Staff Attitudes Toward Healthcare Waste Separation: An Exploratory Survey from a Triple-Bottom-Line Perspective

Background: In 2022, the German healthcare system generated 400,000 tons of waste. Reducing this number could lower greenhouse gas emissions. The waste management plan at the University Medical Center Regensburg, and those of other comparable German facilities, require that glass, cardboard/paper, residual waste, and other non-hazardous materials are collected separately. Objectives: To assess the personal interest, proficiency, opinion, and awareness of waste management among German dermatology staff to develop customized, resource-saving process optimization and training programs. Methods: An online cross-sectional survey was conducted among German dermatology healthcare professionals between 27 February and 4 October 2024. Out of the 100 responses, 84 were complete and subsequently analyzed. Respondents included staff at dermatology wards, outpatient units, and private practices. Data were analyzed descriptively; comparisons were made between clinics and outpatient units, and correlations were identified among the items. Results: Most respondents perceived the amount of waste generated during wound dressing changes as high; more than 60% expressed an interest in receiving further training on sustainability and waste reduction. Although many respondents reported having a good understanding of waste separation, they identified time pressure and stress as the two main obstacles to consistent implementation. Higher self-reported knowledge did not correspond with greater confidence in recycling as an effective waste reduction measure. Conclusions: The findings suggest a discrepancy between awareness and practice regarding sustainable waste management in dermatology. Combining structural and organizational measures with targeted training and workflow optimization could promote more sustainable clinical practices.