Valutazione della sostenibilità nelle sale operatorie: validazione di contenuto e di facciata della Green Theatre Checklist

Martina Batino; Elisabetta Mezzalira; Federica Pirro; Francesca Gigola; Antonino Morabito; Daniele Ciofi

doi:10.54103/dn/28131

Authors

Martina Batino NEUROFARBA Department, University of Firenze https://orcid.org/0009-0002-1387-4201
Elisabetta Mezzalira Department of Women’s and Children’s Health, University of Padua, Padua, Italy https://orcid.org/0000-0003-0486-0342
Federica Pirro ASL TO5, Santa Croce Hospital, Moncalieri, Italy https://orcid.org/0000-0001-6740-9239
Francesca Gigola Specialization School in Pediatric Surgery, University of Florence, Florence, Italy https://orcid.org/0000-0001-6732-4243
Antonino Morabito NEUROFARBA Department, University of Firenze, Firenze, Italy https://orcid.org/0000-0002-5323-3620
Daniele Ciofi Nursing Research Unit, AOU Meyer IRCCS, Florence, Italy https://orcid.org/0000-0001-6622-8508

DOI:

https://doi.org/10.54103/dn/28131

Keywords:

operating room, healthcare system, carbon footprint, program sustainability, nursing, nurses

Abstract

BACKGROUND:
This study describes the process of translation, adaptation, and validation of the Italian version of the Green Theatre Checklist (GTC), a tool designed to improve environmental sustainability in operating rooms. The aim is to reduce the environmental impact of the healthcare sector, which contributes to 5% of global carbon emissions, with a particular focus on operating rooms, one of the most impactful areas. The checklist was developed by the Royal College of Surgeons of Edinburgh to provide practical guidelines on how to minimize carbon emissions during surgical procedures.

METHODS:
The validation process took place in Italy between June - October 2024 and involved a heterogeneous sample of nurses, doctors, and academics. International guidelines for the translation and cultural adaptation of instruments were followed, with two independent translations and a comparison between versions. The validation included verifying the comprehensibility, clarity, and relevance of the checklist items.

RESULTS:
Results showed a good level of acceptability (S-CVI = 0.93), with the exception of some items that were subsequently modified to improve clarity.

CONCLUSIONS:
The Italian Green Theatre Checklist represents a useful tool to guide healthcare personnel in making surgical practices more sustainable without compromising the quality of care. This study provides an important contribution to promoting more sustainable healthcare in Italy, with the aim of reducing the environmental impact of the sector and raising awareness among operators towards more responsible practices.

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