Skip to main content
Top
Published in: BMC Health Services Research 1/2024

Open Access 01-12-2024 | Climate Change | Research

Transitioning to sustainable, climate-resilient healthcare: insights from a health service staff survey in Australia

Published in: BMC Health Services Research | Issue 1/2024

Login to get access

Abstract

Background

More than 80 countries, including Australia, have made commitments to deliver climate-resilient and low carbon healthcare. Understanding how healthcare workers view their own and their organization’s efforts to achieve sustainable and climate-resilient healthcare practice is vital to inform strategies to accelerate that transition.

Methods

We conducted an online staff survey in a large state government hospital-and-health-service organisation in Queensland, Australia, to ascertain attitudes and practices towards environmentally sustainable, climate-resilient healthcare, and views about the organizational support necessary to achieve these goals in their workplace.

Results

From 301 participants showed staff strongly support implementing sustainable and climate-resilient healthcare but require significantly more organizational support. Participants identified three categories of organizational support as necessary for the transition to environmentally sustainable and climate-resilient health services and systems: (1) practical support to make sustainability easier in the workplace (e.g. waste, energy, water, procurement, food, transport etc.); (2) training and education to equip them for 21st century planetary health challenges; and (3) embedding sustainability as ‘business as usual’ in healthcare culture and systems.

