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Fizyoterapistlerin Çevresel Farkındalığı ve Sosyal Sorumluluğu: Sağlık Profesyonelleri Arasında Karşılaştırmalı Bir Çalışma

Year 2025, Volume: 1 Issue: 1, 9 - 17, 17.07.2025

Abstract

Sağlık profesyonellerinin iklim değişikliği konusundaki rolleri üzerine çalışmalar yapılmış olsa da, fizyoterapistlerin çevresel farkındalıkları ve sorumluluklarıyla ilgili araştırmalar sınırlıdır. Fizyoterapistlerin bu konudaki bakış açılarını anlamak, hedefe yönelik müdahalelerin geliştirilmesine katkı sağlayabilir. Bu çalışma, fizyoterapistlerin iklim değişikliği farkındalığı, sosyal sorumlulukları ve çevresel tutumları arasındaki ilişkiyi incelemekte ve diğer sağlık profesyonelleriyle karşılaştırmaktadır.Çalışmaya fizyoterapistler, hemşireler ve hekimler dâhil edilmiş, veri toplama süreci çevrim içi ve yüz yüze anketler yoluyla gerçekleştirilmiştir. Çevresel tutumlar Yeni Ekolojik Paradigma Ölçeği, iklim değişikliği farkındalığı İklim Değişikliği Farkındalık Ölçeği ve sosyal sorumluluk ise Kişisel ve Sosyal Sorumluluk Ölçeği ile değerlendirilmiştir. Çalışmaya 49 fizyoterapist, 58 hemşire ve 38 hekim katılmıştır. Gruplar arasında Yeni Ekolojik Paradigma Ölçeği – Çevreci Alt Ölçeği puanlarında anlamlı fark bulunmuştur (p<0.05). Fizyoterapist grubunda, İklim Değişikliği Farkındalık Ölçeği – İklim Değişikliği ile İlgili Kaygı Düzeyi alt ölçeği ile Yeni Ekolojik Paradigma Ölçeği – Çevreci Alt Ölçeği arasında pozitif bir korelasyon saptanmıştır (p<0.05). Ayrıca, İklim Değişikliği Farkındalık Ölçeği – Davranış ve Politikalardan Beklentiler alt ölçeği, hem Yeni Ekolojik Paradigma Ölçeği – Çevreci Alt Ölçeği hem de Kişisel ve Sosyal Sorumluluk Ölçeği ile pozitif korelasyon göstermiştir (p<0.05). Diğer parametreler arasında anlamlı bir ilişki saptanmamıştır (p>0.05). Hekimler, fizyoterapistler ve hemşireler benzer düzeyde iklim farkındalığı ve çevresel duyarlılık göstermektedir. Sağlık profesyonellerine yönelik farkındalık ve eğitim kampanyaları büyük önem taşımaktadır. Fizyoterapistlerin çevresel tutumlarının geliştirilmesi, iklim farkındalıklarını artırabilir. Daha geniş örneklemle yapılacak ileri çalışmalar gereklidir.

