National Dermatological Surgery Sustainability Survey: An Evaluation of Healthcare Professional Beliefs and Practices.

IF 3.7 4区医学 Q1 DERMATOLOGY Clinical and Experimental Dermatology Pub Date : 2024-11-23 DOI:10.1093/ced/llae524

Fatima Ali, Hakam Jabouri, Rachel A Abbott, Aaron Wernham

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Abstract

Background: Dermatological surgery contributes to the large environmental impact of healthcare, but to date there are no data on the current sustainability practices, attitudes, or behaviours of UK and Republic of Ireland health professionals involved in skin surgery.

Objectives: We sought to evaluate this using a national sustainability questionnaire, organised by the British Society for Dermatological Surgery.

Methods: Over 12-weeks, a 17-item online questionnaire was distributed nationally to healthcare professionals involved in skin surgery.

Results: 115 UK healthcare professionals responded. 'See and Treat' provision for non-Mohs skin surgery was described by 32% of respondents. When compared to single-use equipment (Median=4), reusable equipment (Median=7) outperformed on perceived safety (p =.0056), quality (p =.00001), and patient outcomes (p =.0067), but no difference was found in usability (p =.68916). Perceived sustainability was greater in the reusable (Median=7) than single-use (Median=1)(p=.00001). Almost all (97%) respondents believe global climate change is happening, and the majority (74%) are concerned by dermatological surgery's impact. However, only 44% feel comfortable discussing health effects of climate change with patients. Whilst 75% turn off surgical lighting in between lists, often room lighting (31%), equipment (32%) or heating/air conditioning (22%) is forgotten.

Conclusion: Whilst awareness of the impact of dermatological surgery on global climate change is common among healthcare professionals involved in skin surgery, there is room for improvement in translating this into local action, advocacy, and service improvement to standards dictated by national sustainability guidance.

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全国皮肤外科可持续性调查：医疗保健专业人员的信念和实践评估。

背景：皮肤外科手术对医疗环境造成了巨大影响，但迄今为止，还没有关于英国和爱尔兰共和国从事皮肤外科手术的医疗专业人员目前的可持续发展实践、态度或行为的数据：我们试图通过英国皮肤外科协会组织的全国性可持续发展调查问卷对此进行评估：方法：在为期 12 周的时间里，我们向全国从事皮肤外科手术的医护人员发放了一份包含 17 个项目的在线问卷：结果：115 位英国医疗保健专业人士做出了回复。32%的受访者对非莫氏皮肤手术的 "即看即治 "进行了描述。与一次性使用设备（中位数=4）相比，可重复使用设备（中位数=7）在安全性（p =.0056）、质量（p =.00001）和患者疗效（p =.0067）方面均优于一次性使用设备，但在可用性（p =.68916）方面没有差异。可重复使用（中位数=7）比一次性（中位数=1）的可持续性感知更高（p=.00001）。几乎所有受访者（97%）都认为全球气候变化正在发生，大多数受访者（74%）对皮肤外科手术的影响表示担忧。然而，只有 44% 的受访者愿意与患者讨论气候变化对健康的影响。75%的受访者在手术间隙会关闭手术照明，但往往会忘记关闭室内照明（31%）、设备（32%）或暖气/空调（22%）：虽然从事皮肤外科手术的医护人员普遍意识到皮肤外科手术对全球气候变化的影响，但在将这种意识转化为地方行动、宣传和服务改进，以达到国家可持续发展指南规定的标准方面，仍有改进的余地。

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来源期刊

Clinical and Experimental Dermatology 医学-皮肤病学

CiteScore

3.20

自引率

2.40%

发文量

389

审稿时长

3-8 weeks

期刊介绍： Clinical and Experimental Dermatology (CED) is a unique provider of relevant and educational material for practising clinicians and dermatological researchers. We support continuing professional development (CPD) of dermatology specialists to advance the understanding, management and treatment of skin disease in order to improve patient outcomes.