Conclusions

The research provides new insight into health workforce views on how organizations should support them to realize climate and sustainability goals. This research has implications for those planning, managing, implementing, and educating for, the transition to environmentally sustainable and climate-resilient health services and systems in Queensland, Australia, and in similar health systems internationally.
Appendix
Available only for authorised users
Literature
1.
go back to reference MacNeill AJ, McGain F, Sherman JD. Planetary health care: a framework for sustainable health systems. Lancet Planet Health. 2021;5(2):e66–8.CrossRefPubMed MacNeill AJ, McGain F, Sherman JD. Planetary health care: a framework for sustainable health systems. Lancet Planet Health. 2021;5(2):e66–8.CrossRefPubMed
2.
go back to reference Sherman JD, Macneill AJ, Biddinger PD, Ergun O, Salas RN, Eckelman MJ. Sustainable and Resilient Health Care in the Face of a changing climate. Annu Rev Public Health. 2023;44(1):255–77.CrossRefPubMed Sherman JD, Macneill AJ, Biddinger PD, Ergun O, Salas RN, Eckelman MJ. Sustainable and Resilient Health Care in the Face of a changing climate. Annu Rev Public Health. 2023;44(1):255–77.CrossRefPubMed
3.
go back to reference Watts N, Amann M, Arnell N, Ayeb-Karlsson S, Beagley J, Belesova K, et al. The 2020 report of the Lancet countdown on health and climate change: responding to converging crises. Lancet. 2021;397(10269):129–70.CrossRefPubMed Watts N, Amann M, Arnell N, Ayeb-Karlsson S, Beagley J, Belesova K, et al. The 2020 report of the Lancet countdown on health and climate change: responding to converging crises. Lancet. 2021;397(10269):129–70.CrossRefPubMed
4.
go back to reference Karliner J, Slotterback S, Boyd R, Ashby B, Steele K, Wang J. Health care’s climate footprint: the health sector contribution and opportunities for action. Eur J Pub Health 2020, 30(Supplement_5). Karliner J, Slotterback S, Boyd R, Ashby B, Steele K, Wang J. Health care’s climate footprint: the health sector contribution and opportunities for action. Eur J Pub Health 2020, 30(Supplement_5).
5.
go back to reference Malik A, Lenzen M, McAlister S, McGain F. The carbon footprint of Australian health care. Lancet Planet Health. 2018;2(1):e27–35.CrossRefPubMed Malik A, Lenzen M, McAlister S, McGain F. The carbon footprint of Australian health care. Lancet Planet Health. 2018;2(1):e27–35.CrossRefPubMed
6.
go back to reference Jatobá A, Carvalho PV. Resilience in public health: precepts, concepts, challenges, and perspectives. Saúde em Debate. 2023, Apr 28; 46:130-9. Jatobá A, Carvalho PV. Resilience in public health: precepts, concepts, challenges, and perspectives. Saúde em Debate. 2023, Apr 28; 46:130-9.
7.
go back to reference WHO Environment CCaHD. Operational framework for building climate resilient and low carbon health systems. Geneva: World Health Organization; 2023. WHO Environment CCaHD. Operational framework for building climate resilient and low carbon health systems. Geneva: World Health Organization; 2023.
9.
go back to reference van Hove M, Leng G. A more sustainable NHS. BMJ (Clinical Res ed). 2019;366:l4930. van Hove M, Leng G. A more sustainable NHS. BMJ (Clinical Res ed). 2019;366:l4930.
12.
go back to reference Queensland Health. Queensland Health Climate Risk Strategy 2021–2026. Queensland Health 2021. Queensland Health. Queensland Health Climate Risk Strategy 2021–2026. Queensland Health 2021.
15.
go back to reference Corvalan C, Villalobos 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). Corvalan C, Villalobos 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).
16.
go back to reference Tennison I, Roschnik S, Ashby B, Boyd R, Hamilton I, Oreszczyn T, Owen A, Romanello M, Ruyssevelt P, Sherman JD, et al. Health care’s response to climate change: a carbon footprint assessment of the NHS in England. Lancet Planet Health. 2021;5(2):e84–92.CrossRefPubMedPubMedCentral Tennison I, Roschnik S, Ashby B, Boyd R, Hamilton I, Oreszczyn T, Owen A, Romanello M, Ruyssevelt P, Sherman JD, et al. Health care’s response to climate change: a carbon footprint assessment of the NHS in England. Lancet Planet Health. 2021;5(2):e84–92.CrossRefPubMedPubMedCentral
18.
go back to reference Mosquera M, Andrés-Prado MJ, Rodríguez-Caravaca G, Latasa P, Mosquera MEG. Evaluation of an education and training intervention to reduce health care waste in a tertiary hospital in Spain. Am J Infect Control. 2014;42(8):894–7.CrossRefPubMed Mosquera M, Andrés-Prado MJ, Rodríguez-Caravaca G, Latasa P, Mosquera MEG. Evaluation of an education and training intervention to reduce health care waste in a tertiary hospital in Spain. Am J Infect Control. 2014;42(8):894–7.CrossRefPubMed
19.
go back to reference Pencheon D. Developing a sustainable health care system: the United Kingdom experience. Med J Aust. 2018;208(7):284–5.CrossRefPubMed Pencheon D. Developing a sustainable health care system: the United Kingdom experience. Med J Aust. 2018;208(7):284–5.CrossRefPubMed
20.
go back to reference Charlesworth KE, Jamieson M. Healthcare in a carbon-constrained world. Aust Health Rev. 2019;43(3):241–5.CrossRefPubMed Charlesworth KE, Jamieson M. Healthcare in a carbon-constrained world. Aust Health Rev. 2019;43(3):241–5.CrossRefPubMed
22.
go back to reference Schenk EC, Cook C, Demorest S, Burduli ECHANT. Climate, Health, and nursing Tool: Item Development and Exploratory Factor Analysis. Annu Rev Nurs Res. 2019;38(1):97–112.CrossRefPubMed Schenk EC, Cook C, Demorest S, Burduli ECHANT. Climate, Health, and nursing Tool: Item Development and Exploratory Factor Analysis. Annu Rev Nurs Res. 2019;38(1):97–112.CrossRefPubMed
23.
