Critical care nurses' experiences on environmental sustainability: A qualitative content analysis.

Davide Bartoli, Francesco Petrosino, Luciano Midolo, Gianluca Pucciarelli, Francesca Trotta
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Abstract

Background: Intensive care units (ICUs) are the primary producers of greenhouse gas emissions within hospitals, due to the use of several invasive materials. Nurses represent a large portion of the healthcare workforce and can be pivotal in promoting sustainability practices. Several international reports have suggested that nursing can help achieve the sustainable development objectives set by the United Nations.

Aims: The purpose is to explore behaviour related to environmental sustainability in intensive care nurses.

Study design: A qualitative content analysis comprised of in-depth interviews involving 27 ICU nurses, who were each asked the same open-ended question. The transcripts collected were then analyzed and organized by a team of independently-working researchers. The analysis of the extrapolated concepts was carried out following the Neem M. (2022) method. The study is supported by a grant from the Centre of Excellence for Nursing Scholarship, Rome, July 2024.

Findings: The main recurring themes are as follows: (1) concepts of environmental sustainability in ICUs, (2) critical issues related to sustainable intervention in the ICUs (3) proactive environmental sustainability attitudes in ICUs. Time to know, define criticality, and improve is the conceptualization of sustainable behaviors experienced by ICU nurses.

Conclusions: Taking the time to know and define the critical issues for implementing sustainable behaviours in the ICU, turned out to be the key to enforce the mindset of green nursing thinking.

Implications to clinical practice: Sustainability behaviours need to be proposed and verified by ICU managers by creating sustainability teams and promoting a good working environment, founding the progression to green ICUs by focusing on health impact education and mindfulness.

重症监护护士在环境可持续性方面的经验:定性内容分析。
背景:由于使用多种侵入性材料,重症监护室(ICU)是医院内温室气体的主要排放源。护士在医疗保健队伍中占很大比例,在促进可持续发展实践中起着关键作用。多份国际报告指出,护理工作有助于实现联合国制定的可持续发展目标。研究目的:旨在探讨重症监护护士与环境可持续性相关的行为:定性内容分析包括对 27 名重症监护室护士进行的深度访谈,每位护士都被问到了相同的开放式问题。然后,由一组独立工作的研究人员对收集到的笔录进行分析和整理。按照尼姆-M.(2022 年)的方法对推断出的概念进行了分析。本研究得到了罗马护理学术卓越中心(2024 年 7 月)的资助:主要重复出现的主题如下:(1) 重症监护室环境可持续发展的概念,(2) 重症监护室可持续干预的关键问题,(3) 重症监护室积极主动的环境可持续发展态度。了解时间、定义关键性和改进是 ICU 护士经历的可持续行为的概念化:结论:花时间了解和界定重症监护室实施可持续行为的关键问题,是强化绿色护理思维的关键:对临床实践的启示:重症监护室的管理者需要通过创建可持续发展团队和促进良好的工作环境来提出和验证可持续发展行为,并通过关注健康影响教育和思想意识来创建绿色重症监护室。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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