Hospital sustentable para enfermería: análisis de concepto
Resumo
Objetivo: desenvolver uma análise conceitual do hospital sustentável para a enfermagem e fornecer uma definição que permita sua compreensão e prática. Método: esta é uma análise conceitual baseada na metodologia de oito etapas de Walker e Avant. Resultados: as evidências científicas mostraram sete perspectivas de hospital sustentável. Encontramos também práticas ambientais com a participação da enfermagem, destacando avanços no comprometimento organizacional, na gestão ambiental hospitalar e na liderança. Considerações finais: este novo conceito orienta uma visão estratégica e operacional da enfermagem para o cumprimento dos compromissos ambientais por meio da liderança, do trabalho transdisciplinar e do fortalecimento das competências do capital humano da enfermagem. O conceito pode ser utilizado em outros estudos que discutam o desenvolvimento sustentável e a enfermagem, além de aplicar os atributos mencionados na prática clínica, educacional, administrativa e investigativa da enfermagem nos diversos serviços assistenciais.Downloads
Referências
Bambarén C, Alatrista M. Impacto ambiental de un hospital público en la ciudad de Lima, Perú. Rev perú med exp salud publica. 2014;31(4):712–5. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1726-46342014000400015
Chung J, Meltzer D. Estimate of the carbon footprint of the US health care sector. JAMA. 2009;302(18):1970–2. DOI: https://doi.org/10.1001/jama.2009.1610
Costello A, Abbas M, Allen A, Ball S, Bell S, Bellamy R, et al. Managing the health effects of climate change. Lancet and University College London Institute for Global Health Commission. Lancet. 2009;373(9676):1693–733. DOI: https://doi.org/10.1016/s0140-6736(09)60935-1
Corvalan C, Prats E, Sena A, Campbell-Lendrum D, Karliner J, Risso A, et al. Towards Climate Resilient and Environmentally Sustainable Health Care Facilities. Int J Environ Res Public Health. 2020;17(23):1–18. DOI: https://doi.org/10.3390/ijerph17238849
McGain F. Sustainable hospitals? An Australian perspective. Perspect Public Health. 2010;130(1):19–20. DOI: https://doi.org/10.1177/1757913909354147
MacNeill A, Lillywhite R, Brown C. The impact of surgery on global climate: a carbon footprinting study of operating theatres in three health systems. Lancet Planet Heal. 2017;1(9):e360–7. DOI: https://doi.org/10.1016/s2542-5196(17)30162-6
Thiel C, Woods N, Bilec M. Strategies to Reduce Greenhouse Gas Emissions from Laparoscopic Surgery. Am J Public Health. 2018;108(S2):S158–64. DOI: https://doi.org/10.2105/ajph.2018.304397
Petre M, Malherbe S. Environmentally sustainable perioperative medicine: simple strategies for anesthetic practice. Can J Anesth. 2021; 67:1–21. DOI: https://doi.org/10.1007/s12630-020-01726-0
Yates E, Bowder A, Roa L, Velin L, Goodman A, Nguyen L, et al. Empowering Surgeons, Anesthesiologists, and Obstetricians to Incorporate Environmental Sustainability in the Operating Room. Ann Surg. 2021;15. DOI: https://doi.org/10.1097/sla.0000000000004755
Moura-Neto J, Barraclough K, Agar J. A call-to-action for sustainability in dialysis in Brazil. J Bras Nefrol. 2019;41(4):560–3. DOI: https://doi.org/10.1590/2175-8239-jbn-2019-0014
Hantel A, Gregory A. An Action Plan for Environmentally Sustainable Cancer Care. JAMA Oncol. 2020;6(4):469–70. DOI: https://doi.org/10.1001/jamaoncol.2019.5364
Rodríguez López JI, Herrera Paredes JM. Prospectiva del abordaje de enfermería hacía la sustentabilidad en el marco de los Objetivos de Desarrollo Sostenible para el 2030. Cietna. 2022;9(2):102-14. DOI: https://doi.org/10.35383/cietna.v9i2.857
Asociación Médica Mundial (AMM). Declaración de la AMM sobre el papel de los médicos en asuntos ambientales. Sudáfrica: AMM. Disponible en: https://www.wma.net/es/policies-post/declaracion-de-la-amm-sobre-el-papel-de-los-medicos-en-asuntos-ambientales/
