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Edited by
Lisa Vanhala, University College London,Elisa Calliari, International Institute for Applied Systems Analysis, Vienna and Euro-Mediterranean Centre on Climate Change, Venice
The case of The Bahamas highlights the institutionally disruptive impacts of climate change. Despite pioneering efforts in national adaptation legislation in the mid 2000s, the chapter finds that The Bahamas has largely focused on relatively conservative programs concerned with climate change mitigation rather than adaptation or loss and damage. Yet drawing on semi-structured interviews and an analysis of relevant policy documents, the chapter also suggests that climate change has impacted the configuration of relevant institutional bodies in The Bahamas. As the analysis demonstrates, the loss and damage associated with several extreme weather events in the late 2010s led to the establishment of the Ministry of Disaster Preparedness, Management and Reconstruction; the strengthening of the legal framework for environmental protection; and the growing resonance among civil society organizations of the implications of climate change for their humanitarian and nature preservation work. The chapter argues that while much of The Bahamas’ loss and damage policy agenda is focused on developing the knowledge, resources, skills, and governance frameworks to grapple with the impacts of climate change, it is also worth paying attention to how climate change impacts are reshaping political institutions and defining the possible contours of knowledge generation.
The aim of this work was to determine the impact of Moral Distress (MD) in emergency physicians, nurses, and emergency medical service staff at the Rand Memorial Hospital (RMH) in the Bahamas, and the impact of Hurricane Dorian and the COVID-19 pandemic on Moral Distress.
Method:
A cross-sectional study utilizing a 3-part survey, which collected sociodemographic information, Hurricane Dorian and COVID-19 experiences, as well as responses to a validated modified Moral Distress Scale (MDS).
Results:
Participants with 2 negatively impactful experiences from COVID-19 had statistically significantly increased MD compared to participants with only 1 negatively impactful experience (40.4 vs. 23.6, P = 0.014). Losing a loved one due to COVID-19 was associated with significantly decreased MD (B = - 0.42, 95% CI -19.70 to -0.88, P = 0.03). Losing a loved one due to Hurricane Dorian had a non-statistically significant trend towards higher MD scores (B = 0.34, 95% CI -1.23 to 28.75, P = 0.07).
Conclusion:
The emergency medical staff at the RMH reported having mild - moderate MD. This is one of the first studies to look at the impact of concurrent disasters on MD in emergency medical providers in the Bahamas.