Volume 1 Issue 1 ISSN:

A Study to Assess the Knowledge and Compliance of Biomedical Waste Management rule 2016 Among Staff Nurse Working in P.B.M Hospital, with View to Develop Information Booklet.

Ravi Tanwar*


Corresponding Author: Ravi Tanwar,

Copy Right: © 2022 Ravi Tanwar, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Received Date: April 04, 2023

Published Date: April 20, 2023

 

Abstract

Biomedical waste management means properly disposing and management to protect the environment, general public & workers specially health worker.

Objective 1) to assess the knowledge of Bio medical waste management rule 2016 among staff nurse. 2) To assess the compliance of Bio medical waste management rule 2016 among staff nurse. 3) To find out the correlation between the knowledge and compliance of BMW rule 2016 among staff nurse.A descriptive research design Non experimental co relational design was used with 100 sample size. R was 0.89. High (above21%) nursing staff had average, (43%) had good and low (36%) had poor knowledge. NURSING STAFF had adequate knowledge regarding biomedical west management rule-2016, color coding, and general waste, standard for incineration & standard for autoclave.

Keywords

Assess knowledge, bio medical waste management, staff nurse, information booklet.


A Study to Assess the Knowledge and Compliance of Biomedical Waste Management rule 2016 Among Staff Nurse Working in P.B.M Hospital, with View to Deve

Introduction

Life goal is to achieve high standards, High standards can be achieved from good health, Good health can be achieved from safest living, safest living can be achieved From cleanliness and avoiding hazards. Bio-Medical waste includes all the waste generated from the Health Care Facility which can have any adverse effect to the health of a person or to the environment in general if not disposed properly.

Objective

1) to assess the knowledge of Bio medical waste management rule 2016 among staff nurse.

2) To assess the compliance of Bio medical waste management rule 2016 among staff nurse.

3) To find out the correlation between the knowledge and compliance of BMW rule 2016 among staff nurse.

 

Materials and Methods

A Descriptive survey approach is used to  assess the knowledge of nursing staff regarding biomedical waste management rule-2016. The data collected in-between 26/08/2019 to 02/09/2019 including 100 Staff nurses. 43 staff nurses work from I.P.D, 26 staff nurses work form ICU, 16 staff nurses work form causality, emergency department and 15 staff nurses work form O.P.D. working in PBM hospital, Bikaner.


Research & Method

A DESCRIPTIVE RESEARCH design is used. Research implies without any manipulation of the variables or control over the research setting. The data collected at a single point of time.


Study setting

Association group of Govt. Hospital of P.B.M, Bikaner.


The sample size and sampling technique

Simple random sampling technique was used for sample selection. All the staff nurses who working under selected P.B.M hospital, Bikaner the population of research study and first 100 were selected for the final study. 


Criteria for sampling selection

Inclusion Criteria

Staff nurses those working in P.B.M hospital.

Staff nurse who are willing to participate in this study.


Exclusion Criteria: -

  • Staff nurses those not fulfilling the inclusion criteria


Variable under study

Dependent Variable:

Knowledge & compliance of bio medical waste management rule 2016 among staff nurse.


Independent variable: Age, gender, professional qualification, total experience, working area and attended any orientation programmer of B.M.W. of staff nurses.


Population of the study: all the staff nurses working under selected P.B.M hospital, Bikaner.


Description of the tool: The Structured Questionnaire schedule comprised of three sections:

  • SECTION A: Consist of socio demographic characteristics of respondent seeking information such as age, gender, and professional qualification, total experience, working area and attended any orientation programmer of B.M.W.
  • SECTION B: Evaluation of the effectiveness of Compliance regarding biomedical waste management rule 2016 through check list.
  • SECTION C: Evaluation of the effectiveness of knowledge regarding biomedical waste management rule 2016 through self structure question.


Criterion measure:

staff nurses workers knowledge regarding B.M.W rule 2016 was assessed using Self structured Questionnaire schedule below 50% poor, 50% to 75% Average and Above 75% Good Knowledge. Each right answer was awarded one mark and wrong answer was awarded zero mark. 


Reliability of the tool:

Reliability was assessed by collecting data from 10 staff nurses workers in satellite hospital, calculated by test retest method using chi- squate test formula. The reliability was r = 0.89. It was statistically significant and thus reliable.

 

Plan of data analysis: the data obtained was analyzed in terms of achieving the  objectives of the study using descriptive and inferential statistics.

  • Descriptive statistics include calculation of Mean, Median, and Standard deviation to describe the measures of central tendency of the data.
  • Inferential statistics was done using chi square test to test the relationship of knowledge with selected variables.
  • P value less than or equal at 0.05 level was considered statistically significant.


Result and Discussion

To Assess The Knowledge Of Bio Medical Waste       

Management Rule 2016 Among Staff Nurse

Maximum possible score was 25. Table no. 1 depicts that the distribution of knowledge score of staff nurses workers according to B.M.W rule 2016  ranged from 11 - 22. Mean knowledge score of the scores obtained by staff nurses workers was 16.6, Mean percentage was 66.16%, Median was 17 and SD was 2.77.

