{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:51:34Z","timestamp":1791366694884,"version":"4.3.1"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"S 04","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Climate change is increasingly affecting the health of vulnerable population\ngroups, particularly older adults living in residential and nursing homes.\nHeat, extreme weather events, air pollution, altered allergen exposure and\nother climate-related factors increase the risk of dehydration,\ncardiovascular diseases, infections, psychological strain and social\nisolation. At the same time, the health sector itself is a significant\nemitter of carbon dioxide (CO\u2082) and is particularly vulnerable due to\ndemographic changes and rising care needs.<\/jats:p>\n                  <jats:p>Interviews with experts from residential and nursing homes were conducted and\nanalysed regarding their content. The aim was to identify fields of action\nat the interface of climate protection and health promotion, to analyse\nsynergies between environmental and health objectives, and to derive\npractice-oriented recommendations.<\/jats:p>\n                  <jats:p>The interviews show that residential and nursing homes have gained initial\nexperience with climate protection and climate change adaptation, for\nexample through energy-efficient measures, sustainable dietary practices,\necological cleaning agents and climate-control devices. Future challenges\ninclude limited financial resources, shortages of skilled staff, high\nworkload, insufficient medical care, as well as the implementation of waste\nreduction, reusable systems and digital solutions. Structural adaptations\nsuch as sun protection, cooling, greening and heat emergency plans are\nconsidered essential for the well-being of residents and the relief of\nstaff. Health professionals, particularly nurses, therapists and dieticians,\nplay a key role as multipliers by raising awareness, supporting residents\nand implementing strategies in everyday practice.<\/jats:p>\n                  <jats:p>Integrated climate and health management in residential and nursing homes can\nreduce exposure to climate-related risks, promote the health of residents\nand staff, and decrease the CO\u2082 footprint. Prioritised, strategically\nanchored measures, continuous monitoring and targeted training strengthen\nresilience and equity of opportunity. Residential and nursing homes can thus\nserve as a central lever for realising synergies between climate protection,\nhealth promotion and social responsibility.<\/jats:p>","DOI":"10.1055\/a-2886-3048","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:41:44Z","timestamp":1790584904000},"page":"S376-S381","source":"Crossref","is-referenced-by-count":1,"special_numbering":"S","title":["Climate Protection and Climate Change Adaptation in Residential and\nNursing Homes: Perspectives and Fields of Action from Expert\nInterviews"],"prefix":"10.1055","volume":"88","author":[{"given":"Romana","family":"Beyer","sequence":"additional","affiliation":[{"name":"Caritas der Erzdi\u00f6zese Wien, Wien, \u00d6sterreich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5218-1160","authenticated-orcid":false,"given":"Thomas E.","family":"Dorner","sequence":"additional","affiliation":[{"name":"Akademie f\u00fcr Altersforschung, Haus der Barmherzigkeit, Wien,\n\u00d6sterreich"},{"name":"Medizinische Universit\u00e4t Wien, Zentrum f\u00fcr Public Health, Abteilung f\u00fcr\nSozial- und Pr\u00e4ventivmedizin, Wien, \u00d6sterreich"},{"name":"Karl-Landsteiner Institut f\u00fcr Gesundheitsf\u00f6rderungsforschung,\nKirchstetten, \u00d6sterreich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8954-4204","authenticated-orcid":false,"given":"Christina","family":"Fastl","sequence":"additional","affiliation":[{"name":"Akademie f\u00fcr Altersforschung, Haus der Barmherzigkeit, Wien,\n\u00d6sterreich"},{"name":"Medizinische Universit\u00e4t Wien, Zentrum f\u00fcr Public Health, Abteilung f\u00fcr\nSozial- und Pr\u00e4ventivmedizin, Wien, \u00d6sterreich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Wochele-Thoma","sequence":"additional","affiliation":[{"name":"Caritas