International Council Of Nurses (ICN). Nurses, climate change and health. Suiza; 2018. Disponible en: https://www.icn.ch/sites/default/files/inline-files/ICN PS Nurses%252c climate change and health FINAL.pdf
Anåker A, Elf M. Sustainability in nursing: a concept analysis. Scand J Caring Sci. 2014;28(2):381–9. DOI: http://dx.doi.org/10.1111/scs.12121
Sandoval S. La cultura verde como estrategia para la gestión ambiental de los hospitales. En: Restrepo H, Rodríguez J, (org). Hospitales verdes: Un nuevo desafío para América Latina. 1ra ed. Bogotá D.C; 2020. p. 286. Disponible en: https://digitk.areandina.edu.co/handle/areandina/3825
Rodríguez J, Gonzalez M, Dimate A, Muñoz E, Rodríguez E, Ospino J, et al. Formación en gobernanza en salud ambiental para estudiantes de Ciencias de la Salud, Bogotá D.C. (Colombia). En: Molero M, Martos A, Bélen A, Del Pino R, (org). Innovación docente y práctica en el ámbito de la salud: avanzando en la evidencia. 1ra ed. 2020. p. 59–65. Disponible: https://www.researchgate.net/publication/349669770_Formacion_en_Gobernanza_en_Salud_Ambiental_para_Estudiantes_de_Ciencias_de_la_Salud_Bogota_DC_-_Colombia
Rodríguez J, Gonzalez M, Aponte S. Transversalización de la Salud ambiental hospitalaria en el currículo de programas de Ciencias de la Salud a través de las TICS en el año 2018. En: Roig R, Antolí J, Lledo A, Pellín N, (org). Redes de Investigación e Innovación en Docencia Universitaria Volumen 2019. 2019. p. 577–89. Disponible en: https://rua.ua.es/dspace/bitstream/10045/99177/1/Redes-Investigacion-Innovacion-Docencia-Universitaria-2019-51.pdf
Rodríguez J, Aponte S, Gonzalez M, Dimate A, Muñoz E. Avances de la vinculación del componente ambiental y de hospitales verdes en carreras de Ciencias de la Salud. En: Restrepo H, Rodríguez J, (org). Hospitales Verdes: un nuevo desafío para América Latina. 1ra ed. Bogotá D.C; 2020. p. 251–86. Disponible en: https://digitk.areandina.edu.co/handle/areandina/3825
Walker LO, Avant KC. Strategies for theory construction in nursing. 4th ed. Upper Saddle River: Pearson Prentice Hall, 2011.
Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020 version). En: Aromataris E, Munn Z (org). JBI Manual for Evidence Synthesis, JBI, 2020. Disponible en: https://synthesismanual.jbi.global.
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMAScR): Checklist and Explanation. Ann Intern Med. 2018;169:467–73 DOI: https://doi.org/10.7326/m18-0850
Española RA. hospital. 28 de mayo de 2024. Disponible en: https://dle.rae.es/hospital?m=form
Real Academia Española. Sostenible. 28 de mayo de 2024. Disponible en: https://dle.rae.es/sostenible?m=form
Cambridge Dictionary. Hospital. 28 de mayo de 2024. Disponible en: https://dictionary.cambridge.org/es/diccionario/ingles-espanol/hospital
Cambridge Dictionary. Sustainable. 28 de mayo de 2024. Disponible en: https://dictionary.cambridge.org/es/diccionario/ingles-espanol/sustainable
Karliner J, Guenther R. La Agenda Global para Hospitales Verdes y Saludables. Sobre Salud Sin Daño. 2011. Disponible en: https://hospitalesporlasaludambiental.org/sites/default/files/2021-09/Agenda-Global-para-Hospitales-Verdes-y-Saludables_3.pdf
Organización Mundial de la Salud (OMS). Establecimientos de salud resilientes al clima y ambientalmente sostenibles. 1ra ed. Organización Mundial de la Salud, editor. 2021. 1–108 p. Disponible en: https://apps.who.int/iris/handle/10665/338922
Organización Panamericana de la Salud (OPAS). Iniciativa Hospitales Inteligentes. 2023. Disponible en: https://www.paho.org/es/hospitales-inteligentes
Banco Mundial. Cuidado de la salud climáticamente inteligente. Mundial G del B, editor. Washington; 2017. 86 p. Disponible en: https://documents1.worldbank.org/curated/es/665741524132689024/pdf/113572-SPANISH-PUBLIC-1704954-Climate-Smart-Healthcare-Spanish-Web.pdf
United States Green Building Council (USGBC). Applying LEED to healthcare projects. 29 de mayo de 2024. Disponible en: https://support.usgbc.org/hc/en-us/article_attachments/28147271766803
