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Birinci Basamak Sağlık Çalışanlarının Tıbbi Atıklara Yönelik Tutum ve Davranışları

Year 2025, Volume: 19 Issue: 4, 344 - 350
https://doi.org/10.21763/tjfmpc.1677439

Abstract

Giriş: Sağlık çalışanlarının tıbbi atıklara yönelik tutum ve davranışları halk sağlığı önemli bir endişe kaynağıdır. Bu çalışmanın amacı, birinci basamak sağlık çalışanlarının tıbbi atıklara yönelik tutum ve davranışlarını belirlemektir.
Yöntem: Tanımlayıcı tipteki bu çalışmanın evrenini İstanbul'un bir ilçesinde bulunan 24 aile sağlığı merkezi, 1 güçlendirilmiş göçmen sağlığı merkezi ve 1 ilçe sağlık müdürlüğünde çalışan 207 hemşire, doktor, ebe ve ATT oluşturdu. Örneklem büyüklüğü G Power'da 172 olarak belirlenmiştir. Veriler Ocak-Şubat 2025 tarihleri arasında “Tanımlayıcı Bilgi Formu” ve “Tıbbi Atık Tutum ve Davranış Ölçeği” (TATDÖ) kullanılarak toplandı. 172 katılımcıya ulaşılmış ve veriler SPSS 27.0 programında analiz edildi. Etik kurul izni alındı.
Bulgular: Katılımcıların %77,3'ü kadın, %48,8'i lisans mezunu, yaş ortalaması 38,84±9,20, %37,2'si hemşire, %37,8'i hekim, %19,8'i ebeydi. Yüzde 90,7'si 4 yıl ve üzeri mesleki deneyime sahipti ve %14'ü yöneticiydi. Katılımcıların %63,4'ü tıbbi atık konusunda eğitim aldı. Çalışmada yaş, cinsiyet, mesleki deneyim ve çalışma yerine göre TATDÖ puanları arasında istatistiksel olarak anlamlı fark bulundu (p<0,05).
Sonuç: Kadınların, 30 yaş ve üzeri katılımcıların, 4 yıldan fazla mesleki deneyime sahip olanların ve göçmen sağlık merkezi çalışanlarının tıbbi atıklara yönelik tutum ve davranışlarının diğerlerinden daha iyi olduğu bulundu. İşe yeni başlayan sağlık çalışanlarına tıbbi atık konusunda eğitim verilmesi önerilmektedir.