Table No. 2 and Figure 1 shows Maximum 59% of STAFF NURSES workers had Average knowledge, 38% of STAFF NURSES workers had good knowledge and least 3% of STAFF NURSES workers had poor knowledge regarding Biomedical waste management rule-2016. It can be concluded that more than half of STAFF NURSES workers had average knowledge biomedical waste management rule-2016. This emphasized that STAFF NURSES workers need to improve their knowledge regarding biomedical waste management rule-2016.

Section II:) To assess the compliance of Bio medical waste management rule 2016 among staff nurse.

Table show the percentage distribution of the nurse’s compliance on biomedical waste management rule 2016.Totally 10 items was prepared to assess the compliance of the staff nurse. Each item with correct response was carried one mark. According to the scores, nurses were divided into high (above53%), average (40%) and low (7%).

Nurses had high knowledge (53%).The nurses had average knowledge (40%) and the nurses had low knowledge (7%).The compliance score mean was 0.70198 with the standard deviation 0.0876.

Section III:) To find out the correlation between the knowledge and compliance of BMW rule 2016 among staff nurse:

Table shows the correlation between the knowledge and compliance .  The knowledge and compliance correlation value was r=0.99. It shows that statistically highly positive correlation between the nurse’s knowledge and compliance on biomedical waste management rule 2016.

The chi test was used to analyze the difference in scores of staff nurse in effectiveness of

Biomedical waste management rule 2016. Highly significant difference (‘chi test’=0.99) was observed of staff nurse regarding effectiveness of B.M.W rule 2016.

 

Conclusion

The nurse’s knowledge and compliance on biomedical waste management rule 2016 depend upon each other. Nurses’ knowledge and compliance scores were not satisfactory. So they need to be educated on B.M.W.M rule 2016 and their knowledge and compliance should be improved to achieve better care.


Reference

1. Management of waste from hospitals and other heath care establishments. Euro Report and Studies. No. 97, WHO, 1995; 1-61.

2. Anand, Sidhartha satpathy. Hospital waste management (a holistic approach). 1998, New Delhi: 3-5

3. Management of waste from hospitals and other health care establishments. Euro Report and Studies. No. 97, WHO, 1985: 1-6.

4. Survey of hospital waste management in South East Asian Region. SEA/EH/493 WHO (SEARO), New Delhi, September, 1995.

5. B.L. Wadhera vs Union of India & others; Judgements Today. 1996 (3) s.c. : 38-51.

6. Jain TP, Aggarwal R. hospital waste management: A holistic view. Proceedings of National Workshop on management of hospital waste. 1998 April 16-18; Jaipur, IIRD and Shristi. 1998.

 7. Draft Biomedical waste (Management and Handling) Rules 1998. Gazette of India Extraordinary, part II, section 3, Sub section (ii). Dt 27th July, 1998.

8. Draft Biomedical waste (Management and Handling) Rules 1998. Gazette of India Extraordinary, part II, section 3, Sub section (ii). Dt 16th October, 1997.

9. Waste characterization and Qualification; “Parivesh” Newsletter on Hospital Waste ; Vol. 4(iv) March, 1998 ; CPCB Ministry of Environment  57  & Forest, Govt of India, New Delhi ; 3-4.

10. Siddarth Kashyap. Helath Care Establishment Waste Management and Education Programme, ENVIS Newsletter. Vol. 2, No. 2. CEE. March – July : 2003. 4.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

