A mixed-methods study on end-user perceptions of transitioning to reusable surgical gowns

Yap, Ava; Wang, Kaiyi; Chen, Evan; Melhado, Caroline; Ahmad, Tessnim R; O’Sullivan, Patricia; Gandhi, Seema

doi:10.1016/j.sopen.2022.10.003

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…Twelve studies aimed to investigate general knowledge, attitudes, and behaviours around sustainability in the workplace 60 , 64 , 66 – 72 , 75 , 77 , 78 . Eight were focused on specific areas of sustainability, either recycling or waste reduction/management or both 61 – 63 , 65 , 73 , 74 , 76 , 79 , and the remaining study investigated anaesthesia 80 . Most studies only reported barriers to change rather than facilitators.…”

Section: Resultsmentioning

confidence: 99%

Barriers and facilitators to sustainable operating theatres: a systematic review using the Theoretical Domains Framework

Almukhtar,

Batcup,

Bowman

et al. 2023

International Journal of Surgery

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Background: The health sector contributes significantly to the climate crisis. Operating theatres in particular are a major contributor of greenhouse gas emissions and waste, and while there are several evidence-based guidelines to reduce this impact, these are often not followed. We systematically reviewed the literature to identify barriers and facilitators of sustainable behaviour in operating theatres, categorising these using the Theoretical Domains Framework (TDF). Materials and methods: Medline, Embase, PsychInfo, and Global Health databases were searched for articles published between January 2000 – June 2023, using the concepts: barriers and facilitators, sustainability, and surgery. Two reviewers screened abstracts from identified studies, evaluated quality, and extracted data. Identified determinants were mapped to TDF domains and further themes as required. The results were reported in line with PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) and AMSTAR (A MeaSurement Tool to Assess Systematic Reviews) guidelines. Results: Twenty-one studies were selected for analysis and assessment (seventeen surveys and four interview studies) comprising 8286 participants, including surgeons, nurses and anaesthetists. Eighteen themes across ten TDF domains were identified. The most common barriers to adoption of green behaviours in operating theatres were in domains of: ‘knowledge’ (N=18) e.g. knowledge of sustainable practices; ‘environmental context and resources’ (N=16) e.g.‘personnel shortage and workload and inadequate recycling facilities; ‘social influences’ (N=9) e.g. lack of leadership/organisational mandate or support; ‘beliefs about consequences’ (N=9) e.g. concerns regarding safety. Intention was the most common facilitator, with eleven studies citing it. Conclusions: Despite intentions to adopt sustainable practices in operating theatres, this review identified several barriers to doing so. Interventions should focus on mitigating these, especially by improving staff’s knowledge of sustainability practices and working within the environmental context and time pressures. Furthermore, institutional change programmes and policies are needed to prioritise sustainability at the Hospital and Trust level. Additional qualitative work should also be conducted using behavioural frameworks, to more comprehensively investigate barriers and determinants to decarbonise operating theatres.

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Section: Resultsmentioning

confidence: 99%

Barriers and facilitators to sustainable operating theatres: a systematic review using the Theoretical Domains Framework

Almukhtar,

Batcup,

Bowman

et al. 2023

International Journal of Surgery

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“…Limitations of this study include the single-center scope and the speculative nature of gown projections, which rely on sterile staff documentation in the medical record. Successful transition from disposable to reusable surgical gowns requires multidisciplinary workflow integration, staff education, and end-user investment, who at baseline may be ambivalent toward using reusable gowns …”

Section: Discussionmentioning

confidence: 99%

“…Successful transition from disposable to reusable surgical gowns requires multidisciplinary workflow integration, staff education, and end-user investment, who at baseline may be ambivalent toward using reusable gowns. 6 …”

Section: Discussionmentioning

confidence: 99%

Transition to Reusable Surgical Gowns at a Hospital System

Yap,

Wang,

Cornejo

et al. 2023

JAMA Netw Open

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“…A study into hand hygiene practices among nurses revealed that colleagues, supervisors, patients, and representatives from Infection Prevention played a prominent role in supporting and influencing hand hygiene compliance (subjective norm) (White et al, 2015). In a recent study (Yap et al, 2023), valuable insights emerged concerning enduser's perceptions of transitioning to reusable surgical gowns. The research revealed perceptual behavioural constraints (perceived behavioural control) such as uncertainties pertaining to the environmental benefits, financial considerations, and functionality of a reusable surgical gown.…”

Section: Previous Literaturementioning

confidence: 99%

Surveying factors that influence healthcare personnel in the transition to reusable surgical gowns

Harding,

Moons,

Watts

et al. 2024

Proc. Des. Soc.

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This study surveyed 190 healthcare professionals to examine attitudes towards reusable surgical gowns, aiming to reduce medical waste. Comfort (scoring 5.32 out of 7) and misconceptions about gowns serving as personal protective equipment (87% hold this belief) are crucial influencers. External motivators, trust, emotions, and workload also impact perceptions. The study recommends enhancing reusable gown design for comfort, multifunctionality, and hygiene trust. It calls for communication strategies to normalise reusables in healthcare and urges a transition to sustainable practices.

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A mixed-methods study on end-user perceptions of transitioning to reusable surgical gowns

Cited by 4 publications

References 17 publications

Barriers and facilitators to sustainable operating theatres: a systematic review using the Theoretical Domains Framework

Barriers and facilitators to sustainable operating theatres: a systematic review using the Theoretical Domains Framework

Transition to Reusable Surgical Gowns at a Hospital System

Surveying factors that influence healthcare personnel in the transition to reusable surgical gowns

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