How the hospital context influences nurses’ environmentally responsible practice: A focused ethnography
- 17 June 2021
- journal article
- research article
- Published by Wiley in Journal of Advanced Nursing
- Vol. 77 (9), 3806-3819
- https://doi.org/10.1111/jan.14936
Abstract
Aim To describe ways in which a hospital context, physically and culturally, influences nurses’ abilities to promote and engage with environmentally responsible practice. Design A focused ethnographic study. Methods Data were collected during May and August, 2019. Nurses (n = 22) working in the emergency room and three medicine units within a large Western Canadian hospital were invited to participate. Semi-structured interviews were conducted, and observations were collected. Reporting is in accordance with the consolidated criteria for reporting qualitative research. Results Three themes were identified: patient care not environmental care, organizational role and operational efficiency. Overall, participants indicated patient care was their primary priority, and due to their workload, they were unable to simultaneously consider the environmental impact of their work. Participants stated they had difficulties practicing in environmentally responsible ways because they felt unsupported by their hospital organization. Regardless, there was a desire for the organization to support environmentally responsible practices. Conclusion Climate change is a major health concern, and partnership between hospitals and nurses is necessary to ensure environmentally responsible healthcare is delivered. We suggest both a top-down and bottom-up approach to help develop hospital contexts that are relevant and environmentally responsible. Impact Nurses have a professional responsibility to address climate change, yet this study identified that nurses found it challenging to practice in environmentally responsible ways within the hospital context. Challenges they faced are related to their workload, their misaligned nursing priorities and, more importantly, because they felt unsupported by their hospital. Findings are important to both the nursing profession as well as other hospital leaders so that a culture of environmentally responsible healthcare can be developed within hospitals.Keywords
This publication has 31 references indexed in Scilit:
- Drugs down the drain: When nurses objectNursing Ethics, 2015
- Safeguarding human health in the Anthropocene epoch: report of The Rockefeller Foundation–Lancet Commission on planetary healthThe Lancet, 2015
- Environmental health 101: Incorporating environmental health into the nursing curriculumTeaching and Learning in Nursing, 2015
- Nurses’ perceptions of climate and environmental issues: a qualitative studyJournal of Advanced Nursing, 2015
- Environmental Sustainability in the Intensive Care UnitCritical Care Nursing Quarterly, 2014
- Towards environmentally responsible nursing: a critical interpretive synthesisJournal of Advanced Nursing, 2013
- Content analysis and thematic analysis: Implications for conducting a qualitative descriptive studyNursing & Health Sciences, 2013
- The use of focused ethnography in nursing researchNurse Researcher, 2013
- Public Health Nurses’ Knowledge and Attitudes Regarding Climate ChangeEnvironmental Health Perspectives, 2012
- Climate Change and Human HealthNursing Administration Quarterly, 2010