4 research outputs found

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

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    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

    That is what my grandmother told my mother: The story of Nigerian and South African women subordinate position

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    This paper presents the narrative voice of Nigerian and South African women religious (including men) in expressing that societal socialization processes produce gender-based discrimination which position women as subordinate. As a result, women become navigators of their own gender subordination. Therefore, this paper using thematic analysis through Foucault discursive lens presents gender dilemmas of identity construction based on a qualitative doctoral research design and postdoctoral findings which aimed at exploring identity construction of Nigerian Catholic religious sisters. These identity dilemmas emerged as a result of the complexity involved in unlearning lifelong socialization processes which continually ascribe conflicting gender positions to men and women. Accordingly, this paper presents the participants’ dominant discursive claim that gender subordinate position is: What their grandmothers told their mothers, and their mothers in turn taught them; that to be a woman means to accept a responsible caring position for others, particularly for men. Consequently, this paper recommends that women who are salient stakeholders in family, Church and school socialization ought to act as counter-force in challenging gender discriminating discourse which position girls as second to boys and vice versa. In addition, this paper recommends further research towards exploring women’s contribution to their own victimization of gender discrimination
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