Nursing on the Frontlines of the Climate Crisis: Strategies for Advocacy and Action

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Introduction

Climate change is impacting health and healthcare delivery globally and society’s ability to support healthy living. The effects of climate change on human health around the world is increasing the demand for a climate-informed nursing workforce as the impacts will only intensify in the coming years. The effects of climate change are already harming human health around the world, and impacts will only intensify in the coming years. Heat waves and rainstorms are becoming more deadly, disease outbreaks last longer and are seen in new regions, wildfire smoke from tinder-dry forests reduces air quality, and food and water security are threatened by extreme weather. There is an imperative for quick action on many fronts: to recognize and respond to climate-health threats; prevent climate change at its source by reducing heat-trapping greenhouse gas emissions; support “greener” systems throughout the economy, including healthcare; determine the health co-benefits of adaptation and mitigation; and communicate effectively about these issues to safeguard human health.

Climate change is also connected to the socially and economically burdensome epidemic of noncommunicable diseases (NCDs). One link between climate and NCDs is the excessively large number of deaths among people with NCDs in the weeks and months after a large storm, given the disruption to services and reduced availability of medicines. Another link is food and nutrition security. We are witnessing the erosion of agriculture as more frequent storms, drought episodes and damage to coral reefs undermine food and nutrition security globally. This leads to more consumption of cheap, low-quality food, leading to obesity and attendant NCDs. The massive agriculture industry in the world – especially for meat – uses huge amounts of gas and oil to make fertilizers and support mechanized agriculture. If we shift to a more plant-based diet, there would be benefits to health from reduced risk of NCDs, and benefits to the planet from reduced greenhouse gas emissions. Heat and drought lead to more wildfires and smoke, and pollution from vehicle emissions can trigger asthma and chronic respiratory disease. Transportation is largely by motorized vehicles using fossil fuels. Initiatives to increase alternative transport such as biking, walking, and rapid mass transport, which utilize the existing built environment, have potential co-benefits to health, energy security, tourism, and the planet. (Reference - Climate change and non-communicable diseases: two sides of the same coin - The Global Governance Project)

To meet these challenges, current and future nursing professionals globally must understand the dynamics governing the interactions of climate and health, the level of scientific understanding of those interactions, and potential adaptation, mitigation, and resilience-building solutions, while carrying a respect for the processes and issues not yet fully understood.  Furthermore, the nursing profession needs to be able to apply these principles to individual and population level health needs to devise individual and locally meaningful public health solutions. Education is key in the effort to increase knowledge and skills among nursing professionals, clinicians, public health practitioners, emergency responders, educators, healthcare leaders, and policy makers in order to build capacity and so they may continue to serve as trusted voices within their professions and institutions.

Program Description:

Nursing on the Frontlines of the Climate Crisis Course: Strategies for Advocacy and Action addresses this critical need and builds upon the foundational concepts of the first course, Nursing on the Frontlines of the Climate Crisis Course: Education for Action. Both courses were developed through a partnership between the Global Nurses Working Group (GNWG)/Nursing Climate Resources for Health Education (N-CRHE); Columbia University Mailman School of Public Health/Global Consortium on Climate and Health Education (GCCHE), the Alliance of Nurses for Healthy Environments (ANHE), the Canadian Association of Nurses for the Environment (CANE); Climate Action Nurses (CAN), and ANHE Latinoamérica.

The Course’s key goals are to:

  1. Increase nursing professionals’ knowledge, self-efficacy, and communication skills related to the climate crisis to: 1) improve patient care and public health practice and 2) serve as trusted messengers within their institutions, communities, and fields of practice.
  2. Equip interested nursing professionals with the knowledge, skills, strategies for advocacy, and actionable resources needed to disseminate education so that health effects of climate change and emergency preparedness can be incorporated more easily into pre- and post-licensure nursing education across the globe. 

  3. Build and strengthen an agile and informed nursing community around climate and health education, advocacy, and policy for health professionals with strong mentorship and expert support. 