References

  • 1-Romanello M, Di Napoli C, Drummond P, Green C, Kennard H, Lampard P, et al. The 2022 report of the Lancet Count down on health and climate change:health at the mercy of fossil fuels. The Lancet. 2022;400(10363):1619–54.
  • 2-Myers SS. Planetary health: protecting human health on a rapidly changing planet. The Lancet. 2017;390(10114):2860–8.
  • 3-Mayner L, Arbon P. Climate change, health and the need to increase resilience and capacity. Collegian. 2010;17(4):151–2.
  • 4-World Health Organization. WHO global strategy on health, environment and climate change: the transformation needed to improve lives and wellbeing sustainably through healthy environments(Internet). World Health Organization; 2020. Available from: https://www.who.int/publications-detail-redirect/9789240000377
  • 5-Weiland S, Hickmann T, Lederer M, Marquardt J, Schwinden hammer S. The 2030 agenda for sustainable development: transformative change through the sustainable development goals? Politics and Governance. 2021;9(1):90–5.
  • 6-Narain S, Mathye D. Do physiotherapists have a role to play in the Sustainable Development Goals? A qualitative exploration. South African Journal ofPhysiotherapy . 2019;75(1):466.
  • 7-Maric F, Nicholls D. A call for a new environmentalphysiotherapy - An editorial. Physiotherapy Theoryand Practice. 2019 Oct 3;35(10):905–7.
  • 8-Maric F, Groven KS, Banerjee S, Dahl-Michelsen T. Essentials for sustainable physiotherapy: introducing environmental reasoning into physiotherapy clinical decision-making. Fysioterapeuten. 2021;4:54–8.
  • 9-Iturriza M, Hernantes J, Abdelgawad AA, Labaka L. Are cities aware enough? A framework for developing city awareness to climate change. Sustainability. 2020;12(6):2168.
  • 10-Milfont TL. Psychology of environmental attitudes.Unpublished doctoral thesis, The University of Auckland, Auckland, NZ (Internet). 2007.
  • 11-Kalogirou MR, Dahlke S, Davidson S, Yamamoto S.Nurses’ perspectives on climate change, health and nursing practice. Journal of Clinical Nursing. 2020;29(23–24):4759–68.
  • 12-Polivka BJ, Chaudry RV, Mac Crawford J. Public Health Nurses’ Knowledge and Attitudes Regarding Climate Change. Environ Health Perspect. 2012;120(3):321–5.
  • 13-Croitoru C, Ciobanu E, Şalaru V. The level of knowledge of family doctors on climate change. Romanian Journal of Occupational Medicine. 2020;71(1):12–9.
  • 14-Boland TM, Temte JL. Family Medicine Patient and Physician Attitudes Toward Climate Change and Health in Wisconsin. Wilderness & Environmental Medicine. 2019;30(4):386–93.
  • 15-Yetiş H, Aktaş B. Sağlık bilimleri fakültesinde okuyan öğrencilerin bireysel sosyal sorumluluk düzeyleri ve etkileyen faktörlerin belirlenmesi. Hemşirelik Bilimi Dergisi. 2021;4(2):46–51.
  • 16-Dunlap RE, Van Liere KD. The “New Environmental Paradigm.” The Journal of Environmental Education. 1978 Jul;9(4):10–9.
  • 17-Furman A. A Note on Environmental Concern in a Developing Country: Results From an Istanbul Survey. Environment and Behavior. 1998;30(4):520–34.
  • 18-Aytaç M, Öngen B. Doğrulayıcı faktör analizi ile yeni çevresel paradigma ölçeğinin yapı geçerliliğinin incelenmesi. İstatistikçiler Dergisi: İstatistik ve Aktüerya. 2012;5(1):14–22.
  • 19-Ataklı G, Kuran H. İklim değişikliği farkındalık ölçeğinin geliştirilmesi. Biological Diversity and Conservation. 2022;15(2):150–61.
  • 20-Li W, Wright PM, Rukavina PB, Pickering M. Measuring students’ perceptions of personal and social responsibility and the relationship to intrinsic motivation in urban physical education. Journal of teaching in Physical Education. 2008;27(2):167–78.
  • 21-Filiz B, Demirhan G. Bireysel ve sosyal sorumluluk ölçeği’nin (BSS-Ö) Türk diline uyarlanma çalışması. Spor Bilimleri Dergisi. 2015;26(2):51–64.
  • 22-United Nations Economic and Social Commission for Asia and the Pacific (ESCAP). SDG 13: Climate action: take urgent action to combat climate change and its impacts. 2021. Available from: https://repository.unescap.org/handle/20.500.12870/4621
  • 23-Biçer BK, Vaizoğlu SA. Hemşirelik Bölümü Öğrencilerinin Küresel Isınma/İklim Değişikliği Hakkındaki Bilgi ve Farkındalıklarının Belirlenmesi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2015;2(2):30–43.
  • 24-Rice MB, Rabin AS. The Physician’s Response to Climate Change. In: Pinkerton KE, Rom WN, editors. Climate Change and Global Public Health (Internet). Cham: Springer International Publishing; 2021. p. 583–91. (Respiratory Medicine). Available from: http://link.springer.com/10.1007/978-3-030-54746-2_29
  • 25-Lenzen M, Malik A, Li M, Fry J, Weisz H, Pichler PP, et al. The environmental footprint of health care: a global assessment. The Lancet Planetary Health. 2020;4(7):e271–9.
  • 26-Condon A. Environmental sustainability in physiotherapy: Can we be more ‘green’?. Central Health Physiotherapy. Available from: https://www.centralhealthphysiotherapy.com.

