OBJECTIVES: Increasing heatwaves pose a significant health risk. This study investigates the impact of heatwaves on staff in outpatient care services in a large city in western Germany. METHODS: A cross-sectional survey was conducted from March to June 2023, which targeted the managers of 78 outpatient nursing services. The 33-item questionnaire addressed attitudes toward climate change, health impacts on patients and staff, and potential measures to improve working conditions during heatwaves. RESULTS: Of the 40 services that participated, 90% had not received training on climate adaptation
38% felt uninformed about heat-related measures
and 50% requested more time for caregiving duties during heatwaves. Guidelines for heatwaves were supported by 78% of participants, and 75% wanted more heat-protection training. CONCLUSION: Outpatient care services require more active involvement in heat-protection planning to safeguard staff as heatwaves become more frequent.