实现环境可持续的手术室的干预措施:使用行为改变轮子进行总体系统审查
Aws Almukhtar1,2, Carys Batcup3, Miranda Bowman4
1Department of General Surgery, Imperial College Healthcare NHS Trust, St Mary's Hospital.
International journal of surgery (London, England)
|August 2, 2024
概括
在手术室 (OT) 实施可持续实践可以减少医疗保健排放. "减少"战略,通常通过教育和环境变化实现,提供了显著的环境和财务节省.
科学领域:
- 环境科学 环境科学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 医疗保健部门对气候变化做出了重大贡献,手术室 (OT) 是主要的排放来源.
- 需要在OT中实施可持续的行为来减轻环境影响.
- 了解干预的有效性对于指导外科手术环境中的减排战略至关重要.
研究的目的:
- 通过使用三重底线框架,比较促进OT中可持续行为的干预措施的结果.
- 根据循环经济原则对干预策略进行分类 (五卢比).
- 使用行为变化轮 (BCW) 模型来检查干预函数 (IF).
主要方法:
- 在2023年6月之前,对Medline,Embase,PsychInfo,Scopus和Web of Science数据库进行了系统审查.
- 搜索术语包括"可持续性"和"手术".
- 该审查遵循了科克兰,乔安娜·布里格斯研究所和PRISMA的指导方针,并注册了PROSPERO.
主要成果:
- 分析了包括43个生命周期分析和30项干预措施在内的16项审查.
- 93%的干预措施显示可持续性改善,但直接结果比较受到各种指标和当地因素的阻碍.
- "减少"战略,通常是通过"教育"或"环境重组",是最常见的. "重用"需要多个干预功能.
结论:
- 干预的有效性必须在特定的当地环境中进行评估.
- "减少"战略提供了保证的环境和财务效益,可以通过教育和环境变化来实现.
- 需要一个标准化的工具来整合不同的结果和背景因素,以便更好地进行干预比较.
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