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It has been suggested that climate change is the biggest threat to public health for the 21st Century; increased demand on health services will impact on already overstretched resources and systems will need to be able to respond. However limited attention is given to climate change and sustainability in nursing education; there is no clear guidance on curricula content for nurses or recommendations regarding the skills and competencies that will be required. Literature published in Dutch, English, German, and Spanish was searched and 32 papers met the inclusion criteria for the review. Results suggests that holistic/systems thinking is relevant to healthcare so bringing a 'sustainability lens' to nursing curricula could be seen as being consistent with wider determinants of health. The literature review has identified the educational approaches necessary to provide a broad based curriculum and a cross-disciplinary approach. The findings suggest that topics such as the use of resources, food, health promotion, globalism, disease management, and the environmental impact of delivering healthcare, if embedded in nursing education could support the nursing profession's response for this new and important aspect of healthcare.
I.M. Lopez-Medina; C. Álvarez-Nieto; J. Grose; A. Elsbernd; N. Huss; M. Huynen; J. Richardson. Competencies on environmental health and pedagogical approaches in the nursing curriculum: A systematic review of the literature. Nurse Education in Practice 2019, 37, 1 -8.
AMA StyleI.M. Lopez-Medina, C. Álvarez-Nieto, J. Grose, A. Elsbernd, N. Huss, M. Huynen, J. Richardson. Competencies on environmental health and pedagogical approaches in the nursing curriculum: A systematic review of the literature. Nurse Education in Practice. 2019; 37 ():1-8.
Chicago/Turabian StyleI.M. Lopez-Medina; C. Álvarez-Nieto; J. Grose; A. Elsbernd; N. Huss; M. Huynen; J. Richardson. 2019. "Competencies on environmental health and pedagogical approaches in the nursing curriculum: A systematic review of the literature." Nurse Education in Practice 37, no. : 1-8.
Students, professionals, and technical experts considered the materials to be very good quality, especially regarding the quality of contents, format, and design. For students, these materials can generate reflection and learning regarding environmental and health issues during nursing training.
Carmen Álvarez-Nieto; Janet Richardson; Gema Parra-Anguita; Manuel Linares-Abad; Norma Huss; M. Luisa Grande-Gascón; Jane Grose; Maud Huynen; Isabel M. López-Medina. Developing digital educational materials for nursing and sustainability: The results of an observational study. Nurse Education Today 2018, 60, 139 -146.
AMA StyleCarmen Álvarez-Nieto, Janet Richardson, Gema Parra-Anguita, Manuel Linares-Abad, Norma Huss, M. Luisa Grande-Gascón, Jane Grose, Maud Huynen, Isabel M. López-Medina. Developing digital educational materials for nursing and sustainability: The results of an observational study. Nurse Education Today. 2018; 60 ():139-146.
Chicago/Turabian StyleCarmen Álvarez-Nieto; Janet Richardson; Gema Parra-Anguita; Manuel Linares-Abad; Norma Huss; M. Luisa Grande-Gascón; Jane Grose; Maud Huynen; Isabel M. López-Medina. 2018. "Developing digital educational materials for nursing and sustainability: The results of an observational study." Nurse Education Today 60, no. : 139-146.
In the past decade, interest in the impacts of ecosystem change on human health has strongly increased. The ecosystem–health relationship, however, is characterized by several complexity aspects, such as multiple and diverse health impacts – both positive and negative – and a strong interaction with socio-economic factors. As these aspects strongly determine the outcomes of the ecosystem–human health relationship, they should be accounted for in assessments. We identified 14 ecosystem services and six ecosystem disservices with a direct impact on human health. An extensive search and selection procedure yielded eleven computer-based tools that we evaluated regarding their suitability for assessment of the ecosystem–health relationship. Nine of 14 health-related ecosystem services are addressed by one or more of these tools. However, most tools do not include the final step of actually assessing the associated health outcomes such as mortality or disease incidence. Furthermore, the review shows that each complexity aspect is addressed by several of the evaluated tools, but always in an incomplete way. We recommend that further tool development should focus on improved integration of socio-economic factors and inclusion of ecosystem disservices. This would allow better assessment of the net contribution of ecosystems to human health.
Bram Oosterbroek; Joop de Kraker; Maud M.T.E. Huynen; Pim Martens. Assessing ecosystem impacts on health: A tool review. Ecosystem Services 2016, 17, 237 -254.
AMA StyleBram Oosterbroek, Joop de Kraker, Maud M.T.E. Huynen, Pim Martens. Assessing ecosystem impacts on health: A tool review. Ecosystem Services. 2016; 17 ():237-254.
