{"id":10780,"date":"2023-09-18T06:00:59","date_gmt":"2023-09-18T05:00:59","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=10780"},"modified":"2023-09-14T06:15:17","modified_gmt":"2023-09-14T05:15:17","slug":"greening-the-curriculum-opinions-and-barriers-to-sustainable-health-education-for-physiotherapists-part-1","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2023\/09\/18\/greening-the-curriculum-opinions-and-barriers-to-sustainable-health-education-for-physiotherapists-part-1\/","title":{"rendered":"Greening the Curriculum: Opinions and Barriers to Sustainable Health Education for Physiotherapists: Part 1"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Keywords: Physiotherapy education, sustainable healthcare, barriers to change.\u00a0<\/span><\/p>\n<p><b>Introduction <\/b><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">Sustainable health education (SHE) in physiotherapy is emerging, with eighty-five education institutions currently incorporating an element of it in their physiotherapy curriculums globally [1]. This blog will outline a recent undergraduate study into the opinions of physiotherapy students and graduates from the University of Nottingham (UoN) on SHE, <\/span><a href=\"https:\/\/environmentalphysio.com\/wp-content\/uploads\/2023\/08\/Kent-2023-Opinions-on-Sustainable-Health-Education-in-Physiotherapy.pdf\"><span style=\"font-weight: 400\">available here<\/span><\/a><span style=\"font-weight: 400\">.\u00a0\u00a0<\/span><\/p>\n<p><b>Why is this study important?<\/b> <span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">Climate change is the single biggest health threat facing humanity, yet paradoxically, healthcare is responsible for 5% of carbon emissions in the UK [4]. Research shows that healthcare professionals (HCPs) lack knowledge of the relationship between planetary and human health, and understanding this relationship can lead to positive changes in clinicians\u2019 practices, policies, and patient care [3, 5, 6]. To tackle this, the field of environmental physiotherapy has been developed [7, 8, 9, 10] and some universities have started to incorporate SHE into their physiotherapy curriculums [1]. The University of Nottingham is planning to do this in its recently accredited programme, by beginning modules such as \u201cHealth in Society\u201d, \u201cPopulation Health and Wellbeing\u201d and \u201cSustainable Health\u201d. This study explored the opinions of students and graduates on this idea and <\/span><span style=\"font-weight: 400\">identified<\/span><span style=\"font-weight: 400\"> barriers to change. By addressing these barriers, the university can optimise the chances of engagement with SHE in the future [2].<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-10782\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/physio-1-300x240.jpeg\" alt=\"\" width=\"300\" height=\"240\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/physio-1-300x240.jpeg 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/physio-1.jpeg 512w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><i><span style=\"font-weight: 400\">Figure 1<\/span><\/i><i><span style=\"font-weight: 400\"> Picture by <\/span><\/i><a href=\"https:\/\/unsplash.com\/photos\/LyORqx-3O-c\"><i><span style=\"font-weight: 400\">Greg Rosenke<\/span><\/i><\/a><\/p>\n<p><b>What did we do?<\/b> <span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">This study designed, piloted, and shared an online study to gain knowledge of student and graduate opinions on the topic outlined. 34 students and 11 graduates responded to the questionnaire. Results were then analysed descriptively, using statistics and frequencies to describe quantitative data and thematic coding to share qualitative data. All types of data were used to identify barriers to the implementation of SHE into the curriculum.\u00a0<\/span><\/p>\n<p><b>What did the study find?\u00a0<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Twenty-eight (62%) of participants believed sustainability topics should be incorporated into physiotherapy education. The remaining seventeen (38%) believed this should not happen.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Thirty participants had positive initial reactions to SHE (interested, excited, pleased, relieved), five had negative reactions (boring, frazzled, not interested, neutral), and eighteen mentioned being confused by the concept. This demonstrates the need for further explanation.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Seven themes were identified from open text responses, as shown in figure 2.<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-10781\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Screenshot-2023-09-14-at-17.11.29-300x160.png\" alt=\"\" width=\"411\" height=\"219\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Screenshot-2023-09-14-at-17.11.29-300x160.png 300w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Screenshot-2023-09-14-at-17.11.29-768x409.png 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Screenshot-2023-09-14-at-17.11.29-640x341.png 640w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Screenshot-2023-09-14-at-17.11.29.png 1002w\" sizes=\"auto, (max-width: 411px) 100vw, 411px\" \/><\/p>\n<p><i><span style=\"font-weight: 400\">Figure 2. Themes Identified<\/span><\/i><\/p>\n<p><b style=\"font-size: 1rem\">Responsibility<\/b><span style=\"font-weight: 400\"> &#8211; Some participants believed it was everyone\u2019s responsibility to take climate action, whereas others believed that HCPs should not be burdened with this. \u00a0<\/span><\/p>\n<p><b>Necessity<\/b><span style=\"font-weight: 400\"> &#8211; Several participants acknowledged the importance of climate action.