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医疗专业人员对气候变化的认知:定性研究的系统综述

Health professionals' perceptions of climate change: A systematic review of qualitative studies.

作者信息

Caraballo-Betancort Antonio Miguel, Marcilla-Toribio Irene, Notario-Pacheco Blanca, Cekrezi Shkelzen, Perez-Moreno Ana, Martinez-Andres Maria

机构信息

Universidad de Castilla-La Mancha, Centro de Estudios Sociosanitarios, Edificio Melchor Cano, Campus de Cuenca s/n, 16071, Cuenca, Spain; Universidad de Castilla-La Mancha, Grupo de Investigación Health, Gender, and Social Determinants, Edificio Melchor Cano, Campus de Cuenca s/n, 16071, Cuenca, Spain.

Universidad de Castilla-La Mancha, Centro de Estudios Sociosanitarios, Edificio Melchor Cano, Campus de Cuenca s/n, 16071, Cuenca, Spain; Universidad de Castilla-La Mancha, Grupo de Investigación Health, Gender, and Social Determinants, Edificio Melchor Cano, Campus de Cuenca s/n, 16071, Cuenca, Spain.

出版信息

Public Health. 2025 Aug;245:105773. doi: 10.1016/j.puhe.2025.105773. Epub 2025 May 21.

DOI:10.1016/j.puhe.2025.105773
PMID:40403438
Abstract

OBJECTIVE

To understand health professionals' perceptions of climate change and its impact on health and their perceived role.

STUDY DESIGN

This was a systematic review of qualitative studies.

METHODS

A systematic review of qualitative evidence from three databases (MEDLINE, CINHAL and PsycInfo) was conducted according to the Cochrane method in June 2024. The PRISMA 2020 guidelines were followed for the synthesis report.

RESULTS

A total of 215 results were obtained, of which 10 studies were included on the basis of the inclusion criteria. The selected studies included predominantly nurses, physicians and public health professionals, with a smaller representation of other allied health professionals from Europe, North America and Africa. These studies were published between 2015 and 2024. Three themes were identified: "general knowledge of climate change", "role of health professionals in addressing climate change" and "barriers to action on climate change". Health professionals are aware of the health risks posed by climate change, but some barriers prevent or hinder their action. The main barriers are poor, overly generalised information and training, and a demotivating environment.

CONCLUSION

Health professionals are aware of the existence and dangers of climate change but are less aware of their role in the face of climate change. Contextualised training and an enabling environment are needed. It is essential to study the perceptions of each group of health professionals at the national or subnational level.

摘要

目的

了解卫生专业人员对气候变化及其对健康的影响的看法,以及他们所认为的自身角色。

研究设计

这是一项对定性研究的系统评价。

方法

2024年6月,根据Cochrane方法,对来自三个数据库(MEDLINE、CINHAL和PsycInfo)的定性证据进行了系统评价。综合报告遵循PRISMA 2020指南。

结果

共获得215条结果,其中10项研究根据纳入标准被纳入。所选研究主要包括护士、医生和公共卫生专业人员,来自欧洲、北美和非洲的其他相关卫生专业人员的代表性较小。这些研究发表于2015年至2024年之间。确定了三个主题:“气候变化的一般知识”、“卫生专业人员在应对气候变化中的作用”以及“气候变化行动的障碍”。卫生专业人员意识到气候变化带来的健康风险,但一些障碍阻碍了他们采取行动。主要障碍是信息和培训匮乏、过于笼统,以及环境缺乏激励作用。

结论

卫生专业人员意识到气候变化的存在和危险,但对自己在应对气候变化中的作用认识不足。需要进行情境化培训并营造有利环境。在国家或次国家层面研究每组卫生专业人员的看法至关重要。

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