护士在重症监护机构的环境可持续性论述中的上下文变化:探索性的词汇分析
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
概括
在重症监护室 (ICU) 中的环境可持续性取决于环境,因临床环境而异. 量身定制的策略和综合护理教育对于重症监护的有效实施至关重要.
科学领域:
- 医疗保健的可持续性 医疗保健的可持续性
- 医学中的环境科学.
- 护理研究 护理研究
背景情况:
- 重症监护病房 (ICU) 是医院废物和温室气体排放的重要贡献者.
- 护士在促进ICU内的可持续性方面发挥着关键作用,但缺乏特定背景的理解.
研究的目的:
- 调查护士如何在各种重症监护机构感知和实施环境可持续性.
- 探索临床背景对ICU护士的可持续性话语的影响.
主要方法:
- 使用意大利29名ICU护士的半结构面试进行的定性探索性研究.
- 使用文本数据自动分析和探索性多维数据分析分析文本数据的分析.
- 对应性分析以确定语义维度,在创伤,一般,心脏和外科ICU中区分可持续性话语.
主要成果:
- 可持续性话语在不同的ICU设置中显著变化.
- 创伤ICU专注于文化意识,一般ICU专注于机构协调,心脏ICU专注于系统障碍,外科ICU专注于感染预防.
- 两个关键的维度出现了:文化促进与机构协调和整合与运营紧张.
结论:
- 重症监护中的环境可持续性不是统一的,而是受到文化,组织和物质因素影响的协商实践.
- 有效的可持续性促进需要特定的环境战略,使生态目标与临床优先事项保持一致.
- 整合可持续性需要基层护理参与和机构支持,通过教育和领导力来培养.
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