May, DR; (2013) Ward housekeepers in healthcare: An exploratory review of the role of the ward housekeeper. Doctoral thesis , UCL (University College London).

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Abstract

The aim of this study was to review the ward housekeeper role, specifically focusing on the impact since the national implementation as a result of the NHS Plan (Department of Health, 2000). The housekeeper role is a ward-based non-clinical multi-skilled position. The ward housekeeper focuses on ensuring the cleaning, food service and maintenance are delivered to appropriate standards in order to make the care environment suitable for the patient (NHS Estates, 2001a). The study was divided into two parts: An initial investigative phase presented in a series of 13 case studies. A second evaluative phase looking at a longitudinal impact of the role presented in two case studies. As a phenomenological piece of work, the primary methodology employed was a case study design based on the holistic multiple case with single units of analysis (Yin, 2009) i.e. different NHS Trusts that had implemented the new ward housekeeper role. In-depth, semi-structured interviews were used as the principal method of data collection. Several themes arose from the first set of case studies relating to the Trust's experiences of implementing the ward housekeeping service. The main themes related to six areas that were: Role; Recruitment; Induction; Training; Integration (into the ward team) and Management. The evaluative case studies revisited the themes and found them to still be appropriate. In addition the later case studies also discussed the following: The impact of the Modern Matron role; Importance of auditing; Shift in emphasis from catering to cleaning; A developing tension between FM and ward staff; Lack of National support and co-ordination (for NHS Trusts implementing and managing housekeepers) and Value to patients and contribution to patient care. The significance of this study emerges through the advancement of methodology within the context of facilities in healthcare and through the contribution to knowledge and practice by way of suggesting two original models: 1. FM department and ward team involvement in ward housekeeper services: a proposed model (Model A). 2. Emotional and function based housekeeper concerns (Model B)

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