New Hampshire - March 2022
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Page 14 • <strong>New</strong> <strong>Hampshire</strong> Nursing <strong>New</strong>s <strong>March</strong>, April, May <strong>2022</strong><br />
ANA Professional Policy Committee - Policy Proposal<br />
The Impact of Climate Change on Health<br />
Topic: The Impact of Climate Change on Health<br />
Strategic Goal: Evolve the Practice of Nursing to<br />
Transform Health and Healthcare<br />
Describe how this proposal relates<br />
to the above strategic goal?<br />
This proposal requests that American Nurses Association<br />
(ANA) update its position statement on Climate Change<br />
and Health, which has not been revised since 2008<br />
(ANA HOD, 2008) and to host a Dialogue Forum to<br />
inform that process. In August of this year, the World<br />
Health Organization stated that climate change is now<br />
“the single biggest health threat facing humanity.”<br />
(WHO, 2021) A recent editorial published in 200<br />
leading medical journals, including The Lancet, The<br />
<strong>New</strong> England Journal of Medicine and the British<br />
Medical Journal, argued that the world cannot “wait<br />
for the COVID-19 pandemic to pass before addressing<br />
climate change.” (Sommer, 2021) (Gaines, 2021) The<br />
WHO (2021) recognizes nurse as effective and trusted<br />
messengers of public health information, and once<br />
again, the Gallop poll has ranked nurses as the most<br />
trusted profession. (Gaines, 2021) As the leading nursing<br />
organization, ANA needs to take a strong leadership<br />
position in addressing the impacts of climate change on<br />
human and population health, and help prepare nurses<br />
to engage patients in conversations about climate change<br />
and its health impacts.<br />
Further, the health impacts of climate change<br />
disproportionately impacts the most vulnerable<br />
populations. A recent EPA analysis demonstrated that<br />
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underserved communities disproportionally suffer<br />
the most severe harms resulting from climate change<br />
and are the least able to prepare for and recover from<br />
the impacts of climate change. (EPA, 2021) The EPA<br />
analysis further noted that “racial and ethnic minority<br />
communities are particularly vulnerable to the greatest<br />
impacts of climate change.” (EPA, 2021).<br />
In a 2018 policy statement, the American Academy of<br />
Nursing noted that nurses play essential roles in public<br />
health and emergency services and through this work<br />
they can respond to and reduce health consequences<br />
of climate change. (Leffers & Butterfield, 2018) The<br />
International Council of Nurses Position Statement on<br />
Nurses, Climate Change and Health, as<br />
ANA Professional Policy Committee - Policy Proposal<br />
The Impact of Climate Change on Health revised in<br />
2018, calls on national nurses’ associations, to “raise<br />
awareness of the health implications of climate change<br />
and how to assess and address climate change risks to<br />
health by developing policy documents on the subject,”<br />
(ICN, 2018).<br />
Updating and revising position statements falls directly<br />
within ANA’s strategic goal to evolve the practice<br />
of nursing to transform health and healthcare, and<br />
specifically within strategic objective 3.2 to evolve<br />
nursing programs and practice priorities. ANA’s Nursing<br />
Scope and Standards of Practice, 4th Edition, Standard<br />
18 calls on registered nurses to practice so as to advance<br />
environmental safety and health, and specifically to<br />
advance environmental concerns through advocacy and<br />
to promote “sustainable global environmental health<br />
policies.” (ANA, 2021) What better way to promote<br />
environmental health and safety for all patients than to<br />
educate nurses on the links between climate change<br />
and health and provide tools and resources so they can<br />
incorporate climate change into their nursing practice<br />
(many resources and tools already exist which ANA can<br />
share through it nursing network)?<br />
Climate change has helped drive a fivefold increase<br />
in the number of weather-related disasters in the<br />
last 50 years. (Pruitt-Young, 2021) Secretary-General<br />
of the World Meteorological Organization, Peterri<br />
Taalas, recently stated that the warming of oceans has<br />
increased the frequency and geographic region of the<br />
most intense tropical storms. (McDaniel, 2021) Charles<br />
(2021) notes that rising heat is amplifying hurricanes and<br />
torrential rain, which in turn trigger flooding, as well<br />
as increasing the number of wildfires and the length<br />
of the wildfire season in areas with diminished rainfall.<br />
Nurses need to be prepared to help address natural<br />
disasters, e.g. tornadoes, hurricanes, flooding, extreme<br />
heat, and wildfires, when they occur. This emergency<br />
preparedness planning needs to occur before the climate<br />
change induced disasters occur and must incorporate<br />
public health and safety concerns including mitigation<br />
strategies and response and recovery plans, taking into<br />
special consideration populations most vulnerable<br />
to significant negative impacts from these disasters.<br />
Providing nurses with the requisite knowledge and<br />
training to better prepare for climate-related disasters<br />
exactly correlates with ANA’s strategic objective 3.1, to<br />
enhance nurses’ disaster preparedness capabilities.<br />
Does the proposal have national relevance? Yes<br />
Identify if the proposal is being submitted by leaders<br />
of an entity (e.g., C/SNA, Individual Member Division<br />
(ANA-IMD), ANA Board of Directors or Organizational<br />
Affiliate) or by an individual ANA member (e.g.,<br />
ANA-C/SNA or ANA-Only).<br />
Introduced By: Joan C. Widmer, MS, MSBA, RN, CEN,<br />
Treasurer, ANA Board of Directors<br />
Supported by: <strong>New</strong> <strong>Hampshire</strong> Nurses Association<br />
(Judith Joy), ANA-Vermont (Meredith Roberts), ANA-<br />
Michigan (Tobi Lyon and MaryLee Pakieser), Minnesota<br />
Organization of Registered Nurses (Kathi Koehn),<br />
Washington State Nurses Association (David Keepnews),<br />
Montana Nurses Association (Vicki Byrd), Delaware<br />
Nurses Association (Chris Otto), ANA-California<br />
(Marketa Houskova), ANA-Massachusetts (Cammie<br />
Townsend), Colorado Nurses Association (Colleen<br />
Casper), <strong>New</strong> Mexico Nurses Association (Deborah<br />
Walker), Alliance of Nurses for Healthy Environments<br />
(Katie Huffling)<br />
Prepared by: Joan C Widmer, MS, MSBA, RN, CEN,<br />
(ANA-BOD/NHNA), Judith A. Joy, PhD, RN, (<strong>New</strong><br />
<strong>Hampshire</strong> Nurses Association), MaryLee Pakieser,<br />
MSN, RN, FNP-BC, (ANA-Michigan), Meredith Roberts,<br />
PhD, RN (ANA-Vermont), Kathi Koehn, MA, RN, FAAN<br />
(Minnesota Organization of Registered Nurses), Lisa Del<br />
Buono, MD, (Michigan Clinicians for Climate Action)<br />
and Katie Huffling, DNP, RN, CNM, FAAN (Alliance of<br />
Nurses for Healthy Environments).<br />
Primary Contact Person (or Designee):<br />
This individual needs to be available to respond to<br />
questions or requests from the Professional Policy<br />
Committee or Membership Assembly Representatives<br />
if the proposal is accepted.<br />
Policy Proposal continued on page 16<br />
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