外科重症监护护士的环境可持续性、医疗废物管理、能源与药品消耗：一项定性研究
Environmental sustainability, medical waste management, energy and medicine consumption of the surgical intensive care nurses: A qualitative study.
作者信息
Sürme Yeliz, Maraş Gülseren, Aydin Akbuğa Gökçen
机构信息
Surgery Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Turkey.
Surgery Nursing, Faculty of Health Sciences, Yozgat Bozok University, Yozgat, Turkey.
出版信息
Nurs Crit Care. 2025 Jan;30(1):27-36. doi: 10.1111/nicc.13150. Epub 2024 Aug 15.
BACKGROUND
In intensive care units, it is noticeable that there is intensive use of resources in the treatment and care process, leading to a significant amount of waste generation. In addition, the demand for intensive care, increasing life expectancy and surgical interventions, complex comorbidities and ecological crisis make it necessary to make critical care more sustainable.
AIM
To explore the perspectives of nurses working in surgical intensive care units regarding responsible medical waste management, energy and medication consumption.
STUDY DESIGN
This qualitative descriptive study was conducted in surgical intensive care units of a university hospital in Turkey in November 2023. Twenty-three nurses filled in an introductory form and participated in a semi-structured interview. Data were analysed using inductive content analysis.
RESULTS
Three main themes were determined: environmentally sustainable intensive care, prevention of waste in intensive care; responsible consumption and recycling; suggestions for institutional and individual behavioural change regarding environmental sustainability.
CONCLUSIONS
The majority of nurses lack knowledge about sustainable development goals. However, in the intensive care unit, they provided effective and creative solutions for medical waste management, energy and medication consumption and individual and institutional behavioural change regarding environmental sustainability.
RELEVANCE TO CLINICAL PRACTICE
Sustainability strategies should be created in institutions to ensure responsible medical waste management, energy and medicine consumption and reduce carbon footprint. In accordance with this purpose, 'Green teams' including unit-based doctors, nurses and paramedics should be established. Training should be provided and awareness should be raised to reduce energy use resulting from heating, lighting, ventilation and air conditioning.
背景
在重症监护病房中，治疗和护理过程中资源的密集使用十分明显，这导致了大量废物的产生。此外，重症监护需求的增加、预期寿命的延长、外科手术干预、复杂的合并症以及生态危机使得重症监护更具可持续性变得必要。
目的
探讨外科重症监护病房护士对医疗废物负责任管理、能源和药物消耗的看法。
研究设计
这项定性描述性研究于2023年11月在土耳其一家大学医院的外科重症监护病房进行。23名护士填写了一份介绍性表格并参加了半结构化访谈。数据采用归纳性内容分析法进行分析。
结果
确定了三个主要主题：环境可持续的重症监护、重症监护中的废物预防；负责任的消费和回收利用；关于环境可持续性的机构和个人行为改变的建议。
结论
大多数护士缺乏关于可持续发展目标的知识。然而，在重症监护病房，他们为医疗废物管理、能源和药物消耗以及关于环境可持续性的个人和机构行为改变提供了有效且有创造性的解决方案。
与临床实践的相关性
机构应制定可持续发展战略，以确保医疗废物的负责任管理、能源和药物消耗，并减少碳足迹。为此，应组建包括各科室医生、护士和护理人员在内的“绿色团队”。应提供培训并提高认识，以减少供暖、照明、通风和空调产生的能源使用。
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