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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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