Dergiler / Hemşirelik Bilimi Dergisi / 2026 / Cilt: 9 Sayı: 2

Ameliyathanelerde Sürdürülebilirlik Uygulamaları: Hemşireler Bu Uygulamaların Neresinde?

Sustainability Practices in Operating Rooms: Where Are Nurses in These Practices?

Kıymet Öztepe Yeşilyurt(ISTANBUL UNIVERSITY-CERRAHPASA, INSTITUTE OF GRADUATE PROGRAMS, SURGICAL NURSING (DR))0000-0003-4106-8864
Tuba Çatak(ISTANBUL GEDIK UNIVERSITY)0000-0002-0834-4858
Cemile Çelebi Tülü(MUGLA SITKI KOCMAN UNIVERSITY)0000-0001-9960-7205
Sayfa
292–301
Yayın Tarihi
2026-08-21
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bu alanda yapılacak olan çalışmaların artmasıyla, sürdürülebilirlik uygulamalarının artacağı, ameliyathane kaynaklı çevre kirliği ve karbon ayak izinin azaltılabileceği öngörülmektedir.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Günümüzde giderek artış gösteren iklim değişikliğinin etkileri, her geçen gün endişeleri artırmaktadır.
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Temel Bulgular & Veri:Sağlık alanına da yansıyan bu etkiler, özellikle perioperatif bakımın sağlanmasında kullanılan ameliyathanelerdeki güncel uygulamaları ve bu uygulamaların iklim değişikliğine olan katkılarını da gündeme getirmektedir.
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Sonuç & Katkı:Bu alanda yapılacak olan çalışmaların artmasıyla, sürdürülebilirlik uygulamalarının artacağı, ameliyathane kaynaklı çevre kirliği ve karbon ayak izinin azaltılabileceği öngörülmektedir.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Ameliyathaneler · Cerrahi · Geri dönüşüm

Özet

Günümüzde giderek artış gösteren iklim değişikliğinin etkileri, her geçen gün endişeleri artırmaktadır. Sağlık alanına da yansıyan bu etkiler, özellikle perioperatif bakımın sağlanmasında kullanılan ameliyathanelerdeki güncel uygulamaları ve bu uygulamaların iklim değişikliğine olan katkılarını da gündeme getirmektedir. Hastanelerdeki en fazla sarf malzeme ve enerji tüketimine, bunun yanında en fazla atık üretimine neden olan ameliyathanelerdeki cerrahi uygulamaların, oldukça yüksek oranlarda iklim krizine neden olduğu belirtilmektedir. Bu alanda henüz sayısı az olan, ancak perioperatif uygulamada sürdürülebilirlikle ilgili artan ilgiyle, gelecekte yapılacak olan araştırmalara rehberlik sağlayabilmek amacıyla hazırlanan bu derlemede, ameliyathanelerin çevreye olan etkilerinin açıklanması, iklim değişikliğinin önlenebilmesi ve sürdürülebilir eylemlerin gerçekleştirebilmesi için özellikle ameliyathanedeki karbondioksit ve diğer sera gazlarının emisyonları ile oluşan çevre kirliliğinin, karbon ayak izinin ve oluşan atıkların azaltılmasına yönelik uygulanabilecek perioperatif sürdürülebilirlik uygulamalarına ve hemşirelere düşen görevlere yer verilmiştir. Bu alanda yapılacak olan çalışmaların artmasıyla, sürdürülebilirlik uygulamalarının artacağı, ameliyathane kaynaklı çevre kirliği ve karbon ayak izinin azaltılabileceği öngörülmektedir.

Abstract

The effects of climate change, which are increasing day by day, increase concerns every day. These effects, which are also reflected in the field of health, bring the current practices in operating theatres, which are used especially in the provision of perioperative care, and the contribution of these practices to climate change to the agenda. It is stated that surgical practices in operating rooms, which cause the highest consumption of consumables and energy in hospitals, as well as the highest waste production, cause a climate crisis at very high rates. In this review, which is prepared in order to provide guidance for future researches with the increasing interest in sustainability in perioperative practice, the perioperative sustainability practices and the duties of nurses that can be applied to explain the effects of operating theatres on the environment, to prevent climate change and to reduce environmental pollution, carbon footprint and waste generated by emissions of carbon dioxide and other greenhouse gases, especially in the operating theatre, and to carry out sustainable actions are included. With the increase in studies in this field, it is predicted that sustainability practices will increase, environmental pollution and carbon footprint of the operating room can be reduced.

