GoGREEN: REDUCING THE ENVIRONMENTAL IMPACT OF OPERATING THEATRES - A BEHAVIOURAL SCIENCE APPROACH

GoGREEN：减少手术室对环境的影响 - 行为科学方法

• 批准号: MR/X011720/1
• 负责人: Talya Porat
• 金额: $ 12.84万
• 依托单位: Imperial College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FX011720%2F1
• 关键词: GoGREEN; REDUCING; ENVIRONMENTAL; IMPACT; OPERATING

NHS contributes substantially to the UK's carbon footprint, accounting for 4% of England's total carbon footprint. Operating theatres are shown to be three to six times more energy-intensive than the rest of the hospital and a major contributor of waste. The aim of this research is to identify possibilities for behaviour change in UK hospitals to reduce the environmental impact of operating theatres practices.Recent research and pro-environmental initiatives have proposed practical guidelines to minimise environmental impact in operating theatres such as reduction of anaesthetic gas (e.g., using local anaesthetic instead of general anaesthetic), rationalising surgical instruments (e.g., streamlining surgical instrument trays) and opting for reusable products and equipment (e.g., reusable gowns and tools instead of disposable ones). However, many of the proposed solutions overlook the behavioural factors that are crucial in the implementation process. This is evidence in practice, where sustainability champions in UK hospitals report on slow adoption of these and similar green surgery guidelines.While surgeons and other theatre staff are aware and concerned about environmental waste and climate crisis, many report significant challenges in implementing pro-environmental behaviours in their practice, and there is a well-known gap between environmental intentions and pro-environmental behaviours of individuals. Therefore, understanding how theatre staff can be empowered to adopt green surgery procedures is critical for the net-zero transition of healthcare systems.In this project, we will work closely with surgeons, other theatre staff and the broader stakeholders at Imperial NHS Trust hospitals to identify the most important facilitators of and barriers to the adoption of green surgery principles and practices in operating theatres. With these insights, we will co-design interventions for behaviour change for the surgery pathway with the highest plausible environmental benefits, and that can help to close the gap between environmental intentions and pro-environmental behaviour in operating theatres. We will employ insights of environmental psychology, behavioural science and human-centred design principles to propose a package of interventions that will be used to facilitate the implementation of environmental guidelines in surgery.

NHS 对英国的碳足迹做出了重大贡献，占英格兰总碳足迹的 4%。研究表明，手术室的能源消耗量是医院其他区域的三到六倍，也是废物的主要来源。这项研究的目的是确定英国医院行为改变的可能性，以减少手术室实践对环境的影响。最近的研究和环保倡议提出了实用指南，以最大限度地减少手术室的环境影响，例如减少麻醉气体（例如，使用局部麻醉剂代替全身麻醉剂）、合理化手术器械（例如，简化手术器械托盘）以及选择可重复使用的产品和设备（例如，可重复使用的手术服和手术服）工具而不是一次性工具）。然而，许多提出的解决方案忽视了在实施过程中至关重要的行为因素。这是实践中的证据，英国医院的可持续发展倡导者报告称，这些和类似的绿色手术指南的采用进展缓慢。虽然外科医生和其他剧院工作人员意识到并担心环境浪费和气候危机，但许多人报告在实施亲环境方面面临重大挑战个人的环境意图和亲环境行为之间存在着众所周知的差距。因此，了解如何授权战区工作人员采用绿色手术程序对于医疗保健系统的净零转型至关重要。在这个项目中，我们将与外科医生、其他战区工作人员以及帝国国民保健服务信托医院的更广泛的利益相关者密切合作，确定手术室采用绿色手术原则和实践的最重要的促进因素和障碍。有了这些见解，我们将共同设计手术路径行为改变的干预措施，以实现最高的合理环境效益，这有助于缩小手术室的环境意图和亲环境行为之间的差距。我们将利用环境心理学、行为科学和以人为本的设计原则的见解来提出一揽子干预措施，用于促进手术中环境指南的实施。

项目成果

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

可持续手术室的障碍和促进因素：使用理论领域框架的系统回顾。

• DOI: http://dx.10.1097/js9.0000000000000829
• 发表时间: 2023
• 期刊: International journal of surgery (London, England)
• 作者: Almukhtar A