NURSES PRACTICES IN SEGREGATING SOLID HAZARDOUS MEDICAL WASTE

Authors

  • Al Furqon Universitas Hang Tuah Pekanbaru, Pekanbaru, Indonesia, Indonesia
  • Oktavia Dewi Universitas Hang Tuah Pekanbaru, Pekanbaru, Indonesia, Indonesia
  • Herniwanti Herniwanti Universitas Hang Tuah Pekanbaru, Pekanbaru, Indonesia, Indonesia
  • Yesica Devis Universitas Hang Tuah Pekanbaru, Pekanbaru, Indonesia, Indonesia
  • Endang Purnawati Rahayu Universitas Hang Tuah Pekanbaru, Pekanbaru, Indonesia, Indonesia
  • Ignatius Trismon HAKLI Provinsi Riau, Pekanbaru, Indonesia , Indonesia

DOI:

https://doi.org/10.34011/jmp2k.v35i4.2445

Keywords:

Limbah B3 medis padat, perilaku perawat, RSUD Dumai

Abstract

Limbah B3 medis padat dari rumah sakit berpotensi membahayakan kesehatan dan lingkungan jika tidak dikelola dengan baik. Penelitian ini bertujuan mengetahui perilaku perawat dalam pemilahan limbah B3 medis padat. Sampel berjumlah 136 diambil dengan teknik proportional sampling, dan data dianalisis menggunakan multiple logistic regression model prediksi dengan tujuan untuk mendapatkan model yang paling baik (fit) yang dapat menggambarkan hubungan variabel independen dan dependen. Hasil penelitian menunjukkan ada hubungan antara sarana dan fasilitas (p=0,003), peran kepala ruangan (p=0,015), ketersediaan informasi (p=0,032), sikap (p=0,045) dan supervisi (p=0,046) dengan perilaku perawat dalam pemilahan limbah B3 medis padat. Variabel paling dominan adalah sarana dan fasilitas (POR=3,463). Manajemen rumah sakit disarankan untuk melengkapi setiap ruang rawat inap dengan fasilitas pemilahan limbah yang sesuai standar (kantong plastik berwarna, safety box), Menarik wadah limbah non-standar dan menggantinya dengan yang sesuai regulasi limbah B3 medis, menyediakan buku saku dan pelatihan rutin tentang limbah B3 medis, serta meningkatkan sosialisasi dan monitoring SOP pemilahan limbah kepada perawat secara berkala. Manajemen limbah B3 padat yang baik di rumah sakit mencegah penularan penyakit, melindungi tenaga kesehatan, menjaga lingkungan, memastikan kepatuhan regulasi, meningkatkan efisiensi, dan membangun kepercayaan masyarakat.

References

[1] Kesehatan Lingkungan Rumah Sakit, Permenkes No 7. Indonesia: BN.2019/NO.296, kemkes.go.id : 9 hlm., 2019, pp. 1–9.

[2] WHO, “Environmental Cleaning and Infection Prevention And Control in Health Care Facilities in Low- and Middle-Income Countries: modules and resources,” https://www.who.int/publications/i/item/9789240051041.

[3] Kemenkes RI, Profil kesehatan Indonesia tahun 2021. Jakarta: Kemenkes RI, 2022.

[4] Ika Nurhayati and Dewi Purnamawati, “Health Workers’ Behavior in Medical Waste Sorting at Hospital,” Muhammadiyah International Public Health and Medicine Proceeding, vol. 2, no. 1, pp. 86–90, Oct. 2022, doi: 10.61811/miphmp.v1i2.271.

[5] P. Akkajit, H. Romin, M. Assawadithalerd, and I. A. Al-Khatib, “Assessment of Knowledge, Attitude, and Practice in respect of Medical Waste Management among Healthcare Workers in Clinics,” J Environ Public Health, vol. 2020, pp. 1–12, Sep. 2020, doi: 10.1155/2020/8745472.

[6] Exposto and Sujaya, “The Impacts Of Hazardous And Toxic Waste Management: A Systematic Review,” Interdisciplinary Social Studies, vol. 1, no. 2, pp. 103–124, 2021.

[7] A. M. Patel and P. D. Jalpa, “Knowledge, Attitude and Practice Regarding Biomedical Waste Amongst Nursing Professionals - A Cross-Sectional Survey Study,” International Journal of Pharma Research and Health Sciences, vol. 11, no. 1, pp. 3577–82, 2023.

