Implementing nurse-led decarbonization practices: a transferable framework from a Spanish public hospital
看護主導の脱炭素化実践の実施：スペインの公立病院からの移転可能な枠組み (AI 翻訳)
Juan Francisco Insua Esmorís-Recamán, M. J. Ferreira-Díaz
🤖 gxceed AI 要約
日本語
本論文はスペインの公立病院を対象に、看護主導の脱炭素化実践が病院全体の排出量削減に与える影響を分析した実装ケーススタディである。2021年から2023年にかけて、麻酔ガス95％削減、紙41％削減など、看護関連領域で大幅な排出削減を達成し、看護主導の脱炭素化フレームワークを提案している。このフレームワークはリーダーシップ、看護師の関与、フィードバックシステム、継続教育、パフォーマンス監視の5つの要素で構成され、他病院への移転可能性を指向している。
English
This implementation case study from a Spanish public hospital demonstrates that nurse-led decarbonization practices can significantly reduce hospital GHG emissions. Between 2021 and 2023, emissions decreased by 35% overall, including 95% reduction in anesthetic gases, 41% in paper, 17% in plastics, and 7% in gloves. The resulting Nurse-Led Decarbonization Framework identifies five transferable components: leadership alignment, nurse engagement, feedback systems, continuous education, and performance monitoring. The framework provides a conceptually derived guide for embedding sustainability into clinical governance.
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脱炭素化が求められており、本フレームワークは看護師を中心とした実践的な削減手法として参考になる。特にISO14001認証を取得した病院での取り組みは、日本の病院評価制度や環境報告との連携にも示唆を与える。ただしスペインの事例であるため、日本の医療制度や規制に合わせた適応が必要。
In the global GX context
This paper offers a rare, detailed implementation framework for hospital decarbonization led by nursing staff, a globally underexplored area. It aligns with growing calls for healthcare sector climate action under frameworks like the NHS Net Zero plan and the WHO's climate-resilient health systems. The transferable framework is valuable for hospital managers and policymakers worldwide seeking practical, low-cost emission reduction strategies in clinical settings.
👥 読者別の含意
🔬研究者:Provides a conceptual framework and empirical evidence for nurse-led decarbonization that can be tested and refined in other healthcare settings.
🏢実務担当者:Offers a step-by-step framework and measurable emission categories (anesthetic gases, plastics, gloves, paper) that nursing managers can directly implement to reduce hospital carbon footprint.
🏛政策担当者:Illustrates how integrating sustainability into nursing governance can achieve significant emission reductions without major capital investment, informing healthcare climate policy design.
📄 Abstract（原文）
Background Healthcare systems contribute nearly 4.4% of global greenhouse gas (GHG) emissions, making environmental sustainability a critical professional and ethical priority. Nurses, as the largest and most operationally involved workforce in healthcare, are uniquely positioned to lead behavioural and organisational change. However, the mechanisms through which nurse-led actions achieve measurable carbon reductions at hospital level remain poorly documented. Methods A mixed-method implementation case study was conducted at the Hospital Universitario Lucus Augusti (HULA, Spain), a 900-bed tertiary public hospital integrated within the Galician Health Service. Aggregated data from the hospital’s verified Carbon Management Plan (ISO 14001:2015) were analysed for key emission categories associated with nursing-related domains—anaesthetic gases, plastics, gloves, and paper. Implementation processes were mapped across four iterative phases (Planning, Action, Monitoring, Integration) to identify transferable steps, indicators, and nursing roles. Results Between 2021 and 2023, total hospital emissions decreased by 35%, including a 95% reduction in anaesthetic gases, 41% in paper, 17% in plastics, and 7% in gloves. Nursing-led initiatives such as rational glove use, digital documentation, and reusable equipment substitution accounted for most improvements. The resulting Nurse-Led Decarbonization Framework identifies five transferable components: leadership alignment, nurse engagement, feedback systems, continuous education, and performance monitoring. Conclusions This implementation case study describes institutional emission reductions observed during the introduction of structured organisational and clinical practice adjustments within a nurse-informed implementation framework. The proposed framework outlines phases, roles and measurable emission domains that may support transferability to comparable hospital settings. Integrating sustainability into nursing governance may strengthen organisational alignment with environmental objectives and support professional engagement in climate mitigation efforts. However, the framework should be interpreted as a suggested, conceptually derived guide rather than a validated model, and further multicentre evaluation is required. Implications for nursing management/practice Empowering nurses with carbon literacy, feedback mechanisms, and decision-making authority enables them to act as catalysts for hospital sustainability. The Nurse-Informed Decarbonization Framework provides a transferability-oriented framework that nursing managers may adopt to embed sustainability into clinical governance, improve resource efficiency, and align professional practice with planetary health goals.
🔗 Provenance — このレコードを発見したソース
- semanticscholar https://doi.org/10.1186/s12912-026-04570-7first seen 2026-05-06 00:50:43
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