提高经营中剧院的环境可持续性:对员工态度、障碍和推动因素的系统性研究。

IF 7.5 1区 医学 Q1 SURGERY Annals of surgery Pub Date : 2024-12-01 Epub Date: 2024-05-10 DOI:10.1097/SLA.0000000000006337
Siya Lodhia, Victoria Pegna, Ruth Abrams, Daniel Jackson, Timothy A Rockall, Chantelle Rizan
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引用次数: 0

摘要

目的了解员工对手术室实施环境可持续外科手术的态度、促进因素和障碍的看法。这将最终有助于实现在手术室成功实施更具可持续性的手术的目标:全球医疗保健行业排放的温室气体占总排放量的 4.4%。手术室是资源密集型区域,要实现医疗保健领域的净零碳排放,改进手术室非常重要:搜索了三个数据库(Web of Science、Ovid 和 PubMed),最后一次检查时间为 2024 年 1 月。我们收录了评估员工对可持续手术室看法的原稿。结果:共筛选出 2933 篇文章,其中 14 篇符合纳入标准,采用了定性方法(1 篇)、定量方法(2 篇)和混合方法(11 篇)。研究在不同的临床(麻醉科、外科、耳鼻喉科、妇产科和眼科)和地理环境(澳大利亚、加拿大、法国、德国、新西兰、美国、英国和爱尔兰)中进行。在所有研究中,缺乏探讨实施障碍的证据,但障碍主要涉及以下主题:教育和意识、领导力、变革阻力、设施和设备、时间和激励:本系统性综述确定了临床医生对改善手术室环境可持续性的态度和障碍,可为未来的可持续外科战略提供参考。大多数研究采用了调查设计,而访谈可能会提供更深入的见解。未来的工作应扩展到影响手术室的更广泛的利益相关者。此外,还应该开展实施研究,以考察障碍是否会在实践中发生改变。本系统性综述确定了临床医生对改善手术室环境可持续性的态度和障碍,可为未来的可持续外科战略提供参考。大多数研究采用了调查设计,而访谈可能会提供更深入的见解。未来的工作应扩展到影响手术室的更广泛的利益相关者。此外,还应该开展实施研究,以考察障碍是否会在实践中发生改变。
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Improving Environmental Sustainability of Operating Theatres: A Systematic Review of Staff Attitudes, Barriers, and Enablers.

Objective: To understand views of staff in relation to attitudes, enablers, and barriers to implementation of environmentally sustainable surgery in operating theatres. This will ultimately help in the goal of successfully implementing more sustainable theatres.

Background: Global health care sectors are responsible for 4.4% of greenhouse gas emissions. Surgical operating theatres are resource intensive areas and improvements will be important to meet Net-Zero carbon emissions within health care.

Methods: Three databases were searched (Web of Science, Ovid, and PubMed), last checked January 2024. We included original manuscripts evaluating staff views regarding sustainable operating theatres. The Mixed Methods Appraisal Tool was used for quality appraisal and data analysed using thematic synthesis.

Results: A total of 2933 articles were screened and 14 fulfilled inclusion criteria, using qualitative (1), quantitative (2), and mixed methods (11). Studies were undertaken in a variety of clinical (Department of Anaesthesia, Surgery, Otolaryngology, Obstetrics and Gynaecology and Ophthalmology) and geographical settings (Australia, Canada, France, Germany, New Zealand, United States, United Kingdom, and Ireland). Across studies there was a lack of evidence exploring enablers to implementation, but barriers mainly related to the following themes: education and awareness, leadership, resistance to change, facilities and equipment, time, and incentive.

Conclusions: This systematic review identified attitudes and barriers perceived by clinicians towards improving environmental sustainability within operating theatres, which may inform future strategy towards sustainable surgery. Most studies used a survey-design, whereas use of interviews may provide deeper insights. Future work should be extended to wider stakeholders influencing operating theatres. In addition, implementation studies should be carried out to examine whether barriers do change in practice.

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来源期刊
Annals of surgery
Annals of surgery 医学-外科
CiteScore
14.40
自引率
4.40%
发文量
687
审稿时长
4 months
期刊介绍: The Annals of Surgery is a renowned surgery journal, recognized globally for its extensive scholarly references. It serves as a valuable resource for the international medical community by disseminating knowledge regarding important developments in surgical science and practice. Surgeons regularly turn to the Annals of Surgery to stay updated on innovative practices and techniques. The journal also offers special editorial features such as "Advances in Surgical Technique," offering timely coverage of ongoing clinical issues. Additionally, the journal publishes monthly review articles that address the latest concerns in surgical practice.
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