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An Interventional Study to Improve the Healthcare Waste Management Among Nursing Officers in Type-A Base Hospital in Southern Province - Sri Lanka

Received: 27 June 2021    Accepted: 12 July 2021    Published: 19 July 2021
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Abstract

Clinical waste management is a burning issue worldwide. Environmental pollution and associated health risks, including disease transmission and social problems are the main consequences of this issue. The most governments are paying more attention to develop effective and efficient healthcare waste management in the curative health sector. This intervention project was conducted among the nursing staff at the Type A Basic Hospital in the Southern Province of Sri Lanka to improve the healthcare waste management among Nursing Officers attached to the hospital. An initial assessment was conducted to determine the waste generation and segregation practices of the hospital. Staff knowledge and waste management practices were assessed, as well as available segregation facilities, and interventions were designed and implemented. A post-intervention analysis was conducted to evaluate the effectiveness of the intervention. The main problems identified were lack of equipment, poor knowledge on health care waste management, and lack of proper guidelines developed by hospital management for proper health care waste management. A new guideline with waste segregation colour coding and practice was developed to improve knowledge of waste segregation, temporary storage, transport, and final disposal. Several training sessions were held for nurses. The improvement in knowledge and practice after the intervention was statistically significant (P = 0.001). The package of strategies such as improvement of knowledge, system change, transferring ownership of the project, provision of basic equipment, supervision and experience sharing has been successful in meeting project goals, and continuing professional training and supervision is recommended to ensuring sustainability.

Published in Pharmaceutical Science and Technology (Volume 5, Issue 2)
DOI 10.11648/j.pst.20210502.12
Page(s) 40-43
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Healthcare Waste Management, Segregation, Clinical Waste, Base Hospital

References
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[3] Durrani K. Waste Management and Collaborative Recycling: An SDG Analysis for a Circular Economy. European Journal of Sustainable Development. 2019 Oct 1; 8 (5): 197.
[4] Omar D, Nazli SN, Subramaniam A, Karuppannan L. Clinical waste management in district hospitals of Tumpat, Batu Pahat and Taiping. Procedia-Social and Behavioral Sciences. 2012 Dec 19; 68: 134-45.
[5] Nasir K, Khan KA, Kadri WM, Salim S, Tufail K, Sheikh HZ, Ali SA. Hepatitis B vaccination among health care workers and students of a medical college. J Pak Med Assoc. 2000 Jul 1; 50 (7): 239-43.
[6] Talaat M, Kandeel A, El-Shoubary W, Bodenschatz C, Khairy I, Oun S, Mahoney FJ. Occupational exposure to needlestick injuries and hepatitis B vaccination coverage among health care workers in Egypt. American journal of infection control. 2003 Dec 1; 31 (8): 469-74.
[7] Karaivazoglou K, Triantos C, Lagadinou M, Bikas C, Michailidou M, Kalafateli M, Thomopoulos K, Assimakopoulos K, Nikolopoulou V, Jelastopulu E, Labropoulou-Karatza C. Acceptance of hepatitis B vaccination among health care workers in Western Greece. Archives of environmental & occupational health. 2014 Apr 3; 69 (2): 107-11.
[8] De Schryver A, Claesen B, Meheus A, van Sprundel M, François G. European survey of hepatitis B vaccination policies for healthcare workers. The European Journal of Public Health. 2011 Jun 1; 21 (3): 338-43.
[9] Misra V, Pandey SD. Hazardous waste, impact on health and environment for development of better waste management strategies in future in India. Environment international. 2005 Apr 1; 31 (3): 417-31.
[10] Mugabi B, Hattingh S, Chima SC. Assessing knowledge, attitudes, and practices of healthcare workers regarding medical waste management at a tertiary hospital in Botswana: A cross-sectional quantitative study. Nigerian journal of clinical practice. 2018; 21 (12): 1627-38.
[11] Abdulraheem BI, Olapipo AR, Amodu MO. Primary health care services in Nigeria: Critical issues and strategies for enhancing the use by the rural communities. Journal of public health and epidemiology. 2012 Jan 31; 4 (1): 5-13.
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Cite This Article
  • APA Style

    Liyanage Dilip Hikkaduwa, Krishanth Maddage Don Athula, Wickramaratne Nadhee Pethathahandi. (2021). An Interventional Study to Improve the Healthcare Waste Management Among Nursing Officers in Type-A Base Hospital in Southern Province - Sri Lanka. Pharmaceutical Science and Technology, 5(2), 40-43. https://doi.org/10.11648/j.pst.20210502.12

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    ACS Style

    Liyanage Dilip Hikkaduwa; Krishanth Maddage Don Athula; Wickramaratne Nadhee Pethathahandi. An Interventional Study to Improve the Healthcare Waste Management Among Nursing Officers in Type-A Base Hospital in Southern Province - Sri Lanka. Pharm. Sci. Technol. 2021, 5(2), 40-43. doi: 10.11648/j.pst.20210502.12

