Factors Contributing To The Sustainability Of 5S Programmes In Government Hospitals In Regional Director Of Health Services Area Kurunegala
Dr. K.W.C.U.K Kendangamuwa, Dr. S Sridharan, Dr. D R K Herath, Dr. R.M.M.K. Ratnayake
Abstract: Introduction: 5S is the stepping stone for many quality improvement concepts and its roots date back to 16th century. When successfully implemented, 5S gives many benefits to the organization as well as its stakeholders. Though 5S itself has a tool to sustain, most of the organizations find it difficult to sustain the 5S practice over the time. Therefore the objective of this study was to find out the factors contributing to sustainability of 5S programmes in Government Hospitals in RDHS area Kurunegala. Methodology: This study was a descriptive cross sectional study with two components. First component was to identify the 5S sustaining hospitals from not sustaining hospitals by validated evaluation sheet. Second component was to determine the factors contributing to sustainability of 5S programmes in selected study setting. Self-administrated questionnaire was used for this purpose. Total study population was 543 employees of all the categories of hospital staff. Calculated sample size was 422 and 375 were responded to the questionnaire giving response rate of 88.9%. Results: The study revealed that the implemented 5S programmes were sustaining in eight hospitals out of ten i.e. sustaining rate was 80%. When it considered the degree of sustainability, 50% of the selected hospitals reported more than 70% sustainability. This was considered as favourable trend in government health sector in healthcare quality point of view. Ten factors were studied as contributing factors for the 5S sustainability. Socio- demographic factors were also considered. Those ten factors were top management commitment, leadership of the organization, commitment of middle & frontline managers, commitment & satisfaction of employees, training & changing attitude of employees, motivation of employees, organizational culture, group cohesiveness, community participation and customer satisfaction. Study revealed that organizational leadership, customer satisfaction, community participation and organizational culture were the major contributing factors for sustainability of 5S programmes in government hospitals in RDHS area Kurunegala. Conclusion: Researcher concluded that organizational leadership, customer satisfaction, community participation and organizational culture are the major contributing factors for 5S sustainability in Divisional Hospitals in RDHS area Kurunegala, further it could be generalized to the all Divisional Hospitals in the country
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