Promoting eCo-responsibility, eCo-literacy, and eCo-centricity in emergency triAge Regarding climate changE consequences (I-CARE THE 3 Cs): study protocol
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Mar 26, 2024
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Abstract
Background: Climate change, ambient air pollution, and non-optimal temperatures are recognized as a global health emergency. Many studies have highlighted increases in the number of emergency hospital admissions and hospitalizations for respiratory and cardiovascular diseases associated with non-optimal temperatures, unconventional gas reserves, particulate matter, grounded level O3, sulphur dioxide, or nitrogen dioxide exposure.
Problem statement: According to the Swiss Health Observatory, 14% of the Swiss population used a hospital emergency department (ED) at least once in 2016, representing 1,7 million admissions or 4,718 admissions per day. In the face of evolving climate-associated reasons for presenting at the ED, the scales used for emergency triage are now proving insufficient for their task. It is becoming critical to introduce and implement more appropriate ED triage tools that incorporate risk factors such as ambient temperature and air pollution. It will also require raising nurses’ eco-literacy, eco-responsibility, and eco-centricity, which are currently rated as moderate to low, to ensure adaptation and/or mitigation in the face of this global threat.
Future directions and perspectives for the nursing discipline: The nursing discipline must develop its eco-literacy, eco-responsibility, and eco-centricity to take social and professional responsibility for addressing the health-related impacts of climate change. To do so, the research project’s overall aim, which will be achieved in five stages, is to develop, pilot-test, and evaluate the feasibility of a complex nursing intervention named “Education Intervention promoting eCo-literacy, eCo-responsibility, and eCo-centricity in emergency triAge Regarding climate changE consequences (I-CARE the 3 Cs). The I-CARE the 3 Cs intervention aims to provide an adequate, effective, efficient, fair, safe, and patient-centered response to patients’ and nurses’ needs and to develop guidelines for dealing with the health consequences of climate change.
Keywords:
Health Literacy, Change, Global Warming, Education, Nurses, Complex Intervention
Article Details
How to Cite
SANTOS, Omar Portela Dos; VERLOO, Henk; ALVES, Paulo Jorge Pereira.
Promoting eCo-responsibility, eCo-literacy, and eCo-centricity in emergency triAge Regarding climate changE consequences (I-CARE THE 3 Cs): study protocol.
Medical Research Archives, [S.l.], v. 12, n. 3, mar. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5183>. Date accessed: 30 apr. 2024.
doi: https://doi.org/10.18103/mra.v12i3.5183.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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6. Trickey KS, Chen Z, Sanghavi P. Hospitalisations for cardiovascular and respiratory disease among older adults living near unconventional natural gas development: a difference-in-differences analysis. Lancet Planet Health. 2023;7(3):e18 7-e196. doi:10.1016/S2542-5196(23)00009-8
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13. Cicci KR, Maltby A, Clemens KK, et al. High Temperatures and Cardiovascular-Related Morbidity: A Scoping Review. Int J Environ Res Public Health. 2022;19(18). doi:10.3390/IJERPH191811243
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16. Sera F, Armstrong B, Tobias A, et al. How urban characteristics affect vulnerability to heat and cold: a multi-country analysis. Int J Epidemiol. 2019;48(4):1101-1112. doi:10.109 3/IJE/DYZ008
17. Eze IC, Schaffner E, Foraster M, et al. Long-Term Exposure to Ambient Air Pollution and Metabolic Syndrome in Adults. PLoS One. 2015;10(6). doi:10.1371/JOURNAL.PO NE.0130337
18. Ackermann-Liebrich U, Leuenberger P, Schwartz J, et al. Lung function and long term exposure to air pollutants in Switzerland. Study on Air Pollution and Lung Diseases in Adults (SAPALDIA) Team. Am J Respir Crit Care Med. 1997;155(1):122-129. doi:10.1164/ AJRCCM.155.1.9001300
19. Bayer-Oglesby L, Schindler C, Hazenkamp-Von Arx ME, et al. Living near main streets and respiratory symptoms in adults: the Swiss Cohort Study on Air Pollution and Lung Diseases in Adults. Am J Epidemiol. 2006;164(12):1190-1198. doi:10.1093/AJE/KWJ338
20. Mehta AJ, Miedinger D, Keidel D, et al. Occupational exposure to dusts, gases, and fumes and incidence of chronic obstructive pulmonary disease in the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults. Am J Respir Crit Care Med. 2012;18 5(12):1292-1300. doi:10.1164/RCCM.201110-1917OC
21. Eze IC, Schaffner E, Fischer E, et al. Long-term air pollution exposure and diabetes in a population-based Swiss cohort. Environ Int. 2014;70:95-105. doi:10.1016/J.ENVINT.2014.05.014
22. Spínola H. Entre a literacia e a cultura ambiental. Literacia científica: ensino, aprendizagem e quotidiano. Published online 2021:27-40. doi:10.34640/UNIVERSIDADEMADEIRA2021SPINOLA
23. Farrohknia N, Castrén M, Ehrenberg A, et al. Emergency Department Triage Scales and Their Components: A Systematic Review of the Scientific Evidence. Scand J Trauma Resusc Emerg Med. 2011;19(1):1-13. doi:10.1 186/1757-7241-19-42/TABLES/8
24. Polivka BJ, Chaudry R V., Mac Crawford J. Public health nurses’ knowledge and attitudes regarding climate change. Environ Health Perspect. 2012;120(3):321-325. doi:10. 1289/EHP.1104025
25. Kalogirou MR, Dahlke S, Davidson S, Yamamoto S. Nurses’ perspectives on climate change, health and nursing practice. J Clin Nurs. 2020;29(23-24):4759-4768. doi:10.1111 /JOCN.15519
26. Schenk EC, Cook C, Demorest S, Burduli E. Climate, Health, and Nursing Tool (CHANT): Initial survey results. Public Health Nurs. 2021;38(2):152-159. doi:10.1111/PHN.12864
27. McBeth W, Volk T. The National Environmental Literacy Project: A Baseline Study of Middle Grade Students in the United States. http://dx.doi.org/101080/00958960903210031 . 2010;41(1):55-67. doi:10.1080/00958960 903210031
