{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:00:48Z","timestamp":1790373648387,"version":"4.1.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To synthesise and critically appraise empirical evidence on midwives\u2019 climate change awareness and planetary health literacy, the psychological attributes underpinning their readiness for climate\u2010related maternal and newborn risks, the educational interventions targeting these attributes, and the systemic factors shaping their preparedness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Climate change threatens maternal and newborn health through extreme heat, flooding, and disruption of services. Midwives are well positioned to deliver climate\u2010responsive care, yet the constructs used to describe their preparedness\u2014awareness, literacy, resilience, and readiness\u2014are inconsistently defined and measured, and no prior systematic review has synthesised and appraised this evidence with explicit attention to what individual studies actually assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review was conducted according to PRISMA 2020 and registered with PROSPERO (CRD420251135183). Six databases (PubMed\/MEDLINE, Embase, Web of Science, Scopus, PsycINFO, and CINAHL) were searched for primary empirical studies published between January 2000 and July 2025 involving practising midwives, student midwives, or midwifery academics. The Capability\u2013Opportunity\u2013Motivation\u2013Behaviour (COM\u2010B) model guided the synthesis. Constructs and instruments were extracted exactly as reported and mapped transparently to review domains. Risk of bias was assessed with RoB 2 and Joanna Briggs Institute tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six studies met the eligibility criteria: two randomised controlled trials, three qualitative studies, and one consensus study, together involving 333 midwives, student midwives, and midwifery academics in T\u00fcrkiye, Australia, and the Democratic Republic of the Congo. No study directly measured planetary health literacy with a validated instrument, and none measured psychological readiness as a defined construct; the available evidence comprised proxy indicators, principally climate change awareness, resilience, and perceived stress. Interactive climate change education significantly improved midwifery students\u2019 awareness, and resilience\u2010based training improved practising midwives\u2019 resilience and reduced stress. Qualitative evidence indicated that midwives recognise climate\u2010related threats to mothers and newborns but respond through improvised strategies in the absence of formal training, protocols, and institutional support. Both trials were rated at low risk of bias; the four non\u2010randomised studies carried some concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Direct evidence on midwives\u2019 planetary health literacy and psychological readiness does not yet exist. A small, geographically concentrated body of evidence on related proxy constructs suggests that educational and resilience\u2010focused interventions are promising, while systemic supports remain largely absent. Construct\u2010explicit measurement, validated instruments, and system\u2010level preparedness research are priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing<\/jats:title>\n                    <jats:p>Educators and professional\u2010development providers can draw on validated curricular competency content and two trial\u2010tested pedagogies\u2014interactive climate change education and resilience\u2010based training\u2014while recognising that transfer to clinical practice remains untested.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for nursing policy<\/jats:title>\n                    <jats:p>Policy should prioritise the development and validation of measurement instruments for planetary health literacy and psychological readiness in midwifery, the integration of climate\u2010related competencies into curricula and accreditation, and investment in the institutional protocols and supports whose absence this review consistently identified.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/inr.70229","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:30:20Z","timestamp":1788175820000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Midwives\u2019 Climate Change Awareness, Planetary Health Literacy, and Psychological Preparedness for Climate\u2010Related Maternal and Newborn Risks: A Systematic Review"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8808-6296","authenticated-orcid":false,"given":"Sayed Ibrahim","family":"Ali","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine College of Medicine King Faisal University  Alahsaa Saudi 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