A sequential explanatory study on knowledge, attitudes, and practices of biomedical waste management among healthcare workers using a Kirkpatrick framework.
Background: Biomedical waste management (BMW) is critical for public health and environmental protection. Training programs often assess knowledge but rarely evaluate translation to workplace practice. The study assessed knowledge, attitudes, and practices of BMW and explore perceived barriers to co...
| Publicado en: | Discover Public Health Vol. 23; no. 1; pp. 1 - 14 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
7/9/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195219723&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195219723 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 30050774 NM7Z jtl: Discover Public Health issn: 30050774 maglogo: N pubinfo: dt: 7/9/2026 vid: 23 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 195219723 195219723 195219723 10.1186/s12982-026-02566-x 195219723 ppf: 1 ppct: 13 formats: tig: atl: A sequential explanatory study on knowledge, attitudes, and practices of biomedical waste management among healthcare workers using a Kirkpatrick framework. aug: au: Kushwaha, Poonam Dam, Nilanjan Shekhar, Saket Singh, Satya Prakash affil: https://ror.org/02vhyd254 Department of Community Medicine, Rama Medical College Hospital and Research Centre, Kanpur, Uttar Pradesh, India sug: subj: Professional Knowledge Evaluation Attitude of Health Personnel Evaluation Professional Practice Evaluation Medical Waste Disposal India Human Male Female Adult Tertiary Health Care Structured Questionnaires Semi-Structured Interview Descriptive Statistics Purposive Sample Thematic Analysis Self Report Quantitative Studies Qualitative Studies Content Analysis Practice Guidelines Nursing Staff, Hospital Interns and Residents Blue Collar Workers Learning Immunization Programs Occupational Health Staff Development Personnel Turnover Personnel Staffing and Scheduling Supervisors and Supervision Organizational Culture Implementation Science Employee Orientation Data Analysis Software Adult: 19-44 years Male Female ab: Background: Biomedical waste management (BMW) is critical for public health and environmental protection. Training programs often assess knowledge but rarely evaluate translation to workplace practice. The study assessed knowledge, attitudes, and practices of BMW and explore perceived barriers to compliance using Kirkpatrick framework. Methods: A sequential explanatory study was conducted at a tertiary hospital in North India. Phase-I surveyed 250 healthcare workers via structured questionnaire to assess KAP corresponding to Kirkpatrick Levels 1–2, response rate 87.7%. Level 1 was inferred from questions on perceived usefulness and relevance of training. Phase-II conducted 12 face-to-face semi-structured interviews with purposively sampled staff from high BMW-generating departments until thematic saturation. Interviews explored self-reported behaviour and perceived organizational outcomes corresponding to Levels 3–4. Quantitative data were analyzed descriptively. Qualitative data were analyzed by content analysis in QDA Miner Lite v3.0.7 with independent coding by two researchers. Integration was achieved at interpretation stage via joint display, and meta-inference per GRAMMS guidelines. Results: Participants were predominantly female (75.2%). 58% were nursing staff/trainees/BMW handlers. High awareness was observed for BMW rules 97.2% and color-coding 98.0%, but practice gaps persisted: only 68.4% used full PPE, 71.1% used hub-cutters, and 66.8% knew 1% sodium-hypochlorite preparation. Qualitative analysis identified four domains: Level 1-Reaction: training perceived useful but short; Level 2-Learning: high knowledge but skill gaps; Level 3-Behavior: self-reported compliance undermined by understaffing, turnover, lack of supervision; Level 4-Results (perceived): vaccination achieved but audits and injury reduction absent per participant perception. Integration showed positive reaction and learning were associated with, but did not consistently translate to, self-reported behaviour due to systemic barriers. Conclusion: Despite high awareness, self-reported compliance was suboptimal. Perceived gaps in training, enforcement, staffing, and accountability were associated with limited knowledge-to-practice translation. Participants perceived organizational outcomes remained limited. Refresher training, workforce stabilization, and supervisory audits may be needed for safety outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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