References

  • 1. WHO. [Internet]. Medical waste. (cited 2024 Oct 25). Available from: https://www.who.int/india/health-topics/medical-waste
  • 2. Republic of Turkey Ministry of Environment, Urbanization and Climate Change. 2022 medical waste bulletin. 2022. (cited 2024 Oct 25). Available from: https://webdosya.csb.gov.tr/db/ced/icerikler/bulten-1-20240425162257.pdf
  • 3. WHO. [Internet]. Management of solid health-care waste at primary health-care centres: A decision-making guide. 2005. (cited 2024 Oct 25). Available from: https://iris.who.int/bitstream/handle/10665/43123/9241592745.pdf?sequence=1&isAllowed=y
  • 4. Janik-Karpinska E, Brancaleoni R, Niemcewicz M, vd. Healthcare waste—a serious problem for global health. Healthcare. 2023;11(2):242.
  • 5. Alahmari MH, Alshagrawi S. Examining biomedical waste management knowledge and training level among health care professionals in Saudi Arabia. Am J Infect Control. 2024;52(9):1012-1019.
  • 6. Salubi LI, Maitanmi JO, Olowolafe AS, Ademola SA. Knowledge, attitude, and factors influencing health care (HCW) waste management among nurses in selected hospitals in Abeokuta, Ogun State. Int J Adv Res Med Surg Nurs. 2022;4(2):46-57.
  • 7. Mohammed SM, Othman N, Hussein AH, Rashid KJ. Knowledge, attitude and practice of health care workers in Sulaimani health facilities in relation to medical waste management. Kurdistan J Appl Res. 2017;2(2):143-150.
  • 8. Tiryakioğlu NK. Evaluation of the knowledge, attitudes and behaviors of physicians, intern physicians and nurses in Ankara University Faculty of Medicine hospitals about medical waste. [Medical Specialization Thesis]. Ankara, Türkiye: Ankara University; 2017. p. 23-82.
  • 9. Akbolat M, Işık O, Dede C, Çimen M. Evaluation of medical waste knowledge levels of healthcare professionals. Acıbadem University Journal of Health Sciences. 2011;(3):131-140.
  • 10. Family Medicine Practice Regulation. Republic of Turkey Official Newspaper. 2013. (cited 2024 Oct 25). Available from: https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=17051&MevzuatTur=7&MevzuatTertip=5
  • 11. Medical Waste Control Regulation. Republic of Turkey Official Newspaper. 2017. (cited 2024 Oct 25). Available from: https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=23273&MevzuatTur=7&MevzuatTertip=5
  • 12. Gonibeedu V, Sundar M, Santhosh HC, Mallikarjuna Swamy D. Outcome of biomedical waste management training among staff nurses of primary health centers of Hassan district. Int Q Community Health Educ. 2021;41(3):349-353.
  • 13. Mooayad AR, Haitham EB. Assessment of Knowledge, Attitudes and Practices of Health-Care Providers about Biomedical Waste Management in Primary Health Centers in Erbil City. J Pharm Negative Results. 2022:3130-3138.
  • 14. Dalui A, Banerjee S, Roy R. Assessment of knowledge, attitude, and practice about biomedical waste management among healthcare workers during COVID-19 pandemic in a health district of West Bengal. Indian J Public Health. 2021;65(4):345-351.
  • 15. Ashwini S, Hiremath B. Knowledge, attitude and practices of paramedical workers and support staff in a private tertiary care hospital regarding biomedical waste management. Int J Med Sci Public Health. 2017;1. (Internet). Available from: https://doi.org/10.5455/ijmsph.2017.1060901062017
  • 16. Uskun E, Akçam FZ, Öztop R. Development of Attitude and Behavior Scale Towards Medical Waste: A Methodological Study. Flora Journal of Infectious Diseases and Clinical Microbiology. 2023;28(2):238-252.
  • 17. Doğan P, Aktaş S. Knowledge levels of nursing students regarding hospital waste management. Kocatepe Medical Journal. 2017;18(3):94-99. Available from: https://doi.org/10.18229/kocatepetip.344668
  • 18. Yücedağ M, Baksi A. Examination of medical waste application situations of health workers. Turkiye Klinikleri Journal of Nursing Sciences. 2019;11(1):52-67. (Internet). Available from: https://doi.org/10.5336/nurses.2018-61087
  • 19. Konya P, Uzakgider M, Yavuz H, Yağın T, Aydın Z, Özkan İ. Knowledge level of health institution employees on waste management: a university hospital example. Kocatepe Medical Journal. 2023;24(4):407-411. Available from: https://doi.org/10.18229/kocatepetip.1174375
  • 20. Boz MK, Çimen M. Evaluation of the knowledge levels of healthcare professionals on medical waste management. Journal of Health Academicians. 2021;8(4):296-303.
  • 21. Elevli SŞ. The role of healthcare workers in medical waste management: A state hospital sample [Master Thesis]. Avrasya University, Trabzon, Türkiye; 2018. p. 28-33.
  • 22. Karmakar N, Datta SS, Datta A, Nag K. A cross-sectional study on knowledge, attitude and practice of biomedical waste management by healthcare personnel in a tertiary care hospital of Agartala, Tripura. Natl J Res Community Med. 2016;5:189-195.
  • 23. Jalal SM, Akhter F, Abdelhafez AI, Alrajeh AM. Assessment of Knowledge, Practice and Attitude about Biomedical Waste Management among Healthcare Professionals during COVID-19 Crises in Al-Ahsa. Healthcare. 2021;9(6):747. doi:10.3390/healthcare9060747
  • 24. Nwosu I, Ekpechu J, Njemanze V, Semidara B, Eyisi E, Ohuruogu B, Okoli C. Assessment of awareness, attitude, and consequences of healthcare waste among health workers at health facilities in southeast nigeria. Sage Open. 2024;14(1). (Internet). Available from: https://doi.org/10.1177/21582440241229598
  • 25. Shekoohiyan S, Parsaee F, Ghayour S. Assessment of knowledge, attitude and practice about biomedical waste management among healthcare staff of Fasa educational hospitals in COVID-19 pandemic. Case Stud Chem Environ Eng. 2022;6:100207.
  • 26. Thirunavukkarasu A, Alhazmi A, Dar UF, Alruwaili AM, Alsharari SD, Alazmi FA, Alarjan AM. Knowledge, attitude and practice towards bio-medical waste management among healthcare workers: a northern saudi study. Peerj. 2022;10:e13773. (Internet). Available from: https://doi.org/10.7717/peerj.13773
  • 27. Akkajit P, Romin H, Assawadithalerd M, Al-Khatib IA. Assessment of Knowledge, Attitude, and Practice in respect of Medical Waste Management among Healthcare Workers in Clinics. J Environ Public Health. 2020;2020:1–12. doi:10.1155/2020/8745472
  • 28. Bizuneh Y, Ferede Y, Berhe Y, Alemu W, Zeleke T. Assessment of knowledge, attitude, and practice regarding medical waste management among operation room personnel in a tertiary hospital. Ann Med Surg (Lond). (Internet). Available from: https://doi.org/10.1097/ms9.0000000000002212
  • 29. Karenzi J, Korukire N, Basheija D, Hakizimana I, Ineza M, Mukangendo M, M’Lurhe A. Occupational health risks associated with medical waste management practices among health professionals working in three district hospitals in rwanda. Rwanda J Med Health Sci. 2020;2(3):252. (Internet). Available from: https://doi.org/10.4314/rjmhs.v2i3.7
  • 30. Gümüş G, Keti EP, Dinçer NÜ. What Do Nurses Working in Primary Health Care Services Know About Medical Waste Management?. Black Sea J Health Sci. 2024;7(3):106-112.

