Ethier Isabelle, Sandal Shaifali, Tarakji Ahmad Raed, Finkle S Neil, Kahlon Bhavneet, Pederson Kristen, Samanta Ratna, Stigant Caroline
Division of Nephrology, Department of Medicine, Centre Hospitalier de l'Université de Montréal, QC, Canada.
Health Innovation and Evaluation Hub, Centre de Recherche du Centre Hospitalier de l'Université de Montréal, QC, Canada.
Can J Kidney Health Dis. 2024 Oct 8;11:20543581241287286. doi: 10.1177/20543581241287286. eCollection 2024.
Climate change impacts health and threatens the stability of care delivery systems, while healthcare is mobilizing to reduce its significant environmental impact.
This study aimed to assess knowledge, attitudes, and practices (KAP) about climate change among Canadian kidney care providers.
An electronic KAP survey, created by the Canadian Society of Nephrology-Sustainable Nephrology Action Planning committee, was distributed to kidney care providers across Canada, from March to April 2023.
A total of 516 people responded to the survey. Most respondents (79%) identified as women; 83% were aged 30 to 59 years. Nurses and nephrologists made up 44% and 23% of respondents, respectively. About half of the participants felt informed about climate change to an average degree. Most respondents (71%; 349/495 and 62%; 300/489) were either extremely or very concerned about climate change and waste generated in their kidney care program, respectively. The vast majority of respondents (89%; 441/495) reported taking steps to lower their personal carbon footprint. People who felt more informed about climate change presented higher degrees of concern. Similarly, both those who felt more informed and those who reported higher degrees of concern about climate change were more likely to take steps to reduce their carbon footprint. Over 80% of respondents (314/386) were at least moderately interested in learning sessions about environmentally sustainable initiatives in care.
This survey is at risk of social acceptability, representative, and subjective bias. Overrepresentation from Quebec and British Columbia, as well as the majority of respondents identifying as women and working in academic centers, may affect generalizability of the findings.
Most kidney care providers who responded to this survey are informed and concerned about climate change, and their knowledge is directly associated with attitude and practices. This indicates that educational initiatives to increase awareness and knowledge on climate change will likely lead to practice changes.
气候变化影响健康并威胁医疗服务系统的稳定性，而医疗行业正在采取行动以减少其对环境的重大影响。
本研究旨在评估加拿大肾脏护理提供者对气候变化的知识、态度和实践（KAP）。
设计、设置、参与者、测量方法：由加拿大肾脏病学会 - 可持续肾脏病行动计划委员会创建的电子KAP调查问卷，于2023年3月至4月分发给加拿大各地的肾脏护理提供者。
共有516人回复了该调查问卷。大多数受访者（79%）为女性；83%的年龄在30至59岁之间。护士和肾脏病医生分别占受访者的44%和23%。约一半的参与者认为自己对气候变化有一定程度的了解。大多数受访者（71%；349/495）和62%（300/489）分别对气候变化以及其肾脏护理项目中产生的废物极为或非常关注。绝大多数受访者（89%；441/495）报告已采取措施降低个人碳足迹。对气候变化了解更多的人表现出更高程度的关注。同样，那些认为自己了解更多以及对气候变化关注度更高的人更有可能采取措施减少碳足迹。超过80%的受访者（314/386）至少对有关护理中环境可持续倡议的学习课程有一定兴趣。
本调查存在社会可接受性、代表性和主观偏见的风险。魁北克省和不列颠哥伦比亚省的受访者占比过高，以及大多数受访者为女性且在学术中心工作，可能会影响研究结果的普遍性。
参与本次调查的大多数肾脏护理提供者了解并关注气候变化，他们的知识与态度和实践直接相关。这表明提高气候变化意识和知识的教育举措可能会导致实践的改变。
