The reality of patient bodily waste management: Nurse perceptions of current practice & staff safety

Debra Harris , Rodney X. Sturdivant , Anupama Kannan

Journal of Hospital Administration ›› 2024, Vol. 13 ›› Issue (2) : 20 -31.

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Journal of Hospital Administration ›› 2024, Vol. 13 ›› Issue (2) : 20 -31. DOI: 10.5430/jha.v13n2p20
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The reality of patient bodily waste management: Nurse perceptions of current practice & staff safety

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Abstract

Objective: The purpose of this study was to evaluate nurse knowledge about the risks of exposure to patient bodily waste, nurse perceptions about procedures and reporting, and current levels of satisfaction with how risks of exposure to patient waste are managed. Patient bodily waste management impacts healthcare workers and healthcare organizations. For nurses and other healthcare workers, the risk of exposure to pathogens can have adverse health effects, increase stress, and reduce satisfaction with their job, potentially leading to issues related to retention. Evidence suggests that proper training and using devices to reduce exposure risks and improve shorter bedside toileting, may reduce stress, and improve work satisfaction. Reducing risk of increased healthcare associated infections of patients and healthcare workers may have a positive impact on the organization with reduced cost of care.
Methods: A survey focused on nurses’ knowledge about their risk of exposure, nurse understanding of procedures and incident reporting, and morale and satisfaction with their job was conducted. Results. The findings suggest that there were conflicting responses related to the acknowledgement of risk, reporting incidents, and the use of personal protective equipment.
Results: The findings suggest that there were conflicting responses related to the acknowledgement of risk, reporting incidents, and the use of personal protective equipment.
Conclusions: Organizations benefit from addressing these concerns to improve morale and satisfaction, nurse retention, healthcare worker dignity, and the quality of patient care.

Keywords

Nursing / Risk of exposure / Patient bodily waste / Personal protective equipment / Satisfaction / Morale / Quality of care

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Debra Harris, Rodney X. Sturdivant, Anupama Kannan. The reality of patient bodily waste management: Nurse perceptions of current practice & staff safety. Journal of Hospital Administration, 2024, 13(2): 20-31 DOI:10.5430/jha.v13n2p20

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ACKNOWLEDGEMENTS

The authors would like to thank Cleanis, Inc. for providing the funding for this study. The topic of nurse and healthcare worker safety and patient quality of care is always important, but this specific topic is under researched.

AUTHORS CONTRIBUTIONS

Conceptualization, D.H. and R.X.S.; methodology, D.H. and R.X.S.; validation, R.X.S and A.K. formal analysis, R.X.S and A.K. investigation, D.H. and R.X.S.; resources, D.H. and R.X.S.; data curation, D.H., A.K. and R.X.S.; writing— original draft preparation, D.H., A.K. and R.X.S.; writing— review and editing, D.H. and R.X.S.; visualization, D.H., A.K. and R.X.S.; supervision, D.H. and R.X.S.; project administration, D.H. and R.X.S.; All authors have read and agreed to the published version of the manuscript.

ETHICAL STATEMENT

Informed patient consent was not required because no patient clinical or identity data was collected, and no patient interventions were completed during the course of study. Therefore ethical review board approval was not required and waived.

FUNDING

Funding was provided by Cleanis, Inc.

CONFLICTS OF INTEREST DISCLOSURE

The author declares that there is no conflicts of interest.

ETHICS APPROVAL

The Publication Ethics Committee of the Sciedu Press. The journal’s policies adhere to the Core Practices established by the Committee on Publication Ethics (COPE).

PROVENANCE AND PEER REVIEW

Not commissioned; externally double-blind peer reviewed.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

DATA SHARING STATEMENT

No additional data are available.

OPEN ACCESS

This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).

COPYRIGHTS

Copyright for this article is retained by the author(s), with first publication rights granted to the journal.

References

[1]

Apple M. Toward a Safer and Cleaner Way: Dealing With Human Waste in Healthcare. HERD. 2016; 9(4): 26-34. PMid: 26747841. https://doi.org/10.1177/1937586715619739

[2]

van Knippenberg-Gordebeke G. Bedpan management, part of healthcare waste management. Journal of Patient Safety & Infection Control. 2015; 3(2): 32-33. https://doi.org/10.1016/j.jpsic.2015.10.204

[3]

Goss L. Splashes & Sharps: Occupational Exposures in the Health Care Setting. Occupational Health & Safety. 2015; 84(4): 42-46.

