外科护理去碳化:以一致性模型为指导的定性系统回顾。

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES BMC Health Services Research Pub Date : 2024-11-23 DOI:10.1186/s12913-024-11929-6
Leonard Kloevekorn, Oskar Roemeling, Amal Fakha, Eveline Hage, Edin Smailhodzic
{"title":"外科护理去碳化:以一致性模型为指导的定性系统回顾。","authors":"Leonard Kloevekorn, Oskar Roemeling, Amal Fakha, Eveline Hage, Edin Smailhodzic","doi":"10.1186/s12913-024-11929-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The healthcare sector must navigate the challenge of caring for individuals affected by climate change while being a significant emitter of carbon emissions. This study focuses on direct sources of carbon emissions from hospital surgical care, a major contributor to the sector's overall carbon footprint. The goal is to identify the main sources of direct carbon emissions in surgical care and to analyze these sources according to the Congruence Model. We employ the Congruence Model for a systemic analysis of emission sources within the organizational context. The change-oriented model examines (in)congruences across the domains of People, Work, Culture, and Structure, aiding in the understanding of organizational change.</p><p><strong>Methods: </strong>A qualitative systematic literature review was conducted following PRISMA guidelines, covering three extensive databases: PubMed, Business Source Premier, and EBSCOhost. The review provides a broad perspective on the topic under study. The qualitative analysis is guided by the Congruence Model, which serves as a conceptual lens to analyze and interpret the findings.</p><p><strong>Results: </strong>The study offers a comprehensive overview of research focused on emissions related to surgery. Hotspots of carbon emissions in surgical care, such as anesthetic gases, sterilization procedures, and habitual behaviors, are linked with the Work and People elements of the Congruence Model. Additionally, sustainability measures are predominantly associated with the Structural element of the Congruence Model, including policies for recycling and waste segregation. The research reflects on the (in)congruencies between different factors of the Congruence Model and actions related to reducing carbon emissions.</p><p><strong>Conclusions: </strong>The Congruence Model provides a useful conceptual lens to categorize the sources of carbon emissions in terms of People, Work, Structure and Culture. In addition, the Congruence Model allows us to explore the (in)congruencies between these functional elements. Ultimately, our research identifies opportunities to improve carbon emissions related to the surgical care process.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1456"},"PeriodicalIF":2.7000,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Decarbonizing surgical care: a qualitative systematic review guided by the Congruence Model.\",\"authors\":\"Leonard Kloevekorn, Oskar Roemeling, Amal Fakha, Eveline Hage, Edin Smailhodzic\",\"doi\":\"10.1186/s12913-024-11929-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The healthcare sector must navigate the challenge of caring for individuals affected by climate change while being a significant emitter of carbon emissions. This study focuses on direct sources of carbon emissions from hospital surgical care, a major contributor to the sector's overall carbon footprint. The goal is to identify the main sources of direct carbon emissions in surgical care and to analyze these sources according to the Congruence Model. We employ the Congruence Model for a systemic analysis of emission sources within the organizational context. The change-oriented model examines (in)congruences across the domains of People, Work, Culture, and Structure, aiding in the understanding of organizational change.</p><p><strong>Methods: </strong>A qualitative systematic literature review was conducted following PRISMA guidelines, covering three extensive databases: PubMed, Business Source Premier, and EBSCOhost. The review provides a broad perspective on the topic under study. The qualitative analysis is guided by the Congruence Model, which serves as a conceptual lens to analyze and interpret the findings.</p><p><strong>Results: </strong>The study offers a comprehensive overview of research focused on emissions related to surgery. Hotspots of carbon emissions in surgical care, such as anesthetic gases, sterilization procedures, and habitual behaviors, are linked with the Work and People elements of the Congruence Model. Additionally, sustainability measures are predominantly associated with the Structural element of the Congruence Model, including policies for recycling and waste segregation. The research reflects on the (in)congruencies between different factors of the Congruence Model and actions related to reducing carbon emissions.</p><p><strong>Conclusions: </strong>The Congruence Model provides a useful conceptual lens to categorize the sources of carbon emissions in terms of People, Work, Structure and Culture. In addition, the Congruence Model allows us to explore the (in)congruencies between these functional elements. Ultimately, our research identifies opportunities to improve carbon emissions related to the surgical care process.</p>\",\"PeriodicalId\":9012,\"journal\":{\"name\":\"BMC Health Services Research\",\"volume\":\"24 1\",\"pages\":\"1456\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-11-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMC Health Services Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s12913-024-11929-6\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Health Services Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12913-024-11929-6","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

