Research Article
BibTex RIS Cite

A different training model in providing effective medical waste management in the operating room: peer education

Year 2024, EARLY ONLINE, 1 - 9
https://doi.org/10.18621/eurj.1453481

Abstract

Objectives: This study aims to investigate the effectiveness of peer education methods in reducing medical waste in operating room settings.

Methods: A quasi-experimental design was utilized, involving 217 operating room staff who received training in medical waste management through a peer education program. Changes in knowledge, attitudes, behaviors, and the amount of medical waste generated before and after the intervention were evaluated.

Results: Following peer education, there was a significant increase in participants' knowledge levels regarding proper medical waste segregation. Positive shifts in attitudes and behaviors related to medical waste management were observed post-training. Additionally, the ratio of medical waste to general waste decreased, while the proportion of recyclable waste increased after the intervention.

Conclusions: Peer education emerges as an effective method for enhancing awareness and promoting proper medical waste management practices among operating room staff. However, achieving significant waste reduction requires comprehensive approaches beyond education alone. Clear regulations, improved infrastructure, and the adoption of reusable products are crucial for sustainable waste reduction efforts in healthcare settings.

References

  • 1. Ünver V, Akbayrak N. [Peer Tutoring Model in Nursing Education]. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi. 2013;6(4):214-217. [Article in Turkish]
  • 2. Tavzar İ. [Efficiency in Medical Waste Expenses: An Implementation at Eskişehir Hospitals. (Doctoral dissertation)]. Eskişehir Osmangazi Üniversitesi, Sosyal Bilimler Enstitüsü, Eskişehir, Türkiye. 2014. Erişim adresi: https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=vYWunE6DmdI89Lv_qHMMmQ&no=0ExdZj_W3LjDscugxKNxCw. [Article in Turkish]
  • 3. Birchard K. Out of sight, out of mind...the medical waste problem. Lancet. 2002;359(9300):56. doi: 10.1016/S0140-6736(02)07256-2.
  • 4. Mohee R. Medical wastes characterisation in healthcare institutions in Mauritius. Waste Manag. 2005;25(6):575-581. doi: 10.1016/j.wasman.2004.10.003.
  • 5. Singh N, Ogunseitan OA, Tang Y. Medical waste: Current challenges and future opportunities for sustainable management. Crit Rev Environ Sci Technol. 2022;52(11):2000-2022. doi: 10.1080/10643389.2021.1885325.
  • 6. Mbongwe B, Mmereki BT, Magashula A. Healthcare waste management: current practices in selected healthcare facilities, Botswana. Waste Manag. 2008; 28(1):226-233. doi: 10.1016/j.wasman.2006.12.019.
  • 7. Bai R, Hakim L, Harrison I, Vanitha G. Development of a new classification and colour code for medical waste segregation. In Proceedings of the WSEAS International Conference, Athens, Greece: WSEAS LLC. 2012: pp. 242-246.
