Are We Ready for Anything?
Identifieur interne : 000376 ( Pmc/Corpus ); précédent : 000375; suivant : 000377Are We Ready for Anything?
Auteurs : Leslie Neal-BoylanSource :
- The Journal for Nurse Practitioners [ 1555-4155 ] ; 2020.
Url:
DOI: 10.1016/j.nurpra.2020.02.020
PubMed: 32292299
PubMed Central: 7118589
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PMC:7118589Le document en format XML
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<author><name sortKey="Neal Boylan, Leslie" sort="Neal Boylan, Leslie" uniqKey="Neal Boylan L" first="Leslie" last="Neal-Boylan">Leslie Neal-Boylan</name>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Nurse Pract</journal-id>
<journal-id journal-id-type="iso-abbrev">J Nurse Pract</journal-id>
<journal-title-group><journal-title>The Journal for Nurse Practitioners</journal-title>
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<issn pub-type="ppub">1555-4155</issn>
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<title-group><article-title>Are We Ready for Anything?</article-title>
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<contrib-group><contrib contrib-type="author" id="au1"><name><surname>Neal-Boylan</surname>
<given-names>Leslie</given-names>
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<degrees>PhD, FNP-BC, CRRN, FAAN</degrees>
<role>Associate Editor</role>
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<pub-date pub-type="pmc-release"><day>11</day>
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<permissions><copyright-statement>© 2020 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Elsevier Inc.</copyright-holder>
<license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p>
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<body><p id="p0010a"><fig id="undfig1"><graphic xlink:href="fx1_lrg"></graphic>
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<p id="p0010">As nurse practitioners (NPs), we are prepared to handle almost any clinical problem that comes our way and know to whom to refer if we are unsure. NPs are now at the forefront of health care. People trust nurses and NPs. Patients as well as neighbors, friends, acquaintances, and strangers look to us because we listen, approach health and illness holistically, and bring a foundation of nursing to everything we do. The world is changing rapidly, but can we keep up? <italic>Are we ready</italic>
?</p>
<p id="p0015">We are aware of many of the manifestations and potential consequences of climate change, such as increased respiratory, cardiac, and kidney conditions, food and water insecurity, heat stress, and waterborne and vector-borne illnesses, among others.<xref rid="bib1" ref-type="bibr"><sup>1</sup>
</xref>
<sup>,</sup>
<xref rid="bib2" ref-type="bibr"><sup>2</sup>
</xref>
Do you know how to recognize a condition that may be impacted by climate change? Do you routinely assess your patients for health consequences of climate change? Would you know how to treat them?</p>
<p id="p0020">Earthquakes, erupting volcanoes, and flooding seem to be more frequent and devastating. Years ago, in California, I experienced an earthquake with a magnitude of 6.9. I never thought it was possible, but I actually watched the kitchen floor roll like an ocean wave. I quickly moved my 4 young children under our heavy German-made table, where we experienced multiple violent aftershocks. For several days, not even the birds made a sound. Our main concern was fresh food and water, because we lost all electricity and power. It hit me that many people live every day with these concerns.</p>
<p id="p0025">As global warming continues and we become a more global economy and society, we are experiencing epidemics and pandemics that spread quickly. The avian influenza, Zika virus disease, Ebola, and COVID-19 make worldwide news, but what about the diseases that do not get as much press but might be equally virulent and possibly deadly? Experts on the influenza epidemic of 1918 report that it is likely we will experience something similar on a global scale, but no one knows when.<xref rid="bib3" ref-type="bibr"><sup>3</sup>
</xref>
We must anticipate and prepare for global infection by being proactive rather than reactive.</p>
<p id="p0030">There are other potential large-scale problems in addition to climate change and global health care crises. Many world leaders now have the capability of launching nuclear weapons without warning. Those of us in health care will need to be ready to help the survivors. I was recently asked to meet with nuclear engineer faculty at my university. They asked me whether we are preparing future nurses to know what to look for and how to care for people in a nuclear emergency.</p>
<p id="p0035">Nurses have always been first responders. Emergency readiness and disaster preparedness are not new to nurses or NPs, but are we preparing for the future and threats to our health that are hard to even contemplate?</p>
<p id="p0040">These are not pleasant thoughts, but it is important we consider them as we face the future of health care. Talk to your agency and ask them about their plans. Ask them and our professional organizations to provide education specific to handling the health impacts of climate change, global infection, and nuclear disaster. Our patients and the public count on us for expert care and comfort. We never let them down.</p>
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<back><ref-list id="cebib0010"><title>References</title>
<ref id="bib1"><label>1</label>
<element-citation publication-type="journal" id="sref1"><person-group person-group-type="author"><name><surname>Nicholas</surname>
<given-names>P.K.</given-names>
</name>
<name><surname>Breakey</surname>
<given-names>S.</given-names>
</name>
<name><surname>Tagliareni</surname>
<given-names>E.</given-names>
</name>
</person-group>
<article-title>Advancing a School of Nursing Center for Climate Change, Climate Justice, and Health</article-title>
<source>Ann Rev Nurs Res</source>
<volume>38</volume>
<year>2020</year>
<fpage>145</fpage>
<lpage>157</lpage>
</element-citation>
</ref>
<ref id="bib2"><label>2</label>
<element-citation publication-type="journal" id="sref2"><person-group person-group-type="author"><name><surname>Neal-Boylan</surname>
<given-names>L.</given-names>
</name>
<name><surname>Breakey</surname>
<given-names>S.</given-names>
</name>
<name><surname>Nicholas</surname>
<given-names>P.</given-names>
</name>
</person-group>
<article-title>Integrating climate change topics into nursing curricula</article-title>
<source>J Nurs Educ</source>
<volume>58</volume>
<issue>6</issue>
<year>2019</year>
<fpage>1</fpage>
<lpage>5</lpage>
</element-citation>
</ref>
<ref id="bib3"><label>3</label>
<element-citation publication-type="other" id="sref3"><person-group person-group-type="author"><collab>Centers for Disease Control and Prevention</collab>
</person-group>
<article-title>National Pandemic Strategy</article-title>
<comment>Accessed February 23, 2020</comment>
<ext-link ext-link-type="uri" xlink:href="https://www.cdc.gov/flu/pandemic-resources/national-strategy/index.html/" id="intref0010">https://www.cdc.gov/flu/pandemic-resources/national-strategy/index.html/</ext-link>
<year>June 15, 2017</year>
</element-citation>
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