Primary Health Care Workers' Attıtudes and Behaviors Toward Medical Waste

Year 2025, Volume: 19 Issue: 4, 344 - 350
https://doi.org/10.21763/tjfmpc.1677439

Abstract

Introduction: The attitudes and behaviors of healthcare workers towards medical waste represent a significant concern for public health. This study aimed to determine the attitudes and behaviors of primary healthcare workers towards medical waste.
Method: The population of this descriptive study consisted of 207 nurses, doctors, midwives, and EMTs working in 24 family health centers, 1 enhanced migrant health center, and 1 district health directorate in a district of Istanbul. The sample size was determined to be 172 using G Power. Data were collected between January and February 2025 using a “Descriptive Information Form” and the “Medical Waste Attitude and Behavior Scale” (MWABS). A total of 172 participants were reached, and the data were analyzed using SPSS. Ethics committee approval was obtained.
Results: 77.3% of the participants were female, 48.8% had a bachelor's degree, the mean age was 38.84±9.20, 37.2% were nurses, 37.8% were physicians, and 19.8% were midwives. 90.7% had 4 years or more of professional experience, and 14% were managers. Medical waste training was given to 63.4% of the participants. In the study, statistically significant differences were found between MWABS scores according to age, gender, professional experience, and place of work (p<0.05).
Conclusion: It was found that women, participants aged 30 years and older, those with more than 4 years of professional experience, and migrant health center workers had better attitudes and behaviors towards medical waste than others. It is recommended that beginner healthcare workers be given training on medical waste.

Ethical Statement

Ethics committee approval was obtained from Maltepe University on 12.12.2024 with Decision number: 2024/23-18.

Supporting Institution

No financial support was received from any institution.

