Abstract:The importance of healthcare waste management in preserving the environment and protecting the public cannot be denied. Past research has dealt with various issues in healthcare waste management and disposal, which spreads over various journals, pipeline research disciplines and research communities. Hence, this article analyses this scattered knowledge in a systematic manner, considering the period between January 2005 and July 2014. The purpose of this study is to: (i) identify the trends in healthcare waste… Show more
“…Some studies have identified the importance of training programs directed to health workers, HCW management teams and waste handling workers in order to improve the global approach on HCWM [47, 48]. However, this has been neglected in Brazil [23] and may be one of the reasons behind the difficulties on HCWM faced by this country.…”
BackgroundPeriodic assessment is one of the recommendations for improving health-care waste management worldwide. This study aimed at translating and adapting the Health-Care Waste Management - Rapid Assessment Tool (HCWM-RAT), proposed by the World Health Organization, to a Brazilian Portuguese version, and resolving its cultural and legal issues. The work focused on the evaluation of the concepts, items and semantic equivalence between the original tool and the Brazilian Portuguese version.MethodsA cross-cultural adaptation methodology was used, including: initial translation to Brazilian Portuguese; back translation to English; syntheses of these translation versions; formation of an expert committee to achieve consensus about the preliminary version; and evaluation of the target audience’s comprehension.ResultsBoth the translated and the original versions’ concepts, items and semantic equivalence are presented. The constructs in the original instrument were considered relevant and applicable to the Brazilian context. The Brazilian version of the tool has the potential to generate indicators, develop official database, feedback and subsidize political decisions at many geographical and organizational levels strengthening the Monitoring and evaluation (M&E) mechanism. Moreover, the cross-cultural translation expands the usefulness of the instrument to Portuguese-speaking countries in developing regions.ConclusionThe translated and original versions presented concept, item and semantic equivalence and can be applied to Brazil
“…Some studies have identified the importance of training programs directed to health workers, HCW management teams and waste handling workers in order to improve the global approach on HCWM [47, 48]. However, this has been neglected in Brazil [23] and may be one of the reasons behind the difficulties on HCWM faced by this country.…”
BackgroundPeriodic assessment is one of the recommendations for improving health-care waste management worldwide. This study aimed at translating and adapting the Health-Care Waste Management - Rapid Assessment Tool (HCWM-RAT), proposed by the World Health Organization, to a Brazilian Portuguese version, and resolving its cultural and legal issues. The work focused on the evaluation of the concepts, items and semantic equivalence between the original tool and the Brazilian Portuguese version.MethodsA cross-cultural adaptation methodology was used, including: initial translation to Brazilian Portuguese; back translation to English; syntheses of these translation versions; formation of an expert committee to achieve consensus about the preliminary version; and evaluation of the target audience’s comprehension.ResultsBoth the translated and the original versions’ concepts, items and semantic equivalence are presented. The constructs in the original instrument were considered relevant and applicable to the Brazilian context. The Brazilian version of the tool has the potential to generate indicators, develop official database, feedback and subsidize political decisions at many geographical and organizational levels strengthening the Monitoring and evaluation (M&E) mechanism. Moreover, the cross-cultural translation expands the usefulness of the instrument to Portuguese-speaking countries in developing regions.ConclusionThe translated and original versions presented concept, item and semantic equivalence and can be applied to Brazil
High-technology medicine saves lives and produces waste; this is the case of dialysis. The increasing amounts of waste products can be biologically dangerous in different ways: some represent a direct infectious or toxic danger for other living creatures (potentially contaminated or hazardous waste), while others are harmful for the planet (plastic and non-recycled waste). With the aim of increasing awareness, proposing joint actions and coordinating industrial and social interactions, the Italian Society of Nephrology is presenting this position statement on ways in which the environmental impact of caring for patients with kidney diseases can be reduced. Due to the particular relevance in waste management of dialysis, which produces up to 2 kg of potentially contaminated waste per session and about the same weight of potentially recyclable materials, together with technological waste (dialysis machines), and involves high water and electricity consumption, the position statement mainly focuses on dialysis management, identifying ten first affordable actions: (1) reducing the burden of dialysis (whenever possible adopting an intent to delay strategy, with wide use of incremental schedules); (2) limiting drugs and favouring "natural" medicine focussing on lifestyle and diet; (3) encouraging the reuse of "household" hospital material; (4) recycling paper and glass; (5) recycling non-contaminated plastic; (6) reducing water consumption; (7) reducing energy consumption; (8) introducing environmental-impact criteria in checklists for evaluating dialysis machines and supplies; (9) encouraging well-planned triage of contaminated and non-contaminated materials; (10) demanding planet-friendly approaches in the building of new facilities.
“…(2,3, 4) Torna-se pertinente integrar o plano de formação específico na área de gestão de Resíduos Hospitalares (RH) no plano de formação institucional (5). As formações nesta área devem atender ao levantamento das necessidades de formação diagnosticadas, devendo ser adequadas ao conteúdo funcional dos diferentes grupos profissionais (6,7). Para um estudo neste contexto selecionou-se o CHSJ (Centro Hospitalar de S.João) tendo por base a sua dimensão e diferenciação da prática clinica.…”
Section: Introductionunclassified
“…(2,3,4) It is appropriate to integrate the specific training plan in the area of Hospital Waste Management into the institutional training plan (5). Training in this area should take into account the determined training needs and should be adequate to the functional content of the different professional groups (6,7). For a study in this context, the HCSJ (Hospital Center of S. João) was selected based on its size and differentiation of the clinical practice.…”
Biomedical Sciences │ Ciências BiomédicasBiomed Biopharm Res. , 2018; (15) 1: , 55-62
Biomedical and Biopharmaceutical Research J o r n a l d e I n v e s t i g a ç ã o B i o m é d i c a e B i o f a r m a c ê u t i c a
55
Training and Knowledge of Health Professionals about Hospital Waste and its Risks in a Central Hospital
AbstractThe knowledge retention and application after training / awarness of health professionals for the management of Hospital Waste (HW) is a demanding Key Performance Indicator (KPI) for the waste management process to be the most effective and efficient. This study presents the data about the frequency of training sessions / awarness by the professionals of a Central Hospital, the approach to the risks inherent to health and the environment, as well as the knowledge perceived by the trainees. It was concluded that although most of the professionals have training in the area with the coverage of the themes related to the risks inherent to HW, they recognize that their knowledge is insufficient.
Keywords: Hospital waste, Training, Risks to Health and Environment, Knowledge
ResumoA retenção de conhecimento e sua aplicação após formação/sensibilização dos profissionais de saúde na gestão dos Resíduos Hospitalares (RH) é um Indicador de Desempenho Fundamental (KPI-Key Performance Indicator) para que o processo de gestão seja o mais eficaz e eficiente. Neste estudo apresentam-se os dados relativos à frequência de sessões de formação/sensibilização por parte dos profissionais de um Hospital Central, e à abordagem dos riscos inerentes à saúde e ambiente nas mesmas, bem como do conhecimento percecionado pelos formandos. Concluiuse que apesar da maioria dos profissionais ter formação na área com a abrangência das temáticas relativas aos riscos inerentes aos RH, reconhecem que o seu conhecimento é insuficiente.
Palavras-chave:Resíduos Hospitalares, Formação, Riscos para a Saúde e Ambiente, Conhecimento.
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