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    AMA Style

    Liyanage Dilip Hikkaduwa, Krishanth Maddage Don Athula, Wickramaratne Nadhee Pethathahandi. An Interventional Study to Improve the Healthcare Waste Management Among Nursing Officers in Type-A Base Hospital in Southern Province - Sri Lanka. Pharm Sci Technol. 2021;5(2):40-43. doi: 10.11648/j.pst.20210502.12

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  • @article{10.11648/j.pst.20210502.12,
      author = {Liyanage Dilip Hikkaduwa and Krishanth Maddage Don Athula and Wickramaratne Nadhee Pethathahandi},
      title = {An Interventional Study to Improve the Healthcare Waste Management Among Nursing Officers in Type-A Base Hospital in Southern Province - Sri Lanka},
      journal = {Pharmaceutical Science and Technology},
      volume = {5},
      number = {2},
      pages = {40-43},
      doi = {10.11648/j.pst.20210502.12},
      url = {https://doi.org/10.11648/j.pst.20210502.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.pst.20210502.12},
      abstract = {Clinical waste management is a burning issue worldwide. Environmental pollution and associated health risks, including disease transmission and social problems are the main consequences of this issue. The most governments are paying more attention to develop effective and efficient healthcare waste management in the curative health sector. This intervention project was conducted among the nursing staff at the Type A Basic Hospital in the Southern Province of Sri Lanka to improve the healthcare waste management among Nursing Officers attached to the hospital. An initial assessment was conducted to determine the waste generation and segregation practices of the hospital. Staff knowledge and waste management practices were assessed, as well as available segregation facilities, and interventions were designed and implemented. A post-intervention analysis was conducted to evaluate the effectiveness of the intervention. The main problems identified were lack of equipment, poor knowledge on health care waste management, and lack of proper guidelines developed by hospital management for proper health care waste management. A new guideline with waste segregation colour coding and practice was developed to improve knowledge of waste segregation, temporary storage, transport, and final disposal. Several training sessions were held for nurses. The improvement in knowledge and practice after the intervention was statistically significant (P = 0.001). The package of strategies such as improvement of knowledge, system change, transferring ownership of the project, provision of basic equipment, supervision and experience sharing has been successful in meeting project goals, and continuing professional training and supervision is recommended to ensuring sustainability.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - An Interventional Study to Improve the Healthcare Waste Management Among Nursing Officers in Type-A Base Hospital in Southern Province - Sri Lanka
    AU  - Liyanage Dilip Hikkaduwa
    AU  - Krishanth Maddage Don Athula
    AU  - Wickramaratne Nadhee Pethathahandi
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    DO  - 10.11648/j.pst.20210502.12
    T2  - Pharmaceutical Science and Technology
    JF  - Pharmaceutical Science and Technology
    JO  - Pharmaceutical Science and Technology
    SP  - 40
    EP  - 43
    PB  - Science Publishing Group
    SN  - 2640-4540
    UR  - https://doi.org/10.11648/j.pst.20210502.12
    AB  - Clinical waste management is a burning issue worldwide. Environmental pollution and associated health risks, including disease transmission and social problems are the main consequences of this issue. The most governments are paying more attention to develop effective and efficient healthcare waste management in the curative health sector. This intervention project was conducted among the nursing staff at the Type A Basic Hospital in the Southern Province of Sri Lanka to improve the healthcare waste management among Nursing Officers attached to the hospital. An initial assessment was conducted to determine the waste generation and segregation practices of the hospital. Staff knowledge and waste management practices were assessed, as well as available segregation facilities, and interventions were designed and implemented. A post-intervention analysis was conducted to evaluate the effectiveness of the intervention. The main problems identified were lack of equipment, poor knowledge on health care waste management, and lack of proper guidelines developed by hospital management for proper health care waste management. A new guideline with waste segregation colour coding and practice was developed to improve knowledge of waste segregation, temporary storage, transport, and final disposal. Several training sessions were held for nurses. The improvement in knowledge and practice after the intervention was statistically significant (P = 0.001). The package of strategies such as improvement of knowledge, system change, transferring ownership of the project, provision of basic equipment, supervision and experience sharing has been successful in meeting project goals, and continuing professional training and supervision is recommended to ensuring sustainability.
    VL  - 5
    IS  - 2
    ER  - 

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Author Information
  • Milton Keynes University Hospital, National Health Servicers Foundation Trust, Milton Keynes, United Kingdom

  • Medical Supplies Division, Ministry of Health, Colombo, Sri Lanka

  • Clifton Balika College, Ministry of Education, Colombo, Sri Lanka

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