Course Structure:

The foundation of this educational initiative is the GCCHE core competencies for health professionals, a highly vetted set of global educational standards which covers climate change and health analytic skills and knowledge, communication and collaboration, policy, public health, and clinical practice competencies. The sessions, designed around case-based learning, help nurses, nurse practitioners, nursing students, and nurse educators gain the expertise required to provide needed climate and health services.
The course consists of ten weekly (Tuesday) live-virtual 60-minute sessions targeted towards nursing professionals from all backgrounds. Each session consists of 30-35 minutes of theory/foundation followed by a case study presentation, and opportunity for a question and answer period. Lectures are delivered by local and global practicing nursing experts in the field. The live question and answer sessions are monitored by the program team and consolidated in order to be addressed by the expert lecturers. Resources, such as frameworks and suggested readings, are provided to all course participants following each session. Video recordings are available following each session for asynchronous view via the Alliance of Nurses for Healthy Environments (ANHE) website (www.learning.enviRN.org).

SESSION DESCRIPTIONS

Session 1: Climate, Health, & Strategic Advocacy

 

Speaker: Jo Bjorgaard, DNP, RN, PHN, CSSBB Senior Climate & Health Manager, Climate Advocacy Lab 

Moderated by: Michelle DePhillips, DNP, MPH, RN, ACNP-AG

This session introduces participants to the critical role of nurses in addressing the health impacts of climate change through advocacy and narrative leadership. The lesson emphasizes the strategic use of storytelling as a tool for influencing climate policy and public awareness, situating this practice within the broader framework of evidence-based nursing and global health equity. Participants will engage with case studies and reflective exercises to explore how personal and professional experiences can be leveraged to drive systems-level change in climate and health.  

Learning Objectives

  • Identify core advocacy concepts relevant to global nursing and recognize the strategic role nurses play in advancing climate and health solutions.

  • Explain how storytelling functions as a powerful advocacy tool that can shift narratives, build public support, and influence decision-makers.

  • Analyze a real-world case study of nurse-led storytelling in climate advocacy to understand how these strategies are applied in practice.

  • Reflect on your own experiences and values to begin applying storytelling as a strategy in your future role as a nurse advocate for climate and health systems change.

Session 2: Just Transitions - Supporting workers' and communities' physical, mental, and economic health as we reduce our reliance on fossil fuels

Speakers:

Barbara Sattler, RN, DrPH,  FAAN, Professor Emeritus, University of San Francisco School of Nursing and Health Professionals, Leadership Council, California Nurses for Environmental Health and Justice

Gina Friel, DNP, CRNP-PC, Global Consortium on Climate and Health Education, Columbia University Mailman School of Public Health, Global Nurses Working Group, Director

Moderated by: Karen Duderstadt, PhD, RN, CPNP, FAAN

Focus Statement:

This session explores how nurses can apply systems thinking to support communities undergoing industrial transitions, emphasizing the health and mental health impacts of these changes, and the critical role of policy engagement and social safety nets in promoting a just transition for affected workers and families. A case study will be presented to illustrate real-world implications of a community impacted by a transition and the complex interrelationships surrounding the economic, health, and overall well-being of the community.

By analyzing the interconnected social, economic, and environmental determinants of health, nurses are positioned to advocate for equitable policies that mitigate the adverse effects of deindustrialization and foster community resilience.

Learning Objectives:

  • Outline ways to apply systems thinking to the concept of just transition.

  • Describe ways nurses can engage in policies to support affected workers and families when anchoring industries abandon a community.

  • Recognize the increased health risks that are associated with communities in transition.

  • Recognize that supporting social safety net policies can play an important part in sustaining health and mental health in communities where industrial transitions are occurring.

Session 3: Sustainability

Speakers:

Heather Baid, PhD, RN, SFHEA

Jeremiah Headen, B.S. in Political Science, Fellowship Director at the Alliance of Nurses for Healthy Environments, Associate Director of Place-Based Initiatives at Health Care Without Harm

Moderated by: Ashley Moore, PhD (c), MS, RN

Focus Statement: 

As trusted advocates for both people and the planet, nurses play a pivotal role in creating a net zero, climate-resilient health and social care system. This session explores the principles of planetary health and their relevance to nursing and midwifery, highlighting how everyday clinical practice can advance the goals of net zero ambitions. Through reflection, practical examples, and new sustainability resources, nurses will be empowered to lead system-wide change—driving sustainable transformation and ensuring the health of future generations.

