Pub Date : 2026-01-07DOI: 10.1186/s12913-025-13881-5
Christian Ven Emery, Eric Akpabli, Bernard Amedzoame, Tretu Beracah, Jeffery Gameli Amlalo, Hayford Insidey, Isaac Tigbee, Joseph Amihere Ackah, Wuni Abdul-Razak
Introduction: Medical imaging contributes approximately 1% of global carbon emissions and 10% of healthcare waste. Diagnostic radiographers influence this impact through decisions related to energy use, waste generation, and sustainable practice adoption. This study examined the training and educational needs of diagnostic radiographers in Ghana regarding sustainable radiography and mapped these needs against the WHO Operational Framework (Component 2: Climate-Smart Health Workforce) and the UNFCCC Action for Climate Empowerment (ACE) pillars.
Methods: A descriptive cross-sectional online survey was conducted among 126 diagnostic radiographers in Ghana between December 2024 and April 2025, representing 72% of the calculated target sample size of 175. Participants completed a self-administered questionnaire via Google Forms, coordinated through the Ghana Society of Radiographers. Descriptive statistics and Spearman's rank correlations (p < .05) were performed. The findings were interpreted as post-hoc using the WHO and ACE frameworks to identify alignment with global sustainability competencies.
Results: Most participants (65.9%) were at least somewhat familiar with sustainability concepts, and 85.0% considered them highly relevant. However, only 35.7% felt very confident in eco-friendly practices. Nearly 40% had received no prior training, and over half reported no workplace programmes. Priority training areas included reducing energy consumption (75.4%), developing eco-friendly protocols (73.0%), and waste management (67.5%). Key barriers were lack of resources and funding (68.3%), limited knowledge (62.7%), and limited management support (61.9%). Familiarity correlated positively with confidence (ρ = 0.319, p < .001) and negatively with perceived knowledge gaps.
Conclusion: Radiographers in Ghana recognize the importance of sustainable radiography but face knowledge, training, and resource limitations that restrict implementation. Developing targeted, cost-effective, and context-specific training that are aligned with the WHO Operational Framework and UNFCCC ACE pillars is essential to strengthen capacity for climate-smart radiography in Ghana and comparable lower-middle-income countries.
{"title":"Climate-smart radiography in Ghana: training needs of diagnostic radiographers mapped to the WHO operational framework and UNFCCC Action for Climate Empowerment (ACE).","authors":"Christian Ven Emery, Eric Akpabli, Bernard Amedzoame, Tretu Beracah, Jeffery Gameli Amlalo, Hayford Insidey, Isaac Tigbee, Joseph Amihere Ackah, Wuni Abdul-Razak","doi":"10.1186/s12913-025-13881-5","DOIUrl":"https://doi.org/10.1186/s12913-025-13881-5","url":null,"abstract":"<p><strong>Introduction: </strong>Medical imaging contributes approximately 1% of global carbon emissions and 10% of healthcare waste. Diagnostic radiographers influence this impact through decisions related to energy use, waste generation, and sustainable practice adoption. This study examined the training and educational needs of diagnostic radiographers in Ghana regarding sustainable radiography and mapped these needs against the WHO Operational Framework (Component 2: Climate-Smart Health Workforce) and the UNFCCC Action for Climate Empowerment (ACE) pillars.</p><p><strong>Methods: </strong>A descriptive cross-sectional online survey was conducted among 126 diagnostic radiographers in Ghana between December 2024 and April 2025, representing 72% of the calculated target sample size of 175. Participants completed a self-administered questionnaire via Google Forms, coordinated through the Ghana Society of Radiographers. Descriptive statistics and Spearman's rank correlations (p < .05) were performed. The findings were interpreted as post-hoc using the WHO and ACE frameworks to identify alignment with global sustainability competencies.</p><p><strong>Results: </strong>Most participants (65.9%) were at least somewhat familiar with sustainability concepts, and 85.0% considered them highly relevant. However, only 35.7% felt very confident in eco-friendly practices. Nearly 40% had received no prior training, and over half reported no workplace programmes. Priority training areas included reducing energy consumption (75.4%), developing eco-friendly protocols (73.0%), and waste management (67.5%). Key barriers were lack of resources and funding (68.3%), limited knowledge (62.7%), and limited management support (61.9%). Familiarity correlated positively with confidence (ρ = 0.319, p < .001) and negatively with perceived knowledge gaps.</p><p><strong>Conclusion: </strong>Radiographers in Ghana recognize the importance of sustainable radiography but face knowledge, training, and resource limitations that restrict implementation. Developing targeted, cost-effective, and context-specific training that are aligned with the WHO Operational Framework and UNFCCC ACE pillars is essential to strengthen capacity for climate-smart radiography in Ghana and comparable lower-middle-income countries.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-07DOI: 10.1186/s12913-025-13968-z
