Lister Helga Elke, Mostert Karien, Botha Tanita, Field Emma, Knock Danté, Mubi Natasha, Odendaal Stefani, Rohde Megan, Maric Filip
Department of Occupational Therapy, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South Africa.
Department of Physiotherapy, University of Pretoria Faculty of Health Sciences, Pretoria, Gauteng, South Africa.
F1000Res. 2025 Mar 26;13:1308. doi: 10.12688/f1000research.157487.1. eCollection 2024.
The triple planetary crisis of climate change, environmental pollution, and biodiversity loss is increasingly driving poor health outcomes worldwide. Healthcare systems and services are often not environmentally sustainable and compound the problem, while healthcare professionals are also recognised as key leaders in advancing sustainable healthcare. To adopt this leadership position, healthcare professionals' knowledge, attitudes, and practices regarding environmental sustainability in healthcare must be established. This article reports the development and validation of a new instrument for this purpose that corresponds to the specificities of the Southern African context.
Questionnaire development followed a seven-stage process. Information was obtained from a 2021 study titled 'South African Healthcare Professionals' Knowledge, Attitudes, and Practices Regarding Environmental Sustainability in Healthcare: A Mixed-Methods Study' to develop the instrument. Information was also sourced from the literature regarding environmental sustainability and healthcare to generate the first questionnaire with 29 items. The following stages included two rounds of expert input, separated by a pilot study with the target population to receive feedback regarding the instrument's structure, relevance, and length. Content validity was determined through statistical analysis.
Feedback was received from nine experts in stage two and 13 pilot-study participants in stage four and incorporated to improve the questionnaire. In stage six, the questionnaire was rated by seven experts. The content validity index of the questionnaire was calculated at two different stages, after which the indices were compared. Following a final edit, the questionnaire has 24 questionnaire items. The closing analysis calculated the scale content validity index average (S-CVI/Ave) of 0,922; this indicates that the final questionnaire has excellent content validity.
A questionnaire that assesses the knowledge, attitudes and practices of healthcare professionals regarding environmental sustainability in Southern Africa has been developed and validated. This questionnaire can now be used for further studies in Southern Africa.
气候变化、环境污染和生物多样性丧失这三大全球性危机日益导致世界各地的健康状况不佳。医疗保健系统和服务往往在环境方面不可持续，从而加剧了这一问题，而医疗保健专业人员也被视为推动可持续医疗保健的关键领导者。为了占据这一领导地位，必须了解医疗保健专业人员在医疗保健领域环境可持续性方面的知识、态度和做法。本文报告了为此目的开发和验证的一种新工具，该工具符合南部非洲的具体情况。
问卷开发遵循七个阶段的过程。从2021年一项名为“南非医疗保健专业人员在医疗保健领域环境可持续性方面的知识、态度和做法：一项混合方法研究”的研究中获取信息来开发该工具。还从有关环境可持续性和医疗保健的文献中获取信息，以生成第一份包含29个条目的问卷。接下来的阶段包括两轮专家意见，中间穿插对目标人群进行的预试验，以获取有关该工具的结构、相关性和长度的反馈。通过统计分析确定内容效度。
在第二阶段收到了9位专家的反馈，在第四阶段收到了13位预试验参与者的反馈，并将其纳入以改进问卷。在第六阶段，由7位专家对问卷进行评分。在两个不同阶段计算问卷的内容效度指数，然后对指数进行比较。经过最终编辑，问卷有24个条目。最终分析得出量表内容效度指数平均值（S-CVI/Ave）为0.922；这表明最终问卷具有出色的内容效度。
已开发并验证了一份评估南部非洲医疗保健专业人员在环境可持续性方面的知识、态度和做法的问卷。该问卷现在可用于南部非洲的进一步研究。
