Evidence map›Paper›PMID 40084717›Full record

ArticleJournal of clinical nursing2025

Segregation and Recycling in the Operating Room. An Intervention to Accelerate the Decarbonisation Process in the Health Sector.

Barbara Carmona-Pomada, Laura Diaz-Co, Hamid Azaroual El Bachiri, Núria Nieto-Lorente, Gemma Muriel-Serrano, Laia Zarza-Sánchez, Conxi Caro-Benito, Olga Monistrol

Abstract read
In one paragraph

Article in Journal of clinical nursing, 2025. 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. Article
  2. Article
  3. Review
  4. Observational
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

8 authors.

Barbara Carmona-PomadaHospital Universitari Mútua Terrassa, Terrassa, Barcelona, Spain.ORCID 0009-0003-0488-8334
Laura Diaz-CoHospital Universitari Mútua Terrassa, Terrassa, Barcelona, Spain.ORCID 0009-0007-1121-3529
Hamid Azaroual El BachiriHospital Universitari Mútua Terrassa, Terrassa, Barcelona, Spain.ORCID 0009-0006-7630-9401
Núria Nieto-LorenteHospital Universitari Mútua Terrassa, Terrassa, Barcelona, Spain.ORCID 0000-0001-5429-5885
Gemma Muriel-SerranoOperations Department, Hospital Universitari Mutua Terrassa, Terrassa, Barcelona, Spain.
Laia Zarza-SánchezGreen Commitment Department, Hospital Universitari Mutua Terrassa, Terrassa, Barcelona, Spain.
Conxi Caro-BenitoFundació Recerca Mútua Terrassa, Terrassa, Barcelona, Spain.ORCID 0000-0002-7108-0840
Olga MonistrolDepartment of Nursing and Physiotherapy, Lleida, Spain.ORCID 0000-0001-7605-8733

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the impact of a multilevel intervention in a surgical department on the segregation of non-hazardous healthcare waste (plastic and paper) during the perioperative period as well as its effect on the carbon footprint of the healthcare organisation.

methodsA prospective before-after interventional study without a control group was carried out in the operating room of the Universitary Hospital Mútua Terrassa in Catalonia (Spain). A multilevel programme to improve the segregation process during the surgical interventions was implemented in several phases from May 2023 to December 2024. Data collection was conducted in each phase of the study through questionnaires addressed to the professionals along with calculations of the carbon footprint and the volume of waste segregation. The study is framed within the socio-ecological model and employs a collaborative design. The study population included all professionals working in the operating room (n = 320).

resultsA multidisciplinary team was formed with consideration for all stakeholders. The project phases were implemented consecutively. A total of 141 professionals (44.4%) completed the baseline questionnaire. As a result of the project's development, the carbon footprint has been reduced to 79.1 kg CO2 eq/week, representing an 85% reduction in emissions.

conclusionThe implementation of the recycling project has led to significant reductions in the amount of waste generated and it has been positively evaluated by the professionals. The benefits of fostering a behavioural change among the professionals, coupled with the implementation of a well-designed segregation and recycling system, lead to significant benefits for the institution in carbon footprint. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Nurses can lead this type of project with a clear impact on both the institution and the environment. IMPACT: Reduction of the carbon footprint in the operating room increased satisfaction among professionals for contributing to environmental improvement. REPORTING

methodThe reporting of intervention evaluation studies using nonrandomized designs: the TREND statement Des Jarlais et al. (2004) was used to evaluate the quality of the study. PATIENT OR PUBLIC CONTRIBUTION: N/A. Only professionals are involved in this study.

Indexed as

Carbon FootprintHealth Care SectorOperating RoomsRecyclingHumansProspective StudiesSpainSurveys and Questionnairesbehavioural changecarbon footprintenvironmental impacthealthcare wasteoperating roomrecyclewaste managementwaste segregation

Identifiers

PMID40084717
PMCPMC12489432

What OpenQuestion holds

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LicenceCC BY-NC
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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.