Anåker Anna, Nilsson Maria, Holmner Åsa, Elf Marie
School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Sweden.
J Adv Nurs. 2015 Aug;71(8):1883-91. doi: 10.1111/jan.12655. Epub 2015 Mar 24.
The aim of this study was to explore nurses' perceptions of climate and environmental issues and examine how nurses perceive their role in contributing to the process of sustainable development.
Climate change and its implications for human health represent an increasingly important issue for the healthcare sector. According to the International Council of Nurses Code of Ethics, nurses have a responsibility to be involved and support climate change mitigation and adaptation to protect human health.
This is a descriptive, explorative qualitative study.
Nurses (n = 18) were recruited from hospitals, primary care and emergency medical services; eight participated in semi-structured, in-depth individual interviews and 10 participated in two focus groups. Data were collected from April-October 2013 in Sweden; interviews were transcribed verbatim and analysed using content analysis.
Two main themes were identified from the interviews: (i) an incongruence between climate and environmental issues and nurses' daily work; and (ii) public health work is regarded as a health co-benefit of climate change mitigation. While being green is not the primary task in a lifesaving, hectic and economically challenging context, nurses' perceived their profession as entailing responsibility, opportunities and a sense of individual commitment to influence the environment in a positive direction.
This study argues there is a need for increased awareness of issues and methods that are crucial for the healthcare sector to respond to climate change. Efforts to develop interventions should explore how nurses should be able to contribute to the healthcare sector's preparedness for and contributions to sustainable development.
本研究旨在探讨护士对气候和环境问题的看法，并考察护士如何看待自己在促进可持续发展进程中的作用。
气候变化及其对人类健康的影响对医疗保健部门而言是一个日益重要的问题。根据国际护士理事会的《职业道德守则》，护士有责任参与并支持减缓气候变化和适应气候变化的工作，以保护人类健康。
这是一项描述性、探索性的定性研究。
从医院、初级保健机构和紧急医疗服务部门招募护士（n = 18）；8人参与了半结构化的深入个人访谈，10人参与了两个焦点小组。2013年4月至10月在瑞典收集数据；访谈内容逐字转录，并采用内容分析法进行分析。
从访谈中确定了两个主要主题：（i）气候和环境问题与护士日常工作之间的不一致；（ii）公共卫生工作被视为减缓气候变化的一项健康附带效益。在拯救生命、忙碌且经济上具有挑战性的环境中，环保并非首要任务，但护士认为其职业意味着责任、机遇以及个人有责任朝着积极方向影响环境。
本研究认为，有必要提高对医疗保健部门应对气候变化至关重要的问题和方法的认识。开展干预措施的努力应探索护士如何能够为医疗保健部门应对可持续发展并为之做出贡献做好准备。
