Impact of an educational training about healthcare waste management on practices skills of healthcare workers: a prexperimental study in a tertiary Tunisian hospital.
Healthcare
Improvement; Tunisia
Management
Training
Waste
Journal
Antimicrobial resistance and infection control
ISSN: 2047-2994
Titre abrégé: Antimicrob Resist Infect Control
Pays: England
ID NLM: 101585411
Informations de publication
Date de publication:
10 Oct 2024
10 Oct 2024
Historique:
received:
27
09
2023
accepted:
31
07
2024
medline:
11
10
2024
pubmed:
11
10
2024
entrez:
10
10
2024
Statut:
epublish
Résumé
Healthcare waste (HCW) poses a global hazard, particularly in developing country hospitals where mismanagement is common due to poor practices among staff. Training healthcare workers has shown promise in enhancing practices and behaviors. The aim of this study was to assessHCW management at Sahloul University Hospital (2019-2021) before and after training sessions. This study was conducted at Sahloul University in Sousse, Tunisia, spanned two years (2019-2021) and consisted of three distinct stages. Two audits of Healthcare Waste Management (HCWM) were conducted using a predetermined assessment framework derived from ANGED's guidelines, with an educational session separating the two audits. In terms of sorting practicesthere was a substantial improvement in sorting practices following training. Specifically, the overall compliance rate for sorting sharps increased from 60.3 to 77.6% (p < 10 - 3), and for sorting soft and solid waste, it rose from 32.5 to 72.4% (p < 10 - 3) in 2021. Overall, resource indicators demonstrated improvement between 2019 and 2021, the compliance rate for the intra-service collection step increased from 31.3 to 58.2%. However, we observed persistent inadequacies in container and bag labeling, as well as challenges in tracing the time of healthcare waste collection. Training led to significant improvements in HCW management practices among healthcare workers, though some areas still need enhancement.
Sections du résumé
BACKGROUND
BACKGROUND
Healthcare waste (HCW) poses a global hazard, particularly in developing country hospitals where mismanagement is common due to poor practices among staff. Training healthcare workers has shown promise in enhancing practices and behaviors. The aim of this study was to assessHCW management at Sahloul University Hospital (2019-2021) before and after training sessions.
METHODS
METHODS
This study was conducted at Sahloul University in Sousse, Tunisia, spanned two years (2019-2021) and consisted of three distinct stages. Two audits of Healthcare Waste Management (HCWM) were conducted using a predetermined assessment framework derived from ANGED's guidelines, with an educational session separating the two audits.
RESULTS
RESULTS
In terms of sorting practicesthere was a substantial improvement in sorting practices following training. Specifically, the overall compliance rate for sorting sharps increased from 60.3 to 77.6% (p < 10 - 3), and for sorting soft and solid waste, it rose from 32.5 to 72.4% (p < 10 - 3) in 2021. Overall, resource indicators demonstrated improvement between 2019 and 2021, the compliance rate for the intra-service collection step increased from 31.3 to 58.2%. However, we observed persistent inadequacies in container and bag labeling, as well as challenges in tracing the time of healthcare waste collection.
CONCLUSION
CONCLUSIONS
Training led to significant improvements in HCW management practices among healthcare workers, though some areas still need enhancement.
Identifiants
pubmed: 39390611
doi: 10.1186/s13756-024-01446-w
pii: 10.1186/s13756-024-01446-w
doi:
Substances chimiques
Medical Waste Disposal
0
Medical Waste
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
122Informations de copyright
© 2024. The Author(s).
Références
Health care waste management. a neglected and growing public health problem worldwide - Harhay – 2009 - Tropical Medicine & International Health - Wiley Online Library n.d. https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-3156.2009.02386.x (accessed December 7, 2021).
Padmanabhan KK, Barik D. Health Hazards of Medical Waste and its disposal. Energy from toxic Organic Waste for Heat and. Power Generation. 2019;99–118. https://doi.org/10.1016/B978-0-08-102528-4.00008-0 .
Healthcare waste: what to do with it? UNEP. 2020. http://www.unep.org/news-and-stories/story/healthcare-waste-what-do-it (accessed December 7, 2021).
9789241548564-per.pdf n.d.
Shiferaw Y, Abebe T, Mihret A. Hepatitis B virus infection among medical waste handlers in Addis Ababa, Ethiopia. BMC Res Notes. 2011;4:479. https://doi.org/10.1186/1756-0500-4-479 .
doi: 10.1186/1756-0500-4-479
pmcid: 3234303
pubmed: 22051187
Trim JC, Elliott TSJ. A review of sharps injuries and preventative strategies. J Hosp Infect. 2003;53:237–42. https://doi.org/10.1053/jhin.2002.1378 .
doi: 10.1053/jhin.2002.1378
pubmed: 12660120
Odagiri M, Cahyorini, Azhar K, Cronin AA, Gressando Y, Hidayat I, et al. Water, Sanitation, and Hygiene Services in Public Health-Care Facilities in Indonesia. Am J Trop Med Hyg. 2018;99:546–51. https://doi.org/10.4269/ajtmh.18-0044 . Adoption of World Health Organization/United Nations Children’s FundService Ladders to National Data Sets for a Sustainable Development Goal Baseline Assessment.
