背景:在重症监护病房中,值得注意的是,在治疗和护理过程中大量使用资源,导致大量的废物产生。此外,对重症监护的需求,延长预期寿命和手术干预,复杂的合并症和生态危机使重症监护更加可持续发展成为必要。
目的:探讨外科重症监护病房护士对负责任医疗废物管理的看法,能量和药物消耗。
方法:这项定性描述性研究于2023年11月在土耳其一所大学医院的外科重症监护病房进行。23名护士填写了介绍性表格,并参加了半结构化面试。使用归纳内容分析对数据进行分析。
结果:确定了三个主要主题:环境可持续的重症监护,预防重症监护中的废物;负责任的消费和回收;关于环境可持续性的机构和个人行为变化的建议。
结论:大多数护士缺乏关于可持续发展目标的知识。然而,在重症监护室,他们为医疗废物管理提供了有效和创造性的解决方案,能源和药物消费以及关于环境可持续性的个人和机构行为变化。
结论:机构应制定可持续发展战略,以确保负责任的医疗废物管理,能源和医药消费,减少碳足迹。根据这一目的,\'绿色团队\'包括以单位为基础的医生,应该建立护士和护理人员。应提供培训,并应提高意识,以减少供暖导致的能源使用,照明,通风和空调。
BACKGROUND: In intensive care units, it is noticeable that there is intensive use of resources in the treatment and care process, leading to a significant amount of waste generation. In addition, the demand for intensive care, increasing life expectancy and surgical interventions, complex comorbidities and ecological crisis make it necessary to make critical care more sustainable.
OBJECTIVE: To explore the perspectives of nurses working in surgical intensive care units regarding responsible medical waste management,
energy and medication consumption.
METHODS: This qualitative descriptive study was conducted in surgical intensive care units of a university hospital in Turkey in November 2023. Twenty-three nurses filled in an introductory form and participated in a semi-structured interview. Data were analysed using inductive content analysis.
RESULTS: Three main themes were determined: environmentally sustainable intensive care, prevention of waste in intensive care; responsible consumption and recycling; suggestions for institutional and individual behavioural change regarding environmental sustainability.
CONCLUSIONS: The majority of nurses lack knowledge about sustainable development goals. However, in the intensive care unit, they provided effective and creative solutions for medical waste management,
energy and medication consumption and individual and institutional behavioural change regarding environmental sustainability.
CONCLUSIONS: Sustainability strategies should be created in institutions to ensure responsible medical waste management,
energy and medicine consumption and reduce carbon footprint. In accordance with this purpose, \'Green teams\' including unit-based doctors, nurses and paramedics should be established. Training should be provided and awareness should be raised to reduce
energy use resulting from heating, lighting, ventilation and air conditioning.