Climate Change & Health Impacts
Global Inequities & Vulnerability
Health Systems & Sustainability
Nursing Theory & Metaparadigm
Nursing Interventions
100

Two direct health effects of climate change

What is heat related illness and injury from extreme weather?

(Goodman, B., 2013)

100

Avoidable differences in health outcomes between populations 

What are health inequities?

(Astel, 2021)

100

The percentage of global greenhouse gas emissions from healthcare.

A) 4-5%

B) 10-11%

C) Approximately 22%

What is 4-5%?

100

The four components of the nursing metaparadigm 

What are person, health, environment and nurse?

(Kalogirou et al., 2020)

100

One health co-benefit of mitigating climate change

What is reduced air pollution, improved health outcomes, or food security?

(Hamilton et al., 2021)

200

Two indirect health effects of climate change

What is food security, water contamination or infectious disease spread?

(Goodman, B., 2013)

200

Two groups disproportionately affected by climate change

Who are low-income populations and Indigenous peoples (or immigrants, children, elderly)?

(Astel, 2021)

200

The largest source of healthcare emissions 

What is the supply chain?

(Tennison et al., 2021)

200

The metaparadigm concept that limits nursing's climate response 

What is individual focused, system barriers or global delay to the climate crisis?

(Kalogirou et al., 2020)

300

Two major environmental changes caused by climate changes that impact human health

What are extreme weather events and rising temperatures (or drought/floods etc.)?

(Kalogirou et al., 2020)

300

This framework emphasizes "dignified life" and health equity

What is the PAHO Equity Framework?

(Astel, 2021)

300

One principle of sustainable health systems 

What is

- Reducing demand for health services

- Matching supply to demand

- Reducing emissions 

(MacNeill et al., 2021)

300

The reason nursing had a delayed response to climate change

What is its historical focus on individual care, limited environmental perspective, compliance or delay to align goals of care with environmental sustainability?

(Kalogirou et al., 2020; MacNeill et al., 2021)

300

One nursing intervention adressing planetary health

What is patient education, advocacy or sustainable practice?

(MacNeill et al., 2021)

400

This concept explains how climate change affects disease transmission patterns

What is "climate-sensitive disease transmission"?

(Kalogirou et al., 2020)

400

This term describes how social, political and economic systems create vulnerability

What are structural vulnerabilities?


400

A healthcare system that produces no net greenhouse gas emissions

What is net-zero healthcare?

(MacNeill et al., 2021)

400

The term describing the era where humans dominate environmental change 

What is Anthropocene?

(Kalogirou et al., 2020)

400

Name one benefit of sustainable and environmentally conscious transport policies (ex. electric fleet cars or improving bike lane infrastructure)

What is increased physical activity or reduced air pollution?

(Hamilton et al., 2021)

500

CASE STUDY

A coastal community experiences flooding, food insecurity, and respiratory illness due to climate change. Identify causes and 2 nursing priorities.

Causes: Flooding = Displacement and food disruption and Poor air quality = Respiratory illness and food disruption

Nursing Priorities: Community health promotion + disaster response/preparedness

500

CASE STUDY 

A migrant population lacks access to care during a heatwave. Apply an equity-centered nursing approach thinking at the individual level and the systems level.

Individual: Culturally safe care and access to hydration or cooling systems (ex. A/C, fans, shade)

System: Advocate for policy change and access to services

500

CASE STUDY 

A hospital wants to reduce emissions. Identify 3 interventions.

What is 

- Renewable energy 

- Reduce unnecessary care 

- Sustainable procurement (sourcing, supply and quality or services and devices)

(MacNeill et al., 2021)

500

CASE STUDY 

Apply the metaparadigm to a patient with asthma from air pollution.

Person: Patient

Environment: Air Quality

Health: Respiratory status

Nurse: Advocate & educate 

(Kalogirou et al., 2020)

500

CRITICAL THINKING 

An approach nurses can lead for planetary health through systems thinking, equity, and interconnection with nature.

What is a transdisciplinary, equity-centered planetary health approach?