scholarly journals Healthcare Waste Management: Qualitative and Quantitative Appraisal of Nurses in a Tertiary Care Hospital of India

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Siddharudha Shivalli ◽  
Vasudha Sanklapur

Background.The nurse’s role in healthcare waste management is crucial.Objectives.(1) To appraise nurses quantitatively and qualitatively regarding healthcare waste management; (2) to elicit the determinants of knowledge and attitudes of healthcare waste management.Method.A cross-sectional study was undertaken at a tertiary care hospital of Mangalore, India. Self-administered pretested questionnaire and “nonparticipatory observation” were used for quantitative and qualitative appraisals. Percentage knowledge score was calculated based on their total knowledge score. Nurses’ knowledge was categorized as excellent (>70%), good (50–70%), and poor (<50%). Chi square test was applied to judge the association of study variables with their attitudes and knowledge.Results. Out of 100 nurses 47 had excellent knowledge (>70% score). Most (86%) expressed the need of refresher training. No study variable displayed significant association(P>0.05)with knowledge. Apt segregation practices were followed except in casualty. Patients and entourages misinterpreted the colored containers.Conclusion.Nurses’ knowledge and healthcare waste management practices were not satisfactory. There is a need of refresher trainings at optimum intervals to ensure sustainability and further improvement. Educating patients and their entourages and display of segregation information board in local language are recommended.

2020 ◽  
Vol 8 (11) ◽  
pp. 69-73
Author(s):  
Sunil Kumar Tailor ◽  
◽  
Shiv K Mudgal ◽  
Digpal Singh Chundawat ◽  
Krishan Kumar Nehra

Context: In hospital settings, most of the time intravenous fluids and drugs administered to patients and nurses are responsible for administration and care of intravenous therapy. However, patients may develop complications related to intravenous therapy due to inadequate competency and knowledge of nurses regarding intravenous therapy. Aims: The present study was conducted to ascertain the knowledge regarding administration and care of intravenous therapy among the staff nurses working at tertiary care hospitals. Methods: A Cross-Sectional research design was adopted to ascertain the nurses knowledge of intravenous therapy. A total of 400 nurses were selected through simple random sampling technique from a tertiary care hospital. A self-structured questionnaire was used to assess the nurses knowledge of IV therapy. The data were analyzed using descriptive and inferential statistic. Result: The finding of the study indicated that the overall mean knowledge score of nurses was 15.71±4.18. The demographic variables which influenced the level of nurses knowledge significantly were their professional education (p=0.003) and attended refresher courses on IV therapy (p=0.000). Conclusion: Nurses had an inadequate level of knowledge on administration and care of IV therapy. The administration of IV therapy could be improved by the provision of the in-service education programme.


2021 ◽  
Author(s):  
Aiman Perween Afsar ◽  
Lovenish Bains ◽  
Anurag Mishra ◽  
Aashima Dabaas ◽  
Akshit Mittal ◽  
...  

Abstract Background Nations have faced significant challenges with the COVID-19 related biomedical waste since its outbreak. Before the pandemic, Indian hospitals typically generated 500g of BMW per bed each day, which has now risen to about 2.5-4 kg per bed per day. Proper BMW aims to reduce waste generation, ensures efficient collection, handling and safe disposal that it controls infection and improves safety for the medical professionals. Hence, the present study was conducted to assess the level of knowledge among medical professionals regarding biomedical waste segregation , transport and treatment and thereafter provide constructive suggestions to reduce mismanagement practices. Methodology An e-survey was done to assess the knowledge and awareness of management of Biomedical Waste generated due to Covid-19 among Medical Professionals (students, residents and consultants) of tertiary care hospital of North India. Result The average knowledge score about BMW waste generated due to Covid-19 was found to be: for segregation - 27.46%, 59.615%, and 49.8%; transport of waste from site of generation to the site of disposal- 63.66%, 89.1% and 95.2% ; disposal of waste generated- 29%, 71.96%, and 68.24% in students, residents, and consultants respectively. Overall, the knowledge score was 41.4%, 67.98%, and 61.34% among the students, residents and consultants respectively. We found that participants with greater years of experience (residents and consultants) had better knowledge compared to that of the students(p<0.05). Discussion Our study found that the mean score was 56.9% which is comparably more than the knowledge score of few Low and Middle Income Countries but less than the knowledge score of some European countries. Studies have found that the chances of infection directly correlates with the low level of knowledge. This underlines that training aspects of health-care waste management should be strengthened, not only for the practising medical professionals but also of the students so that the current, existing, and future regulations are practiced diligently and uniformly. Hence, it is important that we strengthen the training aspect of medical professionals. Periodic evaluation and assessment should become routine to enforce adherence to waste management.