  • 8. Kwakye G, Brat GA, Makary MA. Green surgical practices for health care. Arch Surg. 2011;146(2):131-136. doi:10.1001/archsurg.2010.343.
  • 9. Almuneef M, Memish ZA. Effective medical waste management: it can be done. Am J Infect Control. 2003;31(3):188-192. doi: 10.1067/mic.2003.43.
  • 10. Perrego K. Improving staff knowledge of perioperative regulated-waste management. AORN J. 2017;105(1):85-91. doi:10.1016/j.aorn.2016.11.005.
  • 11. Dönmez A, Keskin G. [The Role of Education in Reducing the Disposal Costs of Anesthesia-Related Medical Wastes]. JARSS. 2021;29(3):178-183. doi: 10.5222/jarss.2021.63935. [Article in Turkish]
  • 12. United Nations Population Fund (UNPF) and Youth Peer Education Network (Y-PEER). Training of trainers manual. Youth peer education toolkit. 2004. Available at: https://www.unfpa.org/sites/default/files/jahiapublications/documents/publications/2006/ypeer_tot.pdf. Accessed September 11, 2017.
  • 13. Calhoon MB, Al Otaiba S, Greenberg D, King A, Avalos A. Improving reading skills in predominantly Hispanic title 1 first-grade classrooms: the promise of peer-assisted learning strategies. Learn Disabil Res Pract. 2006;21(4):261-272. doi: 10.1111/j.1540-5826.2006.0022.
  • 14. Salerno-Kennedy R, Henn P, O’Flynn S. Implementing peer tutoring in a graduate medical education programme. Clin Teach. 2010;7(2):83-89. doi:1 0.1111/j.1743-498X.2010.00354.x.
  • 15. Özatik FY, Babaoğlu ÜT, Şen M, et al. Effect of Peer Group Training on Popularizing of Rational Drug Use Among University Students. SDÜ Tıp Fak Derg. 2018;25(3):256-264. doi: 10.17343/sdutfd.366649.
  • 16. Lerchenfeldt S, Mi M, Eng M. The utilization of peer feedback during collaborative learning in undergraduate medical education: a systematic review. BMC Med Educ. 2019;19(1):321. doi: 10.1186/s12909-019-1755-z.
  • 17. Herrmann-Werner A, Gramer R, Erschens R, et al. Peer-assisted learning (PAL) in undergraduate medical education: an overview. Z Evid Fortbild Qual Gesundhwes. 2017;121:74-81. doi: 10.1016/j.zefq.2017.01.001.
  • 18. Topping KJ. The effectiveness of peer tutoring in further and higher education: a typology and review of the literature. High Educ. 1996;32(3):321-345. doi: 10.1007/BF00138870.
  • 19. Gill D, Parker C, Spooner M, Thomas M, Ambrose K, Richardson J. Tomorrow's doctors and nurses: peer assisted learning. Clin Teach. 2006;3(1):13-18. doi: 1 0.1111/j.1743-498X.2006.00087.x.
  • 20. United Nations Environment Programme Finance Initiative. Principles for sustainable insurance. 2012. Retrieved March 20, 2023, from http://www.unepfi.org/fileadmin/documents/PSI_Principles.pdf.
  • 21. Hossain MS, Santhanam A, Norulaini NN, Omar AM. Clinical solid waste management practices and its impact on human health and environment–a review. Waste Manag. 2011;31(4):754-766. doi: 10.1016/j.wasman.2010.11.008.