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Bu Makaleye Atıf Yap

Yeşilyurt, K. Ö., Çatak, T., Tülü, C. Ç. (2026). Ameliyathanelerde Sürdürülebilirlik Uygulamaları: Hemşireler Bu Uygulamaların Neresinde?. Hemşirelik Bilimi Dergisi, Cilt: 9 Sayı: 2, 292–301. https://doi.org/10.54189/hbd.1628829

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Kaynakça (52)

  1. Albert MG, Rothkopf DM. (2015). Operating room waste reduction in plastic and hand surgery. Plastic Surgery, 23(4), 235-8. doi:10.1177/229255031502300409
  2. Andersen MPS, Nielsen OJ, Wallington TJ, Karpichev B, Sander SP. (2012). Medical intelligence article: Assessing the impact on global climate from general anesthetic gases. Anesth Analg., 114(5), 1081-5. doi:10.1213/ANE.0b013e31824d6150
  3. Association of periOperative Registered Nurses (AORN) (2023). Your Practice-Environmental Sustainability in the OR: What Can You Do? (Accessed: 25.03.2025). https://www.aorn.org/article/your-practice-environmental-sustainability-in-the-OR
  4. Association of periOperative Registered Nurses (AORN) (2020). AORN Position Statement on Environmental Responsibility. Denver, CO: AORN, Inc; 2020. (Accessed: 14.11.2024). https://www.aorn.org/docs/default-source/guidelines-resources/position-statements/patient-workplace-safety/posstat-safety-environmental-responsibility.pdf
  5. Ayyildiz H, Oztel A. (2024). Butunlesik entropi-EDAS yontemi ile COVID-19 pandemisinin havayolu tasimaciliği sektorunde kurumsal surdurulebilirlik performansina etkisinin degerlendirilmesi. H.M. Arsalan (Ed.), Butunlesik çok kriterli karar verme yontemleri içinde (s.41). Gaziantep: Özgür Yayınları.
  6. Banchs R, Lerman J, Wald SH. (2013). The use of nitrous oxide as an adjuvant for inhalation inductions with sevoflurane: A pro–con debate. Pediatric Anesthesia, 23, 557-64. doi:10.1111/pan.12168
  7. Branche R, Feldman J, Hendrickx J. (2017). Low flow and CO2 absorbents. APSF Newsletter, 32(2), 49-50. (Accessed: 14.11.2024). https://www.apsf.org/article/low-flow-andco2-absorbents/.
  8. Buck D, Subramanyam R, Varughese A. (2016). A quality improvement project to reduce the intraoperative use of single-dose fentanyl vials across multiple patients in a pediatric institution. Pediatr Anesth., 26(1), 92-101. doi:10.1111/pan.12774
  9. Charlesworth M, Swinton F. (2017). Anaesthetic gases, climate change, and sustainable practice. Lancet Planet Health, 1(6), e216-e217. doi:10.1016/S2542-5196(17)30040-2
  10. Clayton-Smith M, Narayanan H, Shelton C, Bates L, Brennan F, Diedo B, et al. (2023). Greener operations: A James Lind alliance priority setting partnership to define research priorities in environmentally sustainable perioperative practice through a structured consensus approach. BMJ Open, 13, e066622. doi:10.1136/ bmjopen-2022-066622
  11. Dal Mas F, Cobianchi L, Piccolo D, Balch J, Biancuzzi H, Biffl WL, et al. (2024). Are we ready for "green surgery" to promote environmental sustainability in the operating room? Results from the WSES STAR investigation. World Journal of Emergency Surgery, 19(1), 5. doi:10.1186/s13017-024-00533-y
  12. Davies JF, Ikin B, Francis JJ, McGain F. (2023). Implementation approaches to improve environmental sustainability in operating theatres: A systematic review. British Journal of Anaesthesia, 133(6), 1383-1396. doi:10.1016/j.bja.2023.05.017
  13. Devlin‐Hegedus JA, McGain F, Harris RD, Sherman JD. (2022). Action guidance for addressing pollution from inhalational anaesthetics. Anaesthesia, 77(9), 1023-1029. doi:10.1111/anae.15785
  14. Eckelman MJ, Huang K, Lagasse R, Senay E, Dubrow R, Sherman JD. (2020). Health care pollution and public health damage in the United States: An update. Health Aff (Millwood), 39(12), 2071-2079.
