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The National Health Service (NHS) in England is facing resource management challenges. There are NHS initiatives promoting sustainability of resources, although minimal research exists about frontline practitioners' understanding of and concerns about sustainability issues. This research focused on critical care because it uses a large amount of NH...
Context in source publication
Context 1
... Venn diagram's overlapping circles represented a positive relationship between the three main types of resources. Sustainability exists when all three aspects simultaneously fuse together, bringing multiple co-benefits (see Figure 2). Joining up environmental and social resource use ensures the process is 'bearable'; a healthy connection between social and economic aspects creates 'equality'; and, the intersection between ecology and finances shows 'viability' (Barbier 1987). ...
Citations
... Research by Heather Baid in "Satisficing for sustainability in critical care practice" (2019) highlights how healthcare facilities can adopt sustainable design strategies to reduce their environmental footprint [19]. Sustainable architectural designs that enhance natural ventilation, optimize lighting, and promote energy efficiency not only conserve resources but also contribute to infection control. ...
This systematic review explores the intricate relationship between environmental sustainability and infection control in healthcare. A comprehensive examination of twelve selected studies reveals key themes, including the pivotal role of leadership in motivating sustainable practices within healthcare facilities and the integration of sustainable design strategies for effective infection prevention and control. The review emphasizes the significance of strong leadership in driving a culture of environmental responsibility, fostering staff engagement, and ensuring the success of sustainability initiatives. Sustainable design strategies, such as energy-efficient building practices and eco-friendly materials, emerge as essential components of both environmental sustainability and infection control. By creating synergy between these objectives, healthcare facilities can simultaneously reduce their environmental footprint and enhance patient safety. This study underscores the importance of leadership commitment and sustainable design in shaping the future of healthcare toward a more environmentally responsible and infection-resistant paradigm.
... The locus of control in the two examples appears significant. It is known that if individuals have internalised responsibility (and so hold an internal local of control), they perceive that they have more control over outcomes (Baid, 2019). Health locus of control is defined as individual beliefs based on past experiences in health issues, and having external or internal control over them could affect health (Pourhoseinzadeh et al., 2017). ...
There are 14 British Overseas Territories with a quarter of a million British citizens
dispersed across the world. Each territory has a unique history of development, which
can often be seen through textual analysis and the violence of colonialism. Whilst
existing knowledge provides a backdrop to understanding the complex governance that
exists, there is little research to understand the lives of children and young people on
these islands. This matters, because the islanders are British yet are situated far from
the mainland, marginalising their voices in research to date. This thesis focuses on the
Island of St Helena. This project was completed during four months’ fieldwork on St
Helena in 2020/2021 and inevitably was impacted by world events, including the global
pandemic, which shaped the research structure and interactions with children and
families on St Helena Island, providing unique insights into decision-making in a remote
island community. Drawing on the works of Paolo Freire, this project edges towards
transformative foundations, drawing on constructivist grounded theory analysis, shaped
by children’s participation. The thesis introduced creative methods to explore the
emergence of children’s voices in the project through a series of ‘World Café’ events to
support conversation about what matters to children and how children learned what
was important to them. Through this approach, a situated understanding emerged to
explain how children’s future aspirations are realised, alongside what mattered to them
in the here and now. This process of discovery evolved as children grew in their
awareness as being within or outside of their island context, through a process that is
termed within this thesis learning mattering.
Key words: World Café, Remote Childhoods, British Overseas Territories, St
Helena Island, children’s voice
... This "triple-bottomline" sustainability lens 4 provides a comprehensive perspective on how to ensure adequate short-term and long-term resourcing, which also sufficiently satisfies the demand for the provision of quality critical care. 5 The pandemic continues to have substantial impacts on the monetary costs to increase critical care bed capacity, buy more clinical supplies, and most importantly, strengthen the quantity and quality of highly specialized critical care teams, with support from other redeployed staff. The fiscal viability to resource this unprecedented level of expansion due to COVID-19 has been extremely challenging during 2020, which leaves longer-term financial sustainability questionable. ...
... Participants provided written informed consent, which was refreshed verbally before beginning the interviews. The PhD thesis by H.B. 20 contains further details about the research methodology and methods, including a comprehensive explanation of the rationales, strengths, and limitations for primarily following a constructivist grounded theory approach while blending in elements of dimensional analysis 18 and Straussian grounded theory. 19 The PhD thesis 20 also includes the participant information sheet, consent form, additional raw interview data, and examples of memos. ...
Background:
Sustaining high-quality, critical care practice is challenging because of current limits to financial, environmental, and social resources. The National Health Service in England intends to be more sustainable, although there is minimal research into what sustainability means to people working in critical care, and a theoretical framework is lacking that explains the social processes influencing sustainability in critical care.
Aims and objectives:
This study aimed to explain the concept of sustainability from the perspective of practitioners caring for critically ill patients.
Design:
The qualitative research followed a Charmazian constructivist grounded theory approach, including concurrent data collection and interpretation through constant comparison analysis.
Methods:
In-depth interviews were conducted online or by telephone with 11 health care professionals working in critical care in the South of England (8 nurses, 2 physiotherapists, and 1 technician). Schatzman's dimensional analysis and Straussian grounded theory techniques supplemented the data analysis.
Results:
Sustainability was defined as maintaining financial, environmental, and social resources throughout the micro, meso, and macro systems of critical care practice. The most pertinent social process enabling sustainability of critical care was satisficing (satisfaction of achieving a goal of quality care while sufficing within the limits of available resources). Increased satisficing enabled practitioners to fulfil their sense of normative, responsible, sustainable, and flourishing practice. Satisficing was bounded by the cognitive and environmental influences on decisions and an ethical imperative to ensure resources were used wisely through stewarding.
Conclusions:
An explanation of the concept of sustainability and significant social processes, in relation to critical care, are presented in a theoretical framework, with implications for how financial, environmental, and social resources for critical care practice can be maintained.
Relevance to clinical practice:
This theory offers clinicians, managers, educators, and researchers a definition of sustainability in critical care practice and provides a structured approach to addressing critical care sustainability issues.
