scholarly journals Stinging-cutting Accidents and Healthcare Waste Management’s Knowledge Among Healthcare Professionals in Public Hospitals in Catania (South Italy)

2018 ◽  
Vol 11 (1) ◽  
pp. 330-338
Author(s):  
Margherita Ferrante ◽  
Placido D’Agati ◽  
Sebastiano De Maria La Rosa ◽  
Santa A. Carini ◽  
Angela Trovato ◽  
...  
Keyword(s):  
Waste Management ◽  
Incidence Study ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Needle Stick ◽  
Healthcare Waste ◽  
South Italy ◽  
Healthcare Waste Management

Background: Stinging-cutting accidents (needle-stick and sharps accidents) continue to pose a considerable environmental and occupational health risk. In Italy and in the world, the number of stinging-cutting is still unknown, primarily due to under-reporting. The inappropriate management of healthcare waste may be the cause of accidents needle-stick and sharps. Objective: Our aims were to evaluate the frequency and the modality of stinging-cutting accidents and to assess healthcare waste management’s knowledge among nurse and auxiliary nurse of the departments where the accidents occurred. Method: Both a retrospective incidence study and a cross-sectional anonymous survey were conducted, during the 3-year period 2013-2015, in Catania (south Italy) public hospitals. The retrospective incidence study consisted of analysing needle-stick and sharps accidents officially reported in the records of the hospitals. Detailed information on the needle-stick and sharps accidents was analysed too. The survey consisted of assessing the knowledge of nurse and auxiliary nurses about healthcare waste management. The survey was proposed only to hospital staff in the operative units where the injuries occurred. A multiple-choice questionnaire was used for data collection regarding knowledge on healthcare waste management. Data were analysed using chi-square and Kruskal-Wallis tests, the effect size was quantified by Cramer’s V. Results: Retrospective incidence study: needles and scalpel-blades accidents occurred in 240 health professionals, during the 3-year period. Results show an injury rate of 1.4 per year (mean value), which decreased from 2013 to 2015 (1.8% vs 1.2% vs 1.1%). The accidents were experienced by health professionals (62.1% female) aged from 20 to 68 years, by nurses more than doctors (65.8% and 18.3%) and on Wednesday (22.9%) followed by Tuesday (17.9%), Thursday (17.1%), Friday (14.6%), Monday (12.5%), Saturday (8.8%) and Sunday (6.3%) (p= 0.000). Needle-stick accidents were more frequent than scalpels-blades accidents (91.2% vs 8.8%, p=0.000). The frequency of needles accidents was higher in nurses than in doctors (95.6% vs. 86.4%) while of scalpel-blades accidents, was higher among doctors compared to nurses (13.6% vs. 4.4%) (p=0.039, Cramer’s V 0.155). The most frequent site of the lesion was the left (15.8%) and right (16.3%) second finger. The most frequent cause of needle-stick accidents was needle puncture during medical procedure (67%) and the most frequent cause of sharps accidents was unattended scalpel-blades (33%). Surprisingly we have observed 4% of needle-stick accidents caused by recapping. Cross-sectional anonymous survey: 428 healthcare professionals completed the survey. The percentage of the correct answers to the knowledge questions for all the operative units combined (Internal Medicine, Orthopedics, Anesthesia, Surgery and Gynecology) was 70%. The right way to dispose of a diaper not contaminated by blood from a patient who does not have oral-fecal infectious diseases (56% wrong answers), the bag of urine, which does not contain traces of blood and properly emptied (64% wrong answers), sanitary napkins in blood (68% wrong answers), and a IV bottle partially filled with drug (85% wrong answers) were identified as the most important aspects for future interventions. Conclusion: The study showed an underestimation of needle-stick and sharps medical accidents and lack of knowledge about healthcare waste management procedures. Future approaches are needed for providing education and training of safe handling and disposal of sharp devices, to create awareness followed by which, legislative actions would be taken.

