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Ecogreen Peritoneal Dialysis Waste Disposal System: A Case Study from The Public Health Nursing Perspectives

1Politeknik Kemenkes Jayapura, papua, Indonesia

2Indonesian Nursing Trainers, Indonesia

3Poltekkes Kemenkes Manado, manado, Sulawesi Utara, Indonesia

4 Mubarak Al Kabeer Hospital, Kuwait

5 Hazm Mubaireek General Hospital, Qatar

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Received: 23 Feb 2022; Published: 28 Dec 2022.
Open Access Copyright (c) 2022 The authors. Published by Faculty of Public Health, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Introduction: The increased amount of Peritoneal Dialysis (PD) medical waste will harm the environment and humans around it, and so far there is no system. Many studies revealed more about how to handle medical waste. This study aims to identify hazardous and non-hazardous medical waste and to introduce an environmentally friendly PD disposal system.

Methods: This research was a case study method with a descriptive design. The population and sample of PD waste were 40 patients in PD in South Sulawesi (n: 19) and Manado, North Sulawesi (n: 21), Indonesia. The instrument used was a document review with the PICO model as a filter. The instrument was used to filter reliable research documents obtained from Google Scholar for the last 5 years (2017-2022), with keywords: peritoneal dialysis, medical waste disposal, CAPD nurses. Nightingale’s Environment Theory was also used to support the analysis.

Results: Collected 177 grams of PD medical waste or an average of 620 grams a day with a risk load of 6 out of 7 items. In a month, 18.6 kgs of PD medical waste will be collected. The waste is mixed (hazardous and non-hazardous) and potentially dangerous.

Conclusion: This study recommended a disposal system that is not yet clear and there is no certainty about who is in charge. The combustion results can be used for ecogreen plant fertilizers where in its application it can involve public health nursing because of their close role in family and community health.

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Keywords: ecogreen, medical waste disposal, peritoneal dialysis, public health nursing