Learning objectives:

1. Recognize the need to create a net zero, climate-resilient health and social care system, and the unique contribution of nurses.

2. Recognize the role of nurses in supporting the goal of net zero ambitions and consider the use of these goals through everyday clinical practice.

3. Describe the concept of planetary health and its relevance to nursing and midwifery.

4. Identify how nurses can lead system wide change to drive sustainable transformation in health and care settings through the use of several newly available resources to support these efforts.

 

Session 4: Climate, Health, & Nutrition

Speakers:

Dr Katharine Martyn RN, RNut Principal Lecturer Nutrition, School of Education, Sport and Health Sciences, University of Brighton

Moderated by: Gina Friel, DNP, CRNP-PC

Focus Statement:

This session examines the interconnections between a changing climate, food systems, and health equity, emphasizing how environmental changes influence food production and access to nutritious foods for patients. Learners will explore how nurses can apply a sustainable lens in assessing and planning for patients’ nutritional needs, integrating environmental, social, and economic considerations into care. Through critical reflection, learners will also consider practical strategies for reducing food waste within clinical settings, reinforcing nursing’s role in promoting both individual and planetary health.

Learning Objectives:

  • Describe how climate change can impact food production and equitable access to healthier foods for your patients.

  • Explore how, as a nurse, you will use a sustainable lens when assessing and developing a plan that meets a patient’s nutritional needs.

  • Critically reflect on how nurses can tackle food waste in their clinical practice.

Session 5: Environmental Justice

Speakers:

Alysha T. Jones, RNc, MSc, MScN, CCNE, Co-chair Environmental Justice and Reconciliation Committee, Canadian Association of Nurses for the Environment 

Keara Allen, M.A., Environmental and Climate Justice Researcher, Consultant, and Advocate

Moderated by: Michelle DePhillips, DNP, MPH, RN, ACNP-AG

Focus Statement:

This session explores the intersection of health, environment, and social justice, examining how systemic, cumulative, and intersectional forms of environmental racism shape health outcomes across communities. Students will define key concepts in environmental and climate justice and analyze the health consequences of inequitable environmental exposures. Through a nursing lens, this session emphasizes advocacy, education, and leadership roles nurses play in recognizing, addressing, and mitigating the impacts of environmental racism—promoting healthier, more equitable communities locally and globally.

Learning Objectives:

  • Define environmental racism and describe how it is systemic, cumulative, and intersectional in nature.

  • Identify some of the health impacts associated with environmental racism.

  • Define environmental and climate justice.

  • Outline the role of nurses in addressing environmental racism and in promoting environmental and climate justice.

Session 6: Climate & Global Maternal Health

Speakers:

Luseshelo Simwinga Mumba, BScNM, MScNMEd, Nurse Midwife Educator, Maternal, Neonatal and Child Health Coordinator

Moderated by: Karen Duderstadt, PhD

Focus Statement:

This session explores the intersection of global climate change and maternal-newborn health (MNH), emphasizing the urgent need for climate-informed nursing and midwifery practice. This session will discuss how a changing climate impacts pregnancy outcomes, maternal well-being, and newborn survival, while identifying strategies to strengthen resilience and continuity of MNH services during climate-related disruptions. Through advocacy, preparedness, and evidence-based care, nurses and midwives will be empowered to lead efforts that protect mothers and infants, promote health equity, and advance sustainable healthcare solutions in the face of global climate challenges.