\u00a0<\/span><\/p>\n<p><b>Priorities<\/b><span style=\"font-weight: 400\"> \u2013 Some participants believed that priorities like hygiene, patient care, finances and avoiding burnout were more important in a healthcare setting.\u00a0<\/span><\/p>\n<p><b>Education <\/b><span style=\"font-weight: 400\">\u2013 Several participants noted they did not know enough about this topic.\u00a0\u00a0<\/span><\/p>\n<p><b>Workload and relevance <\/b><span style=\"font-weight: 400\">&#8211; <\/span><span style=\"font-weight: 400\">Some participants worried that SHE would increase the workload or even disengage students.\u00a0<\/span><\/p>\n<p><b>Interventions \u2013<\/b><span style=\"font-weight: 400\"> Graduates identified seven types of interventions that they were aware of that reduced the impact of healthcare on the environment.\u00a0<\/span><\/p>\n<p><b>Impact \u2013<\/b><span style=\"font-weight: 400\"> Some graduates stated sustainability efforts had little to no impact on them. Others explained that they had seen patients whose health had been worsened by poor environmental conditions.<\/span><\/p>\n<p><b>Three main barriers to implementation were identified<\/b><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">(1) Belief that planetary health is not relevant to clinical practice. <\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">(2) Belief that there are bigger priorities to learn about in healthcare. <\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">(3) Concern that it would increase the workload for students.\u00a0<\/span><\/p>\n<p><b>Conclusion<\/b><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">This blog has summarised the results of a recent study into opinions of SHE. For ideas on what the next steps could be, please see the following blog.\u00a0<\/span><\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-10784\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Infographic-blog-1--141x300.png\" alt=\"\" width=\"187\" height=\"398\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Infographic-blog-1--141x300.png 141w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Infographic-blog-1--768x1629.png 768w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Infographic-blog-1--724x1536.png 724w, https:\/\/blogs.bmj.com\/bjsm\/files\/2023\/09\/Infographic-blog-1-.png 943w\" sizes=\"auto, (max-width: 187px) 100vw, 187px\" \/><\/strong><\/p>\n<p><strong>Author<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Millie Kent, Physiotherapist, University of Nottingham graduate, Twitter @MillieKentPT.\u00a0<\/span><\/p>\n<p><b>Acknowledgements\u00a0 <\/b><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">Ann Gates, Honorary Associate Professor University of Nottingham. <\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">Fiona Moffatt, Associate Professor University of Nottingham.<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">Filip Maric, Associate Professor, UiT the Artic University of Norway. <\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">Roger Kerry, Professor of Physiotherapy Education University of Nottingham.\u00a0<\/span><\/p>\n<p><b>Competing Interests<\/b><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">No competing interests.\u00a0<\/span><\/p>\n<p><b>References\u00a0<\/b><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">EPT Agenda 2023. (n.d.). <\/span><i><span style=\"font-weight: 400\">EPT Agenda 2023 | Participating Institutions<\/span><\/i><span style=\"font-weight: 400\">.\u00a0 Available online: <\/span><a href=\"https:\/\/eptagenda2023.com\/participating-institutions\"><span style=\"font-weight: 400\">https:\/\/eptagenda2023.com\/participating-institutions<\/span><\/a><span style=\"font-weight: 400\"> [Accessed 17\/08\/2023].\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Fagiewicz K, Churski P, Herodowicz T, Kaczmarek P, Lupa P, Morawska-Jancelewicz J, &amp; Mizgajski A. (2021). Cocreation for Climate Change\u2014Needs for Actions to Vitalize Drivers and Diminish Barriers. <\/span><i><span style=\"font-weight: 400\">Weather, Climate, and Society<\/span><\/i><span style=\"font-weight: 400\">, <\/span><i><span style=\"font-weight: 400\">13<\/span><\/i><span style=\"font-weight: 400\">(3), 555\u2013570. https:\/\/doi.org\/10.1175\/WCAS-D-20-0114.1<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Hathaway J, &amp; Maibach EW. (2018). Health Implications of Climate Change: A Review of the Literature About the Perception of the Public and Health Professionals. <\/span><i><span style=\"font-weight: 400\">Current Environmental Health Reports<\/span><\/i><span style=\"font-weight: 400\">, <\/span><i><span style=\"font-weight: 400\">5<\/span><\/i><span style=\"font-weight: 400\">(1), 197\u2013204. https:\/\/doi.org\/10.1007\/S40572-018-0190-3\/METRICS<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Karliner J, Slotterback S, Boyd R, Ashby B, &amp; Steele K. (2019). <\/span><i><span style=\"font-weight: 400\">HEALTH CARE\u2019S CLIMATE FOOTPRINT Health Care Without Harm and ARUP<\/span><\/i><span style=\"font-weight: 400\">. Available online: <\/span><a href=\"https:\/\/www.arup.com\/perspectives\/publications\/research\/section\/healthcares-climate-footprint\"><span style=\"font-weight: 400\">https:\/\/www.arup.com\/perspectives\/publications\/research\/section\/healthcares-climate-footprint<\/span><\/a><span style=\"font-weight: 400\"> [Accessed 30.04.23].