Other Titles
Leading Through the TEMPEST: A Place-Based Framework for Climate, Health, Equity and Healthcare Systems [Title Slide]
Abstract
Purpose: The TEMPEST Framework- Transdisciplinary Equity & Medicine for Preparedness, Environment, Systems and Transformation was developed in response to gaps identified in 10 international frameworks assessing health consequences of severe weather events. Prior models demonstrate strong integration of direct, indirect, mental, and equity-related health impacts (Boyal et al., 2018; Birnbaum et al., 2015) but remain limited by contextual specificity, data gaps, and lack of empirical validation (Hunter et al., 2016; Smith et al., 2022; Gonah et al., 2025). TEMPEST is an innovative and evidence-informed model advancing the World Health Organization’s (WHO) Operational Framework for Climate-Resilient Health Systems (CRHS) (World Health Organization, 2021). The framework unites these strengths into a generalizable, equity-centered model to guide climate-health research, policy, and nursing leadership aligned with Sustainable Development Goals (SDGs) 3 (Health) and 13 (Climate Action)(United Nations, 2023).
Methods: Development of the framework involved synthesis of literature across climate resilience, disaster medicine, and health-systems leadership. Concept mapping and iterative validation guided organization into five domains: (1) climate drivers and hazards; (2) exposure and susceptibility incorporating equity filters; (3) WHO CRHS capacities- governance, financing, workforce, products and supply chains, information, and service delivery/infrastructure (WHO, 2021) ; (4) multi-domain outcomes-direct, indirect, mental, and cascading; and (5) SDG-mapped adaptation actions within a continuous learning and evaluation loop (UN, 2023).
Results: TEMPEST addresses the limitation noted in existing frameworks by incorporating temporal phases (Birnbaum et al., 2015), structural inequality pathways (Smith et al., 2022), and population-level adaptability across diverse contexts (Lee et al., 2020; Butsch et al., 2023; Mavrodaris, 2023). The framework provides measurable linkages between hazards, resilience capacities, and outcomes, enabling systematic evaluation of preparedness, continuity of care, and equity.
Conclusion: The TEMPEST Framework offers a novel, globally relevant foundation for research, education, and practice that transforms climatic disruptions into adaptive strength. It transforms the fragmented landscape of prior frameworks into a cohesive structure for global adaptation, policy, and interdisciplinary research.
Notes
Presenter notes available in attached slide deck. To see the notes in Adobe Acrobat, go to Tools > Comment or look at your Layers Panel. If the notes were saved as comments or layers, you can toggle them visible.
Sigma Membership
Zeta Gamma
Lead Author Affiliation
Regent University, Virginia Beach, Virginia, USA
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Global Leadership, Health Equity or Social Determinants of Health, Interprofessional, Interdisciplinary, Climate Change, World Health, Weather, Extreme Weather, Climate Change--Adverse Effects, Natural Disasters--Adverse Effects, Disaster Planning, Nursing Role
Recommended Citation
Dumas, Candace, "Leading Through the TEMPEST: A Framework for Climate Equity, Preparedness, and Global Resilience" (2026). International Nursing Research Congress (INRC). 99.
https://www.sigmarepository.org/inrc/2026/presentations_2026/99
Conference Name
37th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Toronto, Ontario, Canada
Conference Year
2026
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2026-07-30
Leading Through the TEMPEST: A Framework for Climate Equity, Preparedness, and Global Resilience
Toronto, Ontario, Canada
Purpose: The TEMPEST Framework- Transdisciplinary Equity & Medicine for Preparedness, Environment, Systems and Transformation was developed in response to gaps identified in 10 international frameworks assessing health consequences of severe weather events. Prior models demonstrate strong integration of direct, indirect, mental, and equity-related health impacts (Boyal et al., 2018; Birnbaum et al., 2015) but remain limited by contextual specificity, data gaps, and lack of empirical validation (Hunter et al., 2016; Smith et al., 2022; Gonah et al., 2025). TEMPEST is an innovative and evidence-informed model advancing the World Health Organization’s (WHO) Operational Framework for Climate-Resilient Health Systems (CRHS) (World Health Organization, 2021). The framework unites these strengths into a generalizable, equity-centered model to guide climate-health research, policy, and nursing leadership aligned with Sustainable Development Goals (SDGs) 3 (Health) and 13 (Climate Action)(United Nations, 2023).
Methods: Development of the framework involved synthesis of literature across climate resilience, disaster medicine, and health-systems leadership. Concept mapping and iterative validation guided organization into five domains: (1) climate drivers and hazards; (2) exposure and susceptibility incorporating equity filters; (3) WHO CRHS capacities- governance, financing, workforce, products and supply chains, information, and service delivery/infrastructure (WHO, 2021) ; (4) multi-domain outcomes-direct, indirect, mental, and cascading; and (5) SDG-mapped adaptation actions within a continuous learning and evaluation loop (UN, 2023).
Results: TEMPEST addresses the limitation noted in existing frameworks by incorporating temporal phases (Birnbaum et al., 2015), structural inequality pathways (Smith et al., 2022), and population-level adaptability across diverse contexts (Lee et al., 2020; Butsch et al., 2023; Mavrodaris, 2023). The framework provides measurable linkages between hazards, resilience capacities, and outcomes, enabling systematic evaluation of preparedness, continuity of care, and equity.
Conclusion: The TEMPEST Framework offers a novel, globally relevant foundation for research, education, and practice that transforms climatic disruptions into adaptive strength. It transforms the fragmented landscape of prior frameworks into a cohesive structure for global adaptation, policy, and interdisciplinary research.
Description
The TEMPEST Framework introduces an innovative model integrating equity, preparedness, and resilience in global health systems. Grounded in WHO and SDG principles, the framework empowers nursing and interdisciplinary leadership to transform climate disruption into opportunities for adaptation and sustainable system strengthening.