Climate Change and Nursing Care in Major Chronic Diseases: A Scoping Review of Nursing Perspectives and Roles
Abstract
Background/Objectives: Climate change produces more pronounced health outcomes in individuals with chronic disease, and nurses are strategically positioned to recognise, prevent, and manage these effects; however, the scope of this relationship within the nursing discipline remains unclear. This review aimed to map the literature on the impacts of climate change on chronic diseases and the associated nursing care, roles, and interventions. Methods: Following the Arksey and O'Malley framework and PRISMA-ScR guidance, international (PubMed/MEDLINE, CINAHL, Scopus, Web of Science, Cochrane Library) and Turkish (TR Dizin, DergiPark, YÖK) databases were searched without date restriction between 2 and 22 June 2026. Of 957 records identified, 721 remained after removing 236 duplicates on import; a further 36 duplicates were identified and removed during Rayyan screening, leaving 685 records for title/abstract screening; following full-text screening, 23 sources were included. Results: Most sources were published between 2023 and 2026 (73.9%) and were narrative reviews (43.5%); only four studies used a randomised or cohort design (two RCTs, one baseline-characteristics report from an RCT cohort, and one prospective cohort study), alongside one pilot cohort study. Respiratory and multisystem/multimorbid conditions were most common (n = 6 each, 26.1%), with general/multiple climate framing (n = 9, 39.1%) and extreme heat (n = 6, 26.1%) the predominant exposures. Sources came from 10…
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