Florence Nightingale’s Environment Theory: The forgotten Blueprint for UN’s Sustainable Development Goal (SDG)13: Climate Action

About the Author:

Dileep Kumar is an MScN student at the Aga Khan University, with a strong interest in environmental health, sustainability, and public awareness about climate change. Inspired by Florence Nightingale and her Environmental Theory, the author believes that a clean and healthy environment is essential for human well-being. Through this blog on United Nations SDG 13: Climate Action, the author aims to highlight the connection between healthcare, environmental responsibility, and sustainable living.

Florence Nightingale’s Environment Theory: The forgotten Blueprint for UN’s Sustainable Development Goal (SDG)13: Climate Action

When you imagine Florence Nightingale, you may assume her as the “lady with the Lamp” a dedicated nurse moving across a gloomy Crimean War hospital, comforting injured soldiers (Turkowski & Turkowski, 2024). You may not immediately believe that she was the pioneer for “Climate Action”. Yet long before the United Nations introduced Sustainable Development Goal 13-Climate Action. Nightingale had understood the fundamental truth much earlier which rest of the world is now waking up to that human health is entirely inseparable from the health of our environment (Moraes Filho & Tavares, 2024).

The core of Nightingale’s Environmental Theory

In Notes on Nursing (1859), she laid out a revolutionary premise, that the Nurse’s primary job is to put the patient in the best possible condition for nature to act upon them. She believed that poor health wasn’t just a personal fault or bad luck; it was a direct result of a compromised environment. Although theory was generated in nineteenth century, it is applicable and has more significance to the current era of climate change and environmental crisis. She identified five essential components of a healthy environment (Rahim, 2013; Stringer, 2014).

  • 1.     Pure air
  • 2.     Pure water
  • 3.     Efficient drainage and sanitation
  • 4.     Cleanliness
  • 5.     Light (sunlight)

Fast Forward to Today: SDG 13 and the Environment as a Global Patient

Today, our planet is in critical condition. Changing climate patterns are direct threat to the global environment, affecting every ecosystem, economy and community. One of the most alarming aspects is its effect on public health. Recent years have shown record economic loss and widespread environmental destruction. Global warming exacerbates frequency of natural disasters, rising temperatures, pollutes air, while extreme weather conditions cause dehydration and heat stroke, displaced thousands of families and destroyed homes, affected livelihood, contamination of supplies and drainage systems. The UN’s SDG-13 Climate Action is urging countries, communities and individuals to take urgent steps to combat climate change and its impacts. SDG 13 reflects Nightingale’s vision on a global scale: protecting the environment is necessary to protect human life, the connection between her theory and SDG-13 is crystal clear because Greenhouse effect is destroying very foundations Nightingale protected.

Nightingale’s Components

The Current Climate Reality (SDG 13)

Pure Air

Fossil fuel combustion wildfires cause severe air pollution, which pose respiratory problems kill thousands annually.

Pure water

Extreme floods contaminate existing water supplies, and droughts caused by climate change deplete water sources, endangering sanitation worldwide.

Efficient Drainage 

Modern infrastructure is unable to handle rising sea levels and severe storms, which cause urban flooding and stagnant water.

Light & Temperature

Severe heatwaves disrupt the natural balance of ecosystems and put direct, fatal threats to human biology.

Nightingale identified the environment as an active agent in healing. If she was alive, she would likely view the planet as our collective patient (Moraes Filho & Tavares, 2024; Rahim, 2013). Her legacy portrays protecting the environment as the foundation of healthcare (Stringer, 2014). This is not only duty of politicians and scientists to care about SDG 13. It is universal responsibility whether you are a healthcare professional, an engineer, an educator or a concerned citizen, taking care of environment is the ultimate form of caregiving (Moraes Filho & Tavares, 2024). The planet’s health and our own are inseparable. The environment heals when we protect it. The questions: will we act with the same courage Nightingale showed?

Nightingale’s theory remains a timely reminder that healthy environments are essential for healthy lives.

References

Turkowski, Y., & Turkowski, V. (2024). Florence Nightingale (1820-1910): The founder of modern nursing. Cureus, 16. https://doi.org/10.7759/cureus.66192

Moraes Filho, I. M. d., & Tavares, G. G. (2024). Current and future nursing in promoting planetary health: Actions for sustainable development. Texto & Contexto - Enfermagem, 33, Article e20230415. https://doi.org/10.1590/1980-265x-tce-2023-0415en

Filho, W. L., Wall, T., Salvia, A. L., Dinis, M. A. P., & Mifsud, M. (2023). The central role of climate action in achieving the United Nations' Sustainable Development Goals. Scientific Reports, 13, Article 20353. https://doi.org/10.1038/s41598-023-47746-w

Stringer, M. (2014). The effect of environment on nursing and health promotion for women. Journal of Obstetric, Gynecologic & Neonatal Nursing, 43(4), 541–542. https://doi.org/10.1111/1552-6909.12501

Rahim, S. (2013). Clinical application of Nightingale's environmental theory. i-manager’s Journal on Nursing, 3(1), 43–46. https://doi.org/10.26634/jnur.3.1.2229

Nightingale, F. (1859). Notes on nursing: What it is, and what it is not. Harrison.

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