02/11/2026
IHS/PhD Program Dissertation Defense
Candidate Name: Dawn M. Smith, MSN, RN, AHN-BC, PhD Candidate
Dissertation Title: Barriers to Climate Change and Sustainability Action: Nursing Education and Practice
Time: Feb 26, 2026, 12:00 - 1PM PM Eastern Time (US and Canada)
Join Zoom Meeting: https://us02web.zoom.us/j/84669297520
Meeting ID: 846 6929 7520
Dissertation Committee: Chairperson: Kieran Fogarty, PhD, Director of Interdisciplinary Health Sciences; Committee Members: Lisa Dechano-Cook, PhD, WMU School of Environment, Geography, and Sustainability and Teddie Potter, PhD, Director Center for Planetary Health and Environmental Justice, School of Nursing University of Minnesota.
Abstract: Climate change is one of the most pressing public health emergencies of our time and nurses can have a great impact in their current practice and in the education of future nurses (Health Care without Harm, 2025American Nurses Association, 2023; The Alliance of Nurses for Healthy Environments, n.d.). Deaths due to rising temperatures, vector-borne illness, and food insecurity related to drought and extreme weather are on the rise (WHO, 2024). It has been estimated that globally over 250,000 additional deaths will be attributed to climate related effects between 2030 and 2050 (WHO, 2023; Watts et al., 2020). Methods: A primary data collection cross sectional study used the validated Sustainability Attitudes and Nursing Survey (SANS-2) (Richardson, et al., 2015) focusing on a study sample of 144 US community health nurse educators, Michigan public health nurses, and US nurse educators. The variables of area of specialty were compared with the SANS-2 question 5, “I apply sustainability practices at home”, the non-SANS-2 question ranking common barriers, and the non-SANS-2 write in response to additional barriers related to implementing climate change and sustainability concepts into nursing curriculum. An independent T-test and one-way ANOVA were used to compare nursing specialty for the SANS-2 survey question 5, “I apply sustainability practices at home”. A Kruskal-Wallis H test was used to compare rank order responses to common barriers with specialty of nursing. A Mann-Whitney post hoc test was run in addition to the Kruskal-Wallis H for significance. The qualitative analysis guided by Charmaz (2014) process for the write in response to barriers in implementing climate change sustainability into nursing curriculum. Results: There were 144 respondents that completed the survey during September 2023-November 2023. The largest respondent groups were nurse educators in an academic setting (n=73, 50%), followed by Michigan public health nurses (n=46, 31%), community health nurse educators (n=13, 9%), and acute care/or other nurses (n=12, 8%). The study found that there is no reported statistical relationship between nurse’s specialty and the SANS-2 question 5 (p=.407), “I apply sustainability practices at home”. However, there was a reported positive statistical association between a nurse’s specialty and the barriers to climate change and sustainability in curriculum as a rank order response (p=
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