[4]

van Knippenberg-Gordebeke G. P376: Dirty bedpans and MDRO: partners in crime? Antimicrobial resistance & Infection Control. 2013; 2(suppl_1): 376-376. https://doi.org/10.1186/2047-2994-2-S1-P376

[5]

Shams AM, Rose LJ, Edwards JR, et al. Assessment of the Overall and Multidrug-Resistant Organism Bioburden on Environmental Surfaces in Healthcare Facilities. Infect Control Hosp Epidemiol. 2016; 37(12): 1426-1432. PMid: 27619507. https://doi.org/10.1017/ice.2016.198

[6]

N’Guyen TTH, Bourigault C, Guillet V, et al. Association between excreta management and incidence of extended-spectrum _- lactamase-producing Enterobacteriaceae: role of healthcare workers’ knowledge and practices. Journal of Hospital Infection. 2019; 102(1): 31-36. PMid: 30557588. https://doi.org/10.1016/j.jhin.2018.12.006

[7]

Tartari E, Bellissimo-Rodrigues F, Pires D, et al. Updates and future directions regarding hand hygiene in the healthcare setting: insights from the 3rd ICPIC alcohol-based handrub (ABHR) task force. Antimicrobial Resistance & Infection Control. 2024; 13(1): 26-26. PMid: 38424571. https://doi.org/10.1186/s13756-024-01374-9

[8]

CDC. Clinical Safety: Hand Hygiene for Healthcare Workers. June 28, 2024. Available from: https://www.cdc.gov/clean-hands/hcp/clinical-safety/index.html

[9]

Pittet D, Hugonnet S, Harbarth S, et al. Effectiveness of a hospitalwide programme to improve compliance with hand hygiene. Infection Control Programme. Lancet. 2000; 356(9238): 1307-12. PMid: 11073019. https://doi.org/10.1016/S0140-6736(00)02814-2

[10]

Stone PW. Economic burden of healthcare-associated infections: an American perspective. Expert Review of Pharmacoeconomics & Outcomes Research. 2009; 9(5): 417-422. PMid: 19817525. https://doi.org/10.1586/erp.09.53

[11]

Erasmus V, Daha TJ, Brug H, et al. Systematic review of studies on compliance with hand hygiene guidelines in hospital care. Infection Control and Hospital Epidemiology: The Official Journal of the Society of Hospital Epidemiologists of America. 2010; 31(3): 283-294. PMid: 20088678. https://doi.org/10.1086/650451

[12]

Apisarnthanarak A, Ratz D, Khawcharoenporn T, et al. National Survey of Practices to Prevent Methicillin-Resistant Staphylococcus aureus and Multidrug-Resistant Acinetobacter baumannii in Thailand. Clin Infect Dis. 2017; 64(suppl_2): S161-S166. PMid: 28475783. https://doi.org/10.1093/cid/cix045

[13]

WHO. Transmission of SARS-CoV-2: implications for infection prevention precautions. Scientific Brief. World Health Organization: Geneva, Switzerland; 2020.

[14]

Wu S, Wang Y, Jin X, et al. Environmental contamination by SARSCoV- 2 in a designated hospital for coronavirus disease 2019. Am J Infect Control. 2020; 48(8): 910-914. PMid: 32407826. https://doi.org/10.1016/j.ajic.2020.05.003

[15]

Larson EL, Early E, Cloonan P, et al. An Organizational Climate Intervention Associated With Increased Handwashing and Decreased Nosocomial Infections. Behavioral Medicine (Washington, D.C.). 2000; 26(1): 14-22. PMid: 10971880. https://doi.org/10.1080/08964280009595749

[16]

Scott RD. The Direct Medical Costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention. D. o. H. Q. Promotion, e.d. Centers for Disease Control and Prevention. 2009.

