RESUMO
This study assessed knowledge, attitudes and practices of health-care providers towards waste management at Ain Shams University Hospitals, Cairo, Egypt. In this cross-sectional study 110 physicians, 151 nurses and 89 housekeepers were interviewed using a pre-designed questionnaire. Housekeepers were significantly more knowledgeable than physicians or nurses about hospital policies and systems for waste disposal, but less so about specific details of disposal. Housekeepers also had the highest overall scores for attitudes to waste disposal among the 3 groups. Significantly more nurses had satisfactory practice scores (84.0%) than did physicians (67.3%) (housekeepers were not assessed). Training and duration of work experience were not significantly associated with knowledge, attitude and practice scores, except for nurses with longer work experience, who were more likely to have satisfactory knowledge about waste disposal than less experienced nurses.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Eliminação de Resíduos de Serviços de Saúde , Recursos Humanos em Hospital , Adulto , Estudos Transversais , Egito , Feminino , Hospitais Universitários , Zeladoria Hospitalar , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e QuestionáriosRESUMO
تقيم هذه الدراسة المعارف والمواقف والممارسات لدى العاملين في الرعاية الصحية تجاه إدارة التخلص من الفضلات في مستشفيات جامعة عين شمس في القاهرة، مصر. وهي دراسة مستعرضة شملت 110 أطباء و 151 ممرضة و 89 من العاملين في خدمة الغرف، إذ أجرت الباحثات معهم مقابلات استخدمن فيها استبيانا مسبق التصميم. واتضح للباحثات أن العاملين في خدمة الغرف أكثر إطلاعا من الأطباء ومن الممرضات على سياسات ونظم التخلص من الفضلات في المستشفى، ولكنهم أقل إطلاعا على تفاصيل نوعية خاصة بذلك. كما أحرز العاملون في خدمة الغرف أعلى الدرجات الإجمالية في المواقف من التخلص من الفضلات من بين الفئات الثلاث. كما كان لدى الممرضات درجات ممارسة مقبولة [84 %]أكثر مما لدى الأطباء [67.3 %][في حين لم تقم الباحثات بتقييم العاملين في خدمة الغرف]. ولم يترافق التدريب ولا فترة العمل ترافقا يعتد به مع الدرجات المحرزة في المعارف والمواقف والممارسات، إلا لدى الممرضات اللاتي لديهن خبرة أطول، واللواتي يغلب أن حصلن على معلومات مقبولة حول التخلص من الفضلات تزيد على ما لدى الممرضات ذوات الخبرة الأقل
ABSTRACT This study assessed knowledge, attitudes and practices of health-care providers towards waste management at Ain Shams University Hospitals, Cairo, Egypt. In this cross-sectional study 110 physicians, 151 nurses and 89 housekeepers were interviewed using a pre-designed questionnaire. Housekeepers were significantly more knowledgeable than physicians or nurses about hospital policies and systems for waste disposal, but less so about specific details of disposal. Housekeepers also had the highest overall scores for attitudes to waste disposal among the 3 groups. Significantly more nurses had satisfactory practice scores (84.0%) than did physicians (67.3%) (housekeepers were not assessed). Training and duration of work experience were not significantly associated with knowledge, attitude and practice scores, except for nurses with longer work experience, who were more likely to have satisfactory knowledge about waste disposal than less experienced nurses.
RÉSUMÉ La présente étude a évalué les connaissances, les attitudes et les pratiques des prestataires de soins de santé au sujet de la gestion des déchets au sein du Centre hospitalier universitaire d'Ain Shams au Caire (Égypte). Dans la présente étude transversale, 110 médecins, 151 infirmières et 89 agents de ménage ont été interrogés à l'aide d'un questionnaire préétabli. Les agents de ménage avaient nettement plus de connaissances que les médecins ou les infirmières sur les politiques et les systèmes d'élimination des déchets à l'hôpital, mais moins de connaissances détaillées spécifiques sur l'élimination. Les agents de ménage ont aussi obtenu les scores généraux les plus élevés des trois groupes pour les attitudes vis-à-vis de l'élimination des déchets. Les infirmières étaient beaucoup plus nombreuses à obtenir des scores satisfaisants pour la pratique (84,0 %) que les médecins (67,3 %) (les agents de ménage n'ont pas été évalués sur ce point). La formation et le nombre d'années d'expérience n'étaient pas significativement associés aux scores pour les connaissances, les attitudes et les pratiques, sauf chez les infirmières qui avaient une expérience professionnelle plus longue. Ces dernières étaient plus susceptibles d'obtenir des scores satisfaisants pour les connaissances sur l'élimination des déchets que les infirmières moins expérimentées.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde , Gerenciamento de Resíduos , Hospitais Universitários , Estudos Transversais , Médicos , Enfermeiras e Enfermeiros , Zeladoria Hospitalar , Inquéritos e QuestionáriosRESUMO
A family of three suffering from Argemone oil poisoning was investigated. The effects of the oil and its toxic alkaloid sanguinarine have been discussed. A test for detecting sanguinarine has been described.
