WEBVTT

00:00:00.000 --> 00:00:01.477 align:middle line:90%


00:00:01.477 --> 00:00:03.560 align:middle line:84%
GORMAN JAENSTCHKE: When I
was, like, 9-years-old--

00:00:03.560 --> 00:00:06.780 align:middle line:84%
I was a kid and it
was really hard.

00:00:06.780 --> 00:00:08.710 align:middle line:84%
It's in the morning
and I was sleeping.

00:00:08.710 --> 00:00:11.270 align:middle line:84%
And I felt like I
was getting wet.

00:00:11.270 --> 00:00:14.920 align:middle line:84%
So when I opened my eyes,
the roof of my house

00:00:14.920 --> 00:00:16.640 align:middle line:90%
was already gone.

00:00:16.640 --> 00:00:19.640 align:middle line:84%
Everything was
absolutely destroyed.

00:00:19.640 --> 00:00:21.770 align:middle line:90%
The houses were in pieces.

00:00:21.770 --> 00:00:24.570 align:middle line:84%
The trees-- our own
roof-- it was green--

00:00:24.570 --> 00:00:25.090 align:middle line:90%
green.

00:00:25.090 --> 00:00:29.090 align:middle line:84%
But after Hurricane Joan,
it changed completely--

00:00:29.090 --> 00:00:31.070 align:middle line:90%
everything in Bluefields.

00:00:31.070 --> 00:00:33.580 align:middle line:84%
MICHAEL HAMMOND: Joan Hurricane
affected Bluefields a lot.

00:00:33.580 --> 00:00:36.320 align:middle line:84%
Right away-- it was still
recovered out there.

00:00:36.320 --> 00:00:39.470 align:middle line:84%
They still have old people
talking about their losses

00:00:39.470 --> 00:00:41.420 align:middle line:84%
and talking about
all the disaster that

00:00:41.420 --> 00:00:42.890 align:middle line:90%
happened in those times.

00:00:42.890 --> 00:00:44.900 align:middle line:84%
I don't know if it
shocked us big, because we

00:00:44.900 --> 00:00:46.700 align:middle line:90%
wasn't prepared for it.

00:00:46.700 --> 00:00:50.210 align:middle line:84%
We should create
awareness and be prepared

00:00:50.210 --> 00:00:51.680 align:middle line:90%
for this kind of disaster.

00:00:51.680 --> 00:00:54.670 align:middle line:84%
Because common-- we
are exposed to them.

00:00:54.670 --> 00:00:59.480 align:middle line:84%
NOEL CAMPBELL: But they
told us, for Pearl Lagoon,

00:00:59.480 --> 00:01:02.450 align:middle line:84%
that in 75 more
years there wouldn't

00:01:02.450 --> 00:01:05.349 align:middle line:90%
be such thing as Pearl Lagoon.

00:01:05.349 --> 00:01:09.240 align:middle line:84%
Pearl Lagoon, according to
the estimate, in 75 years,

00:01:09.240 --> 00:01:11.620 align:middle line:90%
it should be underwater.

00:01:11.620 --> 00:01:14.163 align:middle line:90%
That's how fast it is going.

00:01:14.163 --> 00:01:15.580 align:middle line:84%
EMMA MITCHELL: I
think that nurses

00:01:15.580 --> 00:01:17.440 align:middle line:84%
are critical to
helping communities

00:01:17.440 --> 00:01:21.140 align:middle line:84%
be prepared for disaster
subsequent to climate change.

00:01:21.140 --> 00:01:24.490 align:middle line:84%
Climate change, being a somewhat
slow but hugely impactful

00:01:24.490 --> 00:01:27.580 align:middle line:84%
process, allows us, I
think, to really maximize

00:01:27.580 --> 00:01:28.690 align:middle line:90%
the nursing skill-set.

00:01:28.690 --> 00:01:31.820 align:middle line:84%
We work at the individual,
the family, the community,

00:01:31.820 --> 00:01:33.710 align:middle line:90%
and the systems level.

00:01:33.710 --> 00:01:35.590 align:middle line:84%
And as a public health
nurse, prevention

00:01:35.590 --> 00:01:37.300 align:middle line:90%
is our number one charge.

