Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Salutogenic Model-Based Frailty Prevention Program for Pre-Frail Women Aged 55 Years and Over (SAFRAPP): A Study Protocol for a Randomized Controlled Trial

Background: Frailty is a geriatric syndrome which is more higher among women. Limited evidence suggests a model-based intervention for preventing worsening frailty for women. Purpose: This protocol describes a single-blinded, two-armed randomized controlled study purposing to examine the effectiveness of Salutogenic Model-Based Frailty Prevention Program (SAFRAPP) for pre-frail women. Methods: Eighty-four eligible participants from vocational institutions of a municipality in Turkey is randomly allocated to either the SAFRAPP intervention or the control group. The SAFRAPP is a 6-week online nurse-led intervention program comprising of laughter yoga, health education and case management. The intervention is rooted in the Salutogenic Model, which focuses on strengthening individuals' coping capacity to deal with stressors. The primary outcomes are the frailty and sence of coherence scores and the secondary outcomes are the well-being, quality of life and fear of fall scores, and number of falls and emergency admissions in the past three months. The study data for intervention and control group is obtained at four times: At baseline and at the 3-month, 6-month and 9-month follow-ups. Results: The protocol was registered at ClinicalTrials.gov (identifier number NCT04787432, registration date: 08/03/2021). Eligibility, baseline measurements, randomization, and intervention are completed. The follow-ups are ongoing. Implications for Practice: There is unsufficient evidence regarding the effectiveness of a model-based health promotion interventions for prevention of frailty. The SAFRAPP will provide evidence on prevention of frailty and improving sense of coherence of pre-frail women

Refinement, reliability and validity of the Time Capture Tool (TimeCaT) using the Omaha System to support data capture for time motion studies

Aim To refine and assess the inter-rater reliability and content validity of the embedded interface of nursing/midwifery activities in the Time Capture Tool (TimeCaT) using an interface terminology, the Omaha System

Relationship between level of internet addiction and time management skills among nursing students

Purpose This study investigated nursing students' levels of internet addiction (IA) and time management (TM) skills