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Volume 70 , Issue 7.

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View access options below. You previously purchased this article through ReadCube. Institutional Login. Log in to Wiley Online Library. Purchase Instant Access. View Preview. Learn more Check out. Abstract Aim To provide a synthesis of studies on the environmental issues in nursing.

Background Interest in the environmental issues affecting health sciences has been increasing in recent decades. Review method Critical interpretive synthesis was then undertaken to provide a comprehensive overview of the topic. Results Eleven studies were included. Conclusion Awareness of environmental issues is starting to encourage nursing services to seek sustainable practices. Citing Literature. Volume 70 , Issue 7 July Pages Related Information.

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    We assume medical responsibility

    Code of Ethics and Business Conduct. Fresenius Medical Care is committed to compliance with Section of the Dodd-Frank Act and encourages our suppliers to foster similar commitments of their supply chain related to conflict minerals disclosures. Conflict Minerals Policy Statement. Conflict Minerals Report Environmental management enables us to implement environmental requirements and design our processes to use resources as efficiently as possible, thus saving on costs.

    It also increasingly supports us in creating added value for our customers with eco-friendly products and services. Last but not least, it ensures that we take our responsibility to the environment seriously. Environmental management is part of our integrated management system in Europe, Middle East, Africa and Latin America.

    Compliance with the ISO environmental management standard at our company headquarters, in our certified plants and at the certified national clinic organizations is controlled on a regular basis. Our environmental program defines five strategic environmental objectives. At its production sites and clinics, we aim to:.

    We have set ourselves the goal of continuously improving the eco-efficiency of our production sites worldwide.

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    At our European production sites, we use performance indicators for the use of energy and raw materials to calculate the environmental performance of our production processes. This enables us to identify additional untapped potential in a production process that has already been largely optimized. We introduced an energy management system according to ISO in St. Wendel in , and rolled it out to our site in Schweinfurt in By assessing the energy efficiency of all processes and facilities, we aim to identify further potential savings and derive measures from them.

    In addition, we implemented further environmental projects at our production sites worldwide in to reduce water and electricity consumption and save on packaging material. We are continuously working to make our products and processes more environmentally friendly, for example by using new materials with improved environmental properties or developing new technologies that further reduce the resource consumption of our dialysis machines.

    The aim is to provide our customers with added value by helping them save on costs or fulfill environmental requirements better. One of our core objectives is to further reduce the impact of dialysis treatment on the environment while saving on resources and ensuring cost efficiency.

    We manage this by using ecologically sustainable dialysis products as well as constructing environmentally friendly dialysis centers.

    The Ethics of Environmentally Responsible Health Care.

    Another central element for managing the efficient use of resources in our dialysis clinics is our clinic software e-con5, a comprehensive environmental management system which we have established in dialysis clinics in Europe and Latin America. It enables them to gather and compare environmental performance data and implement potential improvements quickly. The results show that this system has enabled us to systematically reduce water and energy consumption as well as the amount of blood-contaminated waste in our dialysis centers in the past few years.

    In a global market, Fresenius Medical Care has a decentralized organization with a high degree of responsibility at local level. As a result, we not only support globally active organizations and projects, but also in particular regional and local initiatives.

    Jessica Pierce, The Ethics of Environmentally Responsible Health Care - PhilPapers

    Our main focus in this respect is on projects aimed at the common good that follow the principle of helping people to help themselves and have a long-term impact. Our objective is to improve the quality of life of kidney patients. Beyond our core range of products and services, we pursue this aim by cooperating globally with associations and institutions that champion the interests of dialysis patients. We also develop our own initiatives to help patients lead a healthier and more active life. In the U.

    This aims at providing patients and their families with health information, giving them more confidence in their everyday lives.