1
|
Sibindi T, Chipps JA, Crowley T. Eco-nursing competencies for nurses: A scoping review. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2024; 7:100221. [PMID: 39069968 PMCID: PMC11276924 DOI: 10.1016/j.ijnsa.2024.100221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2023] [Revised: 06/10/2024] [Accepted: 06/25/2024] [Indexed: 07/30/2024] Open
Abstract
Background Nurses are tasked with addressing the health impacts of climate change. Eco-nursing competencies, covering knowledge, attitudes, and skills related to climate change, equip nurses to actively mitigate and adapt to its effects on health and the environment. Objective To synthesize existing literature on eco-nursing roles and competencies for nurses. Methods A scoping review of published papers examined nurses' roles and eco-nursing competencies. Databases searched included Academic Search Complete, CINAHL Plus, MEDLINE (PubMed), and Google Scholar. Search terms encompassed climate change and nursing synonyms, limited to English articles up to April 15, 2023. Thematic analysis was used to synthesize findings, delineating roles, and eco-nursing competencies. Results were tabulated. Results Out of 445 papers identified, 31 underwent data analysis. These papers highlighted nurses' roles in climate change (42%), along with climate change knowledge and skills (64.5%), and attitudes (13%). Roles encompassed research, education, advocacy, leadership, and clinical practice, with corresponding competencies embedded within existing core competencies for general nurses, nurse specialists, and nurse managers. Conclusion The review demonstrates that nurses' roles in climate change necessitate relevant knowledge, attitudes, and skills. Future research should contextualize these roles and eco-nursing competencies based on geographical locations, considering the distinct disease burden in each area. Registration The study protocol was registered in the Open Science Framework on 5 March 2023 before conducting the full study https://doi.org/10.17605/OSF.IO/9GC4N. Tweetable abstract Amidst growing concerns about climate change, nurses are increasingly tasked with preparing to mitigate its health impacts through the delineation of eco-nursing competencies. These competencies will equip nurses to effectively tackle the health and environmental ramifications of climate change, building upon existing core competencies tailored to various geographic contexts.
Collapse
|
2
|
Hilly JJ, Singh KR, Jagals P, Mani FS, Turagabeci A, Ashworth M, Mataki M, Morawska L, Knibbs LD, Stuetz RM, Dansie AP. Review of scientific research on air quality and environmental health risk and impact for PICTS. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 942:173628. [PMID: 38848924 DOI: 10.1016/j.scitotenv.2024.173628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 04/03/2024] [Accepted: 05/27/2024] [Indexed: 06/09/2024]
Abstract
Air quality (AQ) significantly impacts human health, influenced by both natural phenomena and human activities. In 2021, heightened awareness of AQ's health impacts prompted the revision of the World Health Organization (WHO) guidelines, advocating for stricter pollution standards. However, research on AQ has predominantly focused on high-income countries and densely populated cities, neglecting low- and middle-income countries, particularly Pacific Island Countries, Territories, and States (PICTS). This systematic review compiles existing peer-reviewed literature on AQ research in PICTS to assess the current state of knowledge and emphasize the need for further investigation. A systematic literature search yielded 40 papers from databases including Web of Science, Scopus, and Embase. Among the 26 PICTS, only 6 (Hawai'i, Fiji, Papua New Guinea, New Caledonia, Republic of Marshall Islands, and Pacific) have been subject to AQ-related research, with 4 considering the World Health Organization (WHO) parameters and 26 addressing non-WHO parameters. Analysis reveals AQ parameters often exceed 2021 WHO guidelines for PM2.5, PM10, SO2, and CO, raising concerns among regional governments. Studies primarily focused on urban, agricultural, rural, and open ocean areas, with 15 based on primary data and 14 on both primary and secondary sources. Research interests and funding sources dictated the methods used, with a predominant focus on environmental risks over social, economic, and technological impacts. Although some papers addressed health implications, further efforts are needed in this area. This review underscores the urgent need for ongoing AQ monitoring efforts in PICTS to generate spatially and temporally comparable data. By presenting the current state of AQ knowledge, this work lays the foundation for coordinated regional monitoring and informs national policy development.