  • 22. Komilis D, Fouki A, Papadopoulos D. Hazardous medical waste generation rates of different categories of health-care facilities. Waste Manag. 2012;32(7):1434-1441. doi: 10.1016/j.wasman.2012.02.015.
  • 23. Diaz LF, Eggerth LL, Enkhtsetseg SH, Savage GM. Characteristics of healthcare wastes. Waste Manag. 2008;28(7):1219-1226. doi: 10.1016/j.wasman.2007.04.010.
  • 24. Vancini F. Strategic Waste Prevention - OECD Reference Manual. Organisation for Economic Co-operation and Development. ENV/EPOC/PPC (2000) 5/Final, Paris. Available at: http://www.oecd.org. Accessed April 13, 2012.
  • 25. Hasçuhadar M, Kaya Z, Şerbetçioğlu S, Arslan T, Altınkaya S. [The Awareness Level among the Employees Working in Ankara Ataturk Training and Research Hospital about Medical Wastes]. Turk Med J. 2007;1(1):138-144. [Article in Turkish]
  • 26. Terzi Ö, Yüce M. [Evaluation of Information Levels of Trainee Students in a Hospital about Medical Waste Management]. Gümüşhane Univ Sağlık Bilim Derg. 2017;6(1):58-64. [Article in Turkish]
  • 27. Öztürk Kaygusuz T, Yakar B, Ataş O, Pirinçci E. [Investigation of Knowledge and Attitudes of Dental Faculty Students Regarding Medical Wastes]. Fırat Tıp Derg. 2020;25(3):140-146. [Article in Turkish]
  • 28. Kaplan S. [Effect of Web-Assisted Learning and Peer Learning on the Stoma Care-Related Knowledge and Skills of Nursing Students (master's thesis)]. Ankara: Ankara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Enstitüsü; 2019. [Article in Turkish]
  • 29. Şengün İnan, F, Günüşen N, Çelik İnce S, Çetinkaya Duman Z. [The Effects of Peer Education Program Implemented by Nursing Students on the Beliefs of University Students towards the Mental Illness]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2020;13(3):142-147. doi: 10.46483/deuhfed.660210. [Article in Turkish]
  • 30. Chen L, Chen H, Xu D, Yang Y, Li H, Hua D. Peer assessment platform of clinical skills in undergraduate medical education. J Int Med Res. 2019;47(11):5526-5535. doi: 10.1177/0300060519867906.
  • 31. Öztürk D, Göçmen Baykara Z. [The Effect of Peer Education on the Teaching of Nursing Skills]. J Educ Res Nurs. 2019;16(4):295-300. doi: 10.5222/HEAD.2019.295. [Article in Turkish]
  • 32. Hassan MM, Ahmed SA, Rahman KA, Biswas TK. Pattern of medical waste management: existing scenario in Dhaka City, Bangladesh. BMC Public Health. 2008;8:36. doi: 10.1186/1471-2458-8-36.
  • 33. Conrardy J, Hillanbrand M, Myers S, Nussbaum GF. Reducing medical waste. AORN J. 2010;91(6):711-721. doi: 10.1016/j.aorn.2010.02.015.
  • 34. Windfeld ES, Brooks MS. Medical waste management - A review. J Environ Manage. 2015;163:98-108. doi: 10.1016/j.jenvman.2015.08.013.
  • 35. Garcia R. Effective cost-reduction strategies in the management of regulated medical waste. Am J Infect Control. 1999;27(2):165-175. doi: 10.1016/s0196-6553(99)70093-3.
Year 2024, EARLY ONLINE, 1 - 9
https://doi.org/10.18621/eurj.1453481

