A qualitative exploration of barriers, enablers, and implementation strategies to replace disposable medical devices with reusable alternatives
- Author(s)
- Davies, JF; McGain, F; Sloan, E; Francis, J; Best, S;
- Details
- Publication Year 2024-11,Volume 8,Issue #11,Page e937-e945
- Journal Title
- Lancet Planetary Health
- Publication Type
- Review
- Abstract
- Hospitals use many single-use devices that produce more waste and greenhouse gas emissions than reusable devices; operating theatres alone are responsible for up to a third of hospital waste. We explored barriers and enablers to replacing disposable devices with reusable alternatives in operating theatres by use of interviews, the Theoretical Domains Framework, and theory-informed behaviour change techniques. 19 stakeholders were interviewed at a large tertiary hospital in Melbourne, Australia, and 53 barriers and 44 experience-based or intuition-based enablers were identified. 30 strategies were identified across six topics: external purchasing (two strategies); internal purchasing (seven strategies); incentivisation and standardised environmental decision making (three strategies); successful practical introduction of reusable devices (five strategies); identification of goals and facilitation of leadership (two strategies); and a community of practice and knowledge building (11 strategies). We present these 30 implementation strategies, from the individual to the policy level, which consist of evidence-based behaviour change techniques aimed at addressing the identified barriers to replacing single-use devices with reusable alternatives.
- Publisher
- Elsevier
- Keywords
- *Disposable Equipment/economics; Equipment Reuse; Operating Rooms; Victoria; Australia; Equipment and Supplies; Humans
- Department(s)
- Health Services Research
- Publisher's Version
- https://doi.org/10.1016/s2542-5196(24)00241-9
- Open Access at Publisher's Site
https://doi.org/10.1016/s2542-5196(24)00241-9- Terms of Use/Rights Notice
- Refer to copyright notice on published article.
Creation Date: 2024-12-10 07:08:12
Last Modified: 2024-12-10 07:11:57