卫生专业人员对气候变化知识和认知的调查：德尔菲研究。

IF 4.2 2区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Nurse Education Today Pub Date : 2025-09-22 DOI:10.1016/j.nedt.2025.106879

Martina Batino , Eleonora Moraca , Antonino Morabito , Daniele Ciofi

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引用次数: 0

摘要

气候变化被认为是对人类健康的最重大威胁，医疗保健系统对温室气体（GHG）排放有很大贡献。手术室作为医院中能源最密集的区域，是减少环境影响的关键重点。尽管显然需要采取行动，但卫生保健领域关于气候变化的知识差距和教育仍然有限。本研究的目的是就评估手术室环境中医疗专业人员对气候变化的认识和认知的适当调查项目达成共识。采用德尔菲法，与来自意大利医疗机构的包括护士和医生在内的8位专家进行了共识研究。该研究涉及两轮调查，在28个问题上达成了≥75%的共识，这些问题分为七个模块：可持续实践、了解气候变化基本原理、气候变化对医疗保健的影响、气候智能行动、实施可能性和变化障碍。共验证了7个专题模块的28个调查项目。所有条目均达到完全一致（≥87.5%），具有较高的内容效度比（0.75 ~ 1.0）。专家反馈提高了清晰度、上下文相关性和实际示例。本研究提供了一个共享和有效的调查，以衡量医疗保健专业人员对手术室气候变化的知识和看法。未来的研究应该在更大的样本和不同的背景下测试这一工具，以指导干预措施，帮助护理人员推进可持续医疗保健，并与全球气候目标保持一致。

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A survey to understand the knowledge and perception on climate change: a Delphi study on health professionals

Climate change is recognized as the most significant health threat to humanity, with healthcare systems contributing substantially to greenhouse gas (GHG) emissions. Operating theatres, as the most energy-intensive areas in hospitals, are a critical focus for reducing environmental impacts. Despite the evident need for action, knowledge gaps and limited education on climate change within healthcare persist. The aim of this study was to reach consensus on appropriate survey items for evaluating healthcare professionals' knowledge and perceptions about climate change in operating theatre settings.

Using the Delphi method, a consensus study was conducted with eight experts, including nurses and doctors, from Italian healthcare settings. The study involved two rounds of surveys, achieving a consensus of ≥75 % on 28 questions categorized into seven modules: sustainable practices, understanding climate change fundamentals, its impacts on healthcare, climate-smart actions, implementation likelihood, and barriers to change.

A total of 28 survey items across seven thematic modules were validated. All items achieved full consensus (≥87.5 %) with high Content Validity Ratios (0.75–1.0). Expert feedback led to improved clarity, contextual relevance, and practical examples.

This study provides a shared and valid survey to measure healthcare professionals' knowledge and perceptions about climate change in operating theatres. Future research should test this instrument in larger samples and different contexts to guide interventions that help the nursing workforce advance sustainable healthcare and align with global climate goals.

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来源期刊

Nurse Education Today 医学-护理

CiteScore

6.90

自引率

12.80%

发文量

349

审稿时长

58 days

期刊介绍： Nurse Education Today is the leading international journal providing a forum for the publication of high quality original research, review and debate in the discussion of nursing, midwifery and interprofessional health care education, publishing papers which contribute to the advancement of educational theory and pedagogy that support the evidence-based practice for educationalists worldwide. The journal stimulates and values critical scholarly debate on issues that have strategic relevance for leaders of health care education. The journal publishes the highest quality scholarly contributions reflecting the diversity of people, health and education systems worldwide, by publishing research that employs rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of education and systems globally. The journal will publish papers that show depth, rigour, originality and high standards of presentation, in particular, work that is original, analytical and constructively critical of both previous work and current initiatives. Authors are invited to submit original research, systematic and scholarly reviews, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing and related health care education, and which will meet and develop the journal''s high academic and ethical standards.