The Joint Commission. Sustainable Healthcare Certification. 29 de mayo de 2024. Disponible en: https://www.jointcommission.org/what-we-offer/certification/certifications-by-setting/hospital-certifications/sustainable-healthcare-certification/
Secretaria de Salud. El Hospital Sustentable Intercultural. Ciudad de México, México; Disponible en: https://www.gob.mx/cms/uploads/attachment/file/29326/HospitalSustentable.pdf
Shum P, Kok H, Maingard J, Schembri M, Bañez M, Van Damme V, et al. Environmental sustainability in neurointerventional procedures: a waste audit. J neurointervent. 2020;12(11):1053–7. DOI: http://dx.doi.org/10.1136/neurintsurg-2020-016380
Candan Y, Aslan A, Yavuz M. Environment-Friendly Practices in Operating Rooms in Turkey. J Nurs Res. 2019;27(2):e18. DOI: http://dx.doi.org/10.1097/jnr.0000000000000296
Alec Y, Baharmand I. Environmental Sustainability in Canadian Critical Care: A Nationwide Survey Study on Medical Waste Management. Environ Sustain Healthc. 2021;23(4). DOI: https://doi.org/10.12927/hcq.2020.26394
Huffling K, Schenk E. Environmental sustainability in the intensive care unit: Challenges and solutions. Crit Care Nurs Q. 2014;37(3):235–50. DOI: https://doi.org/10.1097/cnq.0000000000000028
Brower A, Trefz L, Burns C. Implementing the Use of Chemical-Free Products in a Perinatal Unit. Focus. 2015;44(5):644–53. DOI: https://doi.org/10.1111/1552-6909.12736
Costa TF, Felli VEA, Baptista PCP. Nursing workers’ perceptions regarding the handling of hazardous chemical waste. Rev. Esc. Enferm. USP. 2012;46(6):1453-1461. DOI: https://doi.org/10.1590/S0080-62342012000600024
Furukawa P de O, Cunha ICKO, Pedreira M da LG. Evaluation of environmentally sustainable actions in the medication process. Rev. bras. enferm. 2016; 69(1):23–9. DOI: http://dx.doi.org/10.1590/0034-7167.2016690103i
McDermott-Levy R, Fazzini C. Identifying the key personnel in a nurse-initiated hospital waste reduction program. Nurs Adm Q. 2010;34(4):306–10. DOI: https://doi.org/10.1097/naq.0b013e3181f60a66
Doi, K M, Moura, GMSS. Resíduos sólidos de serviços de saúde: uma fotografia do comprometimento da equipe de enfermagem. Rev. gaúch. enferm. 2011;32(2):338-44. DOI: https://doi.org/10.1590/S1983-14472011000200018
Ferreira MJC, Ventura CAA, Valadares GV, Mendes IAC, Silva TP da, Silva ÍR. Nursing and waste management in health services: unveiling meanings in the hospital context. Rev. gaúch. Enferm. 2024;45. DOI: https://doi.org/10.1590/1983-1447.2024.20230136.pt
Mekaro KS, Moraes AI de S, Uehara SC da SA. Management of waste from health services in the routine of primary health care nurses. REME rev. min. enferm. 2022; 26:e-142. DOI: https://doi.org/10.35699/2316-9389.2022.38658
Carino S, Porter J, Malekpour S, Collins J. Environmental Sustainability of Hospital Foodservices across the Food Supply Chain: A Systematic Review. J Acad Nutr Diet. 2020;120(5):825–73. DOI: https://doi.org/10.1016/j.jand.2020.01.001
Guillaumie L, Boiral O, Baghdadli A. Integración de la nutrición sostenible en las instituciones relacionadas con la salud: una revisión sistemática de la literatura. Can J Public Heal. 2020;111:845–61. DOI: https://doi.org/10.17269/s41997-020-00394-3
Kangasniemi M, Kallio H, Pietilä A. Towards environmentally responsible nursing: a critical interpretive synthesis. J Adv Nurs. 2013;70(7):1465–78. DOI: https://doi.org/10.1111/jan.12347
Galvão D, Cezar-Vaz M, Xavier D, Penha J, Lourenção L. Hospital sustainability indicators and reduction of socio-environmental impacts: a scoping review. Rev. Esc. Enferm. USP. 2023; 57:1-13. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2022-0364en
Shenk E, Johnson, S. Nurse‐Sensitive Environmental Indicators: A Qualitative Study. J Nurs Manag. 2022;30(5):18-27. DOI: http://dx.doi.org/10.1111/jonm.13861
Salmela S, Koskinen C, Eriksson K. Nurse leaders as managers of ethically sustainable caring cultures. J Adv Nurs. 2016;73(4):871–82. DOI: https://doi.org/10.1111/jan.13184
