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Sustainable Nursing in Acute Care: Mapping the Evidence From Waste Reduction to Carbon Metrics: A Scoping Review

急性期ケアにおける持続可能な看護:廃棄物削減から炭素指標までのエビデンスマッピング:スコーピングレビュー (AI 翻訳)

Wafaa Ramadan Ahmed, Abdulmajeed Albalawi, Khaldoon Aied Alnawafleh, Ayman Ateq Alamri

Journal of Nursing Scholarship📚 査読済 / ジャーナル2026-04-05#その他Origin: Global
DOI: 10.1111/jnu.70089
原典: https://doi.org/10.1111/jnu.70089

🤖 gxceed AI 要約

日本語

本スコーピングレビューは、急性期ケアにおける看護介入の環境影響を調査し、廃棄物削減、エネルギー消費、炭素排出に焦点を当てた。看護師主導の持続可能性実践、評価枠組み、実施障壁・促進要因を特定。25件の研究を分析し、リユース可能リネン使用によるICU廃棄物削減(年間496kg)や省エネ機器の効果を確認。一方、時間制約や訓練不足が持続可能性実践の障壁となっている。

English

This scoping review examines the environmental impact of nursing interventions in acute care, focusing on waste reduction, energy consumption, and carbon emissions. It identifies nurse-led sustainability practices, assessment frameworks, and barriers/enablers. Analysis of 25 studies shows measurable benefits such as 496 kg/year ICU waste reduction from reusable linens and energy-efficient equipment, but time constraints and lack of training hinder implementation.

Unofficial AI-generated summary based on the public title and abstract. Not an official translation.

📝 gxceed 編集解説 — Why this matters

日本のGX文脈において

日本の医療現場でもカーボンニュートラルへの取り組みが進む中、看護業務における環境負荷削減のエビデンスは、病院のGX戦略やサステナビリティ報告に活用可能。ただし、本論文は日本の制度(SSBJ等)に直接関連するものではない。

In the global GX context

This review provides evidence for healthcare decarbonization, relevant to global climate disclosure frameworks (e.g., TCFD, ISSB) as hospitals face pressure to report Scope 1, 2, and 3 emissions. It highlights nurse-led interventions that can reduce carbon footprint, supporting integration of sustainability into clinical practice and institutional policies.

👥 読者別の含意

🔬研究者:Provides a synthesis of evidence on nursing sustainability interventions and identifies research gaps in carbon metrics and implementation.

🏢実務担当者:Offers actionable practices (e.g., reusable linens, energy optimization) for hospital sustainability teams and nursing leadership.

🏛政策担当者:Supports updating healthcare sustainability guidelines and integrating environmental competencies into nursing curricula.

📄 Abstract(原文)

INTRODUCTION: This scoping review explores the environmental impact of nursing interventions in acute care settings, focusing on waste reduction, energy consumption, and carbon emissions, while identifying nurse-led sustainability practices, assessment frameworks, and implementation barriers/enablers. DESIGN: Guided by Arksey and O'Malley's framework and reported per PRISMA-ScR guidelines. METHODS: Data Sources: PubMed, CINAHL, Scopus, and Google Scholar were searched for peer-reviewed, English-language studies published between 2020 and 2025. REVIEW METHODS: A five-stage process was employed: (1) research question formulation, (2) comprehensive literature search, (3) study selection using the Population-Phenomenon-Context (PPC) framework, (4) data charting via a structured extraction form, and (5) thematic synthesis. Methodological quality was appraised using Joanna Briggs Institute (JBI) tools. RESULTS: Of 400 identified records, 25 met inclusion criteria. Findings show nurses reduce environmental impact through reusable linen use (e.g., 496 kg/year ICU waste reduction), energy-efficient equipment, and improved waste segregation. However, time constraints, limited resources, and inadequate sustainability training impede consistent implementation. Awareness among nurses and students is moderate but rarely translates into practice. CONCLUSION: Nursing interventions hold significant potential to reduce healthcare's environmental footprint. Embedding sustainability competencies into curricula and reinforcing them with institutional policies and leadership support are essential. CLINICAL RELEVANCE: This review informs nurses and clinical leaders that sustainable practices-such as switching to reusable linens and optimizing energy use-are both feasible and impactful in acute care. It provides actionable evidence for reducing waste and carbon emissions while maintaining patient safety, supporting the integration of environmental stewardship into daily nursing practice. Findings from this review highlight the measurable environmental benefits of nurse-led sustainability interventions, such as waste reduction and energy conservation in ICUs. The evidence supports updating nursing curricula, clinical guidelines, and hospital policies to equip nurses with the knowledge and tools needed to lead sustainability efforts, thereby reducing healthcare's carbon footprint without compromising care quality.

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