Hitzestress im Krankenhaus

Lenzer, Benedikt; Drozdek, M; Sosa, Alvaro Valera; Matthys, Stefanie; Witt, Christian; Liebers, Uta

doi:10.1055/a-1068-5127

Cited by 4 publications

(3 citation statements)

References 28 publications

(25 reference statements)

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“…These plans should include evidence-based instructions for the hospital management and medical care team [ 9 ]. Encouraged by our needs assessment, we propose to accompany these instructions with education material directed at medical professionals and patients, including information on adaptive behavior, medication, and indoor temperature management [ 9 , 33 , 34 ]. Topics such as the optimal use of natural ventilation, monitoring of the room temperature, and the reduction of indoor heat production should be covered.…”

Section: Resultsmentioning

confidence: 99%

“…As a consequence, adjusting the processes and the workflows according to the meteorological conditions should be considered. This includes intensified clinical monitoring, a modified drug regimen but also non-medical measures such as adapting clothing, and rescheduling elective procedures to minimize the risks of heat stress [ 34 ]. Training of the professional healthcare workers to avoid impairment of services and the best use of “human resources” [ 9 ] is vital to mitigate risks for patients.…”

Section: Resultsmentioning

confidence: 99%

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A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation

Lenzer

Hoffmann

et al. 2021

IJERPH

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This study explores the concerns, needs, and expectations of inpatients with the goal to develop a patient-centered climate change adaptation agenda for hospitals. Statements of patients from geriatrics, internal medicine, psychiatry, and surgery (N = 25) of a German tertiary care hospital were analyzed using semi-structured interviews and the framework method. Areas of future adaptation were elaborated in joint discussions with transdisciplinary experts. Concerns included the foresight of severe health problems. The requested adaptations comprised the change to a patient-centered care, infrastructural improvements including air conditioning, and adjustments of the workflows. Guidelines for the behavior of patients and medical services appropriate for the climatic conditions were demanded. The patient-centered agenda for adaptation includes the steps of partnering with patients, reinforcing heat mitigation, better education for patients and medical staff, and adjusting work processes. This is the first study demonstrating that hospital patients are gravely concerned and expect adjustments according to climate change. Since heat is seen as a major risk by interviewees, the fast implementation of published recommendations is crucial. By synthesizing inpatients’ expectations with scientific recommendations, we encourage patient-centered climate change adaptation. This can be the start for further collaboration with patients to create climate change resilient hospitals.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation

Lenzer

Hoffmann

et al. 2021

IJERPH

Self Cite

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“…road and agricultural workers. However, indoor temperatures may also reach subjectively uncomfortable but also health-relevant levels as air-conditioned workplaces are not common in Germany (Lenzer et al 2020 ). In Germany, the German Society for Occupational and Environmental Medicine (Deutsche Gesellschaft für Arbeitsmedizin und Umweltmedizin e. V. (DGAUM)) defines “working under heat stress” as climatic stress in the workplace caused by an extreme increase in indoor/outdoor temperature due to heat (DGAUM 2012 ).…”

Section: Introductionmentioning

confidence: 99%

Effects of heat and personal protective equipment on thermal strain in healthcare workers: part B—application of wearable sensors to observe heat strain among healthcare workers under controlled conditions

Wibowo,

Do,

Quartucci

et al. 2023

Int Arch Occup Environ Health

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Purpose As climate change accelerates, healthcare workers (HCW) are expected to be more frequently exposed to heat at work. Heat stress can be exacerbated by physical activity and unfavorable working requirements, such as wearing personal protective equipment (PPE). Thus, understanding its potential negative effects on HCW´s health and working performance is becoming crucial. Using wearable sensors, this study investigated the physiological effects of heat stress due to HCW-related activities. Methods Eighteen participants performed four experimental sessions in a controlled climatic environment following a standardized protocol. The conditions were (a) 22 °C, (b) 22 °C and PPE, (c) 27 °C and (d) 27 °C and PPE. An ear sensor (body temperature, heart rate) and a skin sensor (skin temperature) were used to record the participants´ physiological parameters. Results Heat and PPE had a significant effect on the measured physiological parameters. When wearing PPE, the median participants’ body temperature was 0.1 °C higher compared to not wearing PPE. At 27 °C, the median body temperature was 0.5 °C higher than at 22 °C. For median skin temperature, wearing PPE resulted in a 0.4 °C increase and higher temperatures in a 1.0 °C increase. An increase in median heart rate was also observed for PPE (+ 2/min) and heat (+ 3/min). Conclusion Long-term health and productivity risks can be further aggravated by the predicted temperature rise due to climate change. Further physiological studies with a well-designed intervention are needed to strengthen the evidence for developing comprehensive policies to protect workers in the healthcare sector.

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Vulnerable Gruppen – Sind wir nicht alle ein wenig verwundbar?

von der Warth,

Hempler

2024

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Hitzestress im Krankenhaus

Cited by 4 publications

References 28 publications

A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation

A Qualitative Study on Concerns, Needs, and Expectations of Hospital Patients Related to Climate Change: Arguments for a Patient-Centered Adaptation

Effects of heat and personal protective equipment on thermal strain in healthcare workers: part B—application of wearable sensors to observe heat strain among healthcare workers under controlled conditions

Vulnerable Gruppen – Sind wir nicht alle ein wenig verwundbar?

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