Collapse
Affiliation(s)
- J J Hilly
- School of Civil and Environmental Engineering, University of New South Wales, Australia; Environmental Health Division, Solomon Islands Ministry of Health and Medical Services, Solomon Islands.
| | - K R Singh
- School of Earth Sciences and Environmental Engineering, Gwangju Institute of Science and Technology, Republic of Korea
| | - P Jagals
- Children's Health and Environmental Program, The University of Queensland, Australia
| | - F S Mani
- School of Agriculture, Geography, Environment, Ocean and Natural Sciences, The University of the South Pacific, Suva, Fiji
| | - A Turagabeci
- College of Medicine, Nursing & Health science, Fiji National University, Fiji
| | - M Ashworth
- Institute of Environmental Science and Research Limited (ESR), Christchurch Science Centre, 27 Creyke Road, Ilam, Christchurch 8041, New Zealand
| | - M Mataki
- Solomon Islands Ministry of Environment, Climate Change, Disaster Management and Meteorology, Solomon Islands
| | - L Morawska
- International Laboratory for Air Quality and Health, Queensland University of Technology, Australia
| | - L D Knibbs
- Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Australia; Public Health Research Analytics and Methods for Evidence, Public Health Unit, Sydney Local Health District, Camperdown, NSW 2050, Australia
| | - R M Stuetz
- School of Civil and Environmental Engineering, University of New South Wales, Australia
| | - A P Dansie
- School of Civil and Environmental Engineering, University of New South Wales, Australia
| |
Collapse
|
3
|
Sorensen C, Barboza C, Berry P, Buss D, Campbell H, Hadley K, Hamacher N, Magalhaes D, Mantilla G, Mendez A, Polson-Edwards K, Stewart-Ibarra A, Torres I. Pan American climate resilient health systems: a training course for health professionals. Rev Panam Salud Publica 2024; 48:e83. [PMID: 39247393 PMCID: PMC11379090 DOI: 10.26633/rpsp.2024.83] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Accepted: 07/03/2024] [Indexed: 09/10/2024] Open
Abstract
Objectives To describe the development, implementation, and results of a training course designed to equip health professionals from the Pan American Health Organization region with the knowledge and tools needed to adapt health systems to current climate realities. Methods The Pan American climate resilient health systems course was a 9-week live-virtual course in March-April 2023, which was delivered through Zoom and offered in English, Spanish, and French. All lectures were delivered by local and regional climate and health experts. The curricular foundation of this initiative was the Global Consortium on Climate and Health Education core competencies for health professionals. Participants completed pre- and post-course surveys. Results A total of 1212 participants attended at least one of the nine sessions and 489 (from 66 countries) attended at least six sessions. Of these, 291 participants completed both the pre- and post-course surveys which were used in the analysis. Longitudinal survey results suggested an improvement in participants' climate and health communication, an increased frequency of incorporating climate knowledge in professional practice, and improved confidence in engaging in climate initiatives. At the same time, many participants expressed a need for additional training. Conclusions The results indicate that live-virtual courses have the potential to empower health professionals to contribute to climate resilience efforts by: increasing their communication skills; changing their professional practice; increasing their ability to lead climate and health activities; and preparing them to assess vulnerability and adaptation in health systems, measure and monitor environmental sustainability, and apply a health equity lens.
