公共卫生护士及其社区合作伙伴实施的气候正义战略

IF 3.8 3区医学 Q1 NURSING

Journal of Advanced Nursing Pub Date : 2024-11-11 DOI:10.1111/jan.16598

Jessica LeClair, Alex Dudek, Susan Zahner

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引用次数: 0

摘要

本研究采用描述性定性研究设计。方法从 2022 年 8 月至 2023 年 2 月收集了美国护士（n = 8）及其社区合作伙伴（n = 5）的数据。社区合作伙伴是社区组织的代表。在半结构式访谈中讨论的合作策略的专题分析中，摄影选择提供了更多的背景。护士与社区的合作解决了企业污染问题，促进了土著主权和多物种正义。主题包括调查疾病和健康事件、识别高危人群并将他们与资源联系起来、提供健康教育和咨询、组织社区和联盟，以及倡导政策制定和执行。本研究的结果表明，护士及其社区伙伴制定战略，使社区从榨取系统过渡到支持复原力的地方和再生系统。护士及其社区伙伴认识到，在促进地球健康的过程中，必须对气候正义（包括污染与多物种正义的交叉）进行广泛的理解。对职业的启示本研究的结果支持护士与社区在政策工作中开展合作，以促进地球健康。本研究还支持护士与其社区伙伴采取集体行动，消除白人至上主义和殖民化的影响。未来的研究需要对护士与社区合作促进地球健康的成果进行评估。影响护士们呼吁对气候正义采取行动；然而，促进气候正义的有效护理策略的证据却很少。本研究首次描述了护士与社区合作伙伴实施的合作策略，以支持受气候变化和工业污染影响最严重的社区从不公到公正的转变。

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Climate Justice Strategies Implemented by Public Health Nurses and Their Community Partners

AimTo describe nurses' and community‐based organization representatives' collaborative strategies for advancing climate justice with communities.DesignThis study used a descriptive, qualitative research design.MethodsData were gathered from August 2022 to February 2023 with nurses (n = 8) and their community partners (n = 5) in the United States. Community partners were representatives of community‐based organizations. Photovoice provided greater context for the thematic analysis of collaborative strategies discussed in semi‐structured interviews.ResultsNurse participants worked in academic or non‐profit settings. Nurse‐community partnerships addressed corporate pollution and promoted Indigenous sovereignty and multispecies justice. Themes included investigating disease and health events, identifying at‐risk populations and connecting them with resources, providing health teaching and counseling, organizing communities and coalitions, and advocating for policy development and enforcement. Self‐care supported resilience and well‐being in the long struggle for climate justice.ConclusionFindings from this study indicated that nurses and their community partners strategize to transition communities away from systems of extraction towards local and regenerative systems that support resilience. Nurses and their community partners recognized the importance of applying an expansive understanding of climate justice, including intersections of pollution and multispecies justice, to promoting planetary health.Implications for the professionFindings from this study support nurse‐community collaboration in policy work to advance planetary health. This study also supports nurses' collective action with their community partners to address the effects of white supremacy and colonization. Future research is needed to evaluate the outcomes of nurse‐community partnerships for planetary health.ImpactNurses have called for action on climate justice; however, evidence of effective nursing strategies that advance climate justice is sparse. This study is the first to describe the collaborative strategies nurses implement with community partners to support the transition from injustice to justice in communities most burdened by climate change and industrial pollution.

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.