Nurse Compliance with Medical Waste Management Protocols: An Observational Study at Indonesian Hospitals

Medical waste management in hospitals is influenced by nurses' compliance with sorting, as the initial steps in waste handling from the source. Nurse adherence to waste management protocols has the potential to prevent infection risks and environmental contamination. This study aims to identify the predominant factors influencing nurses' compliance with medical waste management protocols in hospitals across Indonesia.

This quantitative study employs a cross-sectional design. The research was conducted at three hospitals in Deli Serdang Regency, which share similar characteristics and have obtained research approval. The data analysis was performed using multiple logistic regression analysis.

The study findings indicate that the knowledge variable has a significant effect on medical waste management, with a p-value of 0.019 and an odds ratio of 1.560. The perception variable also demonstrates a significant influence, with a p-value of 0.037 and an odds ratio of 1.229. The workload variable exhibits a significant impact, with a p-value of 0.045 and an odds ratio of 1.348. Meanwhile, the training variable shows a highly significant and strong effect, with a p-value of 0.009 and an odds ratio of 35.918.

Nurses who had undergone training demonstrated better knowledge, skills, and a higher sense of responsibility in following the medical waste management protocols. The improvement reflects the effectiveness of training in forming technical competencies and work attitudes that comply with hospital environmental safety and health standards.

Training is a key factor influencing nurses' compliance. There is a need to enhance training programs to improve the quality of medical waste management by providing nurses with accurate knowledge, practical skills, and an understanding of procedures and standards.