Collapse
Affiliation(s)
- Cecilia Sorensen
- Global Consortium on Climate and Health Education Department of Environmental Health Sciences Mailman School of Public Health, Columbia University New York, NY United States of America Global Consortium on Climate and Health Education, Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States of America
| | - Carolos Barboza
- Environmental Health and Climate Change Ministry of Public Health Montevideo Uruguay Environmental Health and Climate Change, Ministry of Public Health, Montevideo, Uruguay
| | - Peter Berry
- Faculty of Environment University of Waterloo Waterloo, Ontario Canada Faculty of Environment, University of Waterloo, Waterloo, Ontario, Canada
| | - Daniel Buss
- Unit on Climate Change and Environmental Determinants of Health Pan American Health Organization Washington, DC United States of America Unit on Climate Change and Environmental Determinants of Health, Pan American Health Organization, Washington, DC, United States of America
| | - Haley Campbell
- Global Consortium on Climate and Health Education Department of Environmental Health Sciences Mailman School of Public Health, Columbia University New York, NY United States of America Global Consortium on Climate and Health Education, Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States of America
| | - Kristie Hadley
- Global Consortium on Climate and Health Education Department of Environmental Health Sciences Mailman School of Public Health, Columbia University New York, NY United States of America Global Consortium on Climate and Health Education, Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States of America
| | - Nicola Hamacher
- Global Consortium on Climate and Health Education Department of Environmental Health Sciences Mailman School of Public Health, Columbia University New York, NY United States of America Global Consortium on Climate and Health Education, Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States of America
| | - Danielly Magalhaes
- Global Consortium on Climate and Health Education Department of Environmental Health Sciences Mailman School of Public Health, Columbia University New York, NY United States of America Global Consortium on Climate and Health Education, Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States of America
| | - Gilma Mantilla
- Global Consortium on Climate and Health Education Department of Environmental Health Sciences Mailman School of Public Health, Columbia University New York, NY United States of America Global Consortium on Climate and Health Education, Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, United States of America
| | - Anwar Mendez
- Unit on Climate Change and Environmental Determinants of Health Pan American Health Organization Washington, DC United States of America Unit on Climate Change and Environmental Determinants of Health, Pan American Health Organization, Washington, DC, United States of America
| | - Karen Polson-Edwards
- Unit on Climate Change and Environmental Determinants of Health Pan American Health Organization Washington, DC United States of America Unit on Climate Change and Environmental Determinants of Health, Pan American Health Organization, Washington, DC, United States of America
| | - Anna Stewart-Ibarra
- Inter-American Institute for Global Change Research Montevideo Uruguay Inter-American Institute for Global Change Research, Montevideo, Uruguay
| | - Irene Torres
- Inter-American Institute for Global Change Research Montevideo Uruguay Inter-American Institute for Global Change Research, Montevideo, Uruguay
| |
Collapse
|
4
|
Chen TTW, Thomson D, Sharobim J, Alade OT, Pathirana T. Integrating a climate lens into the design of education programmes for health professionals. BMJ Evid Based Med 2024; 29:203-206. [PMID: 38049996 DOI: 10.1136/bmjebm-2023-112397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/31/2023] [Indexed: 12/06/2023]
Affiliation(s)
- Tara Tai-Wen Chen
- Geography and Environmental Management, University of Waterloo, Waterloo, Ontario, Canada
| | - Denise Thomson
- Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada
| | - Julia Sharobim
- Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada
| | - Omolola Titilayo Alade
- Global Health Program, McMaster University, Hamilton, Ontario, Canada
- College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Thanya Pathirana
- School of Medicine and Dentistry, Griffith University, Sunshine Coast, Queensland, Australia
| |
Collapse
|
5
|
Breakey S, Starodub R, Nicholas PK, Wong J. A cross-sectional study to assess faculty and student knowledge of climate change and health: Readiness for curricular integration. J Adv Nurs 2023; 79:4716-4731. [PMID: 37278094 DOI: 10.1111/jan.15729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 05/06/2023] [Accepted: 05/21/2023] [Indexed: 06/07/2023]
Abstract
AIMS To examine the perceived knowledge, attitudes and beliefs regarding climate change and health of academic faculty and students in programmes for health professionals and to identify barriers/facilitators to and resources required for curriculum integration. DESIGN Cross-sectional survey eliciting quantitative and open-ended responses. METHODS A 22-question survey to assess climate-health knowledge/attitudes/beliefs was distributed to all students and faculty (n = 224) at one academic institution in the United States. Open-ended questions addressed barriers, facilitators and required resources. Descriptive statistics are reported, and thematic analysis was used to identify themes from open-ended responses. RESULTS Response rate was 15%. Most respondents (76%) were between 20 and 34 years old. The majority were from nursing (39%), occupational therapy (13%) and communication speech disorders (12.5%). Most respondents perceived climate change as relevant to direct patient care (78%) and believed that it is impacting the health of individuals (86%) and should be integrated into curricula (89%). Yet, most (60%) reported modest to no knowledge about the health impacts. Faculty reported little to no comfort teaching climate change and health concepts (76%). Open-ended responses identified student/faculty receptivity and professional/clinical relevance as important facilitators of successful integration. Barriers included intensity of programmes; time and competing curricular priorities; and a lack of faculty expertise, resources, institutional and professional commitment. CONCLUSIONS Most health professions students and faculty indicated that educating future health professionals about climate change and health is important, but existing barriers must be addressed. IMPACT This study addressed student and faculty perceptions of integrating climate change and health into health professions curricula. Discipline-specific and interprofessional educational approaches are necessary to optimize future health professionals' efforts to prevent and mitigate climate change impacts for at-risk patients, communities and populations.