00:01:37.300 --> 00:01:40.300 align:middle line:84%
So I think that we
can do everything

00:01:40.300 --> 00:01:43.150 align:middle line:84%
along the continuum for
disaster preparedness

00:01:43.150 --> 00:01:45.730 align:middle line:84%
from, at the one extreme,
triage and building

00:01:45.730 --> 00:01:48.130 align:middle line:84%
capacity with nurses
to be able to respond

00:01:48.130 --> 00:01:51.370 align:middle line:84%
to an acute disaster, but on
the other end of the continuum,

00:01:51.370 --> 00:01:53.080 align:middle line:84%
working with communities
to make sure,

00:01:53.080 --> 00:01:55.690 align:middle line:84%
for example, their family
has a disaster plan,

00:01:55.690 --> 00:01:57.730 align:middle line:84%
their community has
a disaster plan,

00:01:57.730 --> 00:02:01.420 align:middle line:84%
that there's clear communication
in the case of a disaster,

00:02:01.420 --> 00:02:03.520 align:middle line:84%
that certain
preparations have taken

00:02:03.520 --> 00:02:06.370 align:middle line:84%
place, critical to a community's
resilience subsequent

00:02:06.370 --> 00:02:07.270 align:middle line:90%
to a disaster.

00:02:07.270 --> 00:02:09.278 align:middle line:84%
I started my nursing
research career

00:02:09.278 --> 00:02:11.320 align:middle line:84%
looking at women's health
and health disparities.

00:02:11.320 --> 00:02:14.230 align:middle line:84%
And I didn't necessarily think
of myself as a climate change

00:02:14.230 --> 00:02:17.380 align:middle line:84%
researcher but have found
that, through the approach

00:02:17.380 --> 00:02:21.640 align:middle line:84%
of figuring out, with community
partners and long-term folks

00:02:21.640 --> 00:02:23.750 align:middle line:84%
that I've collaborated
with in Nicaragua,

00:02:23.750 --> 00:02:25.540 align:middle line:90%
that's such a pressing issue.

00:02:25.540 --> 00:02:29.740 align:middle line:84%
And it's so intertwined in
women's health and development

00:02:29.740 --> 00:02:33.640 align:middle line:84%
in this area that it's
become my area of focus.

00:02:33.640 --> 00:02:35.740 align:middle line:84%
Here in Nicaragua
where Bluefields is,

00:02:35.740 --> 00:02:37.750 align:middle line:84%
there's only one
school of nursing.

00:02:37.750 --> 00:02:39.670 align:middle line:84%
And so that public
school of nursing

00:02:39.670 --> 00:02:42.520 align:middle line:84%
attracts students from all over
the communities in the Southern

00:02:42.520 --> 00:02:43.840 align:middle line:90%
Autonomous Region.

00:02:43.840 --> 00:02:46.690 align:middle line:84%
As such, when students come
and study and then return home

00:02:46.690 --> 00:02:48.910 align:middle line:84%
to their communities,
they're seen as leaders.

00:02:48.910 --> 00:02:51.340 align:middle line:84%
So people go to
them for resources.

00:02:51.340 --> 00:02:54.370 align:middle line:84%
People go to them for
questions and answers.

00:02:54.370 --> 00:02:56.830 align:middle line:84%
But we, through this
project, have really

00:02:56.830 --> 00:03:00.820 align:middle line:84%
worked to try to have them be
those pro-active leaders that

00:03:00.820 --> 00:03:04.600 align:middle line:84%
assess people's housing, that
assess how disaster plans might

00:03:04.600 --> 00:03:07.270 align:middle line:84%
work in their
individual communities.

00:03:07.270 --> 00:03:10.060 align:middle line:84%
In Nicaragua and in many
communities in the Caribbean

00:03:10.060 --> 00:03:11.500 align:middle line:84%
or communities
where economies are

00:03:11.500 --> 00:03:16.130 align:middle line:84%
so dependent on environmental
conditions and factors,

00:03:16.130 --> 00:03:20.320 align:middle line:84%
the margin of impact
is really razor thin.

00:03:20.320 --> 00:03:23.650 align:middle line:84%
And so we see, more directly,
the impact of climate

00:03:23.650 --> 00:03:26.170 align:middle line:84%
change in communities
like Bluefields,

00:03:26.170 --> 00:03:28.120 align:middle line:84%
where the economy
is so dependent

00:03:28.120 --> 00:03:29.470 align:middle line:90%
on those environmental factors.

00:03:29.470 --> 00:03:30.300 align:middle line:84%
GORMAN JAENSTCHKE:
Climate changes--

00:03:30.300 --> 00:03:32.780 align:middle line:84%
you don't believe that climate
changes could carry you

00:03:32.780 --> 00:03:34.450 align:middle line:90%
to drug trafficking.

00:03:34.450 --> 00:03:37.810 align:middle line:84%
It's something that a
line that keeps there.

00:03:37.810 --> 00:03:41.320 align:middle line:84%
And when you have a problem,
it goes to another and another.

00:03:41.320 --> 00:03:42.430 align:middle line:90%
And it increases.