Abstract

References

  • 1. Ünver V, Akbayrak N. [Peer Tutoring Model in Nursing Education]. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi. 2013;6(4):214-217. [Article in Turkish]
  • 2. Tavzar İ. [Efficiency in Medical Waste Expenses: An Implementation at Eskişehir Hospitals. (Doctoral dissertation)]. Eskişehir Osmangazi Üniversitesi, Sosyal Bilimler Enstitüsü, Eskişehir, Türkiye. 2014. Erişim adresi: https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=vYWunE6DmdI89Lv_qHMMmQ&no=0ExdZj_W3LjDscugxKNxCw. [Article in Turkish]
  • 3. Birchard K. Out of sight, out of mind...the medical waste problem. Lancet. 2002;359(9300):56. doi: 10.1016/S0140-6736(02)07256-2.
  • 4. Mohee R. Medical wastes characterisation in healthcare institutions in Mauritius. Waste Manag. 2005;25(6):575-581. doi: 10.1016/j.wasman.2004.10.003.
  • 5. Singh N, Ogunseitan OA, Tang Y. Medical waste: Current challenges and future opportunities for sustainable management. Crit Rev Environ Sci Technol. 2022;52(11):2000-2022. doi: 10.1080/10643389.2021.1885325.
  • 6. Mbongwe B, Mmereki BT, Magashula A. Healthcare waste management: current practices in selected healthcare facilities, Botswana. Waste Manag. 2008; 28(1):226-233. doi: 10.1016/j.wasman.2006.12.019.
  • 7. Bai R, Hakim L, Harrison I, Vanitha G. Development of a new classification and colour code for medical waste segregation. In Proceedings of the WSEAS International Conference, Athens, Greece: WSEAS LLC. 2012: pp. 242-246.
  • 8. Kwakye G, Brat GA, Makary MA. Green surgical practices for health care. Arch Surg. 2011;146(2):131-136. doi:10.1001/archsurg.2010.343.
  • 9. Almuneef M, Memish ZA. Effective medical waste management: it can be done. Am J Infect Control. 2003;31(3):188-192. doi: 10.1067/mic.2003.43.
  • 10. Perrego K. Improving staff knowledge of perioperative regulated-waste management. AORN J. 2017;105(1):85-91. doi:10.1016/j.aorn.2016.11.005.
  • 11. Dönmez A, Keskin G. [The Role of Education in Reducing the Disposal Costs of Anesthesia-Related Medical Wastes]. JARSS. 2021;29(3):178-183. doi: 10.5222/jarss.2021.63935. [Article in Turkish]
  • 12. United Nations Population Fund (UNPF) and Youth Peer Education Network (Y-PEER). Training of trainers manual. Youth peer education toolkit. 2004. Available at: https://www.unfpa.org/sites/default/files/jahiapublications/documents/publications/2006/ypeer_tot.pdf. Accessed September 11, 2017.
  • 13. Calhoon MB, Al Otaiba S, Greenberg D, King A, Avalos A. Improving reading skills in predominantly Hispanic title 1 first-grade classrooms: the promise of peer-assisted learning strategies. Learn Disabil Res Pract. 2006;21(4):261-272. doi: 10.1111/j.1540-5826.2006.0022.
  • 14. Salerno-Kennedy R, Henn P, O’Flynn S. Implementing peer tutoring in a graduate medical education programme. Clin Teach. 2010;7(2):83-89. doi:1 0.1111/j.1743-498X.2010.00354.x.
  • 15. Özatik FY, Babaoğlu ÜT, Şen M, et al. Effect of Peer Group Training on Popularizing of Rational Drug Use Among University Students. SDÜ Tıp Fak Derg. 2018;25(3):256-264. doi: 10.17343/sdutfd.366649.
  • 16. Lerchenfeldt S, Mi M, Eng M. The utilization of peer feedback during collaborative learning in undergraduate medical education: a systematic review. BMC Med Educ. 2019;19(1):321. doi: 10.1186/s12909-019-1755-z.
  • 17. Herrmann-Werner A, Gramer R, Erschens R, et al. Peer-assisted learning (PAL) in undergraduate medical education: an overview. Z Evid Fortbild Qual Gesundhwes. 2017;121:74-81. doi: 10.1016/j.zefq.2017.01.001.
  • 18. Topping KJ. The effectiveness of peer tutoring in further and higher education: a typology and review of the literature. High Educ. 1996;32(3):321-345. doi: 10.1007/BF00138870.
  • 19. Gill D, Parker C, Spooner M, Thomas M, Ambrose K, Richardson J. Tomorrow's doctors and nurses: peer assisted learning. Clin Teach. 2006;3(1):13-18. doi: 1 0.1111/j.1743-498X.2006.00087.x.