[8] B. Mugabi and S. C. Chima, “Correlates of Knowledge and Practice of Medical Waste Management Among Healthcare Workers in Ethekwini District Public Hospitals, Kwazulu-Natal Province, South Africa,” African Journal of Biomedical Research, vol. 24, pp. 33–40, 2021.

[9] M. S. Huda, A. Simanjorang, and Megawati, “Faktor Yang Memengaruhi Perilaku Perawat Dalam Pemilahan Limbah Infeksius Dan Non Infeksius Di Ruang Rawat Inap Kelas 3 Rumah Sakit Umum Haji Medan,” HEALTH CARE : JURNAL KESEHATAN, vol. 9, no. 2, pp. 100–106, Dec. 2020, doi: 10.36763/healthcare.v9i2.86.

[10] M. H. ’Ulya and E. T. Pawenang, “Pengelolaan Limbah B3 Medis Covid-19 di Rumah Sakit pada Masa Pandemi Covid-19,” Indonesian Journal of Public Health and Nutrition, vol. 2, no. 1, pp. 43–51, Mar. 2022, doi: 10.15294/ijphn.v2i1.52939.

[11] A. Thirunavukkarasu et al., “Knowledge, attitude and practice towards bio-medical waste management among healthcare workers: a northern Saudi study,” PeerJ, vol. 10, p. e13773, Jul. 2022, doi: 10.7717/peerj.13773.

[12] A. D. Nasution and E. L. Mahyuni, “Hospital Health Provider Behavior in Waste Application Based on Occupational Safety and Health Analysis,” Open Access Maced J Med Sci, vol. 8, no. E, pp. 419–424, Jun. 2020, doi: 10.3889/oamjms.2020.4359.

[13] E. Gizalew, M. Girma, D. Haftu, C. Churko, and Z. Girma, “Health-care Waste Management and Risk Factors Among Health Professionals in Public Health Facilities of South Omo Zone, South West Ethiopia, 2018,” J Healthc Leadersh, vol. Volume 13, pp. 119–128, May 2021, doi: 10.2147/JHL.S300729.

[14] D. S. R. Rangkuti, A. M. Tarigan, and T. Amelia, “Faktor Yang Memengaruhi Perilaku Perawat Dalam Pemilahan Limbah Medis Di Ruang Rawat Inap Rumah Sakit Umum Sundari Medan,” Journal of Pharmaceutical and Sciences, vol. 6, no. 1, pp. 322–333, Feb. 2023, doi: 10.36490/journal-jps.com.v6i1.71.

[15] Komite PPIRS RSUD Dumai, “Laporan Komite PPIRS RSUD Dumai,” Kota Dumai, 2024.

[16] L. Smith, K. Brown, and K. Johnson, “Hospital acquired infections and their impact on healthcare costs,” Journal of Hospital Infection, vol. 45, no. 3, pp. 350–360, 2020.

[17] E. A. Permana and H. Hardiana, “Challenges and Solutions in B3 Waste Management at RSUD X: An Analysis Based on Ministerial Regulations,” Journal of Current Health Sciences, vol. 4, no. 1, pp. 31–40, May 2024, doi: 10.47679/jchs.202466.

[18] E. Rossalina, C. Uly, and C. M. Dewanthari, “Faktor Faktor yang Berhubungan dengan Perilaku Perawat dalam Pemilahan dan Pewadahan Limbah Infeksius dan Benda Tajam di Rumah Sakit Sint Carolus,” Open Access Jakarta Journal of Health Sciences, vol. 1, no. 8, pp. 290–300, Aug. 2022, doi: 10.53801/oajjhs.v1i8.116.

[19] Seniwati et al., Buku Ajar Manajemen Keperawatan. Sulawesi Tenggara: Feniks Muda Sejahtera, 2022.

[20] S. Azami-Aghdash, M. Sayadzadeh, A. Ashtari, N. Derakhshani, Z. Sedaei, and R. Rezapour, “Improving the hospital waste management at the Farabi hospital in Malekan -Iran: An action research study,” Heliyon, vol. 9, no. 7, p. e17695, Jul. 2023, doi: 10.1016/j.heliyon.2023.e17695.

[21] S. Syafrina, E. Mutiawati, and E. Wardani, “The Role and Function of Ward Head Management on Nurse Job Satisfaction,” SIGn Journal of Public Health, vol. 1, no. 1, pp. 045–056, 2022.

