Sri E S Keerthika, Vaithy K Anandraj, Shanmugasamy Kathirvelu, Srinivasan Sowmya
Department of Pathology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University (Deemed), Puducherry, India.
J Educ Health Promot. 2023 Apr 28;12:136. doi: 10.4103/jehp.jehp_1632_22. eCollection 2023.
Hospital-generated waste materials commonly labeled as "Biomedical waste" (BMW) is a kind of remnant that includes infectious and non-infectious materials and their appropriate disposals are controlled as per the guidelines of Biomedical Waste Management (BMWM) Amendment Rules, 2018, Government of India. Periodic assessment on BMWM among healthcare workers (HCWs) is mandated to ensure quality assurance, which may be helpful during pandemic times.
The study was conducted with ethical clearance by using a validated questionnaire (using Cronbach's α) covering knowledge, attitude, and practices (KAP) derived based on recent BMWM 2018 guidelines. The responses in context to KAP were checked by the study conductors, appropriate statistical analysis was done and discussed at end of each session.
Nearly 279 HCWs participated in the study and cast their responses. Knowledge and attitude domain on BMWM showed statistical significance whereas varied responses were observed with practices among the health professional workers with health professional physicians having an edge over other HCWs involved in the processes with varying attrition factors.
The present study proves novelty by extensively analyzing KAP among HCWs on BMWM in general with special emphasis on laboratory biosafety norms. The study emphasizes that BMWM should be a continuous process and that all HCWs handling BMW must undergo regular training and assessment with questionnaire surveys. Multi-tasking and cumulative efforts must be formulated to attain translational synergy in the stream of KAP of BMWM, which could be attained by incorporating BMWM in the health science curriculum.
通常被标记为“生物医学废物”（BMW）的医院产生的废料是一种残余物，包括传染性和非传染性材料，其妥善处置按照印度政府2018年《生物医学废物管理（BMWM）修正案规则》的指导方针进行控制。对医护人员（HCW）进行BMWM的定期评估是确保质量保证所必需的，这在大流行时期可能会有所帮助。
本研究在获得伦理批准后，使用经过验证的问卷（采用克朗巴哈系数α）进行，该问卷涵盖基于2018年最新BMWM指导方针得出的知识、态度和实践（KAP）。研究人员检查了KAP方面的回答，进行了适当的统计分析，并在每一轮结束时进行了讨论。
近279名医护人员参与了本研究并给出了回答。BMWM的知识和态度领域显示出统计学意义，而在卫生专业人员中观察到实践方面的不同回答，卫生专业医生在参与该过程的其他医护人员中具有优势，且存在不同的损耗因素。
本研究通过广泛分析医护人员对BMWM的KAP，特别是强调实验室生物安全规范，证明了其新颖性。该研究强调BMWM应该是一个持续的过程，所有处理BMW的医护人员必须通过问卷调查接受定期培训和评估。必须制定多任务和累积努力措施，以在BMWM的KAP流程中实现转化协同效应，这可以通过将BMWM纳入健康科学课程来实现。
