Faculty of Nursing, University of Alberta, Edmonton, AB, Canada.
Faculty of Nursing, University of Calgary, Calgary, AB, Canada.
J Clin Nurs. 2020 Dec;29(23-24):4759-4768. doi: 10.1111/jocn.15519. Epub 2020 Oct 15.
The purpose of this study was to explore Canadian nurses' perspectives on climate change, health, nursing practice and the relationships between these concepts.
Climate change negatively impacts human health. With a mandate to promote health, nurses have a professional and ethical responsibility to address climate change. Little is known about Canadian nurses' perspectives on climate change or how they perceive of their professional responsibility towards addressing it.
A focused ethnography was conducted in three medicine units and the emergency room at a Canadian hospital. Nurses (n = 22) participated in semi-structured interviews, and observations were collected. Data were analysed via thematic analysis. Reporting is in accordance with the COREQ guideline.
Three themes were identified: muddled terminology, climate change and health, and nursing's relationship to climate change.
Participants had varying levels of knowledge about climate change and its relationship to health or practice. Climate change was a personal concern, and nursing's role in addressing it was not understood.
This study highlighted that practising nurses did not readily recognise their role in addressing climate change. More work is needed to clarify this role and bring it into the consciousness of every-day nursing practice. Furthermore, more work is needed to examine how healthcare organisations can better support environmentally responsible nursing practice.
本研究旨在探讨加拿大护士对气候变化、健康、护理实践以及这些概念之间关系的看法。
气候变化对人类健康产生负面影响。由于有促进健康的任务,护士有专业和道德责任来应对气候变化。目前,人们对加拿大护士对气候变化的看法或他们对解决气候变化的职业责任的看法知之甚少。
在加拿大一家医院的三个内科病房和急诊室进行了一项集中的民族志研究。护士(n=22)参加了半结构化访谈,并收集了观察资料。通过主题分析对数据进行分析。报告符合 COREQ 指南。
确定了三个主题:混乱的术语、气候变化与健康以及护理与气候变化的关系。
参与者对气候变化及其与健康或实践的关系的了解程度各不相同。气候变化是个人关注的问题,护理在解决这一问题方面的作用尚不清楚。
本研究表明,执业护士并没有轻易认识到自己在应对气候变化方面的作用。需要做更多的工作来澄清这一角色,并使其成为日常护理实践的意识。此外,还需要更多的工作来研究医疗机构如何更好地支持对环境负责的护理实践。