  15. Eisenkraft JB, McGregor DG. (2013). Waste anesthetic gases and scavenging systems. J. Ehrenwerth, J.B. Eisenkraft, J.M. Berry (Eds.), In anesthesia equipment: principles and applications, (2nd edition, p.139-45). Philadelphia: Saunders.
  16. Ewbank C, Gianaris K, Kushner AL. (2023). Climate change and surgical implications. Emergency and Critical Care Medicine, 3(1), 4-5. doi:10.1097/EC9.0000000000000052
  17. Food and Drug Administration (FDA). (2015). Reprocessing medical devices in health care settings: Validation methods and labeling. US Food and Drug Administration, Silver Spring, MD, (Accessed: 14.12.2024). https://www.fda.gov/regulatory-information/search-fda-guidance-documents/reprocessing-medical-devices-health-care-settings-validation-methods-and-labeling
  18. Gordon D. (2020). Sustainability in the operating room reducing our impact on the planet. Anesthesiology Clinics, 38 (2020), 679-692. doi:10.1016/j.anclin.2020.06.006
  19. Guetter CR, Williams BJ, Slama E, Arrington A, Hernry MC, Möller MG, et al. (2018). Greening the operating room. Am J Surg., 216(4), 683-688. doi:10.1016/j.amjsurg.2018.07.021
  20. Herr MM, Outterson RE, Aggarwal S. (2022). Lost in the ether: the environmental impact of anesthesia. Operative Techniques in Orthopaedics, 32(4), 100997. doi:10.1016/j.oto.2022.100997
  21. Huffling K, Schenk E. (2014). Environmental sustainability in the intensive care unit: Challenges and solutions. Crit Care Nurs Q., 37(3), 235-50.
  22. Ilyas S, Srivastava RR, Kim H. (2020). Disinfection technology and strategies for COVID-19 hospital and bio-medical waste management. Science of the Total Environment, 749, 1-11, 141652. doi:10.1016/j.scitotenv.2020.141652
  23. Inan G, Satirlar ZO. (2023). Anestezinin kuresel isinmaya etkisi ve surdurulebilir anestezi gercegi. JARSS, 31(4), 253-266. doi:10.54875/jarss.2023.57804
  24. Karliner J, Guenther R. (2011). A Comprehensive environmental health agenda for hospitals and health systems around the world. Reston, VA: HCWH USA and Canada, 2011. (Accessed: 15.12.2024). https://greenhospitals.org/sites/default/files/2021-09/Global-Green-and-Healthy-Hospitals-Agenda_3.pdf
  25. Kyle E. (2024). Sustainability in the perioperative practice setting. AORN Journal, 119(3), 226-232. doi:10.1002/aorn.14101
  26. Kubicki MA, McGain F, O'Shea CJ, Bates S. (2015). Auditing an intensive care unit recycling program. Crit Care Resusc., 17(2), 135-40. doi:10.1016/S1441-2772(23)01054-2
  27. Law J, Kalogirou MR, Dahlke S. (2021). Nurses as boundary actors in sustainable health care: A discussion paper. Witness: The Canadian Journal of Critical Nursing Discourse, 3(2), 36-46. doi:10.25071/2291-5796.105
  28. Litman RS. (2018). How to prevent medication errors in the operating room? Take away the human factor. British Journal of Anaesthesia, 120(3), 438-440.
  29. MacNeill AJ, Lillywhite R, Brown CJ. (2017). The impact of surgery on global climate: A carbon footprinting study of operating theatres in three health systems. Lancet Planet Health, 1(9), e381-e388. doi:10.1016/S2542-5196(17)30162-6
  30. Mankes RF. (2012). Propofol wastage in anesthesia. Anesth Analg., 114(5), 1091-2. doi:10.1213/ANE.0b013e31824ea491
  31. Martin DM, Yanez CND, Treggiari MM. (2017). An initiative to optimize waste streams in the operating room: RECycling in the operating room (RECOR) project. AANA Journal, 85(2), 108-12.
  32. Mat STB, Baykal U. (2020). Medical waste management and zero waste approach in healthcare organizations. Journal of Health and Nursing Management, 7(3), 441-449.
  33. McGain F, Story D, Hendel S. (2009). An audit of intensive care unit recyclable waste. Anaesthesia, 64(12), 1299-302. doi:10.1111/j.1365-2044.2009.06102.x