[22] Sartika, D. Anggreny, A. Sani, I. Kumalasari, and Hermansyah, Ilmu Kesehatan Masyarakat. Bandung: Media Sains Indonesia, 2022.

[23] S. P. Robbins and T. A. Judge, Organizational Behavior (Edisi ke-15). New Jersey: Pearson Prentice Hall, 2018.

[24] U. Udoudom, K. George, and A. Igiri, “Impact of Digital Learning Platforms on Behaviour Change Communication in Public Health Education,” Pancasila International Journal of Applied Social Science, vol. 2, no. 01, pp. 110–125, Dec. 2023, doi: 10.59653/pancasila.v2i01.512.

[25] WHO, “Safe management of wastes from health-care activities,” https://www.who.int/publications/i/item/9789241548564.

[26] A. N. Istiqomah, E. Prasetyo, and J. F. Suwandi, “Perilaku Tenaga Kesehatan dalam Pemilahan Limbah Medis Padat,” Jurnal Penelitian Perawat Profesional, vol. 5, no. 3, pp. 1031–1038, May 2023, doi: 10.37287/jppp.v5i3.1702.

[27] Tumurang, Promosi Kesehatan. Yogyakarta: Indomedia Pustaka, 2018.

[28] I. G. N. G. Pradnyana and I. M. Bulda Mahayana, “Hubungan Pengetahuan Dan Sikap Dengan Perilaku Perawat Dalam Pengelolaan Sampah Medis Di Rumah Sakit Daerah Mangusada Kabupaten Badung,” Jurnal Kesehatan Lingkungan (JKL), vol. 10, no. 2, Nov. 2020, doi: 10.33992/jkl.v10i2.1271.

[29] Isnaeni and E. Gustiana, “Faktor Yang Berhubungan Dengan Perilaku Petugas Medis Dalam Penanganan Sampah Medis,” Jurnal Pendidikan dan Konseling, vol. 5, no. 1, pp. 4820–4826, 2023.

[30] N. Akmal, R. Zakaria, and P. Ariscasari, “Faktor Yang Berhubungan Dengan Pengelolaan Limbah Medis di RSIA Aceh Tahun 2022,” Jurnal Kesehatan Tambusai, vol. 4, no. 3, pp. 3109–3116, 2023.

[31] H. Franisha, D. S. Paramitha, and B. Ilmi, “Hubungan Supervisi Kepala Ruangan Dengan Kepatuhan Timbang Terima Perawat di Rumah Sakit,” Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan, vol. 12, no. 1, pp. 70–80, 2022.

[32] I. C. Suyuti, “Study of Medical Hazardous And Toxic (B3) Waste Management From Health Clinic,” Sriwijaya Journal of Environment, vol. 7, no. 3, pp. 182–188, Dec. 2022, doi: 10.22135/sje.2022.7.3.182-188.

[33] A. Mureski, Erwin, and S. M. Sari, “Hubungan Supervisi Kepala Ruangan dengan Pengelolaan Sampah Medis oleh Perawat di Ruangan Rawat Inap,” Jurnal Medika Hutama, vol. 2, no. 2, pp. 484–496, 2021.

[34] Z. Letho et al., “Awareness and practice of medical waste management among healthcare providers in National Referral Hospital,” PLoS One, vol. 16, no. 1, p. e0243817, Jan. 2021, doi: 10.1371/journal.pone.0243817.

[35] D. A. Pasaribu, “The Relationship between Nurse Oversight and the Compliance of Nurses to Dispose Medical and Non-Medical Waste in Padang Lawas Hospital,” Science Midwifery, vol. 7, no. 2, pp. 51–55, 2019.

[36] S. T. Wafula, J. Musiime, and F. Oporia, “Health care waste management among health workers and associated factors in primary health care facilities in Kampala City, Uganda: a cross-sectional study,” BMC Public Health, vol. 19, no. 1, p. 203, Dec. 2019, doi: 10.1186/s12889-019-6528-4.

[37] L. I. Salubi, J. O. Maitanmi, A. S. Olowolafe, and S. A. Ademola, “Knowledge, attitude, and factors influencing health care (HCW) waste management among nurses in selected hospitals in Abeokuta, Ogun State,” International Journal of Advance Research in Medical Surgical Nursing, vol. 4, no. 2, pp. 46–57, Jul. 2022, doi: 10.33545/surgicalnursing.2022.v4.i2a.98.

[38] S. Sanana and B. G. Mwanza, “An Assessment of E-Waste Management Challenges in Zambia,” International Journal of Engineering and Management Research, pp. 14–1, 2024.

