Barbara Carmona-Pomada, Laura Diaz-Co, Hamid Azaroual El Bachiri, Núria Nieto-Lorente, Gemma Muriel-Serrano, Laia Zarza-Sánchez, Conxi Caro-Benito, Olga Monistrol
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Data collection was conducted in each phase of the study through questionnaires addressed to the professionals along with calculations of the carbon footprint and the volume of waste segregation. The study is framed within the socio-ecological model and employs a collaborative design. The study population included all professionals working in the operating room (n = 320).</p><p><strong>Results: </strong>A multidisciplinary team was formed with consideration for all stakeholders. The project phases were implemented consecutively. A total of 141 professionals (44.4%) completed the baseline questionnaire. As a result of the project's development, the carbon footprint has been reduced to 79.1 kg CO2 eq/week, representing an 85% reduction in emissions.</p><p><strong>Conclusion: </strong>The implementation of the recycling project has led to significant reductions in the amount of waste generated and it has been positively evaluated by the professionals. 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引用次数: 0
摘要
目的：评价多层干预对外科围手术期非危险医疗废物（塑料和纸张）隔离的影响及其对医疗机构碳足迹的影响。方法：在西班牙加泰罗尼亚特拉萨大学医院（Mútua Terrassa）的手术室进行前瞻性介入前后对照研究，无对照组。从2023年5月到2024年12月，分几个阶段实施了一项多层次的计划，以改善手术干预期间的隔离过程。在研究的每个阶段，数据收集都是通过向专业人员提供问卷调查来进行的，同时还计算了碳足迹和废物分离量。该研究是在社会生态模型框架内，并采用协作设计。研究人群包括所有在手术室工作的专业人员（n = 320）。结果：考虑到所有利益相关者，形成了一个多学科团队。项目阶段是连续实施的。共有141名专业人员（44.4%）完成了基线问卷。由于该项目的发展，碳足迹已减少到79.1千克二氧化碳当量/周，排放量减少了85%。结论：回收项目的实施使垃圾产生量显著减少，得到了专业人员的积极评价。促进专业人员行为改变的好处，加上设计良好的隔离和回收系统的实施，为该机构在碳足迹方面带来了显著的好处。对专业和/或病人护理的影响：护士可以领导这类项目，对机构和环境都有明显的影响。影响：减少了手术室的碳足迹，提高了专业人员对环境改善的满意度。报告方法：采用非随机设计的干预评价研究报告：采用趋势声明Des Jarlais et al.（2004）评价研究质量。患者或公众捐款：无。只有专业人士参与了这项研究。
Segregation and Recycling in the Operating Room. An Intervention to Accelerate the Decarbonisation Process in the Health Sector.
Aim: To evaluate the impact of a multilevel intervention in a surgical department on the segregation of non-hazardous healthcare waste (plastic and paper) during the perioperative period as well as its effect on the carbon footprint of the healthcare organisation.
Methods: A prospective before-after interventional study without a control group was carried out in the operating room of the Universitary Hospital Mútua Terrassa in Catalonia (Spain). A multilevel programme to improve the segregation process during the surgical interventions was implemented in several phases from May 2023 to December 2024. Data collection was conducted in each phase of the study through questionnaires addressed to the professionals along with calculations of the carbon footprint and the volume of waste segregation. The study is framed within the socio-ecological model and employs a collaborative design. The study population included all professionals working in the operating room (n = 320).
Results: A multidisciplinary team was formed with consideration for all stakeholders. The project phases were implemented consecutively. A total of 141 professionals (44.4%) completed the baseline questionnaire. As a result of the project's development, the carbon footprint has been reduced to 79.1 kg CO2 eq/week, representing an 85% reduction in emissions.
Conclusion: The implementation of the recycling project has led to significant reductions in the amount of waste generated and it has been positively evaluated by the professionals. The benefits of fostering a behavioural change among the professionals, coupled with the implementation of a well-designed segregation and recycling system, lead to significant benefits for the institution in carbon footprint.
Implications for the profession and/or patient care: Nurses can lead this type of project with a clear impact on both the institution and the environment.
Impact: Reduction of the carbon footprint in the operating room increased satisfaction among professionals for contributing to environmental improvement.
Reporting method: The reporting of intervention evaluation studies using nonrandomized designs: the TREND statement Des Jarlais et al. (2004) was used to evaluate the quality of the study.
Patient or public contribution: N/A. Only professionals are involved in this study.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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