References

  • 1. WHO. [Internet]. Medical waste. (cited 2024 Oct 25). Available from: https://www.who.int/india/health-topics/medical-waste
  • 2. Republic of Turkey Ministry of Environment, Urbanization and Climate Change. 2022 medical waste bulletin. 2022. (cited 2024 Oct 25). Available from: https://webdosya.csb.gov.tr/db/ced/icerikler/bulten-1-20240425162257.pdf
  • 3. WHO. [Internet]. Management of solid health-care waste at primary health-care centres: A decision-making guide. 2005. (cited 2024 Oct 25). Available from: https://iris.who.int/bitstream/handle/10665/43123/9241592745.pdf?sequence=1&isAllowed=y
  • 4. Janik-Karpinska E, Brancaleoni R, Niemcewicz M, vd. Healthcare waste—a serious problem for global health. Healthcare. 2023;11(2):242.
  • 5. Alahmari MH, Alshagrawi S. Examining biomedical waste management knowledge and training level among health care professionals in Saudi Arabia. Am J Infect Control. 2024;52(9):1012-1019.
  • 6. Salubi LI, Maitanmi JO, Olowolafe AS, Ademola SA. Knowledge, attitude, and factors influencing health care (HCW) waste management among nurses in selected hospitals in Abeokuta, Ogun State. Int J Adv Res Med Surg Nurs. 2022;4(2):46-57.
  • 7. Mohammed SM, Othman N, Hussein AH, Rashid KJ. Knowledge, attitude and practice of health care workers in Sulaimani health facilities in relation to medical waste management. Kurdistan J Appl Res. 2017;2(2):143-150.
  • 8. Tiryakioğlu NK. Evaluation of the knowledge, attitudes and behaviors of physicians, intern physicians and nurses in Ankara University Faculty of Medicine hospitals about medical waste. [Medical Specialization Thesis]. Ankara, Türkiye: Ankara University; 2017. p. 23-82.
  • 9. Akbolat M, Işık O, Dede C, Çimen M. Evaluation of medical waste knowledge levels of healthcare professionals. Acıbadem University Journal of Health Sciences. 2011;(3):131-140.
  • 10. Family Medicine Practice Regulation. Republic of Turkey Official Newspaper. 2013. (cited 2024 Oct 25). Available from: https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=17051&MevzuatTur=7&MevzuatTertip=5
  • 11. Medical Waste Control Regulation. Republic of Turkey Official Newspaper. 2017. (cited 2024 Oct 25). Available from: https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=23273&MevzuatTur=7&MevzuatTertip=5
  • 12. Gonibeedu V, Sundar M, Santhosh HC, Mallikarjuna Swamy D. Outcome of biomedical waste management training among staff nurses of primary health centers of Hassan district. Int Q Community Health Educ. 2021;41(3):349-353.
  • 13. Mooayad AR, Haitham EB. Assessment of Knowledge, Attitudes and Practices of Health-Care Providers about Biomedical Waste Management in Primary Health Centers in Erbil City. J Pharm Negative Results. 2022:3130-3138.
  • 14. Dalui A, Banerjee S, Roy R. Assessment of knowledge, attitude, and practice about biomedical waste management among healthcare workers during COVID-19 pandemic in a health district of West Bengal. Indian J Public Health. 2021;65(4):345-351.
  • 15. Ashwini S, Hiremath B. Knowledge, attitude and practices of paramedical workers and support staff in a private tertiary care hospital regarding biomedical waste management. Int J Med Sci Public Health. 2017;1. (Internet). Available from: https://doi.org/10.5455/ijmsph.2017.1060901062017
  • 16. Uskun E, Akçam FZ, Öztop R. Development of Attitude and Behavior Scale Towards Medical Waste: A Methodological Study. Flora Journal of Infectious Diseases and Clinical Microbiology. 2023;28(2):238-252.
  • 17. Doğan P, Aktaş S. Knowledge levels of nursing students regarding hospital waste management. Kocatepe Medical Journal. 2017;18(3):94-99. Available from: https://doi.org/10.18229/kocatepetip.344668
  • 18. Yücedağ M, Baksi A. Examination of medical waste application situations of health workers. Turkiye Klinikleri Journal of Nursing Sciences. 2019;11(1):52-67. (Internet). Available from: https://doi.org/10.5336/nurses.2018-61087