Physiotherapists’ environmental awareness and social responsibility: a comparative study among healthcare professionals

Year 2025, Volume: 1 Issue: 1, 9 - 17, 17.07.2025

Abstract

While healthcare professionals' roles in climate change have been studied, research on physiotherapists' environmental awareness and responsibilities is limited. Understanding their perspectives can help develop targeted interventions. This study examines the relationship between physiotherapists' climate change awareness, social responsibility, and environmental attitudes, comparing them with other healthcare professionals. The study included physiotherapists, nurses, and physicians through web-based and face-to-face surveys. Environmental attitudes were assessed using the New Ecological Paradigm Scale, climate change awareness with the Climate Change Awareness Scale, and social responsibility with the Personal and Social Responsibility Scale. A total of 49 physiotherapists, 58 nurses, and 38 physicians participated. A significant difference was found in the 'New Ecological Paradigm Scale - Environmentalist Subscale' among groups (p<0.05). Within physiotherapists, a positive correlation was found between the 'Climate Change Awareness Scale - Anxiety Level Related to Climate Change' subscale and the 'New Ecological Paradigm Scale - Environmentalist Subscale' (p<0.05). Additionally, the 'Climate Change Awareness Scale - Expectations from Behaviors and Policies' subscale correlated positively with both the 'New Ecological Paradigm Scale - Environmentalist Subscale' and the 'Personal and Social Responsibility Scale' (p<0.05). No significant correlations were found among other parameters (p>0.05). Physicians, physiotherapists, and nurses exhibit similar climate awareness and environmental sensitivity. Awareness and education campaigns targeting healthcare professionals are essential. Improving physiotherapists' environmental attitudes may enhance climate awareness. Further studies with larger samples are needed.

Supporting Institution

This study was supported by the Scientific and Technological Research Council of Turkey (TÜBİTAK) within the scope of the 2209-A-University Students Domestic Research Projects Support Program. The researchers thank TÜBİTAK for their support.

