week 4 planetary health Flashcards
planetary health
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.
One work one health
Interconnectedness humans and nonhumans and ecosystems. Coequal collaboration & partnerships.
The four layers of ecology
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
Planetary health is…
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
global health
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.
lessons from SARS outbreak
Communication critical: same page
Creativity: using learning management systems for communication and teaching
Provincial guidance
students used best judgement
Anthropocene
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
Nurses engagement in planetary health
Need to participate in the conversation nat every level (Academic, association & policy) and develop emotional intelligence
Professional nursing education programs
Help nurses develop competencies and attributes for engagement in global health reform
Inter-professional education programs
promote networking, collaboration, non-hierarchical relationships & common goals
Nurse-clinicians
Need inquiry approach situated within a culturally competency framework
Nursing community
embrace one world, one health
Capacity building
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.
One world, One health
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
Nurse clinician’s inquiry approach
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
Transformative nature of knowledge transfer
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.
Nurses need to:
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
Reverse innovation:
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
Paradigm shift
examining problems across situations or context, inclusive of other disciplines: Dignity, prosperity, justice, partnership, planet and people
Two-way learning
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
cross cultural competencies
Improve outcomes and eliminate racial and ethnic disparities in health outcomes
Global innovation flow
to reduce inequility within countries: SDG –> to change the conversation to influence policy.
Nursing engagement in changing conversations
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.
SDG’s are…
not a donor / recipient situation
To improve the health system performance:
Leadership, critical reasoning, data management to generate and use data to inform decision regarding clinical, research, education practice policy
emotional intelligence
enables nurses to manage social & cultural factors that impede their involvement in promoting changes
Nurses need to hold:
Governments, NGO, private sectors, acadmeic and professional institiuoins accountable to the commitments made in delivering priorities in the post-2015 development agenda
1948 declaration of geneva
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
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
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.
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
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