Learning Objectives:

  • Define global climate change
  • Discuss its impact on maternal and newborn health
  • Describe the role of nurses/midwives in climate preparedness and advocacy
  • Identify opportunities for promoting quality MNH services during climate challenges

 

Session 7: Cancer in a Changing Climate: Nursing Advocacy at the Crossroads of Oncology and Environmental Health

Speakers:

Ashley Moore, MS, RN, PhD(c), Climate & Planetary Health Nursing Fellow, Global Consortium on Climate and Health Education (GCCHE), Registered Nurse, UCSF Helen Diller Family Comprehensive Cancer Center

Stella Aguinaga Bialous, DrPH, FAAN, Professor and Chair, Department of Social and Behavioral Sciences, UCSF School of Nursing, Faculty, Center for Tobacco Control Research and Education

Moderated by: Gina Friel, DNP, CRNP-PC

Focus Statement:

This session explores the intersection of climate change, environmental exposures, and global cancer care, highlighting the nurse’s role in promoting health equity and environmental justice. Learners will examine key environmental and climate-related factors that contribute to cancer risk and influence outcomes across diverse global settings. The session will address disparities in cancer detection, treatment, and survivorship within varied health systems and resource contexts, while analyzing how climate-related events—such as wildfires, extreme heat, and infrastructure disruptions—impact oncology care delivery. Emphasis will be placed on nursing-led advocacy and strategies to reduce environmental carcinogens, advance sustainable practices, and shape climate-health policies that protect oncology patients and vulnerable populations.

Learning Objectives:

  • Identify key environmental exposures and climate-related factors that increase cancer risk and affect cancer outcomes globally.

  • Describe disparities in cancer detection, treatment, and survivorship across different global health systems and resource levels.

  • Analyze how climate-related events (e.g., wildfires, extreme heat, infrastructure collapse) disrupt oncology care delivery.

  • Advocate for nursing-led strategies to reduce environmental carcinogens and influence climate-health policies that protect oncology patients and vulnerable populations.

Session 8: Gender-Based Violence

Speakers:

Christina T. Kwauk, PhD

Leso Munala

Focus Statement:

This session examines the intersection of climate change and gender-based violence (GBV), highlighting how climate-related events such as extreme weather can heighten risks for women, girls, and other vulnerable populations. Through an exploration of climate-amplified risk factors, nurses will learn to identify early signs of GBV and provide trauma-informed care in both clinical and community contexts. Emphasis will be placed on multi-level strategies—individual, community, and policy—to eliminate GBV and strengthen women’s climate resilience. Finally, the session will empower nursing professionals to collaborate with community leaders, health systems, and advocacy organizations to promote safety, equity, and climate justice.

Learning Objectives:

  • Describe the established links between climate-related events (e.g., extreme weather events) and the increased risk of gender-based violence (GBV).

  • Identify climate-amplified risk factors for GBV in clinical and community settings, enabling earlier screening and support for vulnerable individuals.

  • Explore individual-level, community-level and policy-level solutions to eliminate gender-based violence and barriers to women and girls' climate resilience.

  • Describe how nursing professionals can partner with community educators, health professionals, and advocacy organizations to address GBV in the context of climate change.

Session 9: Emergency Preparedness

Speakers:

Gary Glauberman, PhD, RN, PHNA-BC, NHDP-BC, Chair, Department of Nursing, Associate Professor, Director Advanced Population Health Nursing Program University of Hawaii at Manoa Nursing

Melveen Camba, MS, RN

Moderated by: Hannah Noel, DNP, RN

Focus Statement:

This session examines the critical intersection between health, nursing practice, and disaster preparedness in an era of increasing extreme weather events. Learners will explore how social determinants of health influence the vulnerability and resilience of patients, families, and communities to disasters locally and globally. Emphasis will be placed on identifying health outcomes associated with natural and climate-related disasters, understanding the essential roles and responsibilities of nurses in emergency preparedness and response, and developing core leadership competencies necessary for effective disaster management. Through a focus on prevention, preparedness, and action, nurses will learn to implement evidence-based strategies that reduce disaster risk and promote equitable, community-centered responses to emergency situations.

Learning Objectives: 

  • Explain how the social determinants of health influence the risk for, and the impact of, disasters on patients, families, and communities locally and globally.

  • List specific health outcomes linked with extreme weather and other natural disasters.

  • Describe emergency/disaster preparedness and the basic roles and responsibilities of nurses related to disasters. 

  • Identify core nursing competencies necessary for effective leadership in emergency preparedness and response. 

  • Identify specific actions that nurses can take to reduce disaster risk and respond to emergency situations caused by extreme weather.