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  1. Caplin NJ, Zhdanova O, Tandon M, Thompson N, Patel D, Soomro Q, et al. Acute Peritoneal Dialysis During the COVID-19 Pandemic at Bellevue Hospital in New York City. Kidney360. 2020;1(12):1345–52
  2. Yang Z, Dong J. Operational considerations for peritoneal dialysis management during the COVID-19 pandemic. Clin Kidney J. 2020;13(3):322–7
  3. Alfano G, Fontana F, Ferrari A, Guaraldi G, Mussini C, Magistroni R, et al. Peritoneal dialysis in the time of coronavirus disease 2019. Clin Kidney J. 2020;13(3):265–8
  4. Htay H, Wong PMPK, Choo RER, Dawood US, Foo MWY, Jayaballa M, et al. Strategies for Management of Peritoneal Dialysis Patients in Singapore during COVID-19 Pandemic. Ann Acad Med Singapore. 2020;49(12):1025–8
  5. Sourial MY, Sourial MH, Dalsan R, Graham J, Ross M, Chen W, et al. Urgent Peritoneal Dialysis in Patients With COVID-19 and Acute Kidney Injury: A Single-Center Experience in a Time of Crisis in the United States. Am J Kidney Dis [Internet]. 2020;76(3):401–6. Available from: https://doi.org/10.1053/j.ajkd.2020.06.001
  6. Ikeda Y. Current Status of Home Medical Care Waste Collection by Nurses in Japan. J Air Waste Manag Assoc [Internet]. 2017;67(2):139–43. Available from: http://dx.doi.org/10.1080/10962247.2016.1228551
  7. IRR. 11th Report Of Indonesian Renal Registry 2018. IRR [Internet]. 2018;1–46. Available from: https://www.indonesianrenalregistry.org/data/IRR 2018.pdf
  8. Afzal R, Hardy S. Optimizing The Roles Of Homecare Nurses In Continuous Ambulatory Peritoneal Dialysis Nursing : A Document Review. 2021;324:8–18
  9. Wieliczko M, Zawierucha J, Covic A, Prystacki T, Marcinkowski W, Małyszko J. Eco-dialysis: fashion or necessity. Int Urol Nephrol [Internet]. 2020;52(3):519–23. Available from: https://doi.org/10.1007/s11255-020-02393-2
  10. White CA, Kappel JE, Levin A, Moran SM, Pandeya S, Thanabalasingam SJ, et al. Management of Advanced Chronic Kidney Disease During the COVID-19 Pandemic: Suggestions From the Canadian Society of Nephrology COVID-19 Rapid Response Team. Can J Kidney Heal Dis. 2020;7
  11. Aydede SK, Komenda P, Djurdjev O, Levin A. Chronic kidney disease and support provided by home care services: A systematic review. BMC Nephrol. 2014;15(1):1–18
  12. Mahendradhata Y, Andayani NLPE, Hasri ET, Arifi MD, Siahaan RGM, Solikha DA, et al. The Capacity of the Indonesian Healthcare System to Respond to COVID-19. Front Public Heal. 2021;9(July):1–9
  13. Teymourian T, Teymoorian T, Kowsari E, Ramakrishna S. Challenges, Strategies, and Recommendations for the Huge Surge in Plastic and Medical Waste during the Global COVID-19 Pandemic with Circular Economy Approach. Mater Circ Econ. 2021;3(1)
  14. Dehghani MH, Ahrami HD, Nabizadeh R, Heidarinejad Z, Zarei A. Medical waste generation and management in medical clinics in South of Iran. MethodsX [Internet]. 2019;6:727–33. Available from: https://doi.org/10.1016/j.mex.2019.03.029
  15. Wisniewski A, Zimmerman M, Crews T, Haulbrook A, Fitzgerald DC, Sistino JJ. Reducing the Impact of Perfusion Medical Waste on the Environment. J Extra Corpor Technol. 2020;52(2):135–41
  16. Chisholm JM, Zamani R, Negm AM, Said N, Abdel daiem MM, Dibaj M, et al. Sustainable waste management of medical waste in African developing countries: A narrative review. Waste Manag Res. 2021;39(9):1149–63
  17. Verma A, Patel AB, Tio MC, Waikar SS. Caring for Dialysis Patients in a Time of COVID-19. Kidney Med [Internet]. 2020;2(6):787–92. Available from: https://doi.org/10.1016/j.xkme.2020.07.006
  18. Queeley GL, Campbell ES. Comparing Treatment Modalities for ESRD. 2018;11(3). Available from: www.AHDBonline.com
  19. Żebrowski P, Zawierucha J, Prystacki T, Marcinkowski W, Małyszko J. Medical waste management–how industry can help us to protect environment and money? Ren Fail [Internet]. 2020;42(1):547–9. Available from: https://doi.org/10.1080/0886022X.2020.1774900
  20. Afzal R, Hardy S, Kabak E, Jurun I, Tukayo H. The Impact Of Nutritional Screening On Peritoneal Dialysis Users By Nurses : A Systematic Review. 2021;
  21. Afzal R, Hardy S, Tukayo IJH, Sasmita TY. Improving Public Awareness on Peritoneal Dialysis Through Public Health Nurses: a Document Review. J Mitra Kesehat. 2021;4(IAHSC):25–32
