Fatores associados ao manejo de Resíduos de Serviços de Saúde, pela Equipe de Enfermagem

Abstract

Waste of health services (RSS) are all waste generated in health establishments. When the hospital waste are managed inadequately in any of the stages, can cause pathological risks to public health and environmental destruction. Therefore, the nursing team stands out through its activities exercised, generating the greater part of the waste produced in the hospital. It has as objective to investigate the implementation of the waste of health services by the nursing team. Performed a cross-sectional analytical study, composed of 461 nursing team professionals of a large public hospital of the sphere of the state in the period of june 2014 to january 2016. The response variable was the management of RSS, classified as adequate management and inadequate handling, and independent variables were categorized into three groups: sociodemographic characteristics (distal), hospital routines (intermediate) and knowledge on the RSS (proximal). The non-adjusted analysis was performed and in the second phase, we used analysis adjusted hierarchical type. Were considered associated with the management of RSS those that presented pvalue <0,05. Of 461 nursing team professionals, 40,13% had 30 to 39 years old, 92,84% were female, 63,99% had <12 years of study, 54,88% were single, 63,12% with a family income of up to two minimum wages, 50,3% with 1-5 years of service time, the majority (78,04%) was nursing technician, and 63,99% make the management of RSS adequately. At the end of the hierarchical analysis remained protective association at the management of RSS, age of 20-29 years (PR= 0,90; p< 0,016) and schooling < 12 years of study (PR= 0,90, p< 0,021). The inadequate definition of RSS (RP= 1,30; p< 0,001) showed a statistically significant association with outcome. It is concluded that the knowledge about the RSS may influence the inadequate management. The inappropriate management is still a reality among nursing professionals, and highlights the importance of continued education and curricular changes for adequacy of reality found.