 

 Session 10: Interprofessional Strategic Engagement

Speakers: 

Hayley Blackburn, Pharm.D., Associate Professor, University of Montana

Lisa Cerceo, MD, Professor of Medicine, Cooper Medical School, Rowan University

Cara Cook, MS, RN, AHN-BC, Director of Programs at Alliance of Nurses for Healthy Environments

Annie Rosenthal, MSW, Associate Director of Programs and Operations at UC Center for Climate, Health and Equity

Moderated by: Gina Friel, DNP, CRNP-PC

Focus Statement:

This session focuses on strengthening interprofessional collaboration to address the health impacts of climate change through coordinated, evidence-based, and equity-centered approaches. Learners will explore opportunities within their areas of expertise to engage in interprofessional teamwork, enhance communication and decision-making across disciplines, and demonstrate inclusive leadership in complex healthcare environments. Emphasis will be placed on developing comprehensive, team-based strategies that integrate diverse perspectives, respond to the needs of vulnerable populations, and engage community stakeholders to promote sustainable and just health outcomes in a changing climate.

Learning Objectives:

  • Describe Interprofessional Collaboration within your area of expertise and identify opportunities within that area of expertise for interprofessional teams to work together.

  • Facilitate effective communication and decision-making across healthcare disciplines, demonstrating skills in team coordination, conflict resolution, and inclusive leadership in addressing the health impacts of climate change.

  • Lead comprehensive, team-based strategies that address specific climate-health challenges by synthesizing diverse disciplinary perspectives, vulnerable population needs, and evidence-based practices into actionable protocols.

  • Engage stakeholders across healthcare and community settings to promote sustainable, equitable responses to climate-related health threats, while empowering vulnerable populations through coordinated interprofessional care networks.

 

 

Key Information:

Certificate of Participation:

Participants who attend live OR view ≥70% (7 out of 10) of the Zoom sessions and pass the final exam with a score of ≥70% will be awarded a Certificate of Participation in climate and health from the GCCHE. 

Participants MUST:

1). Join live Zoom sessions or watch video recordings via the ANHE portal (NOT YouTube). 

2). Take the final exam using the SAME email address that was used to sign up for the course.

Views after December 6, 2025 at 11:59PM EST will not count towards the certificate.

Attendance

Participants may attend any combination of live Zoom sessions and ANHE asynchronous views to meet the 7 session attendance requirement for the certificate.

  • Attendance is automatically recorded during the live Zoom sessions
  • Your individual attendance is only counted if you join using your personal Zoom link

  • Your attendance is NOT counted if you join with a colleague’s link

  • Your asynchronous views are only counted if they are done by creating an account through the ANHE portal.

  • YouTube views will NOT count towards attendance

Final Exam

  • The exam must be completed using the same email address used to attend the Zoom sessions

  • Format: multiple choice and true/false questions

  • The exam link is sent on the final day of class via email and WhatsApp. The exam link remains open until Saturday, December 6 , 2025 at 11:59 PM Eastern Time (US/Canada). 

  • Participants should be prepared to take the exam in one sitting

  • The final exam is only to be given in the days following the final session at the end of the course in December 2025. Once the exam period closes, it will not be reissued.

Certificates are awarded the week of Monday, December 8, 2025.

Asynchronous Viewship and Continuing Education (CE) for United States - Based Participants

Please read the information below carefully to receive Continuing Education (CE) credits:

  • If you watched of the live session, you will receive an email from the Global Consortium on Climate and Health Education (GCCHE) containing a code for the ANHE platform. Using this code, you can  and complete the required form to request your CE credits.45 minutes or more skip the video.
  • If you watched less than 45 minutes of the live session, you will receive an email from the GCCHE inviting you to watch the full session recording on ANHE before proceeding to request CE credits.

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Audience

All nursing professionals interested in climate change and health are welcome! 
Nurses, nurse practitioners, nursing students, nursing educators, hospital administrators, health system leaders, health educators, policymakers, environmental nursing professionals, government officials, journalists, advocates, or those otherwise working in an area impacted by climate change.

Language

Course is offered in English with closed captioning in Spanish/El curso se ofrece en inglés con subtítulos en español.