week 4 planetary health

Question 1

planetary health

Answer 1

Lancet 2014 - to transform the public health field that was focused on the health of human populations without considering natural ecosystems.
2015 - Rockefeller foundations, lancet commission on planetary health
concerned with the governance and stewardship threat so sustainability
defined as the fusion of two domains - the health of human civilization & the state of the natural systems of which it depends. Conceptual hyper-object.

Question 2

One work one health

Answer 2

Interconnectedness humans and nonhumans and ecosystems. Coequal collaboration & partnerships.

Question 3

The four layers of ecology

Answer 3

1) Everything is connected to everything else
2) everything must go somewhere
3) Nature knows best
4) There is no such thing as free lunch

Question 4

Planetary health is…

Answer 4

A field - set of institutional arrangements
A Scientific paradigm - Nothing in human health makes sense except in light of planetary health
A policy framework
a Communication strategy
A moral imperative

Question 5

global health

Answer 5

Tropical health –> international health –> global health –> planetary health
tropical health was white male doctor, colonial expeditions hoping to protect colonists from newly encountered diseases.
Global health is truce reciprocal partnerships for global capacity.

Question 6

lessons from SARS outbreak

Answer 6

Communication critical: same page
Creativity: using learning management systems for communication and teaching
Provincial guidance
students used best judgement

Question 7

Anthropocene

Answer 7

industrial society has made it into the ranks of deep time, brining a geological effect that has no analogue i the earth’s history. The great acceleration since 1950

Question 8

Nurses engagement in planetary health

Answer 8

Need to participate in the conversation nat every level (Academic, association & policy) and develop emotional intelligence

Question 9

Professional nursing education programs

Answer 9

Help nurses develop competencies and attributes for engagement in global health reform

Question 10

Inter-professional education programs

Answer 10

promote networking, collaboration, non-hierarchical relationships & common goals

Question 11

Nurse-clinicians

Answer 11

Need inquiry approach situated within a culturally competency framework

Question 12

Nursing community

Answer 12

embrace one world, one health

Question 13

Capacity building

Answer 13

Improve individuals, organizations or communities ability to address health issues. We are now challenging unidirectional flow of knowledge and skills for a more equitable partnership model. Not based on distinctions but is concern with equitable partnerships.

Question 14

One world, One health

Answer 14

Majority of the world are now middle-income countries - interconnectedness f humans & non-humans with our ecosystem, coequal collaboration & partnership. Privileged intersection in which the capacity of healthcare providers, regardless of geographical boundaries is enhanced for societies well being

Question 15

Nurse clinician’s inquiry approach

Answer 15

situated within a cultural competency framework that promotes behaviours, attitudes and practices to come together in inter professional & interpersonal relationship that:

1) acknowledge & view cultural differences as strength
2) promote self-reflection to develop an understanding of their own culture, attitudes, and prejudices
3) Avoid assumptions & stereotypes
4) Facilitate empathy, despite language or communication barriers
5) knowledge, skills, attitudes and core values of nurses are fluids / borderless

Question 16

Transformative nature of knowledge transfer

Answer 16

Capacity building has been historically informed by colonial perspectives and unequal power relationships –> know reframed for collaboration to enhance leadership & commitment to effect change i the conditions of their communities through action.

Question 17

Nurses need to:

Answer 17

Developing competencies to promote social, economic, and political actions that not only exposes the health inequities (SDOH) but identifies innovative approaches to reform healthcare delivery.
Knowledge transfer should be transformative to all engaged in the experience: creator, broker, and user

Question 18

Reverse innovation:

Answer 18

applying successful innovative approaches originating from low & middle income countries (Driven by limited resources) to high income countries in order to transform healthcare systems & improve health outcomes

• BARRIERS: weak flow infrastructure, narrow-mindedness, and early failures
• GOAL: to contibute to countless health challenges faced by populations across the world
• Global INNOVATION FLOW:bidirectional knowledge sharing to concrete clinical practice solutions - economic, social andnvironemntal development with hopes of eliminating all forms of poverty

Question 19

Paradigm shift

Answer 19

examining problems across situations or context, inclusive of other disciplines: Dignity, prosperity, justice, partnership, planet and people

Question 20

Two-way learning

Answer 20

reverse capacity development. Altered perception of work views translated into action that can potentially inform a practice at home. Improve structures beyond own clinical or cultural competency

Question 21

cross cultural competencies

Answer 21

Improve outcomes and eliminate racial and ethnic disparities in health outcomes

Question 22

Global innovation flow

Answer 22

to reduce inequility within countries: SDG –> to change the conversation to influence policy.

Question 23

Nursing engagement in changing conversations

Answer 23

positioned to facilities shared learning globally & engage in reverse innovation.
Interpersonal, interpersonal, organization, sociocultural, to inform world views and promote behaviour change can lead to health for all.
respect for partners and two-way learning - DOES NOT dispel power dynamics. Not sufficient, must be completed by an understanding that embodies the complex interrelationship between core values of social responsibility, justice and equity.

Question 24

SDG’s are…

Answer 24

not a donor / recipient situation

Question 25

To improve the health system performance:

Answer 25

Leadership, critical reasoning, data management to generate and use data to inform decision regarding clinical, research, education practice policy

Question 26

emotional intelligence

Answer 26

enables nurses to manage social & cultural factors that impede their involvement in promoting changes

Question 27

Nurses need to hold:

Answer 27

Governments, NGO, private sectors, acadmeic and professional institiuoins accountable to the commitments made in delivering priorities in the post-2015 development agenda

Question 28

1948 declaration of geneva

Answer 28

one of the 1st official acts of the world medical association, updates hippocratic oath & defined ethical principles applicable to medical profession.

• PRofiessional oaths based on the 4 bioethical principles of justice, autonomy, non-maleficence & beneficial. Update for societal norms, expectations and challenges
• Public commitment to take responsibilities for other peoples lives & health at the transition from student to professional is significant

Question 29

In response to the climate crisis, ocean acidification, biodiversity loss. The transdisciplinary field of planetary health has emerged centred not he interconnectedness of human health with the state of all-natural systems to safe guard the health of present & fire generations = INTERGENERATIONAL EQUITY

Answer 29

Objective is to transform human values, behaviours and societal structures to maintain the safe & just operating space for humanity
To sustain this trust in the anthropocene, health professional need to expand the interpretation of (first do no harm) and beneficence to consider the vitality of the planet as a bedrock for human wellbeing. Strive for planetary health to truly do not harm.

Question 30

To adopt an updated pledge that recognizes health professionals’ roles and responsibilities in the anthropocene to encompass the diverse challenges tha are impeding profess toward the health of people & the planet

Answer 30

The health impact of structural inequalities and any form of discrimination - gender, race & ethnicity
since the words population encompasses diverse worldview and cultural practice, greater effort inpriotiising inclusive language!
Reviced pledge to unifying potential across the health & related professions.
A single unifying statement as the basis for planetary health pledges by different professions could help to avoid conflating health with health systems.
Emphasizing the responsibility and the honour invoked in a commitment to working for planetary health within the potential to catalyst transformative change