction Among Junior Medical Administrators in the Ppublic Health Sector of Sri Lanka","authors":"K. Arachchi, J. Jayasinghe","doi":"10.4038/sljma.v23i0.5409","DOIUrl":"https://doi.org/10.4038/sljma.v23i0.5409","url":null,"abstract":"","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"242 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123114695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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