Evidence map›Paper›PMID 39608767›Full record

ArticleJMIR perioperative medicine2024

Exploring the Knowledge, Attitudes, and Perceptions of Hospital Staff and Patients on Environmental Sustainability in the Operating Room: Quality Improvement Survey Study.

Nicole Kasia Stachura, Sukham K Brar, Jacob Davidson, Claire A Wilson, Celia Dann, Mike Apostol, John Vecchio, Shannon Bilodeau, Anna Gunz, Diana Catalina Casas-Lopez and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JMIR perioperative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Patients' Perspectives on Climate Change, Health, and Sustainability in Ophthalmology.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2026
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Nicole Kasia StachuraSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID https://orcid.org/0000-0002-1371-6118
Sukham K BrarSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID https://orcid.org/0009-0007-9196-927X
Jacob DavidsonDivision of Paediatric Surgery, Children's Hospital, London Health Sciences Centre, London, ON, Canada.ORCID https://orcid.org/0000-0003-1077-1557
Claire A WilsonDivision of Paediatric Surgery, Children's Hospital, London Health Sciences Centre, London, ON, Canada.ORCID https://orcid.org/0000-0002-3976-9058
Celia DannDepartment of Surgery, Western University, London Health Sciences Centre, London, ON, Canada.ORCID https://orcid.org/0009-0004-6194-6526
Mike ApostolFacilities Management, London Health Sciences Centre, London, ON, Canada.ORCID https://orcid.org/0009-0005-2353-9935
John VecchioFacilities Management, London Health Sciences Centre, London, ON, Canada.ORCID https://orcid.org/0009-0004-8458-787X
Shannon BilodeauDepartment of Surgical Services, London Health Sciences Centre, London, ON, Canada.ORCID https://orcid.org/0009-0003-9759-7746
Anna GunzDepartment of Paediatrics, Western University, London, ON, Canada.ORCID https://orcid.org/0000-0003-2824-2274
Diana Catalina Casas-LopezDepartment of Anesthesia and Perioperative Medicine, Western University, London, ON, Canada.ORCID https://orcid.org/0000-0003-2959-8547
Ruediger NoppensDepartment of Anesthesia and Perioperative Medicine, Western University, London, ON, Canada.ORCID https://orcid.org/0000-0003-0069-579X
Ken LeslieDepartment of Surgery, Western University, London Health Sciences Centre, London, ON, Canada.ORCID https://orcid.org/0009-0003-7917-060X
Julie E StrychowskyDepartment of Otolaryngology-Head and Neck Surgery, Western University, London Health Sciences Centre, London, ON, Canada.ORCID https://orcid.org/0000-0001-5460-3155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Canada, the health care system has been estimated to generate 33 million metric tons of greenhouse gas emissions annually. Health care systems, specifically operating rooms (ORs), are significant contributors to greenhouse gas emissions, using 3 to 6 times more energy than the hospital's average unit.

objectiveThis quality improvement study aimed to investigate the knowledge, attitudes, and perceptions of staff members and patients on sustainability in the OR, as well as identify opportunities for initiatives and barriers to implementation.

methodsA total of 2 surveys were developed, consisting of 27 questions for staff members and 22 questions for patients and caregivers. Topics included demographics, knowledge and attitudes regarding environmental sustainability, opportunities for initiatives, and perceived barriers. Multiple-choice, Likert-scale, and open-ended questions were used.

resultsA total of 174 staff members and 37 patients participated. The majority (152/174, 88%) of staff members had received no and minimal training on sustainability, while 93% (162/174) cited practicing sustainability at work as moderately to extremely important. Among patients and caregivers, 54% (20/37) often or always noticed when a hospital is being eco-friendly. Both staff members and patients agreed that improving sustainability would boost satisfaction (125/174, 71.8% and 22/37, 59.4%, respectively) and hospital reputation (22/37, 59.4% and 25/37, 69.5%, respectively). The staff members' highest-rated environmental initiatives included transitioning to reusables, education, and improved energy consumption, while patients prioritized increased nature, improved food sourcing, and education. Perceived barriers to these initiatives included cost, lack of education, and lack of incentives.

conclusionsStaff members and patients and caregivers in a large academic health care center acknowledge the significance of environmental sustainability in the OR. While they do not perceive a direct impact on patient care, they anticipate positive effects on satisfaction and hospital reputation. Aligning initiatives with staff members and patient and caregiver preferences can help drive meaningful change within the OR and beyond.

Indexed as

attitudeclimate changeenergy consumptionenvironmental sustainabilityglobal warminghospitaloperating roomopinionpatientrecyclingstaffsustainable healthcare

Identifiers

PMID39608767
PMCPMC11638685

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.