Date of Award


Document Type

Restricted Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)




Climate change is the most critical global health threat of the 21st century. Human activities such as consumption of fossil fuels are causing environmental changes that are increasing global temperatures. As climate change trends continue, global respiratory consequences from poor air quality become unmanageable without the initiation of a significant collaborative healthcare effort. Children are more vulnerable to the health risks of climate change because of the greater exposures and sensitivity to changing temperature and precipitation patterns. Air pollution is associated with increases in asthma exacerbations, emergency department visits and hospitalizations for children. Asthma is the most common chronic illness in childhood, currently affecting 7.1 million children age 2 to 17 years. Increased incidences of asthma in children have occurred because of prolonged exposure to air pollution. These increased rates of asthma are most pronounced among children in lower socio-economic levels and minorities. This doctoral scholarly project educates and increases the awareness of practicing DNP-FNPs and the community, about how children with asthma are affected by climate change and air pollution. DNP-FNPs are positioned in society to counteract the increased health challenges such as asthma, created by climate change because of their unique ability to integrate evidence-based science with mētis-based knowledge into their practice.


SC 11.DNP.2019.Bissen.B