Chicago/Turabian StyleBram Oosterbroek; Joop de Kraker; Maud M.T.E. Huynen; Pim Martens. 2016. "Assessing ecosystem impacts on health: A tool review." Ecosystem Services 17, no. : 237-254.
INTRODUCTION: Education in sustainable development is a goal recognised by a large number of countries and a vital concept in healthcare. It is therefore important that nurse education incorporates elements of sustainable development into nursing education curricula. However, there is limited research on student nurses' attitudes towards sustainability and no comparison of attitudes towards sustainability and its inclusion in the nursing curriculum across Europe. AIM: This project aims to assess student nurses' attitudes towards sustainability, its relevance to nursing and its inclusion in the nursing curricula. 1. To assess base-line attitudes at the start of nursing and midwifery training; 2. To compare sustainability awareness between students participating in training in a number of European universities. DESIGN: A comparative survey design using the Sustainability Attitudes in Nursing Survey (SANS_2) questionnaire. SETTINGS: Nursing classes of Universities and Nursing Schools in four European countries were investigated using a questionnaire consisting of five sustainability-related items. PARTICIPANTS: 916 nursing students (UK: 450, Germany: 196, Spain: 124, Switzerland: 146). DATA ANALYSIS: Standard descriptive and inferential statistical methods were used to establish psychometric quality (Principal Components Analysis, Cronbach's alpha, Pearson correlations) and compare student nurses from the four countries. RESULTS: The reliability of SANS_2 was good (Cronbach's alpha=.82) and the five items loaded on a single factor which explained 58% of variance. ANOVA of the SANS_2 total score showed significant differences between countries with German nursing students showing more sustainability awareness than students from the UK and Spain. CONCLUSIONS: SANS_2 is a reliable instrument to assess nursing students' sustainability awareness; there are significant differences in sustainability awareness of students of different European countries. Limitations of the study include non-random sampling, possible method effects and social desirability effects. RELEVANCE TO CLINICAL PRACTICE: Sustainability will become increasingly important in clinical practice; greater knowledge about the attitudes of nurses towards sustainability can support the development and testing of sustainability-focused teaching and learning materials
Janet Richardson; Thomas Heidenreich; Carmen Álvarez-Nieto; Fabienne Fasseur; Jane Grose; Norma Huss; Maud Huynen; Isabel M. López-Medina; Angélick Schweizer. Including sustainability issues in nurse education: A comparative study of first year student nurses' attitudes in four European countries. Nurse Education Today 2016, 37, 15 -20.
AMA StyleJanet Richardson, Thomas Heidenreich, Carmen Álvarez-Nieto, Fabienne Fasseur, Jane Grose, Norma Huss, Maud Huynen, Isabel M. López-Medina, Angélick Schweizer. Including sustainability issues in nurse education: A comparative study of first year student nurses' attitudes in four European countries. Nurse Education Today. 2016; 37 ():15-20.
Chicago/Turabian StyleJanet Richardson; Thomas Heidenreich; Carmen Álvarez-Nieto; Fabienne Fasseur; Jane Grose; Norma Huss; Maud Huynen; Isabel M. López-Medina; Angélick Schweizer. 2016. "Including sustainability issues in nurse education: A comparative study of first year student nurses' attitudes in four European countries." Nurse Education Today 37, no. : 15-20.
Achieving good health should be an integral part of the current discussions about sustainable development. It is increasingly recognized that health research (and policy) requires a systems approach and the past decades have witnessed an emerging recognition of the multidimensional and multilevel causation of population health. An ever growing number of health researchers argue that the health of a population can – or must – be viewed within the broader system of health determinants. Consequently, in our effort to assess the health impacts of global (environmental) change, we have to be aware of the limitations of the traditional reductionist approach. Stressing the need for a system-based approach toward health, this chapter discusses and illustrates a conceptual model describing the broader context and multi-causality of our health. We apply this framework to a widely discussed health impact of climate change, namely, the emergence of malaria in the African highlands. This clearly demonstrates that malaria in East Africa’s highlands presents an interesting case study for understanding the importance of the system’s interactions between climate and non-climate factors in shaping human vulnerability to the adverse health impacts of global warming. Climate change is believed to primarily affect the intrinsic malaria transmission potential, but this relationship interacts with other factors and developments that affect disease dynamics as well. However, trying to conceptually describe the system involved is only one of the first steps in applying a system-based approach toward health. Hence, we briefly elaborate on some example tools from the sustainability science toolkit (modeling, scenario analyses, and participatory methods) that are available and conceivable in order to advance further systems research in the field of health and sustainable development. The chapter concludes with a discussion of possible barriers to adopting a sustainability science approach toward health, in an effort to explain the slow progress made so far.