References

  • 1-Romanello M, Di Napoli C, Drummond P, Green C, Kennard H, Lampard P, et al. The 2022 report of the Lancet Count down on health and climate change:health at the mercy of fossil fuels. The Lancet. 2022;400(10363):1619–54.
  • 2-Myers SS. Planetary health: protecting human health on a rapidly changing planet. The Lancet. 2017;390(10114):2860–8.
  • 3-Mayner L, Arbon P. Climate change, health and the need to increase resilience and capacity. Collegian. 2010;17(4):151–2.
  • 4-World Health Organization. WHO global strategy on health, environment and climate change: the transformation needed to improve lives and wellbeing sustainably through healthy environments(Internet). World Health Organization; 2020. Available from: https://www.who.int/publications-detail-redirect/9789240000377
  • 5-Weiland S, Hickmann T, Lederer M, Marquardt J, Schwinden hammer S. The 2030 agenda for sustainable development: transformative change through the sustainable development goals? Politics and Governance. 2021;9(1):90–5.
  • 6-Narain S, Mathye D. Do physiotherapists have a role to play in the Sustainable Development Goals? A qualitative exploration. South African Journal ofPhysiotherapy . 2019;75(1):466.
  • 7-Maric F, Nicholls D. A call for a new environmentalphysiotherapy - An editorial. Physiotherapy Theoryand Practice. 2019 Oct 3;35(10):905–7.
  • 8-Maric F, Groven KS, Banerjee S, Dahl-Michelsen T. Essentials for sustainable physiotherapy: introducing environmental reasoning into physiotherapy clinical decision-making. Fysioterapeuten. 2021;4:54–8.
  • 9-Iturriza M, Hernantes J, Abdelgawad AA, Labaka L. Are cities aware enough? A framework for developing city awareness to climate change. Sustainability. 2020;12(6):2168.
  • 10-Milfont TL. Psychology of environmental attitudes.Unpublished doctoral thesis, The University of Auckland, Auckland, NZ (Internet). 2007.
  • 11-Kalogirou MR, Dahlke S, Davidson S, Yamamoto S.Nurses’ perspectives on climate change, health and nursing practice. Journal of Clinical Nursing. 2020;29(23–24):4759–68.
  • 12-Polivka BJ, Chaudry RV, Mac Crawford J. Public Health Nurses’ Knowledge and Attitudes Regarding Climate Change. Environ Health Perspect. 2012;120(3):321–5.
  • 13-Croitoru C, Ciobanu E, Şalaru V. The level of knowledge of family doctors on climate change. Romanian Journal of Occupational Medicine. 2020;71(1):12–9.
  • 14-Boland TM, Temte JL. Family Medicine Patient and Physician Attitudes Toward Climate Change and Health in Wisconsin. Wilderness & Environmental Medicine. 2019;30(4):386–93.
  • 15-Yetiş H, Aktaş B. Sağlık bilimleri fakültesinde okuyan öğrencilerin bireysel sosyal sorumluluk düzeyleri ve etkileyen faktörlerin belirlenmesi. Hemşirelik Bilimi Dergisi. 2021;4(2):46–51.
  • 16-Dunlap RE, Van Liere KD. The “New Environmental Paradigm.” The Journal of Environmental Education. 1978 Jul;9(4):10–9.
  • 17-Furman A. A Note on Environmental Concern in a Developing Country: Results From an Istanbul Survey. Environment and Behavior. 1998;30(4):520–34.
  • 18-Aytaç M, Öngen B. Doğrulayıcı faktör analizi ile yeni çevresel paradigma ölçeğinin yapı geçerliliğinin incelenmesi. İstatistikçiler Dergisi: İstatistik ve Aktüerya. 2012;5(1):14–22.
  • 19-Ataklı G, Kuran H. İklim değişikliği farkındalık ölçeğinin geliştirilmesi. Biological Diversity and Conservation. 2022;15(2):150–61.
  • 20-Li W, Wright PM, Rukavina PB, Pickering M. Measuring students’ perceptions of personal and social responsibility and the relationship to intrinsic motivation in urban physical education. Journal of teaching in Physical Education. 2008;27(2):167–78.
  • 21-Filiz B, Demirhan G. Bireysel ve sosyal sorumluluk ölçeği’nin (BSS-Ö) Türk diline uyarlanma çalışması. Spor Bilimleri Dergisi. 2015;26(2):51–64.
  • 22-United Nations Economic and Social Commission for Asia and the Pacific (ESCAP). SDG 13: Climate action: take urgent action to combat climate change and its impacts. 2021. Available from: https://repository.unescap.org/handle/20.500.12870/4621
  • 23-Biçer BK, Vaizoğlu SA. Hemşirelik Bölümü Öğrencilerinin Küresel Isınma/İklim Değişikliği Hakkındaki Bilgi ve Farkındalıklarının Belirlenmesi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2015;2(2):30–43.
  • 24-Rice MB, Rabin AS. The Physician’s Response to Climate Change. In: Pinkerton KE, Rom WN, editors. Climate Change and Global Public Health (Internet). Cham: Springer International Publishing; 2021. p. 583–91. (Respiratory Medicine). Available from: http://link.springer.com/10.1007/978-3-030-54746-2_29
  • 25-Lenzen M, Malik A, Li M, Fry J, Weisz H, Pichler PP, et al. The environmental footprint of health care: a global assessment. The Lancet Planetary Health. 2020;4(7):e271–9.
  • 26-Condon A. Environmental sustainability in physiotherapy: Can we be more ‘green’?. Central Health Physiotherapy. Available from: https://www.centralhealthphysiotherapy.com.
There are 26 citations in total.

Details

Primary Language English
Subjects Environmental Health, Physical Medicine and Rehabilitation
Journal Section Research Paper
Authors

Emirhan Ataç

Hümeyra Kiloatar 0000-0003-4340-3443

Early Pub Date July 17, 2025
Publication Date July 17, 2025
Submission Date April 28, 2025
Acceptance Date May 18, 2025
Published in Issue Year 2025 Volume: 1 Issue: 1

Cite

Vancouver Ataç E, Kiloatar H. Physiotherapists’ environmental awareness and social responsibility: a comparative study among healthcare professionals. Journal of Health Research. 2025;1(1):9-17.