Marc-André Blier, Rana Aslanova, Karen Lemay, Shan Jin, Teena Levesque, Gary E Garber
{"title":"Unravelling the complexities of end-of-life critical care interventions: what drives medico-legal complaints to physicians?","authors":"Marc-André Blier, Rana Aslanova, Karen Lemay, Shan Jin, Teena Levesque, Gary E Garber","doi":"10.1186/s12913-025-13968-z","DOIUrl":"https://doi.org/10.1186/s12913-025-13968-z","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145916972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-07DOI: 10.1186/s12913-026-14002-6
Nur Nihal Türkel, Alper Türkel, Cengiz Karaçin, Ali Alkan, İrem Ekmekçi
{"title":"Predictors of burnout and secondary traumatic stress in medical oncologists: the role of empathy and dispositional mindfulness.","authors":"Nur Nihal Türkel, Alper Türkel, Cengiz Karaçin, Ali Alkan, İrem Ekmekçi","doi":"10.1186/s12913-026-14002-6","DOIUrl":"https://doi.org/10.1186/s12913-026-14002-6","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Practices and challenges related to management of chikungunya and non-malarial acute febrile illnesses in malaria-endemic areas of Afar region, Northeast Ethiopia.","authors":"Biruk Zerfu, Tesfu Kassa, Gezahegne Mamo, Mengistu Legesse","doi":"10.1186/s12913-025-13974-1","DOIUrl":"10.1186/s12913-025-13974-1","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":"41"},"PeriodicalIF":3.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12784576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-05DOI: 10.1186/s12913-025-13988-9
Shaimaa Khatib, Zaher Nazzal, Islam Tous, Mohammad Baniode
{"title":"Perceptions, barriers, and facilitators of telemedicine adoption among physicians in Palestinian primary care: a cross-sectional study.","authors":"Shaimaa Khatib, Zaher Nazzal, Islam Tous, Mohammad Baniode","doi":"10.1186/s12913-025-13988-9","DOIUrl":"10.1186/s12913-025-13988-9","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":"40"},"PeriodicalIF":3.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12784528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparing patient and healthcare professional preferences for patient-centered integrated care in China: a best-worst scaling study.","authors":"Yue Yin, Wenqing Gao, Xiujuan Cui, Minlin Li, Zijin Fang, Yixin Du, Wenxi Tang","doi":"10.1186/s12913-025-13957-2","DOIUrl":"10.1186/s12913-025-13957-2","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":"42"},"PeriodicalIF":3.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12784529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-03DOI: 10.1186/s12913-025-13776-5
Jennifer M Goldberg, O G Thorne, Momina Khan, Abirami Kirubarajan, Deborah M Sloboda, Riley Graybrook, Lucy C Barker, Luseadra McKerracher, Namitha Rathinappillai, Marie-Pierre Tendland-Frenette, Tai Vo, Jenna Robertson Bly, Beth Murray-Davis
{"title":"Perspectives on gender-inclusive language in Canadian sexual and reproductive health care: findings from a modified Delphi survey.","authors":"Jennifer M Goldberg, O G Thorne, Momina Khan, Abirami Kirubarajan, Deborah M Sloboda, Riley Graybrook, Lucy C Barker, Luseadra McKerracher, Namitha Rathinappillai, Marie-Pierre Tendland-Frenette, Tai Vo, Jenna Robertson Bly, Beth Murray-Davis","doi":"10.1186/s12913-025-13776-5","DOIUrl":"10.1186/s12913-025-13776-5","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":"44"},"PeriodicalIF":3.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12790124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-03DOI: 10.1186/s12913-025-13958-1
Fangping Chen, Xiaowei Xu, Xiaocong Wang
{"title":"An updated cost-effectiveness analysis of osimertinib versus placebo in resected EGFR-mutated non-small cell lung cancer: the perspective of the United States.","authors":"Fangping Chen, Xiaowei Xu, Xiaocong Wang","doi":"10.1186/s12913-025-13958-1","DOIUrl":"10.1186/s12913-025-13958-1","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":"38"},"PeriodicalIF":3.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12784570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-03DOI: 10.1186/s12913-025-13955-4
Giovanna Paduano, Vincenza Sansone, Diana Ingrosso, Maria Pavia
{"title":"Assessing workplace violence in healthcare workers: a cross-sectional study in Italy.","authors":"Giovanna Paduano, Vincenza Sansone, Diana Ingrosso, Maria Pavia","doi":"10.1186/s12913-025-13955-4","DOIUrl":"10.1186/s12913-025-13955-4","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":"37"},"PeriodicalIF":3.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12784589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-03DOI: 10.1186/s12913-025-13928-7
Iesha L Ticknor, Mercie J Digangi, Laurel D Sarfan, Sonya Negriff
{"title":"Barriers and facilitators to behavioral health follow-up in children screened and referred for Adverse Childhood Experiences (ACEs).","authors":"Iesha L Ticknor, Mercie J Digangi, Laurel D Sarfan, Sonya Negriff","doi":"10.1186/s12913-025-13928-7","DOIUrl":"10.1186/s12913-025-13928-7","url":null,"abstract":"","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":" ","pages":"36"},"PeriodicalIF":3.0,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12784573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145896219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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