  • 20. United Nations Environment Programme Finance Initiative. Principles for sustainable insurance. 2012. Retrieved March 20, 2023, from http://www.unepfi.org/fileadmin/documents/PSI_Principles.pdf.
  • 21. Hossain MS, Santhanam A, Norulaini NN, Omar AM. Clinical solid waste management practices and its impact on human health and environment–a review. Waste Manag. 2011;31(4):754-766. doi: 10.1016/j.wasman.2010.11.008.
  • 22. Komilis D, Fouki A, Papadopoulos D. Hazardous medical waste generation rates of different categories of health-care facilities. Waste Manag. 2012;32(7):1434-1441. doi: 10.1016/j.wasman.2012.02.015.
  • 23. Diaz LF, Eggerth LL, Enkhtsetseg SH, Savage GM. Characteristics of healthcare wastes. Waste Manag. 2008;28(7):1219-1226. doi: 10.1016/j.wasman.2007.04.010.
  • 24. Vancini F. Strategic Waste Prevention - OECD Reference Manual. Organisation for Economic Co-operation and Development. ENV/EPOC/PPC (2000) 5/Final, Paris. Available at: http://www.oecd.org. Accessed April 13, 2012.
  • 25. Hasçuhadar M, Kaya Z, Şerbetçioğlu S, Arslan T, Altınkaya S. [The Awareness Level among the Employees Working in Ankara Ataturk Training and Research Hospital about Medical Wastes]. Turk Med J. 2007;1(1):138-144. [Article in Turkish]
  • 26. Terzi Ö, Yüce M. [Evaluation of Information Levels of Trainee Students in a Hospital about Medical Waste Management]. Gümüşhane Univ Sağlık Bilim Derg. 2017;6(1):58-64. [Article in Turkish]
  • 27. Öztürk Kaygusuz T, Yakar B, Ataş O, Pirinçci E. [Investigation of Knowledge and Attitudes of Dental Faculty Students Regarding Medical Wastes]. Fırat Tıp Derg. 2020;25(3):140-146. [Article in Turkish]
  • 28. Kaplan S. [Effect of Web-Assisted Learning and Peer Learning on the Stoma Care-Related Knowledge and Skills of Nursing Students (master's thesis)]. Ankara: Ankara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Enstitüsü; 2019. [Article in Turkish]
  • 29. Şengün İnan, F, Günüşen N, Çelik İnce S, Çetinkaya Duman Z. [The Effects of Peer Education Program Implemented by Nursing Students on the Beliefs of University Students towards the Mental Illness]. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2020;13(3):142-147. doi: 10.46483/deuhfed.660210. [Article in Turkish]
  • 30. Chen L, Chen H, Xu D, Yang Y, Li H, Hua D. Peer assessment platform of clinical skills in undergraduate medical education. J Int Med Res. 2019;47(11):5526-5535. doi: 10.1177/0300060519867906.
  • 31. Öztürk D, Göçmen Baykara Z. [The Effect of Peer Education on the Teaching of Nursing Skills]. J Educ Res Nurs. 2019;16(4):295-300. doi: 10.5222/HEAD.2019.295. [Article in Turkish]
  • 32. Hassan MM, Ahmed SA, Rahman KA, Biswas TK. Pattern of medical waste management: existing scenario in Dhaka City, Bangladesh. BMC Public Health. 2008;8:36. doi: 10.1186/1471-2458-8-36.
  • 33. Conrardy J, Hillanbrand M, Myers S, Nussbaum GF. Reducing medical waste. AORN J. 2010;91(6):711-721. doi: 10.1016/j.aorn.2010.02.015.
  • 34. Windfeld ES, Brooks MS. Medical waste management - A review. J Environ Manage. 2015;163:98-108. doi: 10.1016/j.jenvman.2015.08.013.
  • 35. Garcia R. Effective cost-reduction strategies in the management of regulated medical waste. Am J Infect Control. 1999;27(2):165-175. doi: 10.1016/s0196-6553(99)70093-3.
There are 35 citations in total.

Details

Primary Language English
Subjects Public Health (Other)
Journal Section Original Articles
Authors

Nuran Akıncı Ekinci 0000-0003-3269-3481

Mehmet Akif Yazar 0000-0002-3415-1363

Betül Kozanhan 0000-0002-5097-9291

Sami Uyar 0000-0002-7338-1372

Early Pub Date August 9, 2024
Publication Date
Submission Date March 17, 2024
Acceptance Date July 26, 2024
Published in Issue Year 2024 EARLY ONLINE

Cite

AMA Akıncı Ekinci N, Yazar MA, Kozanhan B, Uyar S. A different training model in providing effective medical waste management in the operating room: peer education. Eur Res J. Published online August 1, 2024:1-9. doi:10.18621/eurj.1453481

e-ISSN: 2149-3189 


The European Research Journal, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

by-nc-nd.png

2024