scholarly journals Healthcare Waste Management Practice and Associated Factors among Private and Public Hospitals of Bahir Dar City Administration

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Dereje Mesfin Assemu ◽  
Tadese Ejigu Tafere ◽  
Yared Mulu Gelaw ◽  
Getasew Mulat Bantie
Keyword(s):  
Waste Management ◽  
Healthcare Workers ◽  
Management Practice ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Management Committee ◽  
Healthcare Waste ◽  
Private And Public ◽  
Healthcare Waste Management ◽  
Waste Management Practice

Background. Lack of an appropriate management practice of healthcare waste is a potential threat to the healthcare workers, patients, and nearby communities of the health institutions. Objective. The study aimed to assess the healthcare waste management practices (HCWMP) and associated factors among healthcare workers of private and public hospitals of Bahir Dar city administration, Ethiopia. Methods. A facility-based comparative cross-sectional study was conducted from January 2016 to April 2017. The systematic random sampling technique was employed to recruit 460 healthcare workers. The collected data entered into the EpiData software (version 3.1). The analysis was done by using SPSS software (version 20). Descriptive statistics were computed; logistic regression model was run. The model fitness was checked using Hosmer and Lemeshow goodness of fit p > 0.05 . A p value of < 0 . 2 at univariate analysis was included in the multivariable logistic regression analysis. Variables with a p value of <0.05 were statistically associated with healthcare waste management practice at 95% CI (AOR). Results. A total of 418 healthcare workers who participated in the study yielded a response of 90.9%. About 65% (95% CI: 61, 70) of the total respondents had good practice of healthcare waste management. More private hospitals, 79.2% (95% CI: 73, 85), had good healthcare waste management practice compared to public hospitals, 53.5% (95% CI: 47, 60). Male healthcare workers (AOR = 6. 43, 95% CI: 1.82, 22.77) and having a functional healthcare waste management committee (AOR = 6. 47, 95%CI: 1.93, 21.76) were significantly associated with HCWMP at private hospitals. For public hospitals, having a healthcare waste management committee (AOR = 1. 80, 95% CI: 1.03, 3.15) and a manual/guideline on HCWMP (AOR = 2. 43, 95% CI: 1.20, 4.91) was significantly associated with HCWMP. Conclusions. This study revealed there is a great discrepancy in HCWMP between private and public hospitals. Male healthcare workers and having a functional healthcare waste management committee and a manual/guideline were the identified factors of HCWMP.

scholarly journals The Key Organizational Factors in Healthcare Waste Management Practices of Libyan Public Hospitals

2021 ◽  
Vol 13 (22) ◽  
pp. 12785
Author(s):  
Mohammed Khalifa Abdelsalam ◽  
Ibrahim Mohammed Massoud Egdair ◽  
Halima Begum ◽  
Diara Md. Jadi ◽  
Hussein-Elhakim Al Issa ◽  
...  
Keyword(s):  
Waste Management ◽  
Positive Relationship ◽  
Management Practices ◽  
Sampling Technique ◽  
Organizational Factors ◽  
Two Dimensions ◽  
Public Hospitals ◽  
Healthcare Waste ◽  
Healthcare Waste Management ◽  
Waste Management Practices

This study aims to investigate factors contributing to healthcare waste management practices among Libyan public hospitals. The organizational culture and structure are proposed to have their effect upon hospital organizational units in charge of healthcare waste production by a theoretical review to develop two main hypotheses. Hence, this study used the stratified random sampling technique to select respondents such as top management officials, heads of departments, and administrators who work in all the hospitals located in the south of Libya, from whom data was collected. The data for the study was gathered via a survey questionnaire from Libyan public hospitals in the country’s southern region. A total of 210 questionnaires were distributed and 171 usable responses were received, yielding a 70% response rate. Though the findings of the study show some inconsistency, the two dimensions of the culture examined in this study are found to have a positive relationship and significant influence on the management practices of health waste. Besides, it shows the positive relationship between organizational structure and healthcare waste management practices (HWMP). However, the findings of this study suggested that nurses and cleaners’ practices should critically consider structure dimensions such as formalization as well as moderating variables such as hospital location and type of services supplied on the interactions to improve the management of healthcare waste in Libya’s public hospitals.