  • 19. Konya P, Uzakgider M, Yavuz H, Yağın T, Aydın Z, Özkan İ. Knowledge level of health institution employees on waste management: a university hospital example. Kocatepe Medical Journal. 2023;24(4):407-411. Available from: https://doi.org/10.18229/kocatepetip.1174375
  • 20. Boz MK, Çimen M. Evaluation of the knowledge levels of healthcare professionals on medical waste management. Journal of Health Academicians. 2021;8(4):296-303.
  • 21. Elevli SŞ. The role of healthcare workers in medical waste management: A state hospital sample [Master Thesis]. Avrasya University, Trabzon, Türkiye; 2018. p. 28-33.
  • 22. Karmakar N, Datta SS, Datta A, Nag K. A cross-sectional study on knowledge, attitude and practice of biomedical waste management by healthcare personnel in a tertiary care hospital of Agartala, Tripura. Natl J Res Community Med. 2016;5:189-195.
  • 23. Jalal SM, Akhter F, Abdelhafez AI, Alrajeh AM. Assessment of Knowledge, Practice and Attitude about Biomedical Waste Management among Healthcare Professionals during COVID-19 Crises in Al-Ahsa. Healthcare. 2021;9(6):747. doi:10.3390/healthcare9060747
  • 24. Nwosu I, Ekpechu J, Njemanze V, Semidara B, Eyisi E, Ohuruogu B, Okoli C. Assessment of awareness, attitude, and consequences of healthcare waste among health workers at health facilities in southeast nigeria. Sage Open. 2024;14(1). (Internet). Available from: https://doi.org/10.1177/21582440241229598
  • 25. Shekoohiyan S, Parsaee F, Ghayour S. Assessment of knowledge, attitude and practice about biomedical waste management among healthcare staff of Fasa educational hospitals in COVID-19 pandemic. Case Stud Chem Environ Eng. 2022;6:100207.
  • 26. Thirunavukkarasu A, Alhazmi A, Dar UF, Alruwaili AM, Alsharari SD, Alazmi FA, Alarjan AM. Knowledge, attitude and practice towards bio-medical waste management among healthcare workers: a northern saudi study. Peerj. 2022;10:e13773. (Internet). Available from: https://doi.org/10.7717/peerj.13773
  • 27. Akkajit P, Romin H, Assawadithalerd M, Al-Khatib IA. Assessment of Knowledge, Attitude, and Practice in respect of Medical Waste Management among Healthcare Workers in Clinics. J Environ Public Health. 2020;2020:1–12. doi:10.1155/2020/8745472
  • 28. Bizuneh Y, Ferede Y, Berhe Y, Alemu W, Zeleke T. Assessment of knowledge, attitude, and practice regarding medical waste management among operation room personnel in a tertiary hospital. Ann Med Surg (Lond). (Internet). Available from: https://doi.org/10.1097/ms9.0000000000002212
  • 29. Karenzi J, Korukire N, Basheija D, Hakizimana I, Ineza M, Mukangendo M, M’Lurhe A. Occupational health risks associated with medical waste management practices among health professionals working in three district hospitals in rwanda. Rwanda J Med Health Sci. 2020;2(3):252. (Internet). Available from: https://doi.org/10.4314/rjmhs.v2i3.7
  • 30. Gümüş G, Keti EP, Dinçer NÜ. What Do Nurses Working in Primary Health Care Services Know About Medical Waste Management?. Black Sea J Health Sci. 2024;7(3):106-112.
There are 30 citations in total.

Details

Primary Language English
Subjects Family Medicine, Primary Health Care
Journal Section Research Article
Authors

Ozan Özkol 0009-0009-5778-7282

Kamer Gür 0000-0002-2424-323X

Emine Ekici 0000-0001-7933-4107

Mehmet Akif Sezerol 0000-0001-6744-1343

Early Pub Date December 2, 2025
Publication Date December 3, 2025
Submission Date April 16, 2025
Acceptance Date September 5, 2025
Published in Issue Year 2025 Volume: 19 Issue: 4

Cite

Vancouver Özkol O, Gür K, Ekici E, Sezerol MA. Primary Health Care Workers’ Attıtudes and Behaviors Toward Medical Waste. TJFMPC. 2025;19(4):344-50.

English or Turkish manuscripts from authors with new knowledge to contribute to understanding and improving health and primary care are welcome. 


Turkish Journal of Family Medicine and Primary Care © 2024 by Academy of Family Medicine Association is licensed under CC BY-NC-ND 4.0