Healthcare waste management in a Brazilian university public hospital

Santos, Elci de Souza; Gonçalves, Karla Magna Dos Santos; Mol, Marcos Paulo Gomes

doi:10.1177/0734242x18815949

Cited by 25 publications

(20 citation statements)

References 37 publications

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“…After the start of the pandemic, the generation of waste remained above the national reference. In general, the generation of infectious and sharps waste in the studied hospital remains inferior to the national data, probably due to the efficient segregation of the waste, demonstrated by management indicators as pointed out by Santos et al (2019).…”

Section: Hcw Generation Data During the Pandemicmentioning

confidence: 59%

Generation of infectious waste during the COVID-19 pandemic: The case of a Brazilian hospital

et al. 2021

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Coronavirus-19 disease (COVID-19) acquired pandemic status in March 2020. The new virus has caused serious implications in the healthcare services management, including several sectors, among them the generation of waste. Healthcare wastes (HCW) generation increased along pandemic representing a health problem due to potentially infected ones. From this perspective, the study sought to analyse the challenges and changes imposed by COVID-19 in the HCW management in a large public hospital from Brazil. For this purpose, data about the Contingency Plan prepared by the hospital and HCW generation from 2017 to 2020 were used, analysed by statistical methods. When dealing with the Contingency Plan, the Brazilian hospital adopted measures similar to other hospitals around the world as described by the literature, such as: adoption of new protocols, specific team assigned to manage actions and training of professionals and suspension of elective surgeries. Regarding the generation of HCW, there was a significant increase in the mass of biological waste with a high risk of infection. The waste of this group increased from March 2020, coinciding with the start of care for the patients infected by COVID-19. The contribution of this type of waste to total generation jumped from approximately 0.2% in previous years to almost 5% in 2020. In addition, a reduction in the average of total waste generated in kilogrammes per bed per day from 2017 to 2019 was indicated compared to the 2020. COVID-19 pandemic led to major challenges for hospitals that had to care for patients infected with the SARS-CoV-2 virus, including new protocols, changing the work shifts and training the teams in the new procedures. The biological waste with a high risk of infectiousness also increased 30 times.

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Section: Hcw Generation Data During the Pandemicmentioning

confidence: 59%

Generation of infectious waste during the COVID-19 pandemic: The case of a Brazilian hospital

et al. 2021

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“…O Grupo A são resíduos com potencial risco biológico, sendo subdividido em A:1 com alto potencial de risco de contaminação ocupacional e ambiental; A2 animal infectado por um microrganismo relevante; A3 peças anatômicas do ser humano; A4 baixo risco potencial; e A5 resíduos de príons. O subgrupo A4 são resíduos infecciosos que podem ser enviados para aterro sanitário sem qualquer tratamento anterior (BRASIL, 2018, SANTOS;GONÇALVES;MOL, 2019).…”

Section: Página | 62unclassified

A gestão dos resíduos de serviços de saúde durante a COVID-19

et al. 2020

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Este artigo trata a complexidade da gestão dos resíduos serviços de saúde (RSS) gerados no atendimento a pacientes de Covid-19, pois, devido à alta capacidade de contaminação do vírus o mesmo é transferido para as máscaras, luvas e outros equipamentos durante o contato com pacientes. Os dados aqui levantados sobre a gestão dos RSS retratam as implicações durante a pandemia, pois os materiais devem ser separados e destinados corretamente, evitando a propagação do vírus. A metodologia adotada é um estudo de caso com análise quanti-qualitativa de dados de amostra que representa cerca de 70% dos hospitais federais pesquisados. O estudo demonstra que apesar dos hospitais analisados encaminharem os resíduos infectados para tratamento correto, ainda precisam se preparar melhor para situações como esta que alteraram o fluxo e o volume dos resíduos. Isto implica em traçarem planos de contingência alinhados com o poder público municipal e com sociedade em geral, garantindo maior segurança para todos.

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“…The wastes produced in healthcare institutions are defined as domestic wastes, medical wastes, hazardous wastes and radioactive wastes that harm people, especially employees, society and environmental health (Doğan & Göktaş 2017;Odonkor & Mahami 2020;Terzi & Yüce 2017;Tfaily & Moussa 2020). A good waste management should be planned, implemented and improved to prevent these harmful effects (Assemu, Tafere, Gelaw & Bantie, 2020;Hasçuhadar et al 2007;Moreira & Günther, 2013;Santos, Gonçalves & Mol, 2019). With good waste management, without harming human health and the environment and all wastes are collected in the most economical way,, separated, turned into usable form, and those that are not converted are safely destroyed (Ertaş & Güden, 2019;Terzi & Yüce 2017).…”

Section: Introductionmentioning

confidence: 99%

Validity and Reliability of The Turkish Version of The Solid Waste Management Scale in Health Institutions

Er¹,

Aslan²,

Alaman³

et al. 2021

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Aim: This research was conducted with the aim to determine the validity and reliability of the Turkish version of the Solid Waste Management Scale in health institutions. Method: The study population consisted of nurses working in two different hospitals (918 + 939 = 1857 nurses). The samples were selected from the universe using the improbable sampling method. The data were collected by a Personal Information Form and the Solid Waste Management Scale in Healthcare Institutions. The data were analyzed based on the computations of descriptive statistics including mean, standard deviation, frequencies, percentages, Cronbach’s alpha reliability coefficient, Pearson Product Moments Correlation, Factor Analysis, Bartlett’s Test, and Kaiser-Meyer-Olkin Test. Results: The content validity index of the scale was found to be 0.98. The Cronbach’s alpha reliability coefficients of the scale ranged between 0.59, and 0.73, while the item factor loads between 0.31, and 0.94, and the item-total correlation values between 0.21, and 0.77. The factorial structure of the scale was confirmed as a result of the Exploratory and Confirmatory Factor Analyses. Conclusion: The Turkish version of the Solid Waste Management Scale in Health Institutions showed that it is a valid and reliable tool for determining the level of knowledge and attitudes of nurses working in health institutions about solid waste management. This scale, whose validity and reliability has been tested, can be used to determine the attitudes and knowledge levels of nurses working in health institutions on solid waste management.

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Healthcare waste management in a Brazilian university public hospital

Cited by 25 publications

References 37 publications

Generation of infectious waste during the COVID-19 pandemic: The case of a Brazilian hospital

Generation of infectious waste during the COVID-19 pandemic: The case of a Brazilian hospital

A gestão dos resíduos de serviços de saúde durante a COVID-19

Validity and Reliability of The Turkish Version of The Solid Waste Management Scale in Health Institutions

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