28. Griggs C, Fernandez A, Callanan M. Nursing and the barriers to sustainable health care: a literature review.
https://doi.org/1012968/bjon201726221230. 2017;26(22):1230-1237. doi:10.12968/BJON.2017.26.22.1230
29. Portela Dos Santos O, Melly P, Joost S, Verloo H. Climate Change, Environmental Health, and Challenges for Nursing Discipline. Int J Environ Res Public Health. 2023;20(9). doi:10.3390/IJERPH20095682
30. Moss MP, Phillips JM, Trent-Adams S, et al. Health Equity and Nursing. Health Equity and Nursing: Achieving Equity Through Policy, Population Health, and Interprofessional Collaboration. Published online January 13, 2021:1-341. doi:10.1891/9 780826195074
31. Albers B, Schulthes MT, Brauchli P, Naef R, Von Wyl V, Clack L. Implementation science in Switzerland: It’s time to seize the opportunity. Swiss Med Wkly. 2022;152(4950) :40021-40021. doi:10.57187/SMW.2022.40021
32. Bouckenooghe D, Devos G, Van Den Broeck H. Organizational Change Questionnaire–Climate of Change, Processes, and Readiness: Development of a New Instrument. http://dx.doi.org/101080/00223980903218216. 2010;143(6):559-599. doi:10.1080/00223 980903218216
33. Holt DT, Armenakis AA, Feild HS, Harris SG. Readiness for organizational change: The systematic development of a scale. Journal of Applied Behavioral Science. 2007;43(2):232-255. doi:10.1177/0021886306295295
34. Prochask JO, Norcross JC. Stages of change. Psychotherapy. 2001;38(4):443-448. doi:10.1037/0033-3204.38.4.443
35. Redmond R, Curtis E. Focus groups: principles and process. Nurse Res. 2009;16(3): 57-69. doi:10.7748/NR2009.04.16.3.57.C6946
36. Côté-Arsenault D, Morrison-Beedy D. Maintaining your focus in focus groups: avoiding common mistakes. Res Nurs Health. 2005;28(2):172-179. doi:10.1002/NUR.20063
37. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science. 2009;4(1):1-15. doi:10.1186/1748-5908-4-50/TABLES/1
38. Massaroli A, Martini JG, Lino MM, Spenassato D, Massaroli R. Método Delphi como referencial metodológico para a pesquisa em Enfermagem. Texto & contexto enferm. 2017;26(4):e1110017-e1110017. doi: 10.1590/0104-07072017001110017
39. Diamond IR, Grant RC, Feldman BM, et al. Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol. 2014;67(4):401-409. doi:10.1016/J.JCLINEPI.2013.12.002
40. Barrios M, Guilera G, Nuño L, Gómez-Benito J. Consensus in the delphi method: What makes a decision change? Technol Forecast Soc Change. 2021;163:120484. doi:10.1016/J.TECHFORE.2020.120484
41. Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: Recommendations based on a methodological systematic review | EQUATOR Network. Accessed August 15, 2023. https://www.equator-network.org/reporting-guidelines/credes/
42. Möhler R, Köpke S, Meyer G. Criteria for Reporting the Development and Evaluation of Complex Interventions in healthcare: revised guideline (CReDECI 2). Trials. 2015;16(1). doi:10.1186/S13063-015-0709-Y
43. Portela Dos Santos O, Melly P, Hilfiker R, et al. Effectiveness of Educational Interventions to Increase Skills in Evidence-Based Practice among Nurses: The EDITcare Systematic Review. Healthcare 2022, Vol 10, Page 2204. 2022;10(11):2204. doi:10.3390/H EALTHCARE10112204
44. Bernal JL, Cummins S, Gasparrini A. Interrupted time series regression for the evaluation of public health interventions: a tutorial. Int J Epidemiol. 2017;46(1):348. doi:1 0.1093/IJE/DYW098
45. Ku E, ak ak, Ku W, et al. Trust in Nurse Scale Developed on the Basis of the Standardized Trust in Physician Scale by Anderson and Dedrick. Mater Sociomed. 2019;31(1):57. doi:10.5455/MSM.2019.31.57-61
46. Oesch S, Verweij L, Clack L, Finch T, Riguzzi M, Naef R. Implementation of a multicomponent family support intervention in adult intensive care units: study protocol for an embedded mixed-methods multiple case study (FICUS implementation study). BMJ Open. 2023;13(8):e074142. doi:10.1136/BMJ OPEN-2023-074142
47. Kien C, Schultes MT, Szelag M, Schoberberger R, Gartlehner G. German language questionnaires for assessing implementation constructs and outcomes of psychosocial and health-related interventions: A systematic review. Implementation Science. 2018;13(1):1-16. doi:10.1186/S13012-018-08 37-3/FIGURES/3
48. Pope, A.M., Snyder, M.A., Mood, L.H. (1995). Nursing, health, & the environment: Strengthening the relationship to improve the public’s health. Washington, DC: Institute of Medicine, National Academy Press. Image: the Journal of Nursing Scholarship. 1996;28(1) :81-81. doi:10.1111/J.1547-5069.1996.TB01184.X