Abstracts
Abstract
Embedding planetary health into nursing curricula is a priority as climate change, biodiversity loss, and pollution are accelerating globally and across Canada (Government of Canada, 2024). Evidence-informed frameworks such as the Planetary Health Education Framework (Faerron Guzmán et al., 2025) and the National Nursing Education Framework (Canadian Association of Schools of Nursing, 2022) provide guidance. To adopt the best way forward, it is vital to also seek nursing students’ views on the positioning of planetary health within their nursing education as they are the future custodians of the planet and nursing leaders. Taking an appreciative inquiry approach, this study conducted focus groups with undergraduate students to seek their understanding of the positioning of planetary health within our current curriculum and ask their opinions on how to embed planetary health concepts and processes. The resulting recommendations, along with existing research and guiding frameworks, strengthen support and offer a clear road map on how to integrate planetary health into our nursing curriculum.
Keywords:
- planetary health,
- curriculum,
- student voices,
- appreciative inquiry
Résumé
Intégrer la santé planétaire dans les programmes d’études en sciences infirmières est une priorité, alors que les changements climatiques, la perte de biodiversité et la pollution s’accélèrent à l’échelle mondiale et au Canada (Gouvernement du Canada, 2024). Des cadres fondés sur des données probantes, tels que le Planetary Health Education Framework (Faerron Guzmán et al., 2025) et le Cadre national sur la formation infirmière (Association canadienne des écoles de sciences infirmières, 2022), offrent des orientations. Pour déterminer la meilleure voie à prendre, il est également essentiel de recueillir le point de vue des étudiantes et étudiants en sciences infirmières concernant l’intégration de la santé planétaire dans leur formation, puisqu’ils et elles sont les futurs gardiens et gardiennes de la planète et les leaders de la profession infirmière. En adoptant une approche d’investigation appréciative, cette étude a mené des groupes de discussion auprès d’étudiantes et d’étudiants du premier cycle afin de comprendre la façon dont la santé planétaire est située dans le programme d’études actuel et de recueillir leurs avis sur les façons d’intégrer les concepts et processus liés à la santé planétaire. Les recommandations qui en résultent, combinées aux recherches existantes et aux cadres de référence, renforcent l’appui et proposent une feuille de route claire pour intégrer la santé planétaire dans notre programme d’études en sciences infirmières.
Appendices
Bibliography
- Alter, C., Haynes, S., & Worland, J. (2019). TIME 2019 person of the year: Greta Thunberg. https://time.com/person-of-the-year-2019-greta-thunberg/
- Álvarez-Nieto, C., Richardson, J., Navarro-Perán, M. A., Tutticci, N., Huss, N., Elf, M., Anaker, A., Aronsson, J., Baid, H., & López-Medina, I. M. (2022). Nursing students’ attitudes towards climate change and sustainability: A cross-sectional multisite study. Nursing Education Today, 108, 105185. https://doi.org/10.1016/j.nedt.2021.105185
- Astle, B. (2021). Planetary health in nursing: A transdisciplinary equity-centered approach. Creative Nursing, 27(4), 237–241. https://doi.org/10.1891/cn-2021-0027
- Astle, B. (2024). The triple planetary health crisis: Nursing leadership in championing the integration of planetary health in Canadian nursing education. Quality Advancement in Nursing Education - Avancées en formation infirmière, 10(4), Article 7. https://doi.org/10.17483/2368-6669.1482
- Astle, B., Reifferscheid, L., Komar, L., Jakubec, S. L., Chircop, A., Egert, A., Avanthay Strus, J., Lalonde, S., & Jones, A. T. (2025). Surveying planetary health curriculum: Integration in Canadian nursing education. Nurse Education Today, 154, 106836. https://doi.org/10.1016/j.nedt.2025.106836
- Berry, P., & Schnitter, R. (Eds.). (2022). Health of Canadians in a changing climate: Advancing our knowledge for action. Health Canada. https://changingclimate.ca/site/assets/uploads/sites/5/2022/02/CCHA-REPORT-EN.pdf
- Braun, V., & Clarke, V. (2022). Thematic analysis: A practical guide. SAGE.
- Brooman, S., Darwent, S., & Pimor, A. (2015). The student voice in higher education curriculum design: Is there value in listening? Innovations in Education and Teaching International, 52(6), 663–674. https://doi.org/10.1080/14703297.2014.910128
- Calaguas, N. P. (2025). Contemporary health challenges in the Anthropocene: Implications for nursing education. Teaching and Learning in Nursing, 20(3), e791–e798. https://doi.org/10.1016/j.teln.2025.02.031
- Canadian Association of Nurses for the Environment. (n.d.). PeriPHAT resources. https://cane-aiie.ca/periphat-resources/
- Canadian Association of Nurses for the Environment & Canadian Federation of Nurses Unions. (2023). Nursing toolkit for planetary health. https://www.nursingtoolkit4planetaryhealth.ca/
- Canadian Association of Schools of Nursing. (2022). National nursing education framework.https://www.casn.ca/wp-content/uploads/2023/09/National-Nursing-Education-Framework_2022_EN_FINAL.pdf
- Canadian Nurses Association. (2024). Position statement: Planetary health.https://hl-prod-ca-oc-download.s3-ca-central-1.amazonaws.com/CNA/2f975e7e-4a40-45ca-863c-5ebf0a138d5e/UploadedImages/documents/policy-advocacy/CNA-Planetary-Health-position-statement_E.pdf
- The Canadian Press. (2025, May 1). Supreme court won’t hear province’s appeal in youth-led Ontario climate case. CBC News. https://www.cbc.ca/news/canada/sudbury/ontario-youth-climate-court-challenge-1.7523634
- Carey, P. (2013). Student as co-producer in