通过教育麻醉师了解吸入麻醉剂对环境的影响来促进行为改变:系统综述。

IF 1.1 4区 医学 Q3 ANESTHESIOLOGY Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2024-08-30 DOI:10.1177/0310057X241263113
Brieana C Nolan, Michael J Hoskins, Bríd Phillips, Kiah L Evans
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引用次数: 0

摘要

在澳大利亚的总碳足迹中,医疗保健占 7%。在英国,吸入麻醉剂占医疗碳足迹的 5%。本系统性综述旨在确定哪些有关吸入性麻醉剂对环境影响的教育方法可用于促进行为改变,从而减少与麻醉相关的碳足迹。本系统性综述从 1970 年至 2022 年 3 月期间的 CINAHL、EMBASE、ERIC、JBI 和 MEDLINE 中检索记录。搜索共发现 589 条记录,经过筛选后有 13 条符合资格标准,其中 10 条为会议摘要。教育课程侧重于吸入剂的选择(69%)、降低维持麻醉期间的新鲜气体流量(69%)、鼓励全静脉麻醉等替代方法(23%)和/或在转运时关闭气体(8%)。教育课程中最常用的教学技巧是说教式讲座(85%)、视觉提示(54%)、电子邮件(46%)和对话论坛(31%)。除一项研究外,其他所有研究都报告了教学课程与行为改变之间的积极关系,从而降低了参与者及其组织的吸入麻醉剂使用量,减少了医疗相关排放。本系统综述表明,以绿色麻醉为主题的单一教育课程以及多重点、多模式的教育课程均有助于促进行为改变。
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Promoting behavioural change by educating anaesthetists about the environmental impact of inhalational anaesthetic agents: A systematic review.

Of the total carbon footprint of Australia, 7% is attributed to healthcare. In the UK, inhalational agents make up 5% of the healthcare carbon footprint. This systematic review aims to determine which methods of education about the environmental impact of inhalational anaesthetic agents can be utilised to promote behaviour change, reducing the anaesthetic-related carbon footprint. This systematic review sourced records from CINAHL, EMBASE, ERIC, JBI and MEDLINE from 1970 to March 2022. The search identified 589 records, 13 of which met eligibility criteria after the screening process, in which 10 of these records were conference abstracts. Education curricula focused on inhalational agent choice (69%), lowering the fresh gas flow during maintenance anaesthesia (69%), encouraging alternatives such as total intravenous anaesthesia (23%) and/or switching off the gas on transfer (8%). The most common teaching techniques utilised in education curricula were didactic lectures (85%), visual prompts (54%), emails (46%), and conversation forums (31%). All but one study reported a positive relationship between teaching sessions and behavioural change resulting in lower inhalational anaesthetic use by participants and their organisations, reducing healthcare-associated emissions. This systematic review has demonstrated that single education sessions as well as multi-focused, multimodal education curricula on the topic of greener anaesthesia can be beneficial in promoting behavioural change.

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来源期刊
CiteScore
2.70
自引率
13.30%
发文量
150
审稿时长
3 months
期刊介绍: Anaesthesia and Intensive Care is an international journal publishing timely, peer reviewed articles that have educational value and scientific merit for clinicians and researchers associated with anaesthesia, intensive care medicine, and pain medicine.
期刊最新文献
JG Farrell and The Lung: An early description of intensive care delirium in literature. Promoting behavioural change by educating anaesthetists about the environmental impact of inhalational anaesthetic agents: A systematic review. MET call prevention. A cross-sectional study of the relationship between iron deficiency anaemia and chronic pain. Maximising environmental sustainability on the return to in-person conferencing: Report from a 2500-person anaesthesia meeting in Sydney, Australia.
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