  34. National Health System Sustainable Development Unit (NHS). (2012). Carbon footprint update for NHS in England 2012-2013. (Accessed: 11.12.2024). https://www.sduhealth.org.uk/ policy-strategy/reporting/nhs-carbon-footprint.aspx.
  35. Occupational Safety and Health Administration (OSHA). (2020). Hazardous waste operations and emergency response, 2020. (Accessed: 25.11.2024). https:// www.osha.gov/Publications/oSHA3114/osha3114.html
  36. Ogden J. (2009). Blue wrap recycling: It can be done! AORN Journal, 89(4), 739-43. doi:10.1016/j.aorn.2008.12.024
  37. Olgun S, Yanardag CH. (2021). Ameliyathane hemsirelerinin tibbi atik yonetimi. City Health Journal, 2(2), 85-90.
  38. Peregrin T. (2015). Strategies for sustainability: Going green in the OR. Chicago, IL: Bulletin of the American College of Surgeons. (Accessed: 6.12.2024), https://bulletin.facs.org/2015/05/strategies-for-sustainability-goinggreen-in-the-or.
  39. Perry H, Reeves N, Ansell J, Cornish J, Torkington J, Morris DS, et al. (2023). Innovations towards achieving environmentally sustainable operating theatres: A systematic review. The Surgeon, 21(3), 141-151.
  40. Pradere B, Mallet R, de La Taille A, Bladou F, Prunet D, Beurrier S, et al. (2023). Climate-smart actions in the operating theatre for improving sustainability practices: A systematic review. European Urology, 83(4), 331-342.
  41. Roa L, Velin L, Tudravu J, McClain CD, Bernstein A, Meara JG. (2020). Climate change: Challenges and opportunities to scale up surgical, obstetric, and anaesthesia care globally. Lancet Planet Health, 4(11), e538-e543. doi:10.1016/S2542-5196(20)30247-3
  42. Romanello M, McGushin A, Di Napoli C, Drummond P, Hughes N, Jamart L, et al. (2021). The 2021 Report of the Lancet Countdown on health and climate change: Code red for a healthy future. Lancet, 398, 1619-62.
  43. Ryan SM, Nielsen CJ. (2010). Global warming potential of inhaled anesthetics: Application to clinical use. Anesth Analg., 111(1), 92-8. doi:10.1213/ANE.0b013e3181e058d7
  44. Sheppy M, Pless S, Kung F. (2014). Healthcare energy end-use monitoring. National Renewable Energy Laboratory. doi:10.2172/1155107. https://www.nrel.gov/docs/ fy14osti/61064.pdf. Accessed: 20.12.2024
  45. Sherman J. (2019). Reusable vs. disposable laryngoscopes. APSF Newsletter, 33, 91. https://www.apsf.org/article/reusable-vs-disposable-laryngo scopes/.
  46. Sherman JS, Feldman J, Berry JM. (2017). Reducing inhaled anesthetic waste and pollution. Anesthesiology News. https://www.anesthesiologynews. com/Commentary/Article/04-17/Reducing-Inhaled-Anesthetic-Waste-and-Pollution/ 40910
  47. Sherman J, Le C, Lamers V, Eckelman M. (2012). Life cycle greenhouse gas emissions of anesthetic drugs. Anesth Analg., 114, 1086-90. doi:10.1213/ANE.0b013e31824f6940
  48. Simsek HG, Ozsoy SA. (2024). Saglik kuruluslarinda hemsireler icin yesil bir uygulama: Geri donusum. İzmir Katip Celebi Universitesi Saglik Bilimleri Fakultesi Dergisi, 9(1), 145-151. doi:10.61399/ikcusbfd.1277821
  49. Soyam GC, Hiwarkar AP, Kawalkar UG, Soyam VC, Gupta VK. (2017). KAP study of bio-medical waste management among health care workers in Delhi. Int J Community Med Public Health, 4(9), 3332-3337. doi:10.18203/2394-6040.ijcmph20173840
  50. Tekin S, Korkmaz AC. (2022). Nurses’ stance against climate crisis: Planetary health nursing. II. International Health and Climate Change Congrees (IHCC), (p. 100-105).
  51. World Health Organization (WHO) (2011). Pharmaceuticals in Drinking-Water. https://www.who.int/water_sanitation_health/publications/2011/pharmaceuticals_20110601.pdf.
  52. World Health Organization (WHO) (2023). Climate Change. https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health