Healthcare waste management in Ghanaian hospitals: Associated public health and environmental challenges

2020 ◽  
Vol 38 (8) ◽  
pp. 831-839 ◽  
Author(s):  
Stephen T Odonkor ◽  
Tahiru Mahami
Keyword(s):  
Waste Management ◽  
Waste Disposal ◽  
Management Practices ◽  
Cross Sectional Study ◽  
Healthcare Operations ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Healthcare Waste ◽  
Healthcare Waste Management ◽  
Waste Management Practices

Healthcare waste generation is an integral part of healthcare operations. Improper healthcare waste management and disposal can be detrimental to humans and the environment. The objective of this paper is to investigate the healthcare waste management practices, aiming to provide needed data to inform policy decisions. The study was conducted using a cross-sectional study. Quantitative data was obtained from 497 respondents who worked in 25 major healthcare facilities. Data was analyzed using (SPSS) version 23.0. Results indicated that 52.4% of respondents had knowledge about healthcare waste management. However, only 12% of the respondents were open to training in healthcare/biomedical waste management. Less than half of the respondent (47.5%) practiced waste segregation at the sources of generation. There were significantly more healthcare waste disposal materials available ( P = 0.001) in private than government and quasi-government hospitals. Based on the major findings of the study, we recommend that adequate training as well as Personal Protective Equipment (PPE’s) should be provided to healthcare professionals to improve healthcare waste management. Complacence in adhering to Healthcare waste disposal guideline must be addressed.

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
Keyword(s):  
Waste Management ◽  
Management Practices ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Knowledge Score ◽  
Care Hospital ◽  
Cross Sectional ◽  
Healthcare Waste ◽  
Healthcare Waste Management ◽  
Nurses Knowledge

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.

Impact of an Educational Training on Behavioral Intention for Healthcare Waste Management: Application of Health Action Model

2021 ◽  
pp. 0272684X2098259
Author(s):  
Davoud Sarpooshi Robat ◽  
Seyedeh Belin Tavakoly Sany ◽  
Hadi Alizadeh Siuki ◽  
Nooshin Peyman ◽  
Gordon Ferns
Keyword(s):  
Waste Management ◽  
Behavioral Intention ◽  
Hospital Staff ◽  
Training Intervention ◽  
Control Group ◽  
Behavioral Intent ◽  
Healthcare Waste ◽  
Action Model ◽  
Health Action ◽  
Healthcare Waste Management

Inappropriate healthcare waste management (HCWM) may lead to health hazards through the release of toxic and infectious agents into the environment. This study aimed to assess the appropriateness of a Health Action Model (HAM) operationalized in a training intervention to promote behavioral intent towards HCWM practice among hospital staff. This was a quasi-experimental intervention study of 128 hospital staff attending a training intervention in Sabzevar Hospital, Iran. Four training intervention was carried out using potential constructs of the HAM model to compare the quality of HCWM process and behavioral intent of hospital staff before and after a training session. A questionnaire based on HAM and multiple statistical analyses were used to assess the effectiveness of the training intervention. The average age of the eligible participants was 35.05 ± 9.4 years. A majority of the participant was married (88%), nursing staff (54%) and possessed a bachelor’s degree (66%) or diploma (18%). After the intervention, a significant change (p < 0.05) was observed in the intervention group compared to the control group in staff knowledge, attitude, self-efficacy, belief, and motivation. Further, our result showed a significant improvement from 53.6 ± 24.3 to 83.6 ± 11.5 in the behavioral intention toward HCWM practice. This work provides evidence of the effectiveness of the HAM as a guide in which the potential determinates that influence an individual’s behavioral intention toward medical waste practice were identified and described. This model help promote behavioral intention at a variety of target audiences and setting in waste management practice.

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