  22. Ligita T. Home Care Nurses’ Roles in Enhancing Quality of Nursing Care for Patients At Home: a Phenomenological Study. Belitung Nurs J. 2017;3(4):345–51
  23. BPPSDM. CAPD Training Curriculum for Nurses. CAPD Train. Jakarta: BPPSDM; 2018. 1–21 p
  24. Hardy S, Hadi N, Tukayo IJH. The demands on nursing curriculum flexibility towards the need of global workforce: A systematic review. J Holist Nurs Sci. 2021;8(2):114–21
  25. Te V, Griffiths R, Law K, Hill PS, Annear PL. The impact of ASEAN economic integration on health worker mobility: A scoping review of the literature. Health Policy Plan. 2018;33(8):957–65
  26. Figueiredo AE, Bernardini J, Bowes E, Hiramatsu M, Price V, Su C, et al. A syllabus for teaching peritoneal dialysis to patients and caregivers. Perit Dial Int. 2016;36(6):592–605
  27. Lee G, Pickstone N, Facultad J, Titchener K. The future of community nursing: Hospital in the Home. Br J Community Nurs. 2017;22(4):174–80
  28. Gotehus A, Harun R, Margaret W, Pengaruh PMA, PMDN, TK dan I, Vartiainen P, Pitkänen P, et al. Investigating the Impacts of Acculturation Stress on Migrant Care Workers in Australian Residential Aged Care Facilities. Prof Prof [Internet]. 2021;19(1):1–20. Available from: https://doi.org/10.1186/s12960-021-00651-7
  29. Brar S, Akseer N, Sall M, Conway K, Diouf I, Everett K, et al. Drivers of stunting reduction in Senegal: A country case study. Am J Clin Nutr. 2020;112:860S-874S
  30. Mehdaova E. Strategies to Overcome the Nursing Shortage [Internet]. Vol. 21, Journal of Nursing Management. 2017. Available from: http://proxy.cc.uic.edu/login?url=https://search.proquest.com/docview/1980418660?accountid=14552%0Ahttp://hz9pj6fe4t.search.serialssolutions.com?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&rfr_id=info:sid/ProQuest+Dissertations+%26+Theses+A%26I&rft_val
  31. Pandya A. Evidence Based Practice in Nursing: a Literature Review. Int J Sci Res [Internet]. 2019;8(9):1–4. Available from: http://worldwidejournals.co.in/index.php/ijsr/article/view/6697
  32. Kruse CS, Beane A. Health information technology continues to show positive effect on medical outcomes: Systematic review. J Med Internet Res. 2018;20(2):1–9
  33. Chen J, Yin L, Chen X, Gao H, Zhou Q, Li P, et al. Management of peritoneal dialysis under COVID-19: The experience in Sichuan Province People’s Hospital, China. Perit Dial Int. 2021;41(1):42–8
  34. Gao Q, Shi Y, Mo D, Nie J, Yang M, Rozelle S, et al. Face mask and medical waste disposal during the novel COVID-19 pandemic in Asia. Sci Total Environ [Internet]. 2020;21(1):141652. Available from: https://doi.org/10.1016/B978-0-08-102528-4.00008-0
  35. Kumari S, Kaur A. Occupational Health and Safety of Health Care Professionals During Pandemic COVID-19. Indian J Public Heal Res Dev. 2021;270–84
  36. Michaud PA. Job Hazard Analysis. Accid Prev Osha Compliance. 2018;2002:25–9
  37. Hafrida H, Helmi H, Kusniati R. Health Workers’ Legal Protection Policy to the Coronavirus Disease 19 (Covid-19) Containment Measures. Fiat Justisia J Ilmu Huk. 2021;15(1):51–74
  38. Smolander J, Bruchfeld A. The COVID-19 Epidemic: Management and Outcomes of Hemodialysis and Peritoneal Dialysis Patients in Stockholm, Sweden. Kidney Blood Press Res. 2021;250–6
  39. Sembiring BM, Lubis FH. The Relationship Of Knowledge Level With Action Nurses In Medical Waste Management At Sembiring Hospital, Old Deli. J Kesehat Masy Gizi. 2019;1(2):70–7
  40. Kemenkes. Peraturan Menkes RI No. 26 Th 2019 Tentang Peraturan Pelaksanaan UU No.38 Th 2014 Tentang Keperawatan. Keperawatan [Internet]. 2019;11(1):1–14. Available from: http://scioteca.caf.com/bitstream/handle/123456789/1091/RED2017-Eng-8ene.pdf?sequence=12&isAllowed=y%0Ahttp://dx.doi.org/10.1016/j.regsciurbeco.2008.06.005%0Ahttps://www.researchgate.net/publication/305320484_SISTEM_PEMBETUNGAN_TERPUSAT_STRATEGI_MELESTARI
  41. Huang LH, Chen CM, Chen SF, Wang HH. Roles of nurses and National Nurses Associations in combating COVID-19: Taiwan experience. Int Nurs Rev. 2020;67(3):318–22
  42. Acob, PhD JRU, Martiningsih W. Role Development of Nurse Managers in the Changing Health Care Practice. J Ners dan Kebidanan (Journal Ners Midwifery). 2018;5(1):066–8

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