“More than just cleaning”: A qualitative descriptive study of hospital cleaning staff as patient caregivers

Background: Cleaning staff in hospitals can spend an average of 10–20 min per day per patient room. Published literature shows a pattern of interactions between housekeepers and patients, and that they believe themselves to be a part of the patient care team. To date, no study about this phenomenon...

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Main Authors: Nicole Vance, Kupiri Ackerman-Barger, Jann Murray-García, Fawn A. Cothran
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:International Journal of Nursing Studies Advances
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666142X22000364
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author Nicole Vance
Kupiri Ackerman-Barger
Jann Murray-García
Fawn A. Cothran
author_facet Nicole Vance
Kupiri Ackerman-Barger
Jann Murray-García
Fawn A. Cothran
author_sort Nicole Vance
collection DOAJ
description Background: Cleaning staff in hospitals can spend an average of 10–20 min per day per patient room. Published literature shows a pattern of interactions between housekeepers and patients, and that they believe themselves to be a part of the patient care team. To date, no study about this phenomenon has been done in the United States or has framed them through the lens of patient care. Objective: To describe the experiences and perceptions of hospital housekeeping staff in relation to patient care. Design: Qualitative descriptive. Setting: A 625-bed tertiary, academic medical center in the United States. Participants: Eight housekeeping staff participated, ranging from 40 to 62 years old, from diverse cultural and ethnic backgrounds, and worked at the study hospital from 4 months to 20 years. Interviews were conducted between September 2020-October 2020. Participants were recruited through flyers, email, and snowball sampling. Data were collected through semi-structured, in-depth interviews lasting 30 – 60 min. Data were analysed through thematic analysis using a 6-step framework that included data familiarization, generation of initial codes, search for themes, review of data, definition and naming of themes, and generation of a written report. Trustworthiness of the data was established through strategies such as reflective journaling, researcher triangulation and member-checking. Results: Three themes emerged: 1) “Here to take care of you” 2) Difficulties & Coping: and 3) Perceptions of their role. These three themes provide insight into participants' perceptions of patient interactions and the kind of connections they formed with patients as they went about their duties. Conclusions: Study findings suggest that there exists among housekeeping staff a respect for the humanity of patients, a duty to protect people from disease, and a longstanding practice of engaging in therapeutic connections with patients. As noted elsewhere, there remains a disparity between the importance of this role and the recognition and dignity afforded it. These results reveal an opportunity to expand our understanding of who we call a caregiver, and to improve how we recognize and support each member of the healthcare team.
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spelling doaj.art-07826c5fee7f48a8b80e53e2415c44652022-12-22T04:30:50ZengElsevierInternational Journal of Nursing Studies Advances2666-142X2022-12-014100097“More than just cleaning”: A qualitative descriptive study of hospital cleaning staff as patient caregiversNicole Vance0Kupiri Ackerman-Barger1Jann Murray-García2Fawn A. Cothran3Betty Irene Moore School of Nursing, University of California-Davis 4610 X St. Sacramento, Ca 95817, United States; UC Davis Children's Hospital, 2315 Stockton Blvd, Sacramento, California 95817, United States; Corresponding author at: University of California, Davis, Betty Irene Moore School of Nursing, 2423 ½ G St. Sacramento, Ca 95816.Betty Irene Moore School of Nursing, University of California-Davis 4610 X St. Sacramento, Ca 95817, United States; UC Davis Health, 2315 Stockton Blvd. Sacramento, California 95817, United StatesBetty Irene Moore School of Nursing, University of California-Davis 4610 X St. Sacramento, Ca 95817, United States; School of Medicine, University of California-Davis, 4610 X St. Sacramento, Ca 95817, United States; UC Davis Health, 2315 Stockton Blvd. Sacramento, California 95817, United StatesThe National Alliance for Caregiving, 1730 Rhode Island Ave. Ste 812, Washington D.C., 20036, United StatesBackground: Cleaning staff in hospitals can spend an average of 10–20 min per day per patient room. Published literature shows a pattern of interactions between housekeepers and patients, and that they believe themselves to be a part of the patient care team. To date, no study about this phenomenon has been done in the United States or has framed them through the lens of patient care. Objective: To describe the experiences and perceptions of hospital housekeeping staff in relation to patient care. Design: Qualitative descriptive. Setting: A 625-bed tertiary, academic medical center in the United States. Participants: Eight housekeeping staff participated, ranging from 40 to 62 years old, from diverse cultural and ethnic backgrounds, and worked at the study hospital from 4 months to 20 years. Interviews were conducted between September 2020-October 2020. Participants were recruited through flyers, email, and snowball sampling. Data were collected through semi-structured, in-depth interviews lasting 30 – 60 min. Data were analysed through thematic analysis using a 6-step framework that included data familiarization, generation of initial codes, search for themes, review of data, definition and naming of themes, and generation of a written report. Trustworthiness of the data was established through strategies such as reflective journaling, researcher triangulation and member-checking. Results: Three themes emerged: 1) “Here to take care of you” 2) Difficulties & Coping: and 3) Perceptions of their role. These three themes provide insight into participants' perceptions of patient interactions and the kind of connections they formed with patients as they went about their duties. Conclusions: Study findings suggest that there exists among housekeeping staff a respect for the humanity of patients, a duty to protect people from disease, and a longstanding practice of engaging in therapeutic connections with patients. As noted elsewhere, there remains a disparity between the importance of this role and the recognition and dignity afforded it. These results reveal an opportunity to expand our understanding of who we call a caregiver, and to improve how we recognize and support each member of the healthcare team.http://www.sciencedirect.com/science/article/pii/S2666142X22000364CaregivingHealthcare teamHospital housekeepingInterdisciplinary teamInterprofessional collaborationPatient Care
spellingShingle Nicole Vance
Kupiri Ackerman-Barger
Jann Murray-García
Fawn A. Cothran
“More than just cleaning”: A qualitative descriptive study of hospital cleaning staff as patient caregivers
International Journal of Nursing Studies Advances
Caregiving
Healthcare team
Hospital housekeeping
Interdisciplinary team
Interprofessional collaboration
Patient Care
title “More than just cleaning”: A qualitative descriptive study of hospital cleaning staff as patient caregivers
title_full “More than just cleaning”: A qualitative descriptive study of hospital cleaning staff as patient caregivers
title_fullStr “More than just cleaning”: A qualitative descriptive study of hospital cleaning staff as patient caregivers
title_full_unstemmed “More than just cleaning”: A qualitative descriptive study of hospital cleaning staff as patient caregivers
title_short “More than just cleaning”: A qualitative descriptive study of hospital cleaning staff as patient caregivers
title_sort more than just cleaning a qualitative descriptive study of hospital cleaning staff as patient caregivers
topic Caregiving
Healthcare team
Hospital housekeeping
Interdisciplinary team
Interprofessional collaboration
Patient Care
url http://www.sciencedirect.com/science/article/pii/S2666142X22000364
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