<\/span><span style=\"font-weight: 400\">\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Kotcher J, Maibach E, Miller J, Campbell E, Alqodmani L, Maiero M, &amp; Wyns A. (2021). Views of health professionals on climate change and health: a multinational survey study. In <\/span><i><span style=\"font-weight: 400\">The Lancet Planetary Health<\/span><\/i><span style=\"font-weight: 400\"> (Vol. 5, Issue 5, pp. e316\u2013e323). https:\/\/doi.org\/10.1016\/S2542-5196(21)00053-X<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Lister HE, Mostert K, Botha T, Van der Linde S, van Wyk E, Rocher SA, Laing R, Wu L, M\u00fcller S, des Tombe A, Kganyago T, Zwane N, Mphogo B, &amp; Maric F. (2022). South African Healthcare Professionals\u2019 Knowledge, Attitudes, and Practices Regarding Environmental Sustainability in Healthcare: A Mixed-Methods Study. <\/span><i><span style=\"font-weight: 400\">International Journal of Environmental Research and Public Health<\/span><\/i><span style=\"font-weight: 400\">, <\/span><i><span style=\"font-weight: 400\">19<\/span><\/i><span style=\"font-weight: 400\">(16). https:\/\/doi.org\/10.3390\/ijerph191610121<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Maric F, &amp; Nicholls D. (2019). A call for a new environmental physiotherapy &#8211; An editorial. In <\/span><i><span style=\"font-weight: 400\">Physiotherapy Theory and Practice<\/span><\/i><span style=\"font-weight: 400\"> (Vol. 35, Issue 10, pp. 905\u2013907). Taylor and Francis Ltd. https:\/\/doi.org\/10.1080\/09593985.2019.1632006<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Padhy, G., &amp; Raj, J. (2021). Environmental Physiotherapy and Global Issues. <\/span><i><span style=\"font-weight: 400\">International Journal of Innovative Science and Research Technology<\/span><\/i><span style=\"font-weight: 400\">, <\/span><i><span style=\"font-weight: 400\">6<\/span><\/i><span style=\"font-weight: 400\">(10). https:\/\/doi.org\/10.1080\/09593985.2019.1632006<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Palstam, A., Andersson, M., Lange, E., &amp; Grenholm, A. (2021). A Call to Include a Perspective of Sustainable Development in Physical Therapy Research. <\/span><i><span style=\"font-weight: 400\">Physical Therapy<\/span><\/i><span style=\"font-weight: 400\">, <\/span><i><span style=\"font-weight: 400\">101<\/span><\/i><span style=\"font-weight: 400\">(3), 1\u20134. https:\/\/doi.org\/10.1093\/PTJ\/PZAA228\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Palstam, A., Sehdev, S., Barna, S., Andersson, M., &amp; Liebenberg, N. (2022). <\/span><i style=\"font-size: 1rem\">Sustainability in physiotherapy and rehabilitation<\/i><span style=\"font-weight: 400\">.<\/span><\/li>\n<\/ol>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Keywords: Physiotherapy education, sustainable healthcare, barriers to change.\u00a0 Introduction Sustainable health education (SHE) in physiotherapy is emerging, with eighty-five education institutions currently incorporating an element of it in their physiotherapy curriculums globally [1]. This blog will outline a recent undergraduate study into the opinions of physiotherapy students and graduates from the University of Nottingham (UoN) [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2023\/09\/18\/greening-the-curriculum-opinions-and-barriers-to-sustainable-health-education-for-physiotherapists-part-1\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":463,"featured_media":10786,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16068,89,16208],"class_list":["post-10780","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-featured","tag-physiotherapy","tag-sustainability"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Greening the Curriculum: Opinions and Barriers to Sustainable Health Education for Physiotherapists: Part 1 - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/?p=10780\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Greening the Curriculum: Opinions and Barriers to Sustainable Health Education for Physiotherapists: Part 1 - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"Keywords: Physiotherapy education, sustainable healthcare, barriers to change.\u00a0 Introduction Sustainable health education (SHE) in physiotherapy is emerging, with eighty-five education institutions currently incorporating an element of it in their physiotherapy curriculums globally [1]. 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