Register      Login
New South Wales Public Health Bulletin New South Wales Public Health Bulletin Society
Supporting public health practice in New South Wales
RESEARCH ARTICLE

Environmentally sustainable health care: using an educational intervention to engage the public health medical workforce in Australia

Kate E. Charlesworth A E , D. Lynne Madden B and Anthony G. Capon C D
+ Author Affiliations
- Author Affiliations

A NSW Public Health Officer Training Program, NSW Ministry of Health

B School of Medicine, Sydney, The University of Notre Dame (formerly Public Health Training and Workforce, Centre for Epidemiology and Evidence NSW Ministry of Health)

C Faculty of Health, University of Canberra

D International Institute for Global Health, United Nations University, Kuala Lumpur

E Corresponding author. Email: kate.charlesworth@gmail.com

NSW Public Health Bulletin 24(2) 76-80 https://doi.org/10.1071/NB12097
Published: 7 November 2013

Abstract

Awareness of the benefits of environmentally sustainable health care is growing. In the United Kingdom in 2010, an educational intervention on sustainable health care was successfully delivered to public health registrars. We conducted a feasibility study to test the intervention in Australia. Methods: The intervention consisted of a 1-day workshop delivered face-to-face covering climate change, sustainability and health. The workshop was modified, piloted and then delivered to 33 health professionals. Modifications included using Australian resources, introducing active learning exercises and including guest speakers. Delivery by videoconference was trialled. Outcomes were assessed in three areas – awareness, advocacy and action – using questionnaires and follow-up telephone interviews. Results: There were improvements in participants’ mean awareness and advocacy scores. All participants rated sustainability as ‘important’ for health professionals and many looked to their professional organisation to take a lead advocacy role on this issue. Discussion: This study demonstrated that the workshop is feasible for use in Australia; the modifications and delivery by videoconference were well received.


References

[1]  Healthy Hospitals, Healthy Planet, Healthy People. Addressing climate change in health care settings [Discussion Draft]. World Health Organization & Health Care Without Harm. Available at: http://www.who.int/globalchange/publications/climatefootprint_report.pdf (Cited 5 August 2013).

[2]  Pencheon D, Rissel CE, Hadfield G, Madden DL. Health sector leadership in mitigating climate change: experience from the UK and NSW. N S W Public Health Bull 2009; 20 173–6.
| 20132739PubMed |

[3]  Boyden S. The Biology of Civilisation: Understanding Human Culture as a Force in Nature. Sydney: UNSW Press; 2004.

[4]  Rockström J, Steffen W, Noone K, Persson A, Chapin FS, Lambin EF, et al. A safe operating space for humanity. Nature 2009; 461 472–5.
A safe operating space for humanity.Crossref | GoogleScholarGoogle Scholar | 19779433PubMed |

[5]  Barna S. Teaching Sustainable Healthcare in English Medical Schools Survey 2010 – Summary of Results. Sustainable Healthcare Education Network. Available at: http://greenerhealthcare.org/sustainable-healthcare-education/resources/2012/02/teaching-sustainable-healthcare-english-medical-s (Cited 5 August 2013).

[6]  Health Environmental Sustainability Strategy NSW. 2012 to 2015. Available at: http://www0.health.nsw.gov.au/pubs/2012/pdf/env_sus_strat201215.pdf (Cited 29 August 2013).

[7]  Charlesworth KE, Ray S, Head F, Pencheon D. Developing an environmentally sustainable NHS: outcomes of implementing an educational intervention on sustainable health care with UK public health registrars. N S W Public Health Bull 2012; 23 27–30.
Developing an environmentally sustainable NHS: outcomes of implementing an educational intervention on sustainable health care with UK public health registrars.Crossref | GoogleScholarGoogle Scholar | 22487330PubMed |

[8]  Charlesworth K, Madden L, Capon A, Englehard S. Climate Change, Sustainability and Health – Workshops for Medical Professionals: Evaluation Report. July 2011, Australasian Faculty of Public Health Medicine. Available at: http://www.racp.edu.au/page/racp-faculties/australasian-faculty-of-public-health-medicine/news-and-events/reports/ (Cited 5 August 2013).

[9]  Green EI, Blashki G, Berry HL, Harley D, Horton G, Hall G. Preparing Australian medical students for climate change. Aust Fam Physician 2009; 38 726–9.
| 19893803PubMed |

[10]  Sarfaty M, Abouzaid S. The physician's response to climate change. Fam Med 2009; 41 358–63.
| 19418286PubMed |

[11]  Rotgans JI, Schmidt HG. Situational interest and academic achievement in the active-learning classroom. Learn Instr 2011; 21 58–67.
Situational interest and academic achievement in the active-learning classroom.Crossref | GoogleScholarGoogle Scholar |

[12]  Schraw G, Lehman S. Situational interest: a review of the literature and directions for future research. Educ Psychol Rev 2001; 13 23–52.
Situational interest: a review of the literature and directions for future research.Crossref | GoogleScholarGoogle Scholar |

[13]  Tomlinson J, Munro A, Johnson R, Madden DL, Phillips R, McGregor D, et al. How does tele-learning compare with other forms of education delivery? A systematic review of tele-learning educational outcomes for health professionals. N S W Public Health Bull 2013; 24 70–5.

[14]  British Prime Minister David Cameron pledges that his government will be, “the greenest government ever” when speaking to civil servants at the Department of Energy and Climate Change, London, May 2010. Available at: http://www.guardian.co.uk/environment/2010/may/14/cameron-wants-greenest-government-ever (Cited 5 August 2013).

[15]  Climate Change Act 2008 (c.27), House of Lords Hansard Vol.705 Col.1477, House of Commons Hansard Vol.485 Col.855. London: HMSO (26 November 2008).

[16]  UK Climate Change Risk Assessment. Government Report. Department for Environment, Food and Rural Affairs (United Kingdom). London: The Stationery Office; January 2012. Available at: http://www.defra.gov.uk/publications/2012/01/26/pb13698-climatechange-riskassessment/ (Cited 5 August 2013).

[17]  NSW Government Sustainability Policy. Department of Environment & Climate Change NSW, 2008. Available at: http://www.environment.nsw.gov.au/government/policy.htm (Cited 5 August 2013).

[18]  Hughes L, McMichael T. The Critical Decade: Climate Change and Health. Commonwealth of Australia (Department of Climate Change and Energy Efficiency), 2011. Available at: http://climatecommission.gov.au/wp-content/uploads/111129_FINAL-FOR-WEB.pdf (Cited 5 August 2013).