Nursing and the barriers to sustainable health care: a literature review

Griggs, Chloe; Fernández, Ana; Callanan, Margie

doi:10.12968/bjon.2017.26.22.1230

Cited by 24 publications

(27 citation statements)

References 23 publications

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“…These include the knowledge and skills needed to plan and optimise the use of products and energy (Álvarez‐Nieto et al., 2018; Schenk, Butterfield, Postma, Barbosa‐Leiker, & Corbett, 2015). In addition, studies have reported that pro‐environmental attitudes have been crucial when developing responsible practices (Griggs, Fernandez, & Callanan, 2017; Peres et al., 2014; Topf, 2005). However, nurses' awareness of environmental responsibility in nursing and health care has been reported to be relatively low (Álvarez‐Nieto et al., 2018; Richardson, Grose, Doman, & Kelsey, 2014).…”

Section: Introductionmentioning

confidence: 99%

Environmental responsibility in nursing in hospitals: A modified Delphi study of nurses' views

Kallio

Pietilä

Kangasniemi

2020

Journal of Clinical Nursing

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Objectives: To identify nurses' views on environmentally responsible clinical practices, and to examine their consensus regarding the stakeholders and their roles and tools needed to promote, and enable, environmental responsibility in clinical practice. Background: Using materials and energy in hospitals has a negative impact on the environment and people's environmental health. Research on decreasing this burden in clinical practice is sparse. Design: A modified Delphi method with two rounds. Methods: Data were collected from 35 nursing staff in five Finnish university hospitals in 2019. The first-round data were collected with semi-structured interviews in small groups and subjected to content analysis. The second-round data were collected with an Internet-based questionnaire from 27 of those participants and statistically analysed. The CREDES checklist was used. Results: According to nurses, environmentally responsible clinical practices focus on effective material and energy use. Material use focused on sustainable and cooperative purchasing, considerate use of products and minimising waste and idle electricity and reducing water and transport use. The tools needed to promote, and enable, environmental responsibility in clinical practice were staff inducements and training and certain resources and guidance. All the hospital health and support service staff needed to commit to collaboration. Conclusions: It is important to address stakeholders' roles in environmental responsibility in hospitals. Environmental aims should be firm and visible, and nurses should have the relevant competencies. They also need sufficient time to develop environmental initiatives and proper facilities to carry out their work with a minimal environmental burden. Providing staff feedback and rewards for their environmental efforts is beneficial for engagement. Relevance to clinical practice: This study will help nurses to identify their needs and opportunities to realise and develop environmental responsibility in their practice. It can also inform hospital leaders to develop corporate environmental responsibility, including in-service training.

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Section: Introductionmentioning

confidence: 99%

Environmental responsibility in nursing in hospitals: A modified Delphi study of nurses' views

Kallio

Pietilä

Kangasniemi

2020

Journal of Clinical Nursing

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“…It appears that health care professionals and nurses do not seem to consider sustainability a number one priority as they habitually rely on a biomedical model of health with no explicit role for the environment. [27,28] Besides that, even if they want to implement sustainability in their workplace, they report workplace culture and professional identities as barriers against its im-plementation. [27] Eleven studies provide indications of a relationship between sustainability and some dimensions of quality.…”

Section: Resultsmentioning

confidence: 99%

Does quality of care entail environmental impact? A blind spot in our knowledge

Veltman

Delnoij

Ossebaard

2020

IJH

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This scoping review examines the conceptual relationship between the terms “environmental sustainability” and “quality of care” as used in academic studies on health care. We performed searches in Scopus and PubMed looking for potential semantic and practical associations between sustainability and quality of care, including potential conflicts. For the first part about associations, 11 search strings were used resulting in 1,488 studies of which 8 were eventually selected for analysis. For the latter part about conflicts, 4 search strings were used resulting in 45 studies of which 6 remained for analysis. Information about the following aspects was extracted from the studies that were included: interpretation and definition of sustainability, dimensions of quality of care, and tensions between quality and sustainability. Merely a few studies address a relationship betweenenvironmental sustainability and quality of care. Only “patient-centredness” and “safety” are associated with sustainability in academic literature. “Effectiveness” is rather interpreted as opposing it. “Efficiency” seems to be both associated and opposed to sustainability. The conceptual relationship between environmental sustainability and quality of care has not been thouroughly examined in academic studies which implies a blind spot in our knowledge. Only one study reports on conceptual and practical work for incorporating sustainability as a dimension of health care quality.

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“…Although we do not offer much in the ways of practical applications with this work, it is important to note that practical 'how to' papers do exist, as well as accounts of what nurses are already doing to develop climate change adaptation and mitigation strategies within the profession. Whether it is through nursing practice (Kurth, 2017;Leffers & Butterfield, 2018;, nursing education (Álvarez-Nieto et al, 2018;Jackman-Murphy, 2015;Leffers et al, 2015;Neal-Boylan, Breakey, & Nicholas, 2019) or nursing research (Griggs, Fernandez, & Callanan, 2017;Jackson Allen, 2015;Schenk, 2019;Trombley, Chalupka, & Anderko, 2017), nursing has a role to play in reducing the negative health consequences of climate change.…”

Section: Practical Applicationsmentioning

confidence: 99%

Nursing’s metaparadigm, climate change and planetary health

2020

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This paper offers a theoretical discussion on why the nursing profession has had a delayed response to the issue of climate change. We suggest this delay may have been influenced by the early days of nursing's professionalization. Specifically, we examine nursing's professional mandate, the generally accepted metaparadigm, and the grand theorists’ conceptualizations of both the environment and the nurse–environment relationship. We conclude that these works may have encouraged nurses to conceptualize the environment, as well as their relationship with it, mainly in terms of the individual patient, and as such, nurses have not been encouraged to understand these concepts from a broader perspective. By not having the philosophical and theoretical foundations to understand the environment in relation to society, it is not surprising that nurses have had a delayed response to climate change and may not have viewed it as a professional concern. A planetary health perspective is suggested as a theoretical basis for nursing education, research and practice. Taking on a planetary health perspective could help nurses progress the profession and move healthcare systems towards supporting a climate‐resilient future.

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Nursing and the barriers to sustainable health care: a literature review

Cited by 24 publications

References 23 publications

Environmental responsibility in nursing in hospitals: A modified Delphi study of nurses' views

Environmental responsibility in nursing in hospitals: A modified Delphi study of nurses' views

Does quality of care entail environmental impact? A blind spot in our knowledge

Nursing’s metaparadigm, climate change and planetary health

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