医疗从业者对医疗保健领域环境可持续性的看法：一项定性研究。

Perspectives of healthcare practitioners on environmental sustainability in healthcare: A qualitative study.

作者信息

Cruz Jonas Preposi, Balay-Odao Ejercito Mangawa, Almazan Joseph U, Manabat April, Smagulova Meruyert, Kavashev Zulyar, Gusmanov Arnur, Syzdykova Alma, Dauletkaliyeva Zhaniya, Seidakhmetova Aizat, Colet Paolo C

机构信息

Department of Medicine, School of Medicine, Nazarbayev University, Astana, Kazakhstan.

Library, Nazarbayev University, Astana, Kazakhstan.

出版信息

J Adv Nurs. 2024 Jul 29. doi: 10.1111/jan.16327.

DOI:10.1111/jan.16327

PMID:39072830

Abstract

AIM

To explore the perspectives of Kazakhstani healthcare professionals on environmental sustainability in healthcare.

DESIGN

An exploratory qualitative design.

METHODS

Four focus group discussions (FGDs) on environmental sustainability in healthcare were conducted among healthcare professionals (nurses, physicians, midwives and physical therapists) from June to August 2023 in three cities of Kazakhstan. Each FGD consisted of at least 6 to 11 participants and lasted between 60 and 90 minutes. The collected data were analysed using the thematic analysis.

RESULTS

A total of 137 initial codes were identified and further organized into 22 sub-themes based on similarities in codes and meanings, and then 5 significant themes were identified. The five main themes are 'Environmental Sustainability Practices in Healthcare', 'Purposes of Environmental Sustainability in Healthcare', 'Impact of Environmental Sustainability in Healthcare in Patients', 'Challenges in Implementing Environmental Sustainability in Healthcare' and 'The Role of Healthcare Leadership in Improving Environmental Sustainability in Healthcare'.

CONCLUSIONS

The findings highlighted the perceptions and practices of healthcare professionals on environmental sustainability's purposes in healthcare, its impacts on patients and its implementation challenges. The study also underscored the critical role of strong and active leadership in ensuring a sustainable implementation of green policies in healthcare facilities and achieving successful results of environmentally conscious healthcare practices.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: The findings provide invaluable information that can be used by policymakers and healthcare organization leaders to create a sustainable healthcare system. Implementing environmental sustainability practices in healthcare should be widespread, intentional, and sustainable, entailing strong leadership and unwavering personal and organizational commitment.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

REPORTING METHOD

We adhered to relevant EQUATOR guidelines, specifically the Consolidated Criteria for Reporting Qualitative Research.

摘要

目的

探讨哈萨克斯坦医疗保健专业人员对医疗保健领域环境可持续性的看法。

设计

探索性定性设计。

方法

2023年6月至8月，在哈萨克斯坦的三个城市，对医疗保健专业人员（护士、医生、助产士和物理治疗师）进行了四次关于医疗保健领域环境可持续性的焦点小组讨论。每次焦点小组讨论至少有6至11名参与者，持续60至90分钟。使用主题分析法对收集到的数据进行分析。

结果

共识别出137个初始代码，并根据代码和含义的相似性进一步整理成22个子主题，然后确定了5个重要主题。这五个主要主题是“医疗保健领域的环境可持续性实践”、“医疗保健领域环境可持续性的目的”、“医疗保健领域环境可持续性对患者的影响”、“医疗保健领域实施环境可持续性的挑战”以及“医疗保健领导力在改善医疗保健领域环境可持续性中的作用”。