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可持续的手术室的障碍和促进者:使用理论领域框架进行系统审查
Aws Almukhtar1,2, Carys Batcup3, Miranda Bowman4
1Department of General Surgery, Imperial College Healthcare NHS Trust.
International journal of surgery (London, England)
|October 27, 2023
概括
可持续的手术室实践的障碍包括缺乏知识和资源. 干预措施必须改善员工教育,并解决系统性问题,以减少医疗保健.
科学领域:
- 环境科学 环境科学
- 医疗保健管理的管理
- 行为科学 行为科学
背景情况:
- 医疗保健部门对气候危机做出了重大贡献.
- 操作剧院 (OT) 是温室气体排放和废物的主要来源.
- 现有的关于海外技术中可持续实践的指导方针往往没有得到实施.
研究的目的:
- 系统地审查有关海外技术中可持续行为的障碍和促进者的文献.
- 使用理论领域框架 (TDF) 将这些决定因素分类.
主要方法:
- 在Medline,Embase,PsychInfo和全球健康数据库中进行了搜索 (2000年1月至2023年6月).
- 使用的关键词:障碍,促进者,可持续性,手术.
- 包括21项研究 (17项调查,4项采访) 与8286名参与者.
- 将决定因素映射到TDF域.
主要成果:
- 在10个TDF域内确定了18个主题.
- 主要障碍是:"知识" (缺乏了解可持续实践),"环境背景和资源" (人力资源短缺,工作负载,设施不足),"社会影响" (缺乏领导力),以及"对后果的信念" (安全问题).
- 意图是最常见的促进因素 (11项研究).
结论:
- 尽管有意图,但存在重大障碍,阻碍了可持续的OT实践.
- 干预措施应提高工作人员的知识,并应对环境/时间压力.
- 机构政策和医院层面的优先级对可持续性至关重要.
- 需要使用行为框架进行进一步的定性研究,以指导脱碳努力.
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