Maud M. T. E. Huynen; Pim Martens. Sustainability and Health. Sustainability Science 2016, 247 -260.
AMA StyleMaud M. T. E. Huynen, Pim Martens. Sustainability and Health. Sustainability Science. 2016; ():247-260.
Chicago/Turabian StyleMaud M. T. E. Huynen; Pim Martens. 2016. "Sustainability and Health." Sustainability Science , no. : 247-260.
Although people will most likely adjust to warmer temperatures, it is still difficult to assess what this adaptation will look like. This scenario-based integrated health impacts assessment explores baseline (1981–2010) and future (2050) population attributable fractions (PAF) of mortality due to heat (PAFheat) and cold (PAFcold), by combining observed temperature–mortality relationships with the Dutch KNMI’14 climate scenarios and three adaptation scenarios. The 2050 model results without adaptation reveal a decrease in PAFcold (8.90% at baseline; 6.56%–7.85% in 2050) that outweighs the increase in PAFheat (1.15% at baseline; 1.66%–2.52% in 2050). When the 2050 model runs applying the different adaptation scenarios are considered as well, however, the PAFheat ranges between 0.94% and 2.52% and the PAFcold between 6.56% and 9.85%. Hence, PAFheat and PAFcold can decrease as well as increase in view of climate change (depending on the adaptation scenario). The associated annual mortality burdens in 2050—accounting for both the increasing temperatures and mortality trend—show that heat-related deaths will range between 1879 and 5061 (1511 at baseline) and cold-related deaths between 13,149 and 19,753 (11,727 at baseline). Our results clearly illustrate that model outcomes are not only highly dependent on climate scenarios, but also on adaptation assumptions. Hence, a better understanding of (the impact of various) plausible adaptation scenarios is required to advance future integrated health impact assessments.
Maud M. T. E. Huynen; Pim Martens. Climate Change Effects on Heat- and Cold-Related Mortality in the Netherlands: A Scenario-Based Integrated Environmental Health Impact Assessment. International Journal of Environmental Research and Public Health 2015, 12, 13295 -13320.
AMA StyleMaud M. T. E. Huynen, Pim Martens. Climate Change Effects on Heat- and Cold-Related Mortality in the Netherlands: A Scenario-Based Integrated Environmental Health Impact Assessment. International Journal of Environmental Research and Public Health. 2015; 12 (10):13295-13320.
Chicago/Turabian StyleMaud M. T. E. Huynen; Pim Martens. 2015. "Climate Change Effects on Heat- and Cold-Related Mortality in the Netherlands: A Scenario-Based Integrated Environmental Health Impact Assessment." International Journal of Environmental Research and Public Health 12, no. 10: 13295-13320.
There is growing evidence of climate change affecting infectious disease risk in Western Europe. The call for effective adaptation to this challenge becomes increasingly stronger. This paper presents the results of a survey exploring Dutch expert perspectives on adaptation responses to climate change impacts on infectious disease risk in Western Europe. Additionally, the survey explores the expert sample’s prioritization of mitigation and adaptation, and expert views on the willingness and capacity of relevant actors to respond to climate change. An integrated view on the causation of infectious disease risk is employed, including multiple (climatic and non-climatic) factors. The results show that the experts consider some adaptation responses as relatively more cost-effective, like fostering interagency and community partnerships, or beneficial to health, such as outbreak investigation and response. Expert opinions converge and diverge for different adaptation responses. Regarding the prioritization of mitigation and adaptation responses expert perspectives converge towards a 50/50 budgetary allocation. The experts consider the national government/health authority as the most capable actor to respond to climate change-induced infectious disease risk. Divergence and consensus among expert opinions can influence adaptation policy processes. Further research is necessary to uncover prevailing expert perspectives and their roots, and compare these.
Su-Mia Akin; Pim Martens; Maud M.T.E. Huynen. Climate Change and Infectious Disease Risk in Western Europe: A Survey of Dutch Expert Opinion on Adaptation Responses and Actors. International Journal of Environmental Research and Public Health 2015, 12, 9726 -9749.
AMA StyleSu-Mia Akin, Pim Martens, Maud M.T.E. Huynen. Climate Change and Infectious Disease Risk in Western Europe: A Survey of Dutch Expert Opinion on Adaptation Responses and Actors. International Journal of Environmental Research and Public Health. 2015; 12 (8):9726-9749.