[17]

Ojanperä H, Kanste OI, Syrjala H. Hand-hygiene compliance by hospital staff and incidence of health-care-associated infections, Finland. Bulletin of the World Health Organization. 2020; 98(7): 475-483. PMid: 32742033. https://doi.org/10.2471/BLT.19.247494

[18]

Barr KL, Sturdivant RX, Williams DN, et al. Bacteria Associated with Healthcare-Associated Infections on Environmental Samples Obtained from Two Fire Departments. International Journal of Environmental Research and Public Health. 2021; 18(22): 11885. PMid: 34831638. https://doi.org/10.3390/ijerph182211885

[19]

Harris D, Taylor KP, Napierkowski K, et al. Indoor Finish Material Influence on Contamination, Transmission, and Eradication of Methicillin-Resistant Staphylococcus aureus. Health Environments Research & Design. 2020; 14(1): 118-129. PMid: 32867539. https://doi.org/10.1177/1937586720952892

[20]

Mazi W, Senok AC, Assiri AM, et al. Occupational exposure to blood-borne pathogens in a tertiary hospital: benchmarking using patient days. Asia Pac J Public Health. 2015; 27(2): NP1727-32. PMid: 22743860. https://doi.org/10.1177/1010539512450608

[21]

Centers for Disease Control and Prevention. NIOSH Safety and Health Topic: Health Care Workers, November 27, 2011. Available from: http://www.cdc.gov/niosh/topics/healthcare/

[22]

Hersey JC, Martin LS. Use of infection control guidelines by workers in healthcare facilities to prevent occupational transmission of HBV and HIV: results from a national survey. Infect Control Hosp Epidemiol. 1994; 15(4): 243-52. PMid: 8207191. https://doi.org/10.1086/646904

[23]

Kennedy M, O’Reilly D, MahMW. The use of a quality-improvement approach to reduce needlestick injuries in a Saudi Arabian hospital. Clin Perform Qual Health Care. 1998; 6(2): 79-83.

[24]

Applebaum D, Fowler S, Fiedler N, et al. The Impact of Environmental Factors on Nursing Stress, Job Satisfaction, and Turnover Intention. Journal of Nursing Administration. 2010; 40(7/8): 323-328. PMid: 20661062. https://doi.org/10.1097/NNA.0b013e 3181e9393b

[25]

Guenther R, Hall AG. Healthy Buildings: Impact on Nurses and Nursing Practice. Online Journal of Issues in Nursing. 2007; 12(2): 3-3. https://doi.org/10.3912/OJIN.Vol12No02Man02

[26]

Jones CB, Gates M. The Costs and Benefits of Nurse Turnover: A Business Case for Nurse Retention. Online Journal of Issues in Nursing. 2007; 12(3): 5. https://doi.org/10.3912/OJIN.Vol12No03Man04

[27]

Delaney MB. Right to Know: Reducing Risks of Fecal Pathogen Exposure for ED Patients and Staff. Journal of Emergency Nursing. 2014; 40(4): 352-356. PMid: 24075146. https://doi.org/10.1016/j.jen.2013.07.022

[28]

Bros A, Deboscker S, Mielcarek M, et al. Bacteriological quality evaluation of bedpans in a university hospital. International Journal of Infection Control. 2018; 14(1). https://doi.org/10.3396/IJIC.v14i1.004.18

[29]

Qualtrics Version November, 2023. Qualtrics, 2023.

[30]

Wonder AH. Engagement in RNs Working in MagnetR -Designated Hospitals. 2012; 42: 575-579. PMid: 23151930. https://doi.org/10.1097/NNA.0b013e318274b5a8

[31]

R Core Team, R: A language and environment for statistical computing. R Foundation for Statistical Computing. 2022.

[32]

Hvitfeldt E. Testdata: Download and Load Various Text Datasets. R package version 0.4.4, 2022.

[33]

Mulvey T, Cámpoli M, Lundmark V. Establishing a Pathway to ExcellenceR Research Agenda: A Delphi Study to Identify Research Priorities for Evaluating Positive Practice Environments. The Journal of Nursing Administration. 2023; 53(4): 189-196. PMid: 36916787. https://doi.org/10.1097/NNA.0000000000001269

[34]

Mallon DF, Shearwood W, Mallal SA, et al. Exposure to blood borne infections in health care workers. Med J Aust. 1992; 157(9): 592-5. PMid: 1406418. https://doi.org/10.5694/j.1326-5377.1992.tb137397.x

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