背景:医疗保健行业必须应对挑战,既要照顾受气候变化影响的个人,又要成为碳排放的主要排放者。本研究的重点是医院外科护理的直接碳排放源,这是该行业总体碳足迹的主要贡献者。我们的目标是确定外科护理中直接碳排放的主要来源,并根据 "同构模型 "对这些来源进行分析。我们采用 "同构模型 "对组织范围内的排放源进行系统分析。该模型以变革为导向,考察了人员、工作、文化和结构等领域的(不)一致性,有助于理解组织变革:方法:按照 PRISMA 准则进行了定性系统文献综述,涉及三个广泛的数据库:PubMed、Business Source Premier 和 EBSCOhost。该综述为所研究的主题提供了一个广阔的视角。定性分析以 "一致性模型 "为指导,该模型是分析和解释研究结果的概念视角:研究全面概述了与外科手术相关的排放研究。手术护理中的碳排放热点,如麻醉气体、消毒程序和习惯性行为,与一致性模型中的 "工作 "和 "人 "要素相关联。此外,可持续发展措施主要与一致性模型的结构要素相关,包括回收和废物分类政策。研究反映了一致性模型不同因素与减少碳排放相关行动之间的(不)一致性:一致性模型提供了一个有用的概念视角,从人员、工作、结构和文化方面对碳排放源进行分类。此外,"一致性模型 "还允许我们探索这些功能要素之间的(不)一致性。最终,我们的研究确定了改善与外科护理过程相关的碳排放的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Decarbonizing surgical care: a qualitative systematic review guided by the Congruence Model.

Background: The healthcare sector must navigate the challenge of caring for individuals affected by climate change while being a significant emitter of carbon emissions. This study focuses on direct sources of carbon emissions from hospital surgical care, a major contributor to the sector's overall carbon footprint. The goal is to identify the main sources of direct carbon emissions in surgical care and to analyze these sources according to the Congruence Model. We employ the Congruence Model for a systemic analysis of emission sources within the organizational context. The change-oriented model examines (in)congruences across the domains of People, Work, Culture, and Structure, aiding in the understanding of organizational change.

Methods: A qualitative systematic literature review was conducted following PRISMA guidelines, covering three extensive databases: PubMed, Business Source Premier, and EBSCOhost. The review provides a broad perspective on the topic under study. The qualitative analysis is guided by the Congruence Model, which serves as a conceptual lens to analyze and interpret the findings.

Results: The study offers a comprehensive overview of research focused on emissions related to surgery. Hotspots of carbon emissions in surgical care, such as anesthetic gases, sterilization procedures, and habitual behaviors, are linked with the Work and People elements of the Congruence Model. Additionally, sustainability measures are predominantly associated with the Structural element of the Congruence Model, including policies for recycling and waste segregation. The research reflects on the (in)congruencies between different factors of the Congruence Model and actions related to reducing carbon emissions.

Conclusions: The Congruence Model provides a useful conceptual lens to categorize the sources of carbon emissions in terms of People, Work, Structure and Culture. In addition, the Congruence Model allows us to explore the (in)congruencies between these functional elements. Ultimately, our research identifies opportunities to improve carbon emissions related to the surgical care process.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
期刊最新文献
Decarbonizing surgical care: a qualitative systematic review guided by the Congruence Model. Qualitative exploration of 3D printing in Swedish healthcare: perceived effects and barriers. A tailored intervention for the detection of patients with coronary heart disease and mental or cognitive comorbidities in the German primary care setting: qualitative evaluation of implementation success. Breaking barriers: a qualitative exploration of healthcare access for crack cocaine users in Limerick. Intention to use mobile text message reminders for medication adherence among hypertensive patients in North West Ethiopia: a cross-sectional study.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1