Environmental Stewardship in Nursing: Introducing the "WE ACT-PLEASE" Framework

Area of Science:

• Environmental health
• Nursing practice
• Planetary health

Background:

• Healthcare contributes to environmental pollution and planetary harm.
• Nurses have a professional obligation to address environmental issues.
• Existing frameworks lack comprehensive guidance for nursing environmental stewardship.

Purpose of the Study:

• Introduce the WE ACT-PLEASE framework for environmental stewardship in nursing.
• Provide a structured approach for nurses to reduce environmental harm from practice.
• Promote nurses' role in achieving planetary health.

Main Methods:

• Development of the WE ACT-PLEASE framework.
• WE ACT domains: Waste, Energy/water, Agriculture/food, Chemicals, Transportation.
• PLEASE elements: Professional Obligation, Leadership, Education, Accountability, Science, Engagement.

Main Results:

• The WE ACT-PLEASE framework integrates environmental domains and professional elements.
• The framework visually guides nurses toward environmentally safe practices.
• It addresses pollution and planetary disruptions like climate change and biodiversity loss.

Conclusions:

• The WE ACT-PLEASE framework offers structure and guidance for nurses.
• It empowers nurses to decrease practice-related harm and meet professional obligations.
• Implementation can contribute to a healthier world and improved planetary health.