Author(s):  
Sugandhi Sharma ◽  
Trideep Jyoti Deori

Background: It is estimated that 10-25% of the healthcare waste generated is hazardous and presents physical, chemical and/or microbiological risk to the general population and health-care workers associated with handling, treatment, and disposal of waste. All health personnel are expected to have proper knowledge, practice and capacity to guide others for waste collection and management and proper handling techniques. This study was conducted with the aim to assess knowledge, attitude and practices among 1st year post graduate residents in a tertiary care hospital of Lucknow.Methods: It was a hospital based cross-sectional study carried out in March 2017 on 1st year Junior Residents of King George’s medical University, Lucknow. Data was collected using a structured, self-administrated questionnaire, designed to assess the knowledge, attitude and practices on various aspects of bio-medical waste (BMW) management.Results: Majority (72%) of the residents had an average knowledge about BMW management. About one-fourth of them (27.7%) knew about the maximum time beyond which the waste can’t be stored in the hospital while about half of the residents (56.2%) thought that their knowledge regarding biomedical waste is adequate. It was alarming to note that 11.6 percent of the residents were not vaccinated against Hepatitis B.Conclusions: The residents had average knowledge about BMW management, legislation and color coding. The attitude of residents regarding BMW was good but in practice it was average. There is an essential need for better education to improve the practices of BMW management by well-designed seminars, programs and workshops.


Author(s):  
Naman Lohani ◽  
Sumeet Dixit

Background: Biomedical waste (BMW) is generated in every health facility, which if not disposed off properly poses a risk for health and environment. Handling, segregation, mutilation, disinfection, storage, transportation and final disposal are vital steps for safe and scientific management of biomedical waste in any establishment. The objective were to assess the biomedical waste management (BMWM) practices and knowledge regarding BMWM  in a tertiary care hospital.Methods: A descriptive study was carried out in the tertiary care hospital during July and August 2014. Hospital waste management practices were observed by making visits to the waste collection sites at different sites of the hospital and for assessment of knowledge regarding waste management a total of 113 health care personnel were interviewed.Results: The overall mean score for “Condition of waste receptacles” was 44.3%. The mean score for segregation of waste was 77%, for mutilation of recyclable waste the mean score was 88% and the disinfection mean score was 72%.  There were some good practices observed like presence of posters regarding disposal of BMW in most places, availability of gloves, masks etc. to the workers collecting BMW .There was no separate route for transport of biomedical waste. The knowledge regarding BMWM was not satisfactory among the participants and scope of improvement is there.Conclusions: While there were some good practices observed, there were inconsistencies observed regarding BMWM in the hospital.


Author(s):  
Praveen Gowda ◽  
Subhashini K. J. ◽  
Siddharam S. Metri ◽  
M. Sundar

Background: Animal bites cause a big burden in terms of morbidity and mortality throughout the world. These bites could be caused by rabid animals causing rabies. Annually about 59,000 persons die of rabies, of which 20,000 is from India alone. Rabies though 100% fatal is preventable with post-exposure prophylaxis which includes wound wash, anti-rabies vaccination (ARV) and rabies immunoglobulin. The objectives of the present study was to describe the demographic profile of animal bite cases and to assess the management practices of animal bite cases reporting to dedicated anti-rabies clinic (ARC) of a tertiary care hospital, Hassan, Karnataka.Methods: A cross-sectional study was conducted from the inception of anti-rabies clinic (12th October 2017) to August 2018 among animal bite cases reported to ARC. They were interviewed by using a semi-structured, pre-designed and pre-tested proforma. Data regarding socio-demographic profile were collected from the animal bite victims. All the animal bite cases were managed as per WHO guidelines.Results: The total number of animal bite victims reported to ARC during the study period was 3500. Majority of the bite victims belonged to adult population (20-60 years). Majority were males (66.2%). 77% belonged to the rural population. Dogs (97.1%) were the most common biting animal. 79% of the bites were provoked. Turmeric powder was the most commonly used irritant. Most bites belonged to Category III (84%). Category I, II, III bites were managed appropriately according to WHO guidelines.Conclusions: Knowing the burden, socio-demographic characteristics and the management of animal bite victims in the dedicated ARC of HIMS has helped the programme officer in implementing the National Rabies Control Programme in Hassan district.


Sign in / Sign up

Export Citation Format

Share Document