Inquiry Based on Evidence and its Practices in Two Healthcare Facilities of Bujumbura

Abstract

Background: Inquiry evidence-based practice (IBP) improves healthcare quality, reliability, and patient outcomes as well as reduces variations in care and costs. IBP and its practice in health care promote also many advantages, such as improvements of practices based on the attitudes and cognitive ideas. This study aims to assess the inquiry based on evidence (IBP) and its practices in two Health Care Facilities (HCFs) of Bujumbura to help the practitioners to understand its importance. Methods: A cross-sectional study design was used to analyze the importance of IBP and its practice in these two hospitals. The probability-sampling technique was used also to select 104 nurses from the Military Hospital of Kamenge and 55 nurses from the Van Norman Clinic. A questionnaire was used to collect data with two mains components, demographic data and knowledge and attitudes addressing the following parameters: evidence practice during inquiry, nursing theory, current analysis in nursing care oriented the evidence, prioritization of care, rational diagnostic, monitoring and assessment. Results: The findings from this study revealed a poor knowledge and attitude among participants towards Inquiry Based Practice. In all variables, participants were scoring less than 10%. However, majority of participants (76.5%) know the indicators of patients' satisfaction with nursing interventions through survey-based practice and 74.1% argued to analyze their information collected. Conclusion: This study revealed a weak awareness on IBP and its importance during nursing practice among participants as for almost all variables, participants were scoring less than 10%, except for the indicators of patients' satisfaction with nursing interventions through survey-based practice (76.5%). Therefore, in-service training and curriculum revision had been highlighted and recommended another to provide the best rational diagnosis and achieve the patient's outcomes.

Readiness of Healthcare Facilities to Implement Onsite Healthcare Waste Management Protocols and Incineration Guidelines in Tanzania

“…To be able to implement an onsite HCW treatment system, the facility must establish the waste generation rate data to allow proper planning and design of the waste management system [5]. To effectively operate an onsite treatment of the HCW, there are a number of preparatory activities that the HCFs should accomplish, including: ongoing activities for improvements or installation of the onsite treatment facilities, designation of the waste collection staff, waste transportation equipment, designation or construction of the waste storage area, construction and maintenance of the incinerator, fencing of the incinerator area, construction of ash pit and placenta pit, accessibility of the waste treatment area, and provision of PPE.…”

“…Good planning, technical oversight, and sustained supportive supervision of incinerator systems are critical to ensuring safe incineration. Large-capacity, cleaner-burning incinerators usually rely on electricity and fossil fuels to maintain their emission standards [5]. These technologies are often installed in HCFs located in cities and towns where electric power is available.…”

“…Thus, this paper focuses on assessing the readiness of the HCFs to support infrastructure based on the national HCW management guidelines of the Ministry of Health [5]. A national survey of health-care waste practices was conducted to cover 26 regions and their constituent districts.…”