Background and objectives: Growing urbanization has led to several changes in the healthcare sector. While on one hand, access to healthcare services are being provided to the community thereby resulting in the better health for all, improper management of biomedical waste emanating from these healthcare establishments has also given rise to many environmental and health problems. Although awareness in this issue has considerably increased over the last few years, sensitivity to this problem has been limited. Most hospitals are not actively involved in addressing this problem. Also, the staffs are not trained in the proper waste management procedures.
The present interventional study was conducted to assess the knowledge, attitude and practice about hospital waste management, to provide training programme on hospital waste management and to assess the effect of training among the staff of dental teaching hospitals in Bangalore city.
Methodology: A specially prepared and pre-tested structured questionnaire was given to assess the knowledge, attitude and practices among the staff of dental teaching hospitals and collected personally. One day training programme on the hospital waste management was organized at each dental college. Intervention was evaluated by assessing improvements in their knowledge, change in attitude and practice scores after intervention in comparison to the base line scores.
Results: Two months after intervention there was a 24.4% improvement in knowledge among the dentists, 18.7% improvement among auxiliaries and 23.3% improvement (p<0.001, significant) among the attenders when compared to the baseline knowledge. There was 36.2% change in attitude among the dentists, 33.3% change among auxiliaries, 56.42% and among the attenders (p<0.001, significant) when compared to the baseline attitude. There was a 17.6% change in practice among the dentists, 16.4 % change among auxiliaries, and 4.4 % among the attenders when compared to the baseline practice.
Conclusion: The findings of this study suggest that a training programme increases the knowledge as well as the sense of responsibility resulting in change in attitude and practices. However, to implement an effective and sustainable hospital waste management system: budget support, allocation of resources and technical guidance is required. Large volumes of workload bureaucratic culture and slow percolation of decisions delays the changes that are mandated.
Inhaltsverzeichnis (Table of Contents)
- INTRODUCTION
- REVIEW OF LITERATURE
- MATERIALS AND METHODS
- OBTAINING APPROVAL FROM THE AUTHORITIES
- ETHICAL COMMITTEE CLEARANCE
- REQUIRED INFORMATION ABOUT THE STUDY AREAS
- SAMPLE SIZE
- Inclusion criteria
- Exclusion criteria
- PILOT STUDY
- SCHEDULE OF THE STUDY
- IMPLEMENTING THE STUDY
- BASE LINE DATA
- DETAILS OF THE INTERVENTION
- POST INTERVENTION DATA
- EVALUATION OF THE INTERVENTION
- STATISTICAL ANALYSIS
- RESULTS
- DISCUSSION
- SUMMARY
- CONCLUSION
- BIBILIOGRAPHY
Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)
This dissertation investigates the knowledge, attitude, and practice of hospital waste management among the staff of dental teaching hospitals in Bangalore City, India. The study aims to assess the effectiveness of a training program on hospital waste management by evaluating changes in staff knowledge, attitude, and practice. Key themes explored in the dissertation include:- The importance of proper hospital waste management for protecting the health of patients, staff, and the community.
- The challenges and limitations of current hospital waste management practices in dental teaching hospitals in Bangalore City.
- The impact of a training program on staff knowledge, attitude, and practice regarding hospital waste management.
- The role of administration and organizational structure in supporting sustainable hospital waste management practices.
- The need for continuous education and training to ensure effective implementation of hospital waste management practices.
Zusammenfassung der Kapitel (Chapter Summaries)
The introduction provides background information on the increasing concern regarding hospital waste management, particularly in the context of growing urbanization and healthcare access. It discusses the historical evolution of hospital waste management, highlighting the emergence of regulatory frameworks, and emphasizes the multidimensional ramifications of improper waste management. The introduction also outlines the aim and objectives of the dissertation, which is to assess the effectiveness of a training program on hospital waste management among the staff of dental teaching hospitals in Bangalore City.
The review of literature presents a comprehensive analysis of existing scientific literature on the knowledge, attitude, and practice of hospital waste management, specifically focusing on studies related to dental settings. It examines various research projects conducted across different countries, highlighting key findings and challenges regarding staff awareness, training, and implementation of proper waste management practices. The review emphasizes the urgent need for staff education and training programs to address the gaps in knowledge, attitude, and practice observed in the existing literature.
The materials and methods section provides detailed information on the methodology employed in the dissertation. It describes the process of obtaining ethical clearance, defining the study area, and selecting the sample size. The section outlines the inclusion and exclusion criteria, explains the pilot study conducted to refine the questionnaire, and presents a detailed schedule of the study. It also provides a step-by-step explanation of the intervention process, including the structure and content of the training program, and describes the data collection methods used for both baseline and post-intervention assessments. The section concludes with a thorough explanation of the statistical analysis techniques used to analyze the data.
The results section presents the findings of the study, including the demographic characteristics of the study participants and the quantitative data collected through the pre-tested questionnaires and check lists. It analyzes the baseline knowledge, attitude, and practice scores of the staff, specifically dentists, auxiliaries, and attenders. The results section then analyzes the changes observed in knowledge, attitude, and practice scores after the intervention, highlighting the impact of the training program on different study groups. It also presents the results of the check list evaluation, providing a detailed overview of the observed hospital waste management practices in the dental teaching hospitals included in the study.
Schlüsselwörter (Keywords)
This dissertation focuses on the critical issue of hospital waste management, particularly in the context of dental teaching hospitals. Key terms that define the scope of this research include: biomedical waste, hospital waste management, knowledge, attitude, and practice. The study emphasizes the importance of effective training programs to improve staff understanding, change attitudes, and promote the implementation of sustainable hospital waste management practices. It further explores the need for strong administrative support, adequate legislation, and continuous monitoring to ensure the long-term success of hospital waste management initiatives.- Citar trabajo
- Dr. Sushma Rudraswamy (Autor), Dr. S. Naganandini (Autor), Dr. Nagabhushana Doggalli (Autor), 2010, Hospital Waste Management among the Staff of Dental Hospitals, Múnich, GRIN Verlag, https://www.grin.com/document/215129
