Technical University of Munich, TUM School of Medicine, Department of Anaesthesiology and Intensive Care, Munich, Germany.
Technical University of Munich, TUM Campus Straubing for Biotechnology and Sustainability, Innovation and Technology Management, Straubing, Germany.
Z Evid Fortbild Qual Gesundhwes. 2022 Sep;173:108-115. doi: 10.1016/j.zefq.2022.05.013. Epub 2022 Aug 1.
Climate change is the 21 century's greatest threat to health. Anaesthesia is responsible for high levels of waste production, significant greenhouse gas emissions and extensive energy consumption. Our aim was to design an instrument to assess attitudes and knowledge among anaesthetists as well as their organisation's readiness for change regarding climate action.
In 2020, the Provider Education and Evaluation Project (PEEP) questionnaire was sent to anaesthetists working at a university hospital, which contains 65 items in five areas: demographics, personal attitudes, organisational readiness, opportunities, and specific anaesthesiologic knowledge regarding climate action. Except for two open text questions, all questions were closed questions.
104 anaesthetists responded to the survey (response rate 62%). Environmental protection and sustainability were important to all participants (100%). Most felt threatened by the ongoing climate crisis (94.2%). While most participants agreed that their employer had the financial or technological capacities and that sustainability targets were compatible with core business activities (approval >60% for all), they felt unprepared and stated that they had too little time to consider environmental aspects during daily routines (disapproval >60% for all). Furthermore, knowledge on topics such as ongoing efforts to tackle climate change or the climate footprint of drugs and medical products, was rather scarce.
The PEEP questionnaire is an applicable and viable tool to assess anaesthetists' knowledge and attitudes towards climate change and organisational readiness for change. While participants care about the climate crisis, organisational readiness was low, especially when it comes to staff readiness (i.e., skills and knowledge) and cultural readiness (i.e., shared values). These aspects need to be considered in order to successfully implement a carbon neutral health care system.
气候变化是 21 世纪对健康的最大威胁。麻醉学产生大量废物，排放大量温室气体，消耗大量能源。我们的目的是设计一种工具，以评估麻醉师的态度和知识，以及他们所在组织在气候行动方面的变革准备情况。
2020 年，向一家大学医院的麻醉师发送了 Provider Education and Evaluation Project（PEEP）问卷，该问卷包含五个方面的 65 个项目：人口统计学、个人态度、组织准备情况、机会以及与气候行动相关的具体麻醉学知识。除了两个开放文本问题外，所有问题均为封闭问题。
104 名麻醉师对调查做出了回应（回应率为 62%）。所有参与者都认为环境保护和可持续性很重要（100%）。大多数人认为正在发生的气候危机受到威胁（94.2%）。虽然大多数参与者认为他们的雇主拥有财务或技术能力，可持续性目标与核心业务活动兼容（所有问题的赞成率>60%），但他们感到准备不足，并表示在日常工作中没有足够的时间考虑环境方面（所有问题的不赞成率>60%）。此外，他们对诸如应对气候变化的现有努力或药物和医疗产品的气候足迹等主题的了解相当匮乏。
PEEP 问卷是一种适用且可行的工具，可用于评估麻醉师对气候变化的知识、态度和对变革的组织准备情况。虽然参与者关心气候危机，但组织准备不足，尤其是在员工准备（即技能和知识）和文化准备（即共同价值观）方面。为了成功实施碳中和的医疗保健系统，需要考虑这些方面。
