Effect of waste management intervention program on knowledge attitude and practice (KAP) of nurses and house keepers: A quasi-experimental study in Mansoura Emergency Hospital, Egypt.

Improper hospital waste management practice is alarming in developing countries because waste management is delegated to poorly educated and untrained workers. The purpose of this study is to compare the pre-with post-intervention knowledge, attitude and practice (KAP) of nurses and housekeepers towards waste management and factors associated with its variation. The intervention included multiple training sessions using power point presentation with appropriate illustrations. A selfadministered questionnaire containing KAP questions was used pre & post intervention. The overall KAP scores are significantly higher after intervention. The pre & post knowledge scores differ significantly according to education, job description and duration of employment (p<0.05). The pre and post attitude scores differ significantly according to education, job description (p<0.05). The post practice scores differ significantly according to sex, age, education and job description (p<0.05). There was significant improvement in KAP scores post intervention. Higher educational levels and nurses showed better Post KAP scores.

发展中国家的医院医疗废物管理不当问题亟待警惕，因该类管理工作常被委派给受教育程度偏低且未接受专业培训的人员。本研究旨在对比护士与保洁员在干预前后对医疗废物管理的知识、态度与实践（Knowledge, Attitude and Practice, KAP）水平，以及影响其KAP水平差异的相关因素。本次干预包含多场配备适配性图示的幻灯片培训课程。研究在干预前后均采用包含KAP相关问题的自填式调查问卷。结果显示，干预后受试者的整体KAP得分显著提升。干预前后的知识得分差异与受教育程度、岗位类型及从业时长显著相关（p<0.05）。干预前后的态度得分差异与受教育程度、岗位类型显著相关（p<0.05）。干预后的实践得分差异与性别、年龄、受教育程度及岗位类型显著相关（p<0.05）。干预后受试者的KAP得分均得到显著改善。受教育程度更高的人群及护士群体，其干预后的KAP得分表现更佳。