Users' views of hospital environmental quality: Validation of the Perceived Hospital Environment Quality Indicators (PHEQIs)

Environmental Quality Perception (EQP) is an important construct used to help to understand the relationship between people and the hospital environment. From a patient-centered care perspective, it is important that hospital design take into account the patients' (and other users') point of view. This paper presents the adaptation and validation of a measure of hospital EQP, the Perceived Hospital Environment Quality Indicators (PHEQIs; Fornara, Bonaiuto, & Bonnes, 2006), and seeks to confirm the factor structure of this construct in a different cultural context. Three scales, two focusing on physical environments and one evaluating the social environment, were completed by 562 users of four orthopedic units in Portuguese hospitals, two older and two recently built or renovated. To assess criterion validity, hospital physical environments were also objectively evaluated by two architects. Using a confirmatory factor analysis the three validation procedures produced acceptable fit indices in the final measurement models. Overall reliability values were satisfactory, as was the evidence for criterion validity. PHEQIs scales and factors correlated with global evaluation of the environment, supporting concurrent criterion validity; and predictive criterion validity was demonstrated given that users of older and newer hospitals differed significantly on the perception of quality of hospital EQP, and that high congruence between users' and experts' evaluations was found. Discriminant construct validity was supported, and some difficulties in showing convergent validity are discussed in terms of item formulation adequacy. Implications for research and practice are described.     

Is climate-smart conservation feasible in Europe? Spatial relations of protected areas,soil carbon,and land values

The expectations on protected areas to deliver not only biodiversity conservation but also to provide an array of different ecosystem services rise. Sequestration and storage of carbon are promising services that protected areas may provide. This study integrates spatially explicit data on terrestrial Natura 2000 sites, soil organic carbon, and agricultural land values to estimate the potential for climate-smart conservation planning in the European Union. The objectives of this study are to analyse spatial relations between protected areas soil carbon content, and land values on the European Union's land area as well as to locate and quantify the proportion of land with high carbon and low economic value within and outside protected areas. We apply a unique interdisciplinary framework with methods ranging from analyses based on geographical information systems, agricultural economics to statistics. Findings indicate that there is a significant overlap between Natura 2000 sites and regions with high carbon content across Europe. Statistical analyses show that carbon-rich regions have significantly lower land values than other areas. Our results suggest that biodiversity protection and mitigation of climate change through conservation of soil carbon could be simultaneously achieved in Europe's protected areas and beyond. We conclude that there is a notable potential for climate-smart conservation in Europe that needs further investigation.     

A review of Australian approaches for monitoring,assessing and reporting estuarine condition: III. Evaluation against international best practice and recommendations for the future

In this final component of a three-part review, we present a national synthesis and evaluation of approaches for monitoring, assessing and reporting estuarine condition across Australia. Progress is evaluated against objective criteria that together provide a model of international best practice. We critically assess the limitations, inconsistencies and gaps that are evident across Australian jurisdictions, and identify common obstacles to future progress. Major strengths and successes are also highlighted, together with specific examples of best practice from around Australia that are transferable to other States and beyond. Significant obstacles to greater national coordination of monitoring and reporting practices include inconsistent spatial scales of management, pluralistic governance structures and the lack of any overarching legislation. Nonetheless, many perceptible advances have been made over the last decade across Australia in estuarine monitoring and health assessment, and there is great potential for further progress. Finally, we provide a list of recommendations to address some of the most pressing limitations and gaps, and support improved future monitoring, assessment and reporting for Australian estuaries.     

Current status and trends of the environmental performance in European ports

This paper investigates the current status and trends over time in the environmental performance of European ports. The research is based on the provision of data from 79 European ports on issues related to their environmental management, environmental priorities and current environmental monitoring practices. This study updates previous environmental reviews, so that the trends over time are drawn. For instance, 90% of respondent ports stated that they have an environmental policy and 94% of ports have designated environmental personnel. The percentage of ports that have an Environmental Management System has increased by +33% in the last 9 years. Air quality, port waste and energy consumption emerged as the three major environmental priorities of the European port sector in 2013. The research also reveals the diversity amongst European ports in terms of size and physical surroundings. Some examples are presented on specific initiatives carried out by sector organisations about the Top-10 port priority issues. The future expectations of European ports on data collection and reporting are described.     