der Erzdi\u00f6zese Wien, Wien, \u00d6sterreich"},{"name":"Ludwig-Boltzmann Institute Digital Health and Patient Safety, Wien,\n\u00d6sterreich"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1007\/s00508-024-02419-0","article-title":"Heat vulnerability: health impacts of heat on older people in urban and rural\nareas in Europe","volume":"136","author":"C Fastl","year":"2024","journal-title":"Wien Klin Wochenschr"},{"key":"ref2","volume-title":"Gesundheitsf\u00f6rderung und Klimawandel","author":"S Ecker","year":"2022"},{"key":"ref3","volume-title":"Geriatrie \u2013 Neue Herausforderungen f\u00fcr die medizinische Versorgung von \u00e4lteren\nMenschen","author":"J M Bauer","year":"2021"},{"key":"ref4","volume-title":"Nachhaltigkeit f\u00fcr Gesundheit und Pflege. Nachhaltigkeitsbericht 2021 des\nBundesministeriums f\u00fcr Gesundheit","author":"BMG","year":"2021"},{"key":"ref5","volume-title":"Demographisches Jahrbuch 2023","author":"Statistik Austria","year":"2024"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1007\/s00508-024-02388-4","article-title":"Trends over time in the deficit of (instrumental) activities of daily living in\nthe Austrian population aged 65 years and older","volume":"136","author":"S Woldemariam","year":"2024","journal-title":"Wien Klin Wochenschr"},{"key":"ref7","volume-title":"Pflegepersonalbedarfsprognose Update bis 2050","author":"B Juraszovich","year":"2023"},{"key":"ref9","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-79515-3_41","volume-title":"Applying Salutogenesis in Residential Care Settings","author":"V Quehenberger","year":"2022"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1007\/s00508-024-02410-9","article-title":"Predicting future medical needs and mortality risk in geriatric long-term care\npatients","volume":"136","author":"T E Dorner","year":"2024","journal-title":"Wien Klin Wochenschr"},{"key":"ref11","first-page":"669","volume-title":"Leitfaden- und Experteninterviews","author":"C Helfferich","year":"2019"},{"key":"ref12","volume-title":"Qualitative Inhaltsanalyse. Grundlagen und Techniken","author":"P Mayring","year":"2015"},{"key":"ref13","volume-title":"Climate Change, Health, and Equity: Opportunities for Action","author":"L Rudolph","year":"2015"},{"key":"ref14","volume-title":"\u00d6sterreichischer Special Report Gesundheit, Demographie und Klimawandel\n(ASR18)","author":"APCC","year":"2018"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1289\/ehp.00108367","article-title":"The potential health impacts of climate variability and change for the United\nStates: executive summary of the report of the health sector of the U.S.\nNational Assessment","volume":"108","author":"J A Patz","year":"2000","journal-title":"Environ Health Perspect"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"110","DOI":"10.3390\/ijerph21010110","article-title":"From Health-in-All-Policies to Climate-in-All-Policies: Using the Synergies\nbetween Health Promotion and Climate Protection to Take Action","volume":"21","author":"K V Stein","year":"2024","journal-title":"Int J Environ Res Public Health"},{"key":"ref17","volume-title":"Klimawandel und Gesundheit","author":"M Balas","year":"2019"},{"key":"ref19","volume-title":"Klimagerechte Gesundheitseinrichtungen. Rahmenwerk, Version 1.0","author":"A Dickhoff","year":"2021"},{"key":"ref20","first-page":"709","volume-title":"Human Health: Impacts, Adaptation, and Co-Benefits","author":"K Smith","year":"2014"}],"container-title":["Das Gesundheitswesen"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2886-3048.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T09:06:04Z","timestamp":1791363964000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2886-3048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,9]]},"references-count":18,"journal-issue":{"issue":"S 04","published-online":{"date-parts":[[2026,10,6]]},"published-print":{"date-parts":[[2026,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2886-3048","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0941-3790","1439-4421"],"issn-type":[{"value":"0941-3790","type":"print"},{"value":"1439-4421","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,9]]}}}