Collapse
Affiliation(s)
- Suellen Breakey
- Center for Climate Change, Climate Justice, and Health, MGH Institute of Health Professions School of Nursing, Boston, Massachusetts, USA
| | - Roksolana Starodub
- Center for Climate Change, Climate Justice, and Health, MGH Institute of Health Professions School of Nursing, Boston, Massachusetts, USA
| | - Patrice K Nicholas
- Center for Climate Change, Climate Justice, and Health, MGH Institute of Health Professions School of Nursing, Boston, Massachusetts, USA
| | - John Wong
- MGH Institute of Health Professions School of Nursing, Boston, Massachusetts, USA
| |
Collapse
|
6
|
Winquist A, Schenk EC, Cook C, Demorest S, Burduli E. Climate, Health, and Nursing Tool (CHANT): A confirmatory factor analysis. Public Health Nurs 2023; 40:306-312. [PMID: 36519942 DOI: 10.1111/phn.13161] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 11/22/2022] [Accepted: 11/27/2022] [Indexed: 12/23/2022]
Abstract
OBJECTIVE To confirm the factor structure of the Climate, Health, and Nursing Tool (CHANT) tool via confirmatory factor analysis. DESIGN AND SAMPLE This is a cross-sectional analysis of voluntary, anonymous responses collected online in 2019, from a non-representative sample of 489 nurses from 12 nations with 95% of the respondents from the United States. MEASUREMENTS A confirmatory factor analysis (CFA) was conducted to test a five-factor measurement model of the 22-item CHANT. Reliability was examined via Cronbach's α coefficient. RESULTS The five CHANT subscales demonstrated acceptable reliability with Cronbach's α ranging from 0.67 to 0.91. The five-factor model of CHANT demonstrated good fit, x2 (199) = 582.747, p < .001, CFI = 0.94, RMSEA = 0.06, and SRMR = 0.04 with statistically significant item-factor loadings. CONCLUSION CHANT is a reliable and robust instrument to measure nurses' awareness, concern, motivation, and home and work behaviors regarding climate change and health, and is ready to be utilized in research, policy, professional settings, and among educators.
Collapse
Affiliation(s)
- Anna Winquist
- College of Nursing, Washington State University, Spokane, Washington
| | - Elizabeth C Schenk
- College of Nursing, Washington State University, Spokane, Washington
- Providence St. Joseph Health, Renton, Washington
| | - Cara Cook
- Alliance of Nurses for Healthy Environments, Mt. Rainier, Maryland
| | | | - Ekaterina Burduli
- College of Nursing, Washington State University, Spokane, Washington
| |
Collapse
|
7
|
Hartwell C, Lovell S, Hess JJ, Dolan K, Vickery J, Errett NA. Barriers and facilitators to state public health agency climate and health action: a qualitative assessment. BMC Public Health 2023; 23:145. [PMID: 36670368 PMCID: PMC9859738 DOI: 10.1186/s12889-023-14996-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 01/05/2023] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND As the health implications of climate change become more apparent, agencies and institutions across the United States are developing recommendations for state and territorial health agencies (S/THAs) to implement evidence-informed climate and health adaptation strategies. The CDC established the Building Resilience Against Climate Effects (BRACE) framework in 2010 to encourage local and state public health engagement in climate change adaptation. However, even after a decade of the BRACE initiative, the elements that affect the adoption and implementation of climate and health programming by S/THAs are not well understood. METHODS Using an implementation science framework, this study sought to further understand and define the barriers and facilitators that determine the breadth and success of climate change and health activities undertaken by state health agencies (SHAs). We conducted focus groups with representatives from SHAs with and without climate and health programs, and analyzed data using the framework method for qualitative research. RESULTS This study identified funding, state and agency-level prioritization, staff capability and capacity, and political will and polarization as factors that influence the readiness for implementation and implementation climate for climate and health activities. CONCLUSIONS As the impacts of climate change intensify, S/THAs will need to expand resources and capacity, and seek advocacy and assistance from external organizations in order to support the level of engagement required to strengthen climate resilience. Findings from this study have implications for public health policy and highlight potential pathways to expand support for climate and health activities in S/THAs in the U.S.