00:03:42.430 --> 00:03:44.620 align:middle line:84%
EMMA MITCHELL: So the project
started with a request

00:03:44.620 --> 00:03:46.203 align:middle line:84%
from the school of
nursing leadership.

00:03:46.203 --> 00:03:48.040 align:middle line:84%
Because in the
event of a disaster,

00:03:48.040 --> 00:03:51.220 align:middle line:84%
it's very likely that a foreign
aid response would be part

00:03:51.220 --> 00:03:53.830 align:middle line:90%
of mitigating that disaster.

00:03:53.830 --> 00:03:56.020 align:middle line:84%
And as such, we thought it
would be a good beginning

00:03:56.020 --> 00:03:58.240 align:middle line:84%
place for the partnership
to have our students who

00:03:58.240 --> 00:04:01.330 align:middle line:84%
don't necessarily speak Spanish
partner with students here

00:04:01.330 --> 00:04:05.110 align:middle line:84%
from BICU to learn about what
that process would look like.

00:04:05.110 --> 00:04:07.300 align:middle line:84%
We subsequently
have shifted more

00:04:07.300 --> 00:04:11.500 align:middle line:84%
towards making the
capacity-building efforts be

00:04:11.500 --> 00:04:13.960 align:middle line:90%
more bi-directional, I guess.

00:04:13.960 --> 00:04:17.440 align:middle line:84%
So we focus on the potential
disasters or potential impacts

00:04:17.440 --> 00:04:20.890 align:middle line:84%
of climate change here in
Bluefields, have our students

00:04:20.890 --> 00:04:24.310 align:middle line:84%
and faculty here inform what
the cases are that we develop.

00:04:24.310 --> 00:04:26.920 align:middle line:84%
And then our
simulation process is

00:04:26.920 --> 00:04:30.160 align:middle line:84%
what takes the conversation
from that acute response,

00:04:30.160 --> 00:04:31.380 align:middle line:90%
that triage--

00:04:31.380 --> 00:04:33.460 align:middle line:84%
the conversation and
the simulation process

00:04:33.460 --> 00:04:34.600 align:middle line:90%
brings us then to--

00:04:34.600 --> 00:04:37.060 align:middle line:84%
OK, what can we do to
prevent this in the future?

00:04:37.060 --> 00:04:39.130 align:middle line:84%
The school of nursing
here has really

00:04:39.130 --> 00:04:40.750 align:middle line:84%
integrated this into
their curriculum

00:04:40.750 --> 00:04:41.885 align:middle line:90%
in several different ways.

00:04:41.885 --> 00:04:43.510 align:middle line:84%
They've changed their
course objectives

00:04:43.510 --> 00:04:45.640 align:middle line:84%
to include disaster
preparedness, which

00:04:45.640 --> 00:04:46.810 align:middle line:90%
is really phenomenal.

00:04:46.810 --> 00:04:49.030 align:middle line:84%
They also now require
students to create

00:04:49.030 --> 00:04:51.580 align:middle line:84%
one of their own
scenarios for simulation

00:04:51.580 --> 00:04:55.240 align:middle line:84%
and, with their colleagues and
fellow students, enact them.

00:04:55.240 --> 00:04:56.950 align:middle line:84%
So that now is part
of their curriculum,

00:04:56.950 --> 00:04:59.680 align:middle line:84%
that they're required
to develop a scenario

00:04:59.680 --> 00:05:02.020 align:middle line:84%
and show how they
would respond to it.

00:05:02.020 --> 00:05:21.352 align:middle line:90%
SUBJECT 1: [SPEAKING SPANISH]

00:05:21.352 --> 00:05:22.810 align:middle line:84%
EMMA MITCHELL: So
simulation really

00:05:22.810 --> 00:05:26.740 align:middle line:84%
has been a tool to help shine
a lens on some of the ideas

00:05:26.740 --> 00:05:29.140 align:middle line:84%
and the strategies that
are already being used,

00:05:29.140 --> 00:05:31.168 align:middle line:84%
but highlight them in
a way that then all

00:05:31.168 --> 00:05:32.710 align:middle line:84%
the rest of the
students can benefit,

00:05:32.710 --> 00:05:34.210 align:middle line:84%
and not just
students here at BICU

00:05:34.210 --> 00:05:35.890 align:middle line:90%
but our students at UVA too.

00:05:35.890 --> 00:05:38.770 align:middle line:84%
DEJA FULLER: As a student, it's
just like, oh, this isn't real.

00:05:38.770 --> 00:05:42.370 align:middle line:84%
Or it's like, in real life,
it would be different.

00:05:42.370 --> 00:05:44.830 align:middle line:84%
But I feel like, for
the disaster simulation,

00:05:44.830 --> 00:05:49.660 align:middle line:90%
it was really more true to form.

