Yvonne Zurynski, Georgia Fisher, Shalini Wijekulasuriya, Elle Leask, Putu Novi Arfirsta Dharmayani, Louise A. Ellis, Carolynn L. Smith, Jeffrey Braithwaite
{"title":"加强卫生系统以应对气候变化事件的影响：劳动力规划、技能提升和能力建设证据综述。","authors":"Yvonne Zurynski, Georgia Fisher, Shalini Wijekulasuriya, Elle Leask, Putu Novi Arfirsta Dharmayani, Louise A. Ellis, Carolynn L. Smith, Jeffrey Braithwaite","doi":"10.1002/hpm.3769","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>As global CO<sub>2</sub> emissions continue to rise and the ‘era of global boiling’ takes hold, the health workforce must cope with the challenge of providing care to increasing numbers of patients affected by climate change-related events (e.g., hurricanes, wildfires, floods). In this review, we describe the impacts of these events on the health workforce, and strategies responding to these challenges.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This rapid systematic review was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses and a registered protocol (PROSPERO CRD42023433610). Eight databases were searched in May 2022 and again in June 2023. Empirical studies discussing climate change and workforce policy, planning, preparedness, and capacity were included. Inductive thematic analysis of extracted data was conducted.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>From the 60 included studies, two categories emerged: the <i>impacts</i> of climate events on the health workforce (<i>n</i> = 39), and workforce <i>responses to and preparations for</i> climate events (<i>n</i> = 58). Thirty-seven studies reported on both categories. Four <i>impact</i> themes were identified: absenteeism, psychological impacts, system breakdown, and unsafe working conditions; and six <i>responses and preparations</i> themes: training/skill development, workforce capacity planning, interdisciplinary collaboration, role flexibility, role incentivisation, and psychological support.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>This review provides an overview of some of the deleterious impacts of climate events on the health workforce, as well as potential strategies for the health workforce to prepare or respond to climate events. Future studies should assess the implementation and effectiveness of these strategies to ensure a continuously improving healthcare system, and a well-supported health workforce.</p>\n </section>\n </div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hpm.3769","citationCount":"0","resultStr":"{\"title\":\"Bolstering health systems to cope with the impacts of climate change events: A review of the evidence on workforce planning, upskilling, and capacity building\",\"authors\":\"Yvonne Zurynski, Georgia Fisher, Shalini Wijekulasuriya, Elle Leask, Putu Novi Arfirsta Dharmayani, Louise A. Ellis, Carolynn L. 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Bolstering health systems to cope with the impacts of climate change events: A review of the evidence on workforce planning, upskilling, and capacity building
Background
As global CO2 emissions continue to rise and the ‘era of global boiling’ takes hold, the health workforce must cope with the challenge of providing care to increasing numbers of patients affected by climate change-related events (e.g., hurricanes, wildfires, floods). In this review, we describe the impacts of these events on the health workforce, and strategies responding to these challenges.
Methods
This rapid systematic review was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses and a registered protocol (PROSPERO CRD42023433610). Eight databases were searched in May 2022 and again in June 2023. Empirical studies discussing climate change and workforce policy, planning, preparedness, and capacity were included. Inductive thematic analysis of extracted data was conducted.
Results
From the 60 included studies, two categories emerged: the impacts of climate events on the health workforce (n = 39), and workforce responses to and preparations for climate events (n = 58). Thirty-seven studies reported on both categories. Four impact themes were identified: absenteeism, psychological impacts, system breakdown, and unsafe working conditions; and six responses and preparations themes: training/skill development, workforce capacity planning, interdisciplinary collaboration, role flexibility, role incentivisation, and psychological support.
Conclusion
This review provides an overview of some of the deleterious impacts of climate events on the health workforce, as well as potential strategies for the health workforce to prepare or respond to climate events. Future studies should assess the implementation and effectiveness of these strategies to ensure a continuously improving healthcare system, and a well-supported health workforce.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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