antarmuka fokus mahjong daya pengguna aktifaws grid serasi mahjong dasar tahapan terjagaaws jejak mekanisme mahjong arah fase lanjutanaws kajian wild berantai mahjong interaktif analitisaws kesesuaian persentase layanan mahjong seluler lanceraws pendalaman persentase mahjong gerak wild mutakhircorak langka mahjong tumbuh perlahan berubahgerak mahjong adaptasi mekanisme pemakai sekarangnalar scatter mahjong malam putaran ekstratempo mahjong kaitan mekanisme keadaan terkinialur permainan mahjong cepat scatter wilddalam hitungan detik scatter wild mahjongmenyatukan naluri pola scatter hitam mahjongmomen mahjong permainan berbalik arahmomen singkat mahjong dinamika permainanperpaduan insting pola scatter hitam momentperubahan drastis mahjong ways scatter wildscatter wild mahjong datang polasekejap berubah scatter wild mahjong wayssensasi baru mahjong lebih scatter wildenergi scatter emas irama reel mahjongevolusi reel mahjong balutan mistisintervensi cepat emas momentum lamakemunculan mendadak naga emas mahjongketika scatter naga emas aktif mahjongnaga emas muncul arah spin mahjongnaga emas ritme mahjong ways berubahrahasia rtp tinggi balik scatter hitamsaat scatter naga emas alih irama reelscatter hitam kunci lonjakan rtp mahjonge5 scatter wild memberikan sentuhan baru di setiap spin mahjong ways 2e5 scatter wild menghidupkan suasana permainan mahjong ways 2e5 scatter wild mengubah pola permainan mahjong ways 2 secara signifikane5 setiap putaran mahjong ways 2 terasa berbeda dengan scatter wilde5 strategi adaptif berbasis analisis rtp hariane5 strategi berbasis data dan algoritma untuk analisis momentume5 strategi berkembang berkat data rtp hariane5 strategi memahami algoritma untuk mengidentifikasi momentum ideale5 strategi membaca pola algoritma demi menangkap momentum optimale5 strategi modern mengandalkan evaluasi rtp hariane5 strategi responsif dengan dukungan evaluasi rtp hariane5 strategi terukur dengan analisis rtp hariane5 struktur scatter dan wild terlihat jelas berkat analisis sistem moderne5 tanpa disadari kombinasi ini sering mengarah ke scatter di mahjong wins 3e5 teknik evaluasi algoritma untuk mendapatkan momentum yang tepate5 teknik observasi sistem untuk analisis momentum yang lebih presisie5 terungkap formasi ini sering jadi awal munculnya scatter di mahjong wins 3e5 transformasi digital rtp live berkat artificial intelligence inovatife5 transformasi ritme mahjong ways 2 dipicu oleh kekuatan scatter wilde5 wajib tahu pola tersembunyi ini sering menghasilkan scattere5 applee5 bananae5 candye5 doge5 eaglee5 falcone5 geminie5 horsee5 indiae5 japananalisa pola mahjong ways rutinanalisis kinerja heuristik variansi gameanalisis pola mahjong ways hariananalisis pola mahjong ways kebiasaanera baru mahjong wins bonus optimalgebrakan bonus mahjong wins mekanisme efisieninsight pola mahjong ways rutinkajian pola mahjong ways rutinkomparasi heuristik variansi game digitalledakan bonus mahjong wins sistem efektifmahjong wins bonus sistem generasi baruobservasi pola mahjong ways harianpendekatan algoritma heuristik variansi gameperbandingan model heuristik variansi gamerahasia bonus mahjong wins sistem cerdasrangkuman pola mahjong ways harianringkasan pola mahjong ways harianstudi pola mahjong ways hariantinjauan heuristik variansi game digitaltinjauan pola mahjong ways harianalur sombol mahjong kemunculan scatterdari rtp mahjong bermain lebih efektifjejak scatter mahjong putaran tenangkejutan scatter wild simbol mahjong arahkemunculan simbol ganda membuat mahjongketika grid mahjong scatter semakin dekatketika rtp mahjong pola mulai lebih jelasketika scatter wild ritme simbol mahjongketika scatter wild titik sesi mahjong waysketika susunan simbol mahjong ritme scattermemahami rtp mahjong cara bermain lebihpergerakan simbol mahjong scatter wildpergeseran mahjong ketika scatter hadirsaat rtp mahjong terbaca baik strategisaat scatter hadir simbol mahjong bergeserscatter wild dinamika simbol mahjongstabilitas putaran mahjong pola scattersusunan baru reel mahjong scatter emassusunan mahjong wins mengandung scattersusunan simbol mahjong diam pola scatterrm menguak keunikan mahjong wins sudut pandang teknisrm cara memahami pergerakan mahjong ways tenaga ekstrarm mahjong wins standar baru industri hiburan digitalrm rahasia ketahanan mahjong ways eksis gempuran gamerm pentingnya memahami transisi level mahjong wins mendalamrm strategi mengatur tempo mahjong ways kendali permainanrm peran kecerdasan buatan mekanisme mahjong wins adilrm alasan keberhasilan mahjong ways mencuri perhatian analisrm mempelajari struktur dasar mahjong wins efisiensi putaranrm inovasi desain mahjong ways kesan bermain responsifrm teknik observasi mahjong wins jarang dibahas dampakrm cara mempertahankan fokus dinamika mahjong ways cepatrm eksplorasi fitur tersembunyi mahjong wins ritme terbaikrm mahjong ways integrasi teknologi modern keamanan nyamanrm analisis faktor pendukung mahjong wins digemari generasirm langkah efektif menyesuaikan perubahan sistem mahjong waysrm mengintip proses pengembangan mahjong wins kualitas penggunarm analisis data membantu membaca arah mahjong waysrm menemukan titik temu insting logika mahjong winsrm transformasi besar mahjong ways menghadirkan tantangan menarikmengungkap simbol langka nasib drastismisteri besar kombinasi simbol langkamisteri simbol langka keberuntungan besarsimbol langka misterius ubah hiduprahasia simbol langka nasib cepattransformasi bonus mahjong wins sistem efektifmahjong wins suguhkan bonus sistem modernsuguhan bonus efisien mahjong winsefektivitas sistem bonus mahjong winsmahjong wins hadirkan bonus sistem optimaloke76cincinbetaqua365slot gacorstc76samurai76TOBA1131samurai76 login