Collapse
Affiliation(s)
- Cat Hartwell
- grid.34477.330000000122986657Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, USA
| | - Sam Lovell
- grid.34477.330000000122986657Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, USA
| | - Jeremy J. Hess
- grid.34477.330000000122986657Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, USA ,grid.34477.330000000122986657Department of Global Health, School of Public Health, University of Washington, Seattle, USA ,grid.34477.330000000122986657Department of Emergency Medicine, School of Medicine, University of Washington, Seattle, USA ,grid.34477.330000000122986657Center for Health and the Global Environment (CHanGE), School of Public Health, University of Washington, Seattle, WA USA
| | - Kathleen Dolan
- grid.422983.60000 0000 9915 048XAssociation of State and Territorial Health Officials, Arlington, VA USA
| | - Jamie Vickery
- grid.34477.330000000122986657Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, USA
| | - Nicole A. Errett
- grid.34477.330000000122986657Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, USA ,grid.34477.330000000122986657Center for Health and the Global Environment (CHanGE), School of Public Health, University of Washington, Seattle, WA USA
| |
Collapse
|
8
|
Bolster J, Pithia P, Batt AM. Emerging Concepts in the Paramedicine Literature to Inform the Revision of a Pan-Canadian Competency Framework for Paramedics: A Restricted Review. Cureus 2022; 14:e32864. [PMID: 36699791 PMCID: PMC9870303 DOI: 10.7759/cureus.32864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2022] [Indexed: 12/24/2022] Open
Abstract
The National Occupational Competency Profile (NOCP)-the competency framework for paramedics in Canada-is presently undergoing revision. Since the NOCP was published in 2011, paramedic practice, healthcare, and society have changed dramatically. To inform the revision, we sought to identify emerging concepts in the literature that would inform the development of competencies for paramedics. We conducted a restricted literature review and content analysis of all published and grey literature pertaining to or informing Canadian paramedicine from 2011 to 2022. Three authors performed a title, abstract, and full-text review to identify and label concepts informed by existing findings. A total of 302 articles were categorized into 11 emerging concepts related to competencies: inclusion, diversity, equity, and accessibility (IDEA) in paramedicine; social responsiveness, justice, equity, and access; anti-racism; healthy professionals; evidence-informed practice and systems; complex adaptive systems; learning environment; virtual care; clinical reasoning; adaptive expertise; and planetary health. This review identified emerging concepts to inform the development of the 2023 National Occupational Standard for Paramedics (NOSP). These concepts will inform data analysis, the development of group discussions, and competency identification.
Collapse
Affiliation(s)
- Jennifer Bolster
- Paramedicine, Monash University, Melbourne, AUS
- Clinical Governance and Professional Practice, British Columbia Emergency Health Services, Vancouver, CAN
- Centre for Research and Innovation, Fanshawe College, London, CAN
| | - Priya Pithia
- Centre for Research and Innovation, Fanshawe College, London, CAN
| | - Alan M Batt
- Paramedicine, Monash University, Melbourne, AUS
- Centre for Research and Innovation, Fanshawe College, London, CAN
| |
Collapse
|
9
|
Jagals P, Kim I, Brereton C, Lau CL. Assessment of Environmental Impacts on Health: Examples from the Pacific Basin. Ann Glob Health 2022; 88:92. [PMID: 36348704 PMCID: PMC9585977 DOI: 10.5334/aogh.3671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 04/17/2022] [Indexed: 11/20/2022] Open
Abstract
Assessing environmental impacts on health in the Pacific Basin is challenged by significantly varying data types - quantities, qualities, and paucities - because of varying geographic sizes, environments, biodiversity, ecological assets, and human population densities, with highly varied and unequal socio-economic development and capacity to respond to environmental and health challenges. We discuss three case-based methodological examples from Pacific Basin environmental health impact assessments. These methods could be used to improve environmental health evidence at all country and regional levels across a spectrum of big data availability to no data. These methods are, 1) a risk assessment of airborne particulate matter in Korea based on the chemical composition of these particulates; 2) the use of system dynamics to appraise the influences of a range of environmental health determinants on child health outcomes in remote Solomon Islands; and 3) precision environmental public health methodologies based on comprehensive data collection, analyses, and modelling (including Bayesian belief networks and spatial epidemiology) increasing precision for good environmental health decision making to prevent and control a zoonotic disease in Fiji Islands. We show that while a common theme across the three examples is the value of high quality and quantity data to support stronger policy decisions and appropriate prioritizing of investment, it is also clear that for many countries in the Pacific Basin, sufficient data will remain a challenge to inform decision makers about environmental impact on health.
