Oncology Nurses' Awareness, Concern, Motivations, and Behaviors Related to Climate Change and Health.
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2025-11
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Abstract
Background
Direct and indirect consequences of climate change pose significant challenges to people with cancer and the healthcare systems that support them. Healthcare providers are increasingly observing the ramifications of climate change across the cancer care continuum. Climate-related health challenges faced by people with cancer are expected to intensify without substantial intervention.Objectives
This study aimed to assess the awareness, concerns, motivations, and behaviors of oncology nurses regarding climate change and its impact on health.Methods
This cross-sectional, exploratory study used convenience sampling and an open-access, anonymous online survey. Data were captured through the Climate and Health Tool.Findings
Among the 135 participants, most were aware that climate change is caused by human activity, but fewer were aware of the healthcare sector's contribution. Most were concerned about the effects of climate change on health and were motivated to respond but need additional knowledge and skills to act.Type
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Wilson, Ryne, Stacy R Stanifer, Amanda Thaxton Wiggins and AnnMarie L Walton (2025). Oncology Nurses' Awareness, Concern, Motivations, and Behaviors Related to Climate Change and Health. Clinical journal of oncology nursing, 29(6). pp. 474–483. 10.1188/25.cjon.474-483 Retrieved from https://hdl.handle.net/10161/33796.
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AnnMarie Walton
AnnMarie Walton, PhD, MPH, RN, OCN, CHES, FAAN
Dr. Walton's program of research centers on understanding and minimizing occupational and environmental exposures to carcinogens. Her dissertation work combined her educational preparation and over ten years of clinical experience caring for patients with acute leukemia to examine the pesticide protective behaviors of Latino migrant and seasonal farmworkers.
Dr. Walton completed a postdoctoral fellowship at UNC-Chapel Hill’s School of Nursing. She received support from a T32 Fellowship in Interventions to Prevent and Manage Chronic Illness from the National Institutes of Nursing Research and pilot funds from the NC Occupational Safety and Health Education Research Center for work that focused on understanding the protective behaviors of Nursing Assistants handling antineoplastic drug contaminated excreta. She has been very active in policy and practice recommendations to improve safe handling of hazardous drugs. Her current research with healthcare workers and their exposure to hazardous drugs is funded by the Oncology Nursing Foundation, the Center for Nursing Research at DUSON, and Litron laboratories.
Dr. Walton teaches the population health course for MSN students and the policy course for DNP students. She also mentors DNP and PhD students and guest lectures in the pre-licensure and PhD programs. Dr. Walton is affiliated faculty in the Integrated Toxicology and Environmental Health Program in the Nicholas School of the Environment. She is also faculty in an NIEHS funded R25 to train nurse and clinician scientists in environmental health research methods.
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