Hospital is one of the institutions that use a considerable amount of energy and contribute the largest amount of waste. In order to reduce its impact, initiatives have emerged in the form of green hospitals for the effective use of resources. Although there are standard criteria for each country in applying environmentally friendly buildings in each country, there is still no internationally referenced certification. This study intends to compare the implementation of green hospitals in various hospitals in Indonesia. The comparisons will be taken from the elements of a green hospital, namely energy efficiency, green building design, alternative energy generation, transportation, food, water, and the availability of green open space. This research type is a literature review, with data taken from an online database. The online databases used are Science Direct and Google Scholar. The criteria used are elements of the implementation of green hospitals in Indonesia, and must mention the name of the hospital or the area where the research was carried out. There were 12 studies that matched the inclusion criteria. It can be seen that there are various efforts by hospitals in Indonesia in implementing green hospitals. However, there is unpreparedness in the application of all of its elements, especially in the transportation and food elements.
Background: Burnout is a health problem that may happen to nurses and may impact patient safety and organization in any situations, especially during the second wave of COVID-19 pandemic. Aims: This study aimed to identify the prevalence of burnout among nurses in charge of isolation rooms and its relationship to their demographics factor. Methods: This research design is descriptive-analytic quantitative and cross-sectional. It involved 124 nurses assigned to isolation rooms for COVID-19 patients admitted to the first referral hospital in Bali. Data were collected using a questionnaire adopted from the Maslach Burnout Inventory to identify burnout symptoms. Demographic questionnaire was administered to garner respondents' demographics. Results: High category of burnout was related to emotional exhaustion found in 66.1% of the respondents, depersonalization in 33.1%, and reduced personal accomplishment in 0.8%. Age, marital status, education, and gender were not related to burnout. Nurses who worked in non-ICU experienced higher burnout than ICU (p < 0.05). Conclusions: The prevalence of burnout symptoms in the nurses who were in charge in COVID-19 isolation rooms is in the high category. Hospital management must consider demographic factors to improve the work environment, recruit new employees, conduct routine health checks, and provide mental health treatments consistently.
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