Kallio H, Pietilä A, Kangasniemi M. Environmental responsibility in nursing in hospitals: A modified Delphi study of nurses’ views. J Clin Nurs. 2020; 29(21):4045–56. DOI: https://doi.org/10.1111/jocn.15429
Muñoz A. Reducing Health Care’s Carbon Footprint—The Power of Nursing. 2012; 60(11):471–4. DOI: https://doi.org/10.1177/216507991206001102
Chen MJ, Price AM. Comparing undergraduate student nurses’ understanding of sustainability in two countries: A mixed method study. Nurse Educ Today. 2020; 88:104363. DOI: https://doi.org/10.1016/j.nedt.2020.104363
Richardson J, Grose J, Bradbury M, Kelsey J. Developing awareness of sustainability in nursing and midwifery using a scenario-based approach: Evidence from a pre and post educational intervention study. Nurse Educ Today. 2017;54:51-5. DOI: https://doi.org/10.1016/j.nedt.2017.04.022
Mendes D, Barlem E, Vaghetti H, Hirsch C. Práticas sustentáveis no âmbito hospitalar: percepção dos enfermeiros. Rev. enferm. UFSM. 2018;8(4):769. DOI: https://doi.org/10.5902/2179769231634
Li M, Gong Z, Gilal F, Van Swol L, Xu J, Li F. The Moderating Role of Ethical Leadership on Nurses’ Green Behavior Intentions and Real Green Behavior. Biomed Res Int. 2021;2021. DOI: https://doi.org/10.1155/2021/6628016
Sensor CS, Branden PS, Clary-Muronda V, Hawkins JE, Fitzgerald D, Shimek AM, Al-Itani D, Madigan EA RW. Nurses Achieving the Sustainable Development Goals: The United Nations and Sigma: Concrete plans that translate the goals into action are critical. Am J Nurs. 2021;121(4):65–8. DOI: https://doi.org/10.1097/01.NAJ.0000742544.07615.db
Rosa W, Dossey B, Koithan M, Jo M, Manjrekar P, Meleis A, et al. Nursing Theory in the Quest for the Sustainable Development Goals. Nurs Sci Q. 2020;33(2):178–82. DOI: https://doi.org/10.1177/0894318420903495
Porta C, Disch J, Grumdahl N. Nursing Disruption for Achieving Sustainable Development Goals by 2030. Nurs Adm Q. 2019;43(4):1–11. DOI: https://doi.org/10.1097/NAQ.0000000000000363
Evans Hawkins J, Chiu P, Mumba MN, Gray SE, Hawkins RJ. Nurses’ Knowledge and Attitudes Regarding the Sustainable Development Goals: A Global Study. Am J Nurs. 2024;124(7):18-27. DOI: https://doi.org/10.1097/01.NAJ.0001025184.93381.68
Madden D, McLean M, Brennan M, Moore A. Why use indicators to measure and monitor the inclusion of climate change and environmental sustainability in health professions’ education? Med Teach. 2020;42(10):1119–22. DOI: https://doi.org/10.1080/0142159X.2020.1795106
Luque-Alcaraz OM, Aparicio-Martinez P, Gomera A, Vaquero-Abellan M. Nurses as agents for achieving environmentally sustainable health systems: A bibliometric analysis. J Nurs Manag. 2022;30(8):3900–8. DOI: http://dx.doi.org/10.1111/jonm.13798
Roberto H, Cava ÂL. Hospital sustentável ambientalmente: reflexões para a gestão do projeto. 2015; 5:114–32. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=5626620
Juergensen L, Premji S, Wright B, Holmes D, Bouma G. “A time to lead” efforts to promote social justice: The promise and challenges of the United Nations 2030 agenda and sustainable development goals for nurses. Int J Nurs Stud. 2020; 104:1–3. DOI: https://doi.org/10.1016/j.ijnurstu.2020.103533
Dossey B, Rosa W, Beck D. Nursing and the sustainable development goals: From Nightingale to now. Am J Nurs. 2019;119(5):44–9. DOI: https://doi.org/10.1097/01.NAJ.0000557912.35398.8f
Vaan Hoof, B, Monroy, N y Saer, A. PML Producción más Limpia - Paradigma de gestión ambiental. 21 Edición. Bogotá D.C. Alfaomega; 2008.
Herrera Aguas WDH. Gasto social y crecimiento económico en américa latina. Periodo 1990-2016. Ciencia Latina. 2022;6(2):1614-52. DOI: https://doi.org/10.37811/cl_rcm.v6i2.1982
Svaldi JSD, Siqueira HCH de. Ambiente hospitalar saudável e sustentável na perspectiva ecossistêmica: contribuições da enfermagem. Esc. Anna Nery Rev. Enferm. 2010;14(3):599–604. DOI: http://dx.doi.org/10.1590/s1414-81452010000300023

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