EVALUATION OF CHALLENGES OF FACILITIES MANAGEMENT IN TERTIARY HEALTHCARE INSTITUTIONS IN SOUTH EAST NIGERIA.

AUTHOR: OLADEJO ESTHER IFEANYICHUKWU

DEPARTMENT: ESTATE MANAGEMENT

AFFILIATION: NNAMDI AZIKIWE UNIVERSITY, AWKA

Healthcare facilities management (FM) is one of the key elements for the effective delivery of services in tertiary healthcare institutions. The main challenges of managing tertiary healthcare facilities are the highly diverse network and range of functions which are needed to maintain operations as well as the complexity of the support services. Tertiary healthcare institutions render specialised services with sophisticated healthcare structures, equipment and machinery that can only be maintained by experts. The aim of the study was to evaluate the challenges of FM in selected tertiary healthcare institutions namely, University of Nigeria Teaching Hospital, Ituku; Nnamdi Aziikiwe University Teaching Hospital, Nnewi; Enugu State University Teaching Hospital, Enugu and Federal Medical Centre, Owerri in South East Nigeria. Five hypotheses were postulated, among which are; FM has no significant effect on infection control in tertiary healthcare institutions, the design and layout of medical wards in tertiary healthcare institutions have no significant effect on clinical staff performance, the design and construction of tertiary healthcare institutions does not affect FM services delivery. The study adopted a filed survey design, using three different data collection instruments viz: structured questionnaires, personal interviews and observations. Cronbach’s alpha coefficient of 0.855 shows a very strong reliability of instrument. The sample size of 338 was determined using Taro Yamani’s formula. The stratified random sampling technique was used to select the sample from the three strata of the four selected tertiary healthcare institutions. Tables and charts were used in the presentation of data. Linear regression, t-test, and chi-square statistical techniques were applied where appropriate in testing the hypotheses. The results showed; FM has significant effect on infection control in tertiary healthcare institutions as shown by (R = 0.851, R2 = 724, p < 0.05); Design and layout of medical wards have significant effect on clinical staff performance (R = 0.796, R2 = 0.633), p < 0.05); Design and construction of tertiary healthcare institutions significantly affect FM services delivery (R = 0.841, R2 = 0.707, p < 0.05) etc. The study concludes that FM in tertiary healthcare institutions is challenged in the areas of facilities design, maintenance and cleaning and recommends constant evaluation of user needs and satisfaction, proximate location of dependent units, functional maintenance schedule as well as appointment of experts as a sine quanon for improved and sustained FM services delivery in tertiary healthcare institutions in South East Nigeria.

TO VIEW THE FULL CONTENT OF THIS DOCUMENT, PLEASE VISIT THE UNIZIK LIBRARY WEBSITE USING THIS LINK, http://naulibrary.org/dglibrary/admin/book_directory/Thesis/11666.pdf

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