Department of Nursing
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/7478
2024-03-28T22:46:16ZPsychological disturbances encountered by the healthcare professionals, military professionals and general public in Sri Lanka during COVID-19 pandemic: a cross-sectional study
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/14570
Psychological disturbances encountered by the healthcare professionals, military professionals and general public in Sri Lanka during COVID-19 pandemic: a cross-sectional study
Sundarapperuma,Thamudi Darshi; Gamage, Madushika Wishvanie Kodagoda; Rathnayake, Nirmala; Weeratunga, Eranthi Bimalee; Jagodage, Hemamali Madhushanthi Hirimbura
Background The COVID-19 pandemic is a serious global health concern, posing a greater risk of psychological
vulnerabilities for frontline healthcare workers (HCWs), military professionals and the general public around the globe.
These psychological issues appear to be long lasting and heighten the risk of mental health disorders. Therefore, this
study aimed to identify psychological problems encountered by HCWs, military professionals, and the general public
in Sri Lanka during the COVID-19 pandemic.
2023-05-31T00:00:00ZEstablishment of health information management system at Base Hospital Udugama
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/11789
Establishment of health information management system at Base Hospital Udugama
Fernando, H.S.; Tharanga, K.J.M.D.
Introduction
Digitalization of health system offers more convenient, efficient, safe and quality patient care
services with the advances in Science and technology. At present, many aspects of healthcare
have incorporated with Information Technology applications such as for admissions,
diagnostics, treatment, imaging, planning, monitoring, inventory management, and maintaining
statistics. As a developing country, Sri Lanka is not much integrated with this technology and
still manages healthcare services with paper-based system and retrieving patient records are
difficult with this. As a secondary care Hospital, Base Hospital Udugama (BHU) planned to
initiate Health Information Management System (HIMS) to improve efficiency, safety and quality
of service.
Objective
Aimed to establish a HIMS at Out Patient Department of the BHU.
Methods
After several stakeholder meetings, planning unit of the hospital developed technical and
structural plan to establish HIMS at BHU. The plan included establishment of internal network
system, purchasing of hardware, preparation of registration room, recruitment and training of
staff with the guidance of responsible authority.
Results and Discussion
With successful planning, good inter-sectoral coordination and effective communication with
the ministry of health and provincial ministry officials the HIMS was established at Base Hospital
Udugama in 2021. Once a patient is registered to the system, at the Out-Patient Department
(OPD), an identity card would be issued with a barcode number that could be used in
subsequent hospital visits. Through this networked system, the patient Registration room,
Doctors’ consultation rooms, Laboratory, Outdoor dispensary, vaccination & dressing room,
director’s office and health information unit were linked to each other. Producing this one-time
registration card, patients will be able to continue treatment in subsequent visits and clinicians
will be able to review past records by just scanning the barcode without re-registration.
Conclusion
With the implementation of HIMS, OPD at BHU converted to paperless OPD. Through HIMS
system, waiting time, and drug issuing errors have been significantly reduced, and patient
satisfaction, safety of the service and stock maintenance have been improved.
2022-12-01T00:00:00ZEnhancing Health System Resilience: Practical and Cost-effective Approaches to Face the COVID-19 Pandemic by Base Hospital UdugamaSri Lanka
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/11787
Enhancing Health System Resilience: Practical and Cost-effective Approaches to Face the COVID-19 Pandemic by Base Hospital UdugamaSri Lanka
Tharanga, K.J.M.D.; Fernando, G.H.S.
COVID-19 is a pandemic from pneumonia of unknown origin, first reported in Wuhan city China as information
extracted from the World Health Organization. It was first reported in Sri Lanka on 27 January 2020 by a Chinese
tourist. Handing the COVID-19 situation with scarce recourses within a limited time was challenging for the
government hospitals. This paper aims to describe the practical and cost-effective actions implemented at the Base
Hospital Udugama to enhance the health system resilience to prepare, respond to, and recover from the COVID 19 pandemic. We did a retrospective evaluation of the COVID-19 control project at the Base Hospital Udugama.
The daily interventions carried out at the Base Hospital Udugama to prepare, respond and recover from the
COVID-19 pandemic were documented in a journal. Also, we preserved evidence through photographs while
collecting data from the routine hospital records. The temporally established COVID-19 coordinating committee
managed all the activities. The committee increased awareness among staff and the public, maintained stock of
Personal Protective Equipment, established preventive measures, established an isolation unit, arranged community
sample collection, continued essential routine healthcare services and distribution of the clinic drugs to the doorsteps
of the patients while protecting the Hospital staff against COVID-19. Even though the management of the COVID 19 pandemic was a challenge to the Base Hospital Udugama, with strong leadership and effective coordination with
different units and departments within and beyond the hospital, it was possible to manage the response efficiently
and effectively.
We recommend enhancing the health system's resilience through timely investments in peripheral hospitals coupled
with capacity building targeting multiple hazards, including pandemics.
2021-01-31T00:00:00ZPatients’ perceived responsiveness in a selected tertiary care hospital, Sri Lanka
http://ir.lib.ruh.ac.lk/xmlui/handle/iruor/11783
Patients’ perceived responsiveness in a selected tertiary care hospital, Sri Lanka
Tharanga, K.J.M.D.; Meegoda, M.K.D.L.
Background: At present in Sri Lanka, both patients and health care providers focus more
attention on the quality of care than in the past. Responsiveness, which is a quality of care
indicator, needs to be frequently evaluated and improved effectively.
Objectives: The aim of this study was to assess the patients’ perceived experience on
responsiveness at Teaching Hospital, Karapitiya (THK) with socio-demographic and service
utilization factors.
Methods: This descriptive cross sectional study included 395 inward treated patients randomly
at the time of their discharge from general surgical and medical wards. Sample size was
calculated using ‘Cochran formula’ for quantitative studies with considering probable estimation
of responsiveness as 50% and 10% of non-response rate. An interviewer administered, pre tested
and validated questionnaire was used. Questionnaire was adapted from World Health
Organizations’ Multi Country Survey Study in year 2000. Data collection was carried out during
November 2018 to January 2019. SPSS Version 23.0 was used for statistical analysis.
Results: Response rate was 93.6% (n=395). Of these participants, majority were stayed in the
hospital for 3-5 days (75.2%, n=297). Noticeably 27.1% (n=107) of respondents have stated that
they have discriminated during care. ‘Confidentiality’ was the best experienced domain with
89.6% (n=354) response rate where freedom to choose care provider was rated as worst with 0%
response rate. ‘Prompt attention’, ‘communication’ and ‘quality of basic amenities’ were
reported as most important domains. However the overall performance of responsiveness was
48.6 %.
Conclusion: Overall responsiveness was relatively low at THK. Health service users’ non health
expectations were partially met and there was a gap between their expectations and
performances of health care providers. Its needs institutional based wide attention to replenish
poorly performed domains of responsiveness and minimize discrimination through continuous
education, monitoring and evaluation programme with participation of every discipline of health
care providers in THK.
2019-11-18T00:00:00Z