Collapse
Affiliation(s)
- Paul Jagals
- Children’s Health and Environment Program, Child Health Research Centre, The University of Queensland, Australia
| | - Injeong Kim
- Korea Institute of Industrial Technology, Seoul, South Korea
| | - Claire Brereton
- Children’s Health and Environment Program, Child Health Research Centre, The University of Queensland, Australia
| | - Colleen L. Lau
- School of Public Health, The University of Queensland, Australia
| |
Collapse
|
10
|
Moreira RP, de Oliveira FBB, de Araujo TL, Morais HCC, Cavalcante TF, Gomez MBS, Felício JF, de Oliveira Ferreira G. Health Interventions for Preventing Climate-Sensitive Diseases: Scoping Review. J Urban Health 2022; 99:519-532. [PMID: 35467327 PMCID: PMC9187784 DOI: 10.1007/s11524-022-00631-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/18/2022] [Indexed: 10/18/2022]
Abstract
Climate variations cause public health problems, but the literature is still scarce on studies involving health interventions against climate-sensitive diseases. The objective of this review was to identify health interventions for the prevention of such diseases. We conducted a scoping review using the JBI Methodology. Six large research databases were searched (PubMed, Scopus, Web of Science, Lilacs, Embase, and Cochrane). The following inclusion criterion was used: studies addressing health interventions to prevent climate-sensitive diseases or consequences of climate on people's health. The exclusion criteria consisted of thesis, dissertations, conference proceedings, studies with unclear information/methodology, and studies not addressing climate-related health interventions. No language or date restrictions were applied. Of 733 studies identified and screened by title and abstract, 55 studies underwent full-text screening, yielding 13 studies for review. The health interventions identified were classified into three levels of management. The macro level included the use of epidemiological models, renewable energy, and policies sensitive to climate change. The meso level comprised interventions such as the creation of environmental suitability maps, urban greening, chemoprophylaxis, water security plans, and sanitation projects, among other measures. Some interventions are at the intersection, such as educational campaigns and the modification of artificial larvae sites. Finally, the micro level contained interventions such as the inspection of window screens and the use of light-colored clothing and repellents. The health interventions at the macro, meso, and micro levels and the intersection may serve as a basis for public managers to implement appropriate interventions against climate-sensitive diseases.
Collapse
Affiliation(s)
- Rafaella Pessoa Moreira
- Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony, s/n José Franco de Oliveira St., Redenção, CE 62790-970, Brazil.