Yu H, Sun X, Solvang WD, Zhao X. Reverse Logistics Network Design for Effective Management of Medical Waste in Epidemic outbreaks: insights from the Coronavirus Disease 2019 (COVID-19) outbreak in Wuhan (China). Int J Environ Res Public Health. 2020;17:1770. https://doi.org/10.3390/ijerph17051770 .
doi: 10.3390/ijerph17051770
pmcid: 7084373
pubmed: 32182811
Bdour A, Altrabsheh B, Hadadin N, Al-Shareif M. Assessment of medical wastes management practice: a case study of the northern part of Jordan. Waste Manag. 2007;27:746–59. https://doi.org/10.1016/j.wasman.2006.03.004 .
doi: 10.1016/j.wasman.2006.03.004
pubmed: 16713238
Kumar: Healthcare waste management (HCWM) in Pakistan:… Google Scholar n.d. https://scholar.google.com/scholar_lookup?journal=J+Ayub+Med+Coll+Abbottabad&title=Healthcare+waste+management+(HCWM)+in+Pakistan:Current+situation+and+training+options&author=R+Kumar&author=EA+Khan&author=J+Ahmed&author=Z+Khan&author=M+Magan&volume=22&issue=4&publication_year=2010&pages=101-105&pmid=22455273& (accessed November 21, 2021).
Kumar R, Somrongthong R, Shaikh BT. Effectiveness of intensive healthcare waste management training model among health professionals at teaching hospitals of Pakistan: a quasi-experimental study. BMC Health Serv Res. 2015;15:81. https://doi.org/10.1186/s12913-015-0758-7 .
doi: 10.1186/s12913-015-0758-7
pmcid: 4353471
pubmed: 25889451
Maaroufi K, Tudor T, Vaccari M, Siala A, Mahmoudi E. An evaluation of Staff Engagement with Infectious Healthcare Waste Management policies: a case study of Tunisia. IJERPH. 2020;17:1704. https://doi.org/10.3390/ijerph17051704 .
doi: 10.3390/ijerph17051704
pmcid: 7084811
pubmed: 32150949
Amar W, Khemekhem Z, Mannoubi S, Zribi M, Karray N, Dhouib H, Risques lies a la gestion inappropriee des dechets d’activite sanitaire dangereux de nature anatomique hazardous incurred to unsafe management of pathological health-care waste. J De l’Information Médicale De Sfax 2018:1.
ANGED. Agence Nationale de Gestion des Déchets n.d. http://anged.nat.tn/ (accessed November 21, 2021).
Chartier Y. Safe management of wastes from health-care activities. World Health Organization; 2014.
Brunot A, Thompson C. Health care waste management of potentially infectious medical waste by healthcare professionals in a private medical practice: a study of practices. Sante Publique (Vandoeuvre-Les-Nancy, France). 2010;22:605–15.
Qaiser S, Arif A, Quaid S, Ahsan T, Riaz K, Niaz S, et al. Innovative solution to Sharp Waste Management in a Tertiary Care Hospital in Karachi, Pakistan. Infect Control Hosp Epidemiol. 2013;34:1297–305. https://doi.org/10.1086/673978 .
doi: 10.1086/673978
pubmed: 24225615
Al-Khatib IA, Sato C. Solid health care waste management status at health care centers in the West Bank – Palestinian Territory. Waste Manag. 2009;29:2398–403. https://doi.org/10.1016/j.wasman.2009.03.014 .
doi: 10.1016/j.wasman.2009.03.014
pubmed: 19398317
Mathur V, Dwivedi S, Hassan MA, Misra RP. Knowledge, attitude, and practices about biomedical waste management among healthcare personnel: a cross-sectional study. Indian J Community Med. 2011;36:143. https://doi.org/10.4103/0970-0218.84135 .
doi: 10.4103/0970-0218.84135
pmcid: 3180941
pubmed: 21976801
Organization WH. Safe Management of Wastes from Health-Care activities. World Health Organization; 2014.
Gadiye EN. Effectiveness of health care waste management training on improving competencies of hospital cleaners at Dodoma regional referral hospital and Benjamin Mkapa hospital in Dodoma region: a quasi-experimental study. 2020.
Baati D, Mellouli M, Hachicha W. Designing a new infectious healthcare-waste management system in sfax governorate, tunisia., Logistics, Transport. (ICALT), Hammamet, Tunisia: IEEE; 2014, pp. 350–5. https://doi.org/10.1109/ICAdLT.2014.6866337
Mosquera M, Andrés-Prado MJ, Rodríguez-Caravaca G, Latasa P, Mosquera MEG. Evaluation of an education and training intervention to reduce health care waste in a tertiary hospital in Spain. Am J Infect Control. 2014;42:894–7. https://doi.org/10.1016/j.ajic.2014.04.013 .
doi: 10.1016/j.ajic.2014.04.013
pubmed: 24913763
Hassan MM, Ahmed SA, Rahman KA, Biswas TK. Pattern of medical waste management: existing scenario in Dhaka City. Bangladesh BMC Public Health. 2008;8:36. https://doi.org/10.1186/1471-2458-8-36 .
doi: 10.1186/1471-2458-8-36
pubmed: 18221548
Hasçuhadar M, Kaya Z, Şerbetçioğlu S, Arslan T, Altınkaya S. The awareness level among the employees working in Ankara Ataturk Training and Research Hospital about medical wastes. Turk Med J. 2007;1:138–44.
Organization WH. WHO guideline on the use of safety-engineered syringes for intramuscular, intradermal and subcutaneous injections in health-care settings. World Health Organization; 2015.
Freedman AM, Simmons S, Lloyd LM, Redd TR, Alperin M, Salek SS, et al. Public health training center evaluation: a framework for using logic models to improve practice and educate the public health workforce. Health Promot Pract. 2014;15:S80–8.
doi: 10.1177/1524839913509271
Nandwani S. Study of biomedical waste management practices in a private hospital and evaluation of the benefits after implementing remedial measures for the same. J Commun Dis. 2010;42:39–44.
pubmed: 22468550