Environmental impacts of residual Municipal Solid Waste incineration: A comparison of 110 French incinerators using a life cycle approach

Incineration is the main option for residual Municipal Solid Waste treatment in France. This study compares the environmental performances of 110 French incinerators (i.e. 85% of the total number of plants currently in activity in France) in a Life Cycle Assessment perspective, considering 5 non-toxic impact categories: climate change, photochemical oxidant formation, particulate matter formation, terrestrial acidification and marine eutrophication. Mean, median and lower/upper impact potentials are determined considering the incineration of 1 tonne of French residual Municipal Solid Waste. The results highlight the relatively large variability of the impact potentials as a function of the plant technical performances. In particular, the climate change impact potential of the incineration of 1 tonne of waste ranges from a benefit of ?58 kg CO₂-eq to a relatively large burden of 408 kg CO₂-eq, with 294 kg CO₂-eq as the average impact. Two main plant-specific parameters drive the impact potentials regarding the 5 non-toxic impact categories under study: the energy recovery and delivery rate and the NO_x process-specific emissions. The variability of the impact potentials as a function of incinerator characteristics therefore calls for the use of site-specific data when required by the LCA goal and scope definition phase, in particular when the study focuses on a specific incinerator or on a local waste management plan, and when these data are available.     

Environmental assessment of dehydrated alfalfa production in Spain

Alfalfa is the major forage crop produced in temperate regions worlwide. Although this crop is currently used mainly for producing high-value livestock feed, its application for bioenergy production is a recent focus of interest. Even though it is not mandatory, alfalfa is normally dried in order to improve the quality of the final product. In this study, Life Cycle Assessment (LCA) was used to quantify the environmental impacts linked to alfalfa production in the major cultivation zone in Spain (Ebro Valley), including field activities, dehydration and transport to farms for livestock feeding. In addition, the identification of the most relevant processes contributing to the environmental impact and the potential improvements actions were also defined as objectives. Inventory data were obtained mainly from interviews with farmers complemented with published literature and comments from experts.LCA results were obtained for global warming, acidification, eutrophication, photochemical oxidant formation, land use, non-renewable cumulative energy demand and human, terrestrial and aquatic ecotoxicities. Within the life cycle of alfalfa, the dehydration process, production of phosphate fertilizer, application of nitrogen fertilizers and pesticides, water consumption and final transport to the consumer (by road and ship) were identified as hot spots. Based on these, some improvement measures were proposed and evaluated: (i) reduction of the moisture content of alfalfa and the use of a higher percentage of biomass for combustion in the dehydration process, (ii) no application of nitrogen fertilizer in maintenance years and (iii) use of more efficient trucks for transport. Their implementation would produce significant reduction of eutrophication, global warming, acidification, non-renewable cumulative energy demand and, to a lesser extent, photochemical oxidation formation and human toxicity impacts.     

A Phenomenological Perspective on Ethical Duty in Environmental Communication

This article examines the framing of environmental risks and natural disasters in factual entertainment television programs of the early 2000s, a hybrid form combining techniques from documentary with techniques such as dramatic reconstructions and computer-generated imagery from entertainment genres. Using qualitative frame analysis, it examines a range of factual entertainment television programs' framing of environmental risk and natural disasters in terms of their attitudes, representation of human participants and visual composition. The article considers the similarities and differences in the framing of natural disasters as factual entertainment compared to the framing of natural disasters in news, documentary and fiction film. It argues that such programs offer representational frames both consonant with and distinct from other media and concludes that they problematically offer a predominantly fatalistic response to environmental risk, constructing natural disasters as voyeuristic spectacles for vicarious entertainment.     

Ambivalence and conservation behaviour: An exploratory study on the recycling of metal cans

As resource conservation is an imperative for sustainable development, it is crucial to achieve a deeper understanding of the factors involved in people's decisions to recycle. This is even more so because the level of environmental concern is usually higher than the level of ecological behaviours. In this paper we take this fact as indicating that decision-making regarding conservation behaviours happens in the context of an internal debate where contradictory ideas are weighed up and the possibility of ambivalence arises. The main aim of this paper is therefore to explore how contradiction and ambivalence impact upon the attitudes, intentions and pro-ecological behaviours of the private sphere. The paper focuses specifically on the separation and deposition of metal cans, and compares the predictive capacity of beliefs, attitudes and intentions for two groups of respondents – one with a high and another with a low level of ambivalence, as assessed with a direct measure. The role of personal identity and the influence of structural constraints are also explored. Results demonstrate a clear moderating effect of experienced ambivalence, and show how beliefs, particularly negative ones, present a higher predictive capacity of the attitude in the high-ambivalence group, and personal identity plays a relevant role in predicting behaviour in both groups. We discuss the importance of pursuing the study of ambivalence when analysing decision-making in the conservation area.