| | - Francisco Breno Barbosa de Oliveira
- Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony, s/n José Franco de Oliveira St., Redenção, CE 62790-970, Brazil
| | - Thelma Leite de Araujo
- Nursing Departament, Federal University of Ceará, 1115 Alexandre Baraúna St., Fortaleza, CE 60430-160, Brazil
| | - Huana Carolina Candido Morais
- Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony, s/n José Franco de Oliveira St., Redenção, CE 62790-970, Brazil
| | - Tahissa Frota Cavalcante
- Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony, s/n José Franco de Oliveira St., Redenção, CE 62790-970, Brazil
| | - Maria Begoña Sanchez Gomez
- School of Nursing, University of La Laguna, Candelaria NS University Hospital, Canary Islands Health Service, 38010, Santa Cruz de Tenerife, Spain
| | - Janiel Ferreira Felício
- Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony, s/n José Franco de Oliveira St., Redenção, CE 62790-970, Brazil
| | - Glauciano de Oliveira Ferreira
- Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony, s/n José Franco de Oliveira St., Redenção, CE 62790-970, Brazil
| |
Collapse
|
11
|
Environmental Efficiency Evaluation of China's Power Industry Based on the Two-Stage Network Slack-Based Measure Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312650. [PMID: 34886375 PMCID: PMC8657171 DOI: 10.3390/ijerph182312650] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 11/25/2021] [Accepted: 11/28/2021] [Indexed: 11/16/2022]
Abstract
How to achieve the continuous improvement of the environmental performance level of the power industry within the requirements of clean and low-carbon energy development is the fundamental requirement and inevitable choice for the construction of ecological civilization and sustainable development. From the perspective of environmental protection, based on the Data Envelopment Analysis (DEA) method and the internal mechanism of power system production and supply, the power industry environmental efficiency evaluation index system was constructed, and the two-stage Network Slack-based Measure (NSBM) model considering undesired output was used to calculate China's 30 provinces and municipalities from 1998 to 2019. The environmental efficiency is divided into two links: power generation efficiency and transmission and distribution efficiency. The study found that, within the research interval, the overall environmental efficiency of China's 30 provinces is low, and the differences between provinces and cities are large, but they have gradually developed in a better direction after 2015. The power generation efficiency of the first link in most provinces and municipalities is higher than the transmission and distribution efficiency of the second link, and the low transmission and distribution efficiency is an important reason for the low comprehensive level of environmental efficiency. The overall evolution trend of environmental efficiency in the six regions of China is roughly the same, but the regional differences are obvious, showing a trend of "high in the southeast and low in the northwest". The economic and natural resource differences in different provinces and cities in each region have led to varying degrees of redundancy in five aspects, including investment in power assets, installed power generation capacity, and length of transmission lines, which seriously affect the environmental efficiency of the power industry. This research attempts to open the "black box" of the environmental efficiency conversion process of the power industry, which can provide directions and strategic suggestions for the improvement of the efficiency of the power industry in China.
Collapse
|
12
|
Simmonds K, Breakey S, Nicholas PK. Educating Nurse Practitioners About Climate Change, Health, and Climate Justice. J Nurse Pract 2021. [DOI: 10.1016/j.nurpra.2021.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
13
|
Katzman JG, Herring D, Schramm P, Tomedi L, Maury JM, Kalishman S, Kazhe-Dominguez B, Liu J, Martin C, Arora S. Climate Change and Human Health ECHO: Global Telementoring for Health Professionals. JOURNAL OF MEDICAL EDUCATION AND CURRICULAR DEVELOPMENT 2021; 8:23821205211061019. [PMID: 34869905 PMCID: PMC8637707 DOI: 10.1177/23821205211061019] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 10/29/2021] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To increase the knowledge and communication skills of health professionals related to climate change and human health (CCHH). METHODS From February to April 2021, Project ECHO (Extension for Community Healthcare Outcomes) created an 8-week, synchronous and virtual, CCHH ECHO telementoring series for health professionals. Didactics, simulated cases, and climate change tools were used to educate the interprofessional group of participants. RESULTS During this CCHH ECHO pilot series, 625 unique participants represented 45 US states and 25 countries. The participants reported that they increased their knowledge, skills, and communication techniques regarding climate change and health. CONCLUSIONS The human health effects of climate change is an emerging field, and increasing knowledge and communication skills among health practitioners is of critical importance. The CCHH ECHO is one potential platform that may reach a diverse community of health professionals globally due to the diffusion and demonopolization of knowledge.
Collapse
Affiliation(s)
- Joanna G Katzman
- University of New Mexico Health Sciences Center, Albuquerque, New
Mexico, USA
| | - David Herring
- National Oceanic and Atmospheric Administration, Silver Spring,
Maryland, USA
| | - Paul Schramm
- Centers for Disease Control and Prevention, Atlanta, Georgia,
USA
| | - Laura Tomedi
- University of New Mexico Health Sciences Center, Albuquerque, New
Mexico, USA
| | | | - Summers Kalishman
- University of New Mexico Health Sciences Center, Albuquerque, New
Mexico, USA
| | | | - Jinyang Liu
- University of New Mexico Health Sciences Center, Albuquerque, New
Mexico, USA
| | - Chamron Martin
- University of New Mexico Health Sciences Center, Albuquerque, New
Mexico, USA
| | - Sanjeev Arora
- University of New Mexico Health Sciences Center, Albuquerque, New
Mexico, USA
| |
Collapse
|