Chicago/Turabian StyleSu-Mia Akin; Pim Martens; Maud M.T.E. Huynen. 2015. "Climate Change and Infectious Disease Risk in Western Europe: A Survey of Dutch Expert Opinion on Adaptation Responses and Actors." International Journal of Environmental Research and Public Health 12, no. 8: 9726-9749.
Global warming is perceived as one of the biggest global health risks of the twenty-first century and a threat to the achievement of sustainable (economic) development; especially in developing countries, climate change is believed to further exacerbate existing vulnerability to disease and food security risks, because their populations are, for example, more reliant on agriculture and more vulnerable to droughts and have a lower adaptive capacity. Furthermore, the health-related impacts of climate change are threatening to undo decades of development policies. The interactions between climate and non-climate factors are of vital importance in shaping human vulnerability to global warming. Climate change cannot be seen as ‘a stand-alone risk factor,’ but rather as an amplifier of existing health and food security risks and an additional strain on institutional infrastructures. In order to avoid a multiplication of health risks in the developing world, there is a need to better understand the multifaceted and complex linkages involved. This is further illustrated for two important climate change–induced health risks, namely malnutrition and malaria. As the amplification of existing and emerging health risks in the developing world might become the greatest tragedy of climate change, adaptation ranks high on developing countries’ agendas. Of particular importance are the discussions about the ‘Green Climate Fund,’ which aims to administer billions of dollars for mitigation and adaptation. Of course, making funds for adaptation available is an important first step, but we also need to ask ourselves the question how such adaptation policies and projects should take shape. This paper demonstrates that an adequate response to climate change health risks should take a systems approach toward adaptation, acknowledging the importance of the local context of the most vulnerable.
Maud M. T. E. Huynen; Pim Martens; Su-Mia Akin. Climate change: an amplifier of existing health risks in developing countries. Environment, Development and Sustainability 2013, 15, 1425 -1442.
AMA StyleMaud M. T. E. Huynen, Pim Martens, Su-Mia Akin. Climate change: an amplifier of existing health risks in developing countries. Environment, Development and Sustainability. 2013; 15 (6):1425-1442.
Chicago/Turabian StyleMaud M. T. E. Huynen; Pim Martens; Su-Mia Akin. 2013. "Climate change: an amplifier of existing health risks in developing countries." Environment, Development and Sustainability 15, no. 6: 1425-1442.
It is clear that globalization is something more than a purely economic phenomenon manifesting itself on a global scale. Among the visible manifestations of globalization are the greater international movement of goods and services, financial capital, information and people. In addition, there are technological developments, more transboundary cultural exchanges, facilitated by the freer trade of more differentiated products as well as by tourism and immigration, changes in the political landscape and ecological consequences. In this paper, we link the Maastricht Globalization Index with health indicators to analyse if more globalized countries are doing better in terms of infant mortality rate, under-five mortality rate, and adult mortality rate. The results indicate a positive association between a high level of globalization and low mortality rates. In view of the arguments that globalization provides winners and losers, and might be seen as a disequalizing process, we should perhaps be careful in interpreting the observed positive association as simple evidence that globalization is mostly good for our health. It is our hope that a further analysis of health impacts of globalization may help in adjusting and optimising the process of globalization on every level in the direction of a sustainable and healthy development for all.
Pim Martens; Su-Mia Akin; Huynen Maud; Raza Mohsin. Is globalization healthy: a statistical indicator analysis of the impacts of globalization on health. Globalization and Health 2010, 6, 16 -16.
AMA StylePim Martens, Su-Mia Akin, Huynen Maud, Raza Mohsin. Is globalization healthy: a statistical indicator analysis of the impacts of globalization on health. Globalization and Health. 2010; 6 (1):16-16.
Chicago/Turabian StylePim Martens; Su-Mia Akin; Huynen Maud; Raza Mohsin. 2010. "Is globalization healthy: a statistical indicator analysis of the impacts of globalization on health." Globalization and Health 6, no. 1: 16-16.
Maud M T E Huynen; Arnold J H Van Vliet. [Climate change and health in the Netherlands]. Nederlands tijdschrift voor geneeskunde 2009, 153, 1 .
AMA StyleMaud M T E Huynen, Arnold J H Van Vliet. [Climate change and health in the Netherlands]. Nederlands tijdschrift voor geneeskunde. 2009; 153 ():1.
Chicago/Turabian StyleMaud M T E Huynen; Arnold J H Van Vliet. 2009. "[Climate change and health in the Netherlands]." Nederlands tijdschrift voor geneeskunde 153, no. : 1.