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Guides

Global Health

This guide is to assist you in researching health in the larger and global community. This guide includes topics on global health, communicable disease, pandemic planning and disaster response, and more.

Introduction

Planetary Health in Nursing

cover of the Planetary Health Check report

The Planetary Health in Nursing guide was developed for nursing students and instructors to support future curriculum development in climate-resilient practices. This guide will support nursing students in the development of climate action initiatives as they transition into the role of a practicing nurse. The resources to assist you include toolkits, articles, interactive maps, videos, weblinks, programs, and assessments.

“Planetary health” is a recent term that arises from Indigenous knowledges and understandings of human interconnectedness to nature, other species and the Earth. It describes the idea that to support and sustain human health and well-being, we need to promote and maintain the health and well-being of the Earth, including its living and non-living systems (Canadian Federation of Nurses Unions, 2023, p. 5). 

Environmental Health Awareness

Climate change threatens our essential needs for good health and delaying climate action increases the risk of undermining decades of progress in global health. As global temperatures rise and extreme weather events become more frequent, the health of vulnerable populations is disproportionately affected. We all know resources such as clean air, safe water, and adequate nutrition are essential for maintaining health, yet these are threatened by environmental degradation (WHO, 2024). Addressing these challenges requires collaborative efforts from nurses to promote sustainable healthcare systems that will protect environmental health and reduce the impacts of climate change from worsening (The Global Climate & Health Alliance, 2021).    

Image: Rosy / Bad Homburg / Germany from Pixabay

Community Engagement

There are many actions that nurses, and nursing students can take at the individual, unit, and institutional levels to become leaders in sustainability within healthcare settings (Howard et al., 2023). Involvement in related organizations and the transformation of education is essential to close the gaps in healthcare sustainability. Nurses can expand their work to promote wellbeing and a prosperous future for all (Alvarez-Nieto et al., 2021; Guzman et al., 2021). 

Image: Gerd Altmann from Pixabay

Sustainable Health Practices

If the global healthcare sector was a country, it would have the alarming rank as the 5th largest greenhouse gas emitter on Earth (Bosurgi, 2019; Thomas et al., 2021, p. 1). As one of the most trusted professions in the world, nurses hold a powerful position to use their voices as sustainability advocates to lead change in their personal and professional lives (Canadian Nurses Association [CNA], 2017). For example, nurses can help lead initiatives for waste reduction and transition healthcare institutions to 100% renewable energy by advocating for solar panel installation and zero emissions ambulances (Howard et al., 2023).

Ode to the Hospital Tray [Nourish]

Take a close look. You may see a hospital tray... but we see a platform. Nourish believes that food is fundamental to patient, community and planetary health and wellbeing. Join the movement: www.nourishhealthcare.ca  

Public Health Preparedness

Public health preparedness involves building climate resilience in communities and health systems to withstand and thrive during climaterelated stresses and disasters. This resilience is fostered through responsive economic, social, and political systems. Education should emphasize the nurse's role in promoting community cohesion and engaging in policies that strengthen local and global relationships (McDermott-Levy et al., 2019). 

Image: vocablitz from Pixabay

There's Something in the Water Official Trailer

Elliot Page engages with women at the forefront of some of Nova Scotia’s most urgent environmental crises. This documentary explores the topic of environmental racism, shining a light on the Canadian government’s current and historical decisions to prioritize the profits of large corporations over the health of indigenous and black communities. 

Climate Advocacy Programs and Policy Change

Hospitals are in a position of power to make policy changes due to their enormous purchasing power of over 10% of gross world product and nurses are the main users of many single-use materials. On the macro level nurses can be pioneers in advocating for policy change by promoting reusable materials as a standard, instead of single-use materials. They can also advocate for policy change that requires mitigation strategies from hospital manufacturers and suppliers, so that the supply chain can eventually become decarbonized (Howard et al., 2023; Vanderwee, 2024).   

Image: Gerd Altmann from Pixabay

References

Álvarez-Nieto, C., Richardson, J., Navarro-Perán, M. Á., Tutticci, N., Huss, N., Elf, M., Anåker, A., Aronsson, J., Baid, H., & López-Medina, I. M. (2022). Nursing students’ attitudes towards climate change and sustainability: A cross-sectional multisite study. Nurse Education Today, 108, Article e105185. https://doi.org/10.1016/j.nedt.2021.105185    
Bosurgi, R. (2019). Climate crisis: Healthcare is a major contributor, global report finds. The British Medical Journal, 366, Article e15560. https://doi.org/10.1136/bmj.l5560    
Canadian Federation of Nurses Unions. (2023). Nursing toolkit for planetary health. www.nursingtoolkit4planetaryhealth.ca
Canadian Nurses Association. (2017). Climate change and health [Position statement]. https://hl-prod-ca-oc-download.s3-ca-central-1.amazonaws.com/CNA/2f975e7e-4a40-45ca-863c-5ebf0a138d5e/UploadedImages/documents/Climate_change_and_health_position_statement.pdf  
Guzman, C. A. F., Aguirre, A. -A, Astle, B., Barros, E., Bayles, B., Chimbari, M., El-Abbadi, N., Evert, J., Hackett, F., Howard, C., Jennings, J., Krzyzek, A., LeClair, J., Maric, F., Martin, O., Osano, O., Patz, J., Potter, T., Redvers, N., Trienekens, N., Walpole, S., Wilson, L., Xu, C., & Zylstra, M. (2021). A framework to guide planetary health education. The Lancet Planetary Health, 5(5), Article e253-e255. https://doi.org/10.1016/S2542-5196(21)00110-8    
Howard, C., MacNeill, A., Hughes, F., Alqodmani, L., Charlesworth, K., Almeida, R., Harris, R., Jochum, B., Maibach, E., Maki, L., McGain, F., Miller, J., Nirmala, M., Pencheon, D., Robertson, S., Sherman, J., Vipond, J., Yin, H., & Montgomery, H. (2023). Learning to treat the climate emergency together: Social tipping interventions by the health community. Lancet Planetary Health, 7(3), Article e251-264. https://doi.org/10.1016/S2542-5196(23)00022-0    
McDermott-Levy, R., Jackman-Murphy, K., Leffers, J., & Jordan, L. (2019). Integrating climate change into nursing curricula. Nurse Educator, 44(1), 43-47. https://doi.org/10.1097/NNE.0000000000000525    
The Global Climate & Health Alliance. (2021). Tackling climate change could be the greatest global health opportunity of the 21st century. https://climateandhealthalliance.org/wp-content/uploads/2021/05/GCH-Climate-Change-paper.pdf    
Thomas, A., Reddy, K.S., Alexander, D., & Prabhakaran, P. (2021). Climate change and the health sector: Healing the world (1st ed.). Routledge India. https://doi.org/10.4324/9781003190516    
Vanderwee, K., Demarré, L., Malfait, S., Kieckens, E., De Waegemaeker, P., Duprez, V., & Fraeyman, N.(2024).How to choose between single-use and reusable medical materials for sustainable nursing: Methodological lessons learned from a national study. Journal of Advanced Nursing, 00, 1–14. https://doi.org/10.1111/jan.16255  
World Health Organization. (2024). Climate change. https://www.who.int/health-topics/climate-change#tab=tab_1    

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