KUMJ | VOL. 24 | NO. 1 | ISSUE 94 | JANUARY - MARCH, 2026
Literacy and Attitudes toward Eco-pharmacology among Medical and Nursing Students: A Quasi-experimental Study
Khadka A, Kaundinnyayana S, Sharma M, Chalise GD, Rayamajhi H, Karki S
Abstract: Background
Medical and nursing students have the potential to protect Nepal’s delicate
ecosystems and enhance public health outcomes by making informed decisions
about pharmaceutical waste management which demand updating existing curricula
and zeal for teaching and learning the principles of eco-pharmacology.
Objective
To assess the knowledge, perception and attitude of medical and nursing students on
eco-pharmacology before and after short educational intervention.
Method
The quasi-experimental study (quantitative with embedded qualitative elements)
was carried out among students of Bachelor of Science in Nursing (BSc Nursing),
Bachelor of Nursing Science (BNS), and Bachelor of Medicine and Bachelor of Surgery
(MBBS) in a medical college from April 2022 to March 2023 after getting approval
from Institutional Review Committee (Reference number: 468). The predefined
validated questionnaire was administered before and after two weeks of the short
educational intervention in the form of lecture with interactive session. The data
were analyzed using descriptive statistics.
Result
This study of 131 students (59 MBBS, 39 BSc Nursing, 33 BNS) demonstrated that
educational intervention on eco-pharmacology significantly improved knowledge
scores for MBBS (p < 0.0001) and BSc Nursing students (p < 0.0001), while BNS
students showed no statistically significant improvement (p = 0.637) despite having
good baseline knowledge. Post-intervention, MBBS students reached 100% positive
perception, BNS students improved from negative to 57% positive and BSc Nursing
students increased to 86%.
Conclusion
This study shows that even a short educational intervention can have a positive
impact on students’ comprehension of drug-related environmental health hazards.
Keyword : Environment, Medical students, Nursing students, Pharmaceutical waste