集中治療環境における看護師の環境持続可能性に関する言説の文脈的変動性:探索的テキスト分析
Davide Bartoli1, Luciano Midolo2, Francesco Petrosino3
1Interdisciplinary Department of Well-Being, Health and Environmental Sustainability (BeSSA Department), Rome, Italy.
Nursing in critical care
|January 9, 2026
まとめ
集中治療室(ICU)における環境持続可能性は文脈依存であり、臨床現場によって異なる。効果的な実施には、適切な戦略と統合された看護教育がクリティカルケアにおいて不可欠である。
科学分野:
- ヘルスケアの持続可能性。医学における環境科学。看護研究。
背景:
- 集中治療室(ICU)は、病院の廃棄物と温室効果ガス排出の重要な原因である。看護師はICU内での持続可能性の推進に不可欠であるが、文脈固有の理解が不足している。
主な方法:
- イタリアのICU看護師29人を対象に半構造化インタビューを用いた質的探索的研究。テキストデータの自動分析および探索的多次元データ分析を用いたテキストデータの分析。外傷、一般、心臓、外科ICU間で持続可能性に関する言説を区別する意味次元を特定するための対応分析。
結論:
- クリティカルケアにおける環境持続可能性は均一ではなく、文化的、組織的、物質的要因の影響を受ける交渉された実践である。効果的な持続可能性の推進には、生態学的目標と臨床的優先事項を整合させる文脈固有の戦略が必要である。持続可能性の統合には、教育とリーダーシップによって促進される、草の根の看護師の関与と制度的支援の両方が必要である。
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