go back to reference Cameron A. NHS sustainable development unit survey– final report. Brighouse, West Yorkshire: Enventure Research; 2017. Cameron A. NHS sustainable development unit survey– final report. Brighouse, West Yorkshire: Enventure Research; 2017.
27.
go back to reference Creswell JW, Creswell JD. Research design: qualitative, quantitative, and mixed methods approaches. 6th ed. California: SAGE; 2023. Creswell JW, Creswell JD. Research design: qualitative, quantitative, and mixed methods approaches. 6th ed. California: SAGE; 2023.
28.
go back to reference Kotcher J, Maibach E, Miller J, Campbell E, Alqodmani L, Maiero M, et al. Views of health professionals on climate change and health: a multinational survey study. Lancet Planet Health. 2021;5(5):e316–23.CrossRefPubMedPubMedCentral Kotcher J, Maibach E, Miller J, Campbell E, Alqodmani L, Maiero M, et al. Views of health professionals on climate change and health: a multinational survey study. Lancet Planet Health. 2021;5(5):e316–23.CrossRefPubMedPubMedCentral
30.
go back to reference Pescud M, Rychetnik L, Allender S, Irving MJ, Finegood DT, Riley T, et al. From understanding to Impactful Action: systems thinking for systems Change in Chronic Disease Prevention Research. Syst Vol. 2021;9:61.CrossRef Pescud M, Rychetnik L, Allender S, Irving MJ, Finegood DT, Riley T, et al. From understanding to Impactful Action: systems thinking for systems Change in Chronic Disease Prevention Research. Syst Vol. 2021;9:61.CrossRef
31.
go back to reference Foster-Fishman PG, Watson ER. The ABLe change framework: a conceptual andmethodological tool for promoting systems change. Am J Community Psychol. 2012;49(3–4):503–16.CrossRefPubMed Foster-Fishman PG, Watson ER. The ABLe change framework: a conceptual andmethodological tool for promoting systems change. Am J Community Psychol. 2012;49(3–4):503–16.CrossRefPubMed
32.
go back to reference Rotenstein LS, Brown R, Sinsky C, Linzer M. The Association of Work Overload with burnout and intent to leave the job across the Healthcare Workforce during COVID-19. J Gen Intern Med. 2023;38(8):1920–7.CrossRefPubMedPubMedCentral Rotenstein LS, Brown R, Sinsky C, Linzer M. The Association of Work Overload with burnout and intent to leave the job across the Healthcare Workforce during COVID-19. J Gen Intern Med. 2023;38(8):1920–7.CrossRefPubMedPubMedCentral
33.
go back to reference Fitzpatrick B, Bloore K, Blake N. Joy in Work and reducing nurse burnout: from Triple Aim to Quadruple Aim. AACN Adv Crit Care. 2019;30(2):185–8.CrossRefPubMed Fitzpatrick B, Bloore K, Blake N. Joy in Work and reducing nurse burnout: from Triple Aim to Quadruple Aim. AACN Adv Crit Care. 2019;30(2):185–8.CrossRefPubMed
34.
go back to reference Pinzone M, Guerci M, Lettieri E, Huisingh D. Effects of ‘green’ training on pro-environmental behaviors and job satisfaction: evidence from the Italian healthcare sector. J Clean Prod. 2019;226:221–32.CrossRef Pinzone M, Guerci M, Lettieri E, Huisingh D. Effects of ‘green’ training on pro-environmental behaviors and job satisfaction: evidence from the Italian healthcare sector. J Clean Prod. 2019;226:221–32.CrossRef
35.
go back to reference Shaw E, Walpole S, McLean M, Alvarez-Nieto C, Barna S, Bazin K, et al. AMEE Consensus Statement: planetary health and education for sustainable healthcare. Med Teach. 2021;43(3):272–86.CrossRefPubMed Shaw E, Walpole S, McLean M, Alvarez-Nieto C, Barna S, Bazin K, et al. AMEE Consensus Statement: planetary health and education for sustainable healthcare. Med Teach. 2021;43(3):272–86.CrossRefPubMed
36.
go back to reference McKimm J, McLean M. Rethinking health professions’ education leadership: developing ‘eco-ethical’ leaders for a more sustainable world and future. Med Teach. 2020;42(8):855–60.CrossRefPubMed McKimm J, McLean M. Rethinking health professions’ education leadership: developing ‘eco-ethical’ leaders for a more sustainable world and future. Med Teach. 2020;42(8):855–60.CrossRefPubMed
39.
go back to reference McLean M, Behrens G, Chase H, El Omrani O, Hackett F, Hampshire K, et al. The Medical Education Planetary Health Journey: advancing the agenda in the Health professions requires Eco-ethical Leadership and inclusive collaboration. Challenges Vol. 2022;13:62.CrossRef McLean M, Behrens G, Chase H, El Omrani O, Hackett F, Hampshire K, et al. The Medical Education Planetary Health Journey: advancing the agenda in the Health professions requires Eco-ethical Leadership and inclusive collaboration. Challenges Vol. 2022;13:62.CrossRef
40.
go back to reference Haines A, Ebi K. The Imperative for Climate Action To Protect Health. N Engl J Med. 2019;380(3):263–73.CrossRefPubMed Haines A, Ebi K. The Imperative for Climate Action To Protect Health. N Engl J Med. 2019;380(3):263–73.CrossRefPubMed
41.
go back to reference Charlesworth KE, Stewart GJ, Sainsbury P. Addressing the carbon footprint of health organisations: eight lessons for implementation. Public Health Res Pract 2018, 28(4). Charlesworth KE, Stewart GJ, Sainsbury P. Addressing the carbon footprint of health organisations: eight lessons for implementation. Public Health Res Pract 2018, 28(4).
43.
go back to reference Johnson E, Charlesworth K. Creating a low-carbon, climate resilient healthcare system in NSW. Health Advocate. 2023: 42–3. Johnson E, Charlesworth K. Creating a low-carbon, climate resilient healthcare system in NSW. Health Advocate. 2023: 42–3.
Metadata
Title
Transitioning to sustainable, climate-resilient healthcare: insights from a health service staff survey in Australia
Publication date
01-12-2024
Keyword
Climate Change
Published in
BMC Health Services Research / Issue 1/2024
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-024-10882-8

Other articles of this Issue 1/2024

BMC Health Services Research 1/2024 Go to the issue