[39] Z. M. Yakubu, I. M. Bello, and F. Tsiga-Ahmed, “Adherence to recommended hospital waste management practices by healthcare workers at Murtala Muhammad Specialist Hospital Kano, Nigeria,” Pan African Medical Journal, vol. 44, 2023, doi: 10.11604/pamj.2023.44.124.34618.

[40] A. R. Darus, T. K. Intan, P. U. Pohan, and Supriatmo, “The relationship between solid medical waste knowledge with attitudes and behaviors of students in Medical Professional Education Program (P3D) Faculty of Medicine, Universitas Sumatera Utara,” IOP Conf Ser Earth Environ Sci, vol. 802, no. 1, p. 012049, Jun. 2021, doi: 10.1088/1755-1315/802/1/012049.

[41] G. Kartika Dewi, S. Saryono, and M. Muslihudin, “Health Workers’ Attitude Mediates the Relation of Knowledge and Interest in Medical Waste Management Practice,” Jurnal Indonesia Sosial Teknologi, vol. 5, no. 5, pp. 2337–2354, May 2024, doi: 10.59141/jist.v5i5.1106.

[42] D. Tilahun, D. O. Donacho, A. Zewdie, A. M. Kera, and G. Haile Degefa, “Healthcare waste management practice and its predictors among health workers in private health facilities in Ilu Aba Bor Zone, Oromia region, South West Ethiopia: a community-based cross-sectional study,” BMJ Open, vol. 13, no. 2, p. e067752, Feb. 2023, doi: 10.1136/bmjopen-2022-067752.

[43] C. M. Leonard et al., “Knowledge, attitudes, and practices of health care waste management among Zambian health care workers,” PLOS Global Public Health, vol. 2, no. 6, p. e0000655, Jun. 2022, doi: 10.1371/journal.pgph.0000655.

[44] S. Khansa, A. Kusumayati, D. Susanna, and U. T. Sinaga, “Evaluation of Solid Medical Waste Management in Bogor Regional Public Hospitals,” Kesmas: Jurnal Kesehatan Masyarakat Nasional, vol. 18, no. 4, p. 217, Nov. 2023, doi: 10.21109/kesmas.v18i4.7318.

[45] A. U. Izzati and O. P. Mulyana, Psikologi Industri & Organisasi. Surabaya: Bintang Surabaya, 2019.

[46] T. S. Hasiu, L. Asrianto, and Ernianti, “Faktor-faktor yang berhubungan dengan tindakan petugas kesehatan dalam upaya pengelolaan sampah medis di Rumah Sakit Umum Daerah Kabupaten Buton Utara,” Jurnal Ilmiah Obsgin, vol. 16, no. 1, pp. 206–216, 2024.

[47] G. Mitiku, A. Admasie, A. Birara, and W. Yalew, “Biomedical waste management practices and associated factors among health care workers in the era of the covid-19 pandemic at metropolitan city private hospitals, Amhara region, Ethiopia, 2020,” PLoS One, vol. 17, no. 4, p. e0266037, Apr. 2022, doi: 10.1371/journal.pone.0266037.

[48] R. Jannah, E. Nurmardiansyah, and H. Sulistyanto, “Implementation of the Duties and Authorities of the Community Health Center in Managing Medical Waste as a Form of Environmental Health Protection: A Case Study at the Wonosalam 2 Health Center, Demak,” OEPRA Jurnal Hukum Kesehatan, vol. 9, no. 1, pp. 137–155, 2023.

[49] M. E. Saputri, Aisyiah, and D. Nugroho, “Analisis Faktor Perilaku Perawat Dalam Pembuangan Sampah Medis Di Rumah Sakit X Jakarta Tahun 2020,” Jurnal Kesehatan Masyarakat, vol. 2, no. 1, pp. 12–19, 2020.

Downloads

Published

2025-12-18

How to Cite

Furqon, A., Dewi, O., Herniwanti, H., Devis, Y., Rahayu, E. P., & Trismon, I. (2025). NURSES PRACTICES IN SEGREGATING SOLID HAZARDOUS MEDICAL WASTE. Media Penelitian Dan Pengembangan Kesehatan, 35(4), 1559–1571. https://doi.org/10.34011/jmp2k.v35i4.2445

Citation Check

Most read articles by the same author(s)

Similar Articles

1 2 3 4 5 > >> 

You may also start an advanced similarity search for this article.