Valentine-Maher Sarah K, Butterfield Patricia G, Laustsen Gary
University of Massachusetts Amherst College of Nursing, Amherst (Ms Valentine-Maher); Elson S. Floyd College of Medicine, Washington State University, Spokane (Dr Butterfield); and Oregon Health & Science University School of Nursing, Portland (Dr Laustsen).
ANS Adv Nurs Sci. 2018 Jan/Mar;41(1):57-69. doi: 10.1097/ANS.0000000000000194.
Human health is substantially impacted by the state of the environment, and environmental degradation has a disproportionate impact on persons with less immediate access to financial and social power. This article calls for upstream nursing action to address the natural environment in order to turn about health injustices and improve health for all. Such action would move nursing towards a greater actualization of the nursing environmental domain. The health impacts of climate change, air and water quality, and toxic chemical exposure are substantiated and specific policy leadership recommendations are proposed. Recommended actions include work to build environmental health literacy and empowerment, advocacy for regulatory protection and enforcement, and environmental engagement within health care systems.
人类健康受到环境状况的重大影响,而环境退化对那些无法直接获得经济和社会权力的人群产生了不成比例的影响。本文呼吁护理行业采取上游行动来应对自然环境,以扭转健康不平等现象并改善所有人的健康状况。此类行动将推动护理行业更加充分地实现护理环境领域的目标。气候变化、空气和水质以及有毒化学物质暴露对健康的影响得到了证实,并提出了具体的政策领导建议。建议采取的行动包括致力于培养环境健康素养和增强权能、倡导监管保护和执法,以及在医疗保健系统内参与环境事务。