Emerging concern of supportive supervision in hospital waste management: A formative delphi study
DOI: https://doi.org/10.33024/minh.v8i5.752
Emerging Concer Hospital Waste Management Supportive Supervision
Abstract
Background: Improper management of all types of hospital waste has become a significant problem relevant to public health issues. However, even though there are regulations regarding waste management, the implementation still varies between hospitals. The most neglected factor is the waste management supervision frameworks.
Purpose: To identify the emerging concern of supportive supervision in hospital waste management.
Method: This formative delphi study employed qualitative methods and focus group discussions (FGDs). Each FGD lasted 60 minutes. The study incorporated the concept of stakeholder engagement in hospital waste governance, focusing on factors driving stakeholder participation, knowledge-sharing structures, information exchange, decision-making processes, and the institutionalization of various centers of power and decision-making to diversify waste management oversight.
Results: Participants were most likely to decide to improve waste management. Of the 18 questions, three received a higher number of "yes" responses (53.8%). The first question concerned managers in the environmental, occupational safety, and health department providing recognition/appreciation for staff performance or achievements in waste management at the hospital. The second question concerned information provided by managers to staff regarding open and periodic performance appraisals. The third question concerned the use of audit results to improve the existing waste management system.
Conclusion: Supervision is an activity aimed at improving service quality. It requires a conditional and open environment to accept problem-solving. To enhance the quality of service, supervision must be systematic and require continuous follow-up.
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References
Adogu, P. O. U., Ubajaka, C. F., Nebuwa, J. E. (2014). Knowledge and practice of medical waste management among health workers in a Nigerian general hospital. Asian Journal of Science and Technology,5 (12), 833–838.
Alharbi, N. S., Alhaji, J. H., & Qattan, M. Y. (2021). Toward sustainable environmental management of healthcare waste: A holistic perspective. Sustainability, 13(9), 5280.
Ali, M., Wang, W., Chaudhry, N., & Geng, Y. (2017). Hospital waste management in developing countries: A mini review. Waste Management & Research, 35(6), 581-592.
Chisholm, J. M., Zamani, R., Negm, A. M., Said, N., Abdel daiem, M. M., Dibaj, M., & Akrami, M. (2021). Sustainable waste management of medical waste in African developing countries: A narrative review. Waste management & research, 39(9), 1149-1163.
Cordova, M. R., Nurhati, I. S., Riani, E., & Iswari, M. Y. (2021). Unprecedented plastic-made personal protective equipment (PPE) debris in river outlets into Jakarta Bay during COVID-19 pandemic. Chemosphere, 268, 129360.
Deussom, R., Mwarey, D., Bayu, M., Abdullah, S. S., & Marcus, R. (2022). Systematic review of performance-enhancing health worker supervision approaches in low-and middle-income countries. Human resources for health, 20(1), 2.
Diaz, L. F., Savage, G. M., & Eggerth, L. L. (2005). Alternatives for the treatment and disposal of healthcare wastes in developing countries. Waste management, 25(6), 626-637.
Diouf, A., Badiane, A., Manga, N. M., Idohou-Dossou, N., Sow, P. S., & Wade, S. (2015). Daily consumption of ready-to-use peanut-based therapeutic food increased fat free mass, improved anemic status but has no impact on the zinc status of people living with HIV/AIDS: a randomized controlled trial. BMC public health, 16(1), 1.
Ghanimeh, S., Gómez-Sanabria, A., Tsydenova, N., Štrbová, K., Iossifidou, M., & Kumar, A. (2019). Two-level comparison of waste management systems in low-, middle-, and high-income cities. Environmental Engineering Science, 36(10), 1281-1295.
Hardavella, G., Aamli-Gaagnat, A., Saad, N., Rousalova, I., & Sreter, K. B. (2017). How to give and receive feedback effectively. Breathe, 13(4), 327-333.
Kilroy, D. A. (2006). Clinical supervision in the emergency department: a critical incident study. Emergency Medicine Journal, 23(2), 105-108.
Mahendradhata, Y., Probandari, A. N., Wilastonegoro, N. N., & Sebong, P. (2022). Manajemen Program Kesehatan. Yogyakarta: UGM Press.
Mandhane, N., Ansari, S., Shaikh, T. P., & Deolekar, S. (2015). Positive feedback: a tool for quality education in field of medicine. International Journal of Research in Medical Sciences, 3(8), 1868-1873.
Ministry of Environment and Forestry of Republic Indonesia. (2016). Peraturan Kementerian Lingkungan Hidup dan Kehutanan Republik Indonesia No. P. 68/MENLHK-Setjen/2016, tentang Baku Mutu Air Limbah Domestik. Retrieved from: Jhttps://ppkl.menlhk.go.id/website/filebox/5/170314114854P.68%20BAKU%20MUTU%20LIMBAH%20DOMESTIK.pdf
Ministry of Health of the Republic of Indonesia. (2021). Profil Kesehatan Indonesia. Retrieved from: https://kemkes.go.id/id/profil-kesehatan-indonesia-2021
Probandari, A. (2015). Supervisi. Bahan Ajar. Yogyakarta: Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Gadjah Mada.
Snowdon, D. A., Leggat, S. G., & Taylor, N. F. (2017). Does clinical supervision of healthcare professionals improve effectiveness of care and patient experience? A systematic review. BMC health services research, 17(1), 786.
Soares, S. R., Finotti, A. R., da Silva, V. P., & Alvarenga, R. A. (2013). Applications of life cycle assessment and cost analysis in health care waste management. Waste management, 33(1), 175-183.
Tomlinson, J. (2015). Using clinical supervision to improve the quality and safety of patient care: a response to Berwick and Francis. BMC medical education, 15(1), 103.
World Health Organization. (2020). Training for mid-level managers (MLM): module 4: supportive supervision. Retrieved from: https://iris.who.int/handle/10665/337056
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