Impact of an Educational Training on Behavioral Intention for Healthcare Waste Management: Application of Health Action Model.

IF 1.3 Q2 Social Sciences

International Quarterly of Community Health Education Pub Date : 2021-02-25 DOI:10.1177/0272684X20982595

Davoud Sarpooshi Robat, Seyedeh Belin Tavakoly Sany, Hadi Alizadeh Siuki, Nooshin Peyman, Gordon Ferns

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Abstract

Inappropriate healthcare waste management (HCWM) may lead to health hazards through the release of toxic and infectious agents into the environment. This study aimed to assess the appropriateness of a Health Action Model (HAM) operationalized in a training intervention to promote behavioral intent towards HCWM practice among hospital staff. This was a quasi-experimental intervention study of 128 hospital staff attending a training intervention in Sabzevar Hospital, Iran. Four training intervention was carried out using potential constructs of the HAM model to compare the quality of HCWM process and behavioral intent of hospital staff before and after a training session. A questionnaire based on HAM and multiple statistical analyses were used to assess the effectiveness of the training intervention. The average age of the eligible participants was 35.05 ± 9.4 years. A majority of the participant was married (88%), nursing staff (54%) and possessed a bachelor's degree (66%) or diploma (18%). After the intervention, a significant change (p < 0.05) was observed in the intervention group compared to the control group in staff knowledge, attitude, self-efficacy, belief, and motivation. Further, our result showed a significant improvement from 53.6 ± 24.3 to 83.6 ± 11.5 in the behavioral intention toward HCWM practice. This work provides evidence of the effectiveness of the HAM as a guide in which the potential determinates that influence an individual's behavioral intention toward medical waste practice were identified and described. This model help promote behavioral intention at a variety of target audiences and setting in waste management practice.

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教育培训对医疗废物管理行为意向的影响：健康行动模型的应用。

不恰当的医疗废物管理（HCWM）可能会将有毒和传染性病原体释放到环境中，从而导致健康危害。本研究旨在评估健康行动模型（HAM）在培训干预中的可操作性，以促进医院员工对 HCWM 实践的行为意向。这是一项准实验干预研究，128 名医院员工参加了伊朗 Sabzevar 医院的培训干预。通过使用 HAM 模型的潜在结构来比较培训前后医院员工的 HCWM 流程质量和行为意向，进行了四次培训干预。采用基于 HAM 的问卷调查和多重统计分析来评估培训干预的效果。合格参与者的平均年龄为（35.05 ± 9.4）岁。大多数参与者已婚（88%），为护理人员（54%），拥有学士学位（66%）或文凭（18%）。干预后，参加者的情绪有了明显的变化（p

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来源期刊

International Quarterly of Community Health Education PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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期刊介绍： The International Quarterly of Community Health Education is committed to publishing applied research, policy and case studies dealing with community health education and its relationship to social change. Since 1981, this rigorously peer-referred Journal has contained a wide selection of material in readable style and format by contributors who are not only authorities in their field, but can also write with vigor, clarity, and occasionally with humor. Since its introduction the Journal has considered all manuscripts, especially encouraging stimulating articles which manage to combine maximum readability with scholarly standards.