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支持验光临床实践和医疗保健培训项目中可持续废物管理的决策树。

Decision-making tree to support sustainable waste management in optometric clinical practice and healthcare training programmes.

作者信息

Pillay Rayishnee, Hansraj Rekha, Singaram Veena S

机构信息

Health Professions Education Unit, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.

College of Health Sciences, School of Optometry, University of KwaZulu-Natal, Durban, South Africa.

出版信息

Clin Exp Optom. 2024 Nov 27:1-8. doi: 10.1080/08164622.2024.2433594.

Abstract

CLINICAL RELEVANCE

Waste management strategies are well documented for employee safety, legal compliance and infection control measures; however, appropriate waste disposal is equally important to minimise adverse environmental impacts. Knowledge on best practices related to the disposal of healthcare-generated waste is crucial for environmental sustainability.

BACKGROUND

Global healthcare contributes significantly to greenhouse gas emissions, thereby extending the pervasiveness of climate change. Urgent action is required by the healthcare sector to minimise these impacts. Proper waste management is an alleviation measure that can be easily implemented in healthcare practice. The aim of this study was to calculate the approximate mass of plastic waste generated through lens wear and develop an easy-to-use decision-making tree to support optometrists with sustainable waste management.

METHODS

Data were analysed, from an online survey directed to ophthalmic lens wearers, to determine the mass of annual plastic waste associated with lens wear. Information collated from published studies and clinical experience of the researchers, supplemented by a literature search from online databases, EBSCOhost, Google Scholar, ScienceDirect and PubMed, were used to develop the waste decision-making tree.

RESULTS

Approximately 48 kg of plastic waste was generated from annual lens wear, of which approximately 83% of recyclable materials were landfilled. The waste management decision-making tree was created to guide optometrists regarding sustainable waste management practices.

CONCLUSION

Although this study focused on Optometry, its findings and recommendations have applicability across the healthcare field. Environmental stewardship is a joint responsibility of all healthcare professionals. This study highlighted the importance of incorporating and promoting sustainable clinical measures as well as the embedding and regular updating of clinical evidence on waste management best practices into healthcare training programmes. In doing so, the broader healthcare sector can contribute significantly towards reducing healthcare waste and associated emissions and improving health outcomes, thereby safeguarding the planet and its inhabitants.

摘要

临床相关性

废物管理策略在员工安全、法律合规和感染控制措施方面有充分记录;然而,适当的废物处置对于将不利的环境影响降至最低同样重要。了解与医疗保健产生的废物处置相关的最佳实践对于环境可持续性至关重要。

背景

全球医疗保健对温室气体排放有重大贡献,从而扩大了气候变化的普遍性。医疗保健部门需要采取紧急行动以尽量减少这些影响。适当的废物管理是一种可以在医疗保健实践中轻松实施的缓解措施。本研究的目的是计算因佩戴镜片产生的塑料废物的近似质量,并开发一个易于使用的决策树,以支持验光师进行可持续的废物管理。

方法

对一项针对眼科镜片佩戴者的在线调查数据进行分析,以确定与镜片佩戴相关的年度塑料废物质量。从已发表的研究和研究人员的临床经验中整理的信息,辅以从在线数据库EBSCOhost、谷歌学术、ScienceDirect和PubMed进行的文献检索,用于开发废物决策树。

结果

每年佩戴镜片产生约48千克塑料废物,其中约83%的可回收材料被填埋。创建了废物管理决策树,以指导验光师进行可持续的废物管理实践。

结论

尽管本研究聚焦于验光领域,但其研究结果和建议在整个医疗保健领域都具有适用性。环境管理是所有医疗保健专业人员的共同责任。本研究强调了将可持续临床措施纳入并加以推广,以及将废物管理最佳实践的临床证据纳入医疗保健培训计划并定期更新的重要性。通过这样做,更广泛的医疗保健部门可以为减少医疗废物及相关排放以及改善健康结果做出重大贡献,从而保护地球及其居民。

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