1 Department of Medical Emergencies, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran, Center for Climate Change and Health Research (CCCHR), Dezful University of Medical Sciences, Dezful, Iran, Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

2 Department of Medical Emergencies, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, Iran, Center for Climate Change and Health Research (CCCHR), Dezful University of Medical Sciences, Dezful, Iran

3 Department of Health in Emergencies and Disasters, School of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran, Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran, Department of Nutrition, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran

4 Department of Medical Emergencies, School of Nursing and Midwifery, Dezful University of Medical Sciences, Dezful, IranHealth Services Management Research Center, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Iran

5 Public Health Department, Health in Emergencies and Disasters Department, Nursing Faculty, AJA University of Medical Sciences, Tehran, Iran


BACKGROUND: Heat wave adaptation is a new concept related to experiencing heat. The present
study aims at investigating a conceptual definition, that is, the mental framework of heat wave
adaptation and its strategies.
MATERIALS AND METHODS: A phenomenological study was performed to explain the mental
concept. At the same time with the data collection process, data analysis was also performed using
Colaizzi method. Semi‑structured interview method and purposeful sampling with maximum variety
were used. Interviews were conducted with 23 different subjects in the community. The accuracy of
the data was guaranteed using Lincoln & Guba scientific accuracy criteria.
RESULTS: The two main themes of the adaptation paradigm as well as its strategies were divided
into the main categories of theoretical and operational concepts, as well as personal care measures
and government measures. Under the category of individual measures, we obtained “clothing,
nutrition, building, place of residence and lifestyle,” and under the category of governance actions,
the “managerial, research, health, organizational” subcategories were obtained.
CONCLUSION: According to the results of the conceptual‑operational definition, heat wave adaptation
is an active process and an effort to reduce the adverse effects of heat waves on individual and
social life, and striking a balance that will not only result in individual awareness and actions that
will lead to lifestyle changes, but also mostly requires integrated and comprehensive planning in the
community. On the one hand, heat waves could not only be regarded as a threat or danger, but can
also become an opportunity for the development of a community through identification and smart
measures, and for adaptation, the community must take it as a risk. The community should have a
plan in advance, apply the necessary rules and training, and use the new facilities and rules where
necessary. This practical concept definition includes the main features of heat wave adaptation.


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