Evidence map›Paper›PMID 41039557›Full record

ArticleBMC health services research2025

Developing a behaviour identification method for healthcare waste management: a case study of hospital waste management in Australia.

Lena Jungbluth, Janette Wright, Peter Bragge, Denise Goodwin

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Medical waste management within the Green Hospital approach: a systematic review of direct, contextual, and transferable evidence.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Lena JungbluthMonash Sustainable Development Institute, BehaviourWorks Australia, Monash University, 8 Scenic Boulevard, Clayton, VIC, 3800, Australia. lena.jungbluth@monash.edu.
Janette WrightRoyal Melbourne Hospital, 300 Grattan Street, Parkville, VIC, 3050, Australia.
Peter BraggeMonash Sustainable Development Institute Evidence Review Service, BehaviourWorks Australia, 8 Scenic Boulevard, Clayton, VIC, 3800, Australia.
Denise GoodwinMonash Sustainable Development Institute, BehaviourWorks Australia, Monash University, 8 Scenic Boulevard, Clayton, VIC, 3800, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare generates millions of tonnes of waste each year, with some of this waste not getting disposed of in its most appropriate streams. Due to the importance of correct sorting and transporting of generated waste, human behaviour plays a crucial role in the waste disposal process. Thus taking a behavioural science approach to the challenge of healthcare waste management has potential to value-add to existing research and practice efforts. A fundamental step in applied behaviour change projects is the identification of specific behaviours that can have positive impact. To support this, this project developed a new method to comprehensively identify and map the often interconnected waste management behaviours in a healthcare setting.

methodsTo develop the new behaviour identification method, previous work on ‘waste flow diagrams’ was extended and overlaid with principles of behavioural science, clearly defining the identified behaviours with regards to their actor, action, target, context and time. The method was applied to the management of waste generated in the perioperative area in a large, metropolitan, public hospital in Australia.

resultsApplying the developed method to the management of waste from the described hospital setting identified 184 specific, interconnected waste management behaviours performed by thirteen actor groups (including anaesthetists, surgeons, nurses, technicians, cleaning staff).

conclusionThis project has applied established principles of behavioural science to traditional waste flow diagrams and thereby developed a new behaviour identification method. The developed method lays the groundwork for future behaviour prioritisation work, which can be followed by an investigation of influences on behaviour performance. Ultimately, this process can support the design of a targeted behaviour change intervention to improve healthcare waste management.

Indexed as

Medical Waste DisposalWaste ManagementAustraliaHumansOrganizational Case StudiesMedical Waste DisposalBehaviour changeBehaviour identificationHealthcareWaste flow diagramsWaste management

Identifiers

PMID41039557
PMCPMC12492881

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.