#护理SCI文献解读：护士在保护环境方面责任的观点<去看原文>
医院是资源密集型机构。在临床实践中，护士工作涉及到多种材料、药物等的使用，此外还包括用电等。这些工作涉及到的问题等都会对环境产生一定的负担，可想而知，护士在其中发挥的作用和责任还是很大的。
今天给大家推荐一篇SCI文献：Kallio, H, Pietilä, A‐M, Kangasniemi, M. Environmental responsibility in nursing in hospitals: A modified Delphi study of nurses' views. J Clin Nurs. 2020; 29: 4045– 4056.
护士在保护环境方面责任的观点
Abstract 摘要
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.
研究目的：探讨护士在临床实践中对环境责任的观点；以及他们在促进和实现临床实践中环境责任的角色和工具等。
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.
研究背景：医院使用材料和药物等对环境和人们的健康有负面影响。但目前在临床实践中，以减少这一负担的研究还是很少。
Design A modified Delphi method with two rounds.
研究设计：专家咨询法
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.
研究方法 数据分为两份：①第一份是收集的芬兰5所大学附属医院的35名护理人员；②第二份数据是来源于一份网络收集。
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.
研究结果 （1）从护士角度来说，护士的对环境负责的观点在于临床中材料和药物等的有效使用；比如，材料的有效使用、最大限度的减少浪费使用电力等。（2）促进临床中护士对“环境责任”的措施是实施奖励、培训和某些材料等的正确使用等等。（3）实现“环境责任”这个目标，最重要的是利益相关方的协作。
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.
研究结论：实现临床中的环境责任，是可以实现的。护士具备解决这个问题的能力。但是还需要足够的实际来制订相关的环境倡议书和适当的设施等。
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.
对临床实践的意义：本研究将帮助护士识别他们的需求和机会，以实现其在临床中发挥环境保护的责任。培训可能是一个途径。
KEYWORDS Delphi method, energy, environment, hospitals, materials, nurses, responsibility
关键词：德尔菲法、环境、医院、材料、护士、责任