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New Hampshire - March 2022

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Page 18 • <strong>New</strong> <strong>Hampshire</strong> Nursing <strong>New</strong>s <strong>March</strong>, April, May <strong>2022</strong><br />

Policy Proposal continued from page 17<br />

As identified in ANA’s foundational documents, advocacy<br />

directed towards the climate crisis, with its multiple direct<br />

and indirect impacts on health, is a professional imperative<br />

and should be an essential component of ANA’s issues of<br />

concern platform.<br />

In recognition of the serious health impacts and health<br />

inequities related to climate change, the Department of<br />

Health and Human Services established the Office of<br />

Climate Change and Health Equity (OCCHE), and the<br />

National Academy of Medicine (NAM) launched the Action<br />

Collaborative on Decarbonizing the U.S. Health Sector in<br />

2021. Now is the time for strong nurse leadership on this<br />

issue and work with our healthcare colleagues on climate<br />

solutions.<br />

Additional Considerations:<br />

• Current and future younger nurses are more aware of<br />

environmental impacts on human health.<br />

• Nursing practice is going to be defined by health<br />

impacts of climate change which is being felt today<br />

with only one degree global temperature increase,<br />

and is projected to increase significantly higher within<br />

their lifetime.<br />

• Our responsibility is to prepare the next generation<br />

of nurses for these challenges and demonstrate<br />

collaborative practice with other healthcare<br />

professionals<br />

• We need to be respectful of the upcoming nurses’<br />

fund of knowledge on these issues.<br />

• Nurses are the largest part of healthcare delivery<br />

system<br />

• Nurses have the ability to impact change at the micro<br />

level<br />

• Collaboration is part of the nursing curriculum -<br />

understand the power<br />

• Connecting the dots between patient care and<br />

environmental impacts<br />

• Empower nurses to advocate and educate - through<br />

personal education, give them confidence to take<br />

leadership roles and encourage them to go beyond<br />

the hospital/health care system into their local<br />

communities<br />

• Help to develop the toolkit that has resources from<br />

collaborative climate/health care organizations<br />

• Healthy Nurse/Healthy Nation similar to Nurses<br />

Climate Challenge: Change self/change community.<br />

• Nurses know what they know and what they don’t<br />

know and are willing to ask for help and they know<br />

where to get more credible information.<br />

4. Identify the underlying issue(s) to be addressed during<br />

the Dialogue Forum.<br />

Climate change is a global problem that starts with<br />

individual actions but is ultimately impacted by the actions<br />

of individuals, corporations, and countries around the<br />

world. It’s multifactorial and appears to be a task beyond<br />

any individual’s ability to address. Because the need to start<br />

somewhere is so critical, nurses should start at the junction<br />

they know and understand: the impacts on human and<br />

population health. So the first question we can ask is: what<br />

role can and should nurses play in increasing the awareness<br />

of the impacts of climate change on health? Exploring this<br />

question is support by Standard 18 of the Nursing Scope<br />

and Standards of Practice, 4th Edition. This Standard calls<br />

on registered nurses to advance environmental safety and<br />

health through their practice.<br />

Similarly, Standard 18 also calls on registered nurses to<br />

advance environmental concerns through advocacy and to<br />

promote sustainable global environmental health policies,<br />

supporting an exploration of the question: what are the best<br />

ways in which nurses can advocate for climate actions to<br />

reduce the impact of climate on human and population<br />

health?<br />

Finally, the Code of Ethics for Nurses holds that nurses have<br />

a duty to self-care. Many climate healthy solutions lead to<br />

improved human health. Nurses will be better informed as<br />

to steps they can take that will improve their health while<br />

improving the health of the planet.<br />

5. Recommended actions.<br />

The participants in the Dialogue Forum should determine<br />

the most appropriate actions. The team drafting this proposal<br />

identified several suggestions that might be considered.<br />

• Urge ANA to update/revise 2008 House of Delegates<br />

Statement on Global Climate Change and Human<br />

Health.<br />

• Develop and deploy a survey to determine nurse<br />

knowledge of the links between health and climate<br />

change, and their understanding of possible climate<br />

actions that can help to mitigate climate change.<br />

• Urge ANA to share information/educational<br />

resources/tool kits to educate nurses on the impact<br />

of climate change on human health and provide<br />

guidance for nurses to educate the public on these<br />

impacts. Many of these resources are already<br />

available and can be provided to registered nurses<br />

through partnerships/affiliations with organizations<br />

such as Alliance of Nurses for Healthy Environments.<br />

• Include the climate crisis and its consequential impact<br />

on human and population health as an essential<br />

component of ANA’s issues of concern platform.<br />

• Urge/continue to urge American Association of<br />

Colleges of Nursing (AACN) and Health Resources<br />

and Services Administration (HRSA) to develop<br />

curricula and professional development opportunities<br />

to increase the knowledge and skills of the healthcare<br />

workforce to effectively address health impacts<br />

of climate change.<br />

• Develop Healthy Nurses Healthy Nation challenges<br />

that also recognized that many climate healthy<br />

solutions lead to improved human health, such as<br />

reducing the amount of meat in your diet, walking/<br />

biking to work when possible to reduce use of fuel<br />

powered vehicles, etc.<br />

• Urge nurses through ANA’s Nurse Innovation<br />

program to consider developing products/<br />

technologies that are climate friendly.<br />

• ANA could consider hosting a Climate Summit in<br />

2023. The Climate Summit would be the opportunity<br />

to create an inter-professional arena where health<br />

and climate experts from all disciplines can discuss<br />

solutions from a variety of points of view and find<br />

common ground for meaningful action and reduce<br />

redundancy of actions and silo thinking. Nurses<br />

are uniquely trusted messengers, and ANA’s robust<br />

grassroots membership is ideal for implementation.<br />

By consolidating already established resources under<br />

the ANA Enterprise (ANA, ANCC, ANF) and easily

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