[Confronting Climate Change: The Professional Roles and Practical Challenges of Oncology Nurse Navigators].

Bibliographic Details
Title:	[Confronting Climate Change: The Professional Roles and Practical Challenges of Oncology Nurse Navigators].
Authors:	Lai WT; Department of Nursing, Pingtung Christian Hospital, Taiwan, ROC., Hsu HT; School of Nursing, Kaohsiung Medical University, Taiwan, ROC.; Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan, ROC., Lee PY; School of Nursing, Kaohsiung Medical University, Taiwan, ROC.; Department of Nursing, Chi Mei Medical Center Liouying, Taiwan, ROC., Hsieh HF; School of Nursing, Kaohsiung Medical University, Taiwan, ROC. hsiufen96@kmu.edu.tw.; Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Taiwan, ROC.
Source:	Hu li za zhi The journal of nursing [Hu Li Za Zhi] 2026 Oct; Vol. 73 (5).
Publication Type:	English Abstract; Journal Article
Language:	Chinese
Journal Info:	Publisher: Taiwan hu li xue hui Country of Publication: China (Republic : 1949- ) NLM ID: 0073267 Publication Model: Print Cited Medium: Print ISSN: 0047-262X (Print) NLM ISO Abbreviation: Hu Li Za Zhi Subsets: MEDLINE
Imprint Name(s):	Publication: <2000-> : Taibei : Taiwan hu li xue hui Original Publication: Taibei, Zhonghua Minguo hu li xue hui, [1954?]-
MeSH Terms:	Climate Change* , Oncology Nursing* , Nurse's Role*, Neoplasms/nursing ; Humans
Abstract:	In this paper, the impacts of climate change on cancer-related health risks and oncology care systems are examined, with a particular focus on the evolving professional role of oncology nurse navigators within climate-adaptive care. Although not a direct cause of disease, climate change reshapes the distribution of cancer risks and increases the vulnerability of treatment safety and continuity through multiple environmental pathways. Beyond the acute disruptions triggered by extreme weather events, climate change produces chronic and recurrent instability in cancer care, resulting in treatment delays, interregional referrals, and sustained psychological stress. In response, the role of the oncology nurse navigator must evolve to become highly attuned to the practical health risks and changing healthcare needs brought about by changing climatic conditions. This transformation involves conducting vulnerability assessments and risk stratification across environmental, disease-related, and socioeconomic dimensions; integrating climate and environmental signals into clinical judgments and decision-making; and implementing anticipatory interventions supported by innovative and digital tools. A climate-adaptive care network grounded in cross-sector collaboration is proposed to strengthen feedback mechanisms and system-level coordination. Finally, climate adaptation-related competencies should be integrated into oncology nurse navigator education and training using clearly defined and measurable competency-based modules that encompass climate-sensitive clinical judgment, telehealth practice, cross-sector governance, and quality improvement, with the aim of strengthening continuity and equity in cancer care under conditions of climate change.
Contributed Indexing:	Keywords: climate adaptation; climate change; oncology nurse navigator; oncology nursing Local Abstract: [Publisher, Chinese] 面對氣候變遷—腫瘤護理領航員的專業角色與實務挑戰. [Publisher, Chinese] 本文探討氣候變遷對癌症健康風險與照護體系之影響，並聚焦腫瘤護理領航員（oncology nurse navigator）在氣候調適照護下的角色轉型與實務挑戰。本文指出，氣候變遷並非直接致病因子，而是透過環境中介途徑，重新形塑癌症風險分佈，並加劇癌症治療在安全性與連續性的結構脆弱。除極端事件引發之急性治療中斷外，氣候變遷更造成長期、反覆的照護不穩定性，使治療延誤、跨區轉診，並加劇病人及家屬的心理壓力。面對此一情境，腫瘤護理領航員需由傳統臨床導航者轉型為具氣候敏感度的專業角色，透過「環境—疾病—社會經濟」三構面進行脆弱性評估與風險分層，將氣象與環境訊號納入臨床判斷與決策考量，並以創新及數位化工具推動前瞻介入。本文亦提出跨域合作之氣候調適照護網絡分工模式，強化照護回饋與系統協同，最後建議將氣候調適相關能力，以具體且可評量的能力模組形式，納入腫瘤護理領航員之教育訓練體系，涵蓋氣候敏感臨床判斷、遠距照護、跨域治理與品質改進，以促進癌症照護之連續性與公平性。.
Entry Date(s):	Date Created: 20260922 Date Completed: 20260922 Latest Revision: 20260922
Update Code:	20260923
DOI:	10.6224/JN.26513
PMID:	42772917
Database:	MEDLINE

Description
ISSN:	0047-262X
DOI:	10.6224/JN.26513