00:05:49.660 --> 00:05:52.180 align:middle line:84%
Because you are-- like,
let's say, there's

00:05:52.180 --> 00:05:53.980 align:middle line:90%
an earthquake or hurricane.

00:05:53.980 --> 00:05:55.570 align:middle line:90%
You might not get supplies.

00:05:55.570 --> 00:05:57.700 align:middle line:90%
Or there are barriers.

00:05:57.700 --> 00:06:01.390 align:middle line:84%
And you can get a
delivery of something.

00:06:01.390 --> 00:06:05.950 align:middle line:84%
So it really started the
conversation of, in real life,

00:06:05.950 --> 00:06:08.060 align:middle line:90%
things like this do happen.

00:06:08.060 --> 00:06:10.773 align:middle line:84%
But here's how
you can manage it.

00:06:10.773 --> 00:06:12.940 align:middle line:84%
EMMA MITCHELL: With the
help of the Jefferson Trust,

00:06:12.940 --> 00:06:14.875 align:middle line:84%
we've been able
to directly bring

00:06:14.875 --> 00:06:17.500 align:middle line:84%
people who have been integral to
our development of the project

00:06:17.500 --> 00:06:19.113 align:middle line:84%
here in Bluefields
to Charlottesville.

00:06:19.113 --> 00:06:21.280 align:middle line:84%
And they've interacted with
our students, given them

00:06:21.280 --> 00:06:23.200 align:middle line:84%
their perspective
as well, which has

00:06:23.200 --> 00:06:24.820 align:middle line:90%
been a really great benefit.

00:06:24.820 --> 00:06:26.500 align:middle line:84%
DIANA HODGSON:
[SPEAKING SPANISH]

00:06:26.500 --> 00:06:43.227 align:middle line:90%


00:06:43.227 --> 00:06:44.810 align:middle line:84%
GORMAN JAENSTCHKE:
They learn from us.

00:06:44.810 --> 00:06:46.660 align:middle line:90%
But also, we learn from them.

00:06:46.660 --> 00:06:50.020 align:middle line:90%
And so it's an exchange.

00:06:50.020 --> 00:06:50.800 align:middle line:90%
It's a circle.

00:06:50.800 --> 00:06:54.310 align:middle line:90%
And everybody wins.

00:06:54.310 --> 00:06:56.320 align:middle line:84%
EMMA MITCHELL: Our
students are increasingly

00:06:56.320 --> 00:07:00.220 align:middle line:84%
in acute care clinicals that are
extremely high-resource, highly

00:07:00.220 --> 00:07:01.240 align:middle line:90%
specialized.

00:07:01.240 --> 00:07:03.760 align:middle line:84%
And so to put yourself
in a position,

00:07:03.760 --> 00:07:05.560 align:middle line:84%
through the simulation,
where there's

00:07:05.560 --> 00:07:08.800 align:middle line:84%
low stakes but high yield,
in terms of what you learn,

00:07:08.800 --> 00:07:11.050 align:middle line:90%
is a really powerful thing.

00:07:11.050 --> 00:07:12.700 align:middle line:84%
DEJA FULLER: I
thought it was fun.

00:07:12.700 --> 00:07:14.710 align:middle line:84%
In real life, you
don't have everything.

00:07:14.710 --> 00:07:17.380 align:middle line:84%
You might not have everything,
especially in a disaster--

00:07:17.380 --> 00:07:19.270 align:middle line:90%
or there are limited resources.

00:07:19.270 --> 00:07:23.080 align:middle line:84%
So learning that
communication and trying

00:07:23.080 --> 00:07:28.090 align:middle line:84%
to be as creative as possible,
working with what you got--

00:07:28.090 --> 00:07:30.460 align:middle line:84%
EMMA MITCHELL: That
awareness-- that cognizance

00:07:30.460 --> 00:07:34.720 align:middle line:84%
of the experience of others
and the experience of most

00:07:34.720 --> 00:07:38.620 align:middle line:84%
of the rest of the world
seeing these acute impacts

00:07:38.620 --> 00:07:41.650 align:middle line:84%
from climate change
is critically

00:07:41.650 --> 00:07:45.160 align:middle line:84%
important for our students
and as global citizens.

00:07:45.160 --> 00:07:46.720 align:middle line:84%
GORMAN JAENSTCHKE:
Working with UVA,

00:07:46.720 --> 00:07:49.290 align:middle line:90%
it's like finding a light--

00:07:49.290 --> 00:07:55.680 align:middle line:84%
a light, so it can guide us into
bettering our way of living.

00:07:55.680 --> 00:08:07.000 align:middle line:90%