Njuangang, Stanley (2014) Raising the Profile of Facilities Management (FM) in Healthcare – Managing Performance of Infection Control. Doctoral thesis, University of Central Lancashire.
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Hospital-acquired infections (HAIs) are a major problem in the National Health Service (NHS) in the United Kingdom (UK). One reason for this is the failure of healthcare officials to tackle the root causes of HAIs. There is sufficient epidemiological evidence showing that HAIs can occur because of, inter alia, poor performance of Healthcare Maintenance (HM) services. Despite this link, HM has not received the level of attention it deserves from healthcare authorities. As a result, some HM managers do not measure the performance of HM services in infection control (IC). The aim of this research study therefore, is to improve the overall level of performance of HM services in the control of HAIs in the NHS. Hence, the adoption of six research objectives to identify the critical success factors (CSFs) and key performance measures in the control of maintenance-associated HAIs.
In addition to an in-depth literature review, a content analysis approach was adopted to establish the link between HM services and HAIs. Conversely, CSFs and performance measures in HM in IC were identified through the application of ground theory analysis. An exploratory case study was then conducted with two NHS trusts. The results of the exploratory case study revealed that some HM managers did not have the required knowledge to fulfil the research need of the study, i.e. development of the performance measurement system (PMS). Therefore, the Delphi approach was considered suitable to achieve the aforementioned need. In total, eight CSFs and fifty-three key performance measures are identified for reducing the burden of maintenance-associated HAIs in hospitals. For example, establishing clear lines of communication between the IC team and HM unit is crucial in the prevention of maintenance-associated HAIs in hospitals. Dust prevention is also identified by the healthcare experts as an important measure to prevent the transmission of maintenance-associated HAIs in high-risk patient areas.
Through the application of the Balanced Scorecard (BSC) approach, the CSFs and key performance measures were categorised into a performance matrix. The result was then used to develop a performance measurement system (PMS) to control maintenance-associated HAIs. Both performance tools i.e. the BSC matrix and PMS could be applied by HM managers to reduce rates of maintenance-associated HAIs in hospitals.
|Item Type:||Thesis (Doctoral)|
|Additional Information:||1. Njuangang, S., Liyanage, C.L. and Akintoye, A. (2013). A Methodological Approach to Identify Key Performance Indicators and Measures in Maintenance Services in Infection Control. In: AEI 2013: Building Solutions for Architectural Engineering. American Society of Civil engineers (ASCE), PP. 702-714. ISBN 978-07844-1290-9. 2. Njuangang, S., and Liyanage, C.L. (2010). A Critical Review of the Implication of Outsourcing in the National Health Services (UK): a Facilities Management Perspective, COBRA (The Human Dimension Session), Paris, September 2010. http://www.rics.org/site/download_feed.aspx?fileID=8092&fileExtension=PDF 3. Njuangang, S. and Liyanage, C. (2011), “Raising the Profile of Facilities Management in Healthcare – Through Better Management of Infection Control”, in Property and Project Management proceedings of the 10th International Postgraduate Research Conference in Salford, University of Salford 2011, pp. 323-336. 4. Njuangang, S. and Liyanage, C. (2011), “Key Considerations in the Strategic positioning of Maintenance Service in the Core Business Agenda of an Organisation – Healthcare Infection Control”, in the International Conference on Infrastructure Development in Africa, Kwame Nkrumah University of Science and Technology, Ghana. 5. Njuangang, S. Douglas, C.H. and Liyanage, C.L. 2010. Corporate Decision Making in the Implementation of EMSs: Key Drivers and Barriers, CIB World Congress (TG 65 Session), Salford, 10th-13th of May 2010.|
|Uncontrolled Keywords (separate with ;):||Critical success factors; Delphi; facilities management (FM); hospital-acquired infections (HAIs); infection control; maintenance; NHS; performance measures|
|Schools:||Faculty of Science and Technology > School of Engineering|
|Deposited By:||Paul Harrison|
|Deposited On:||08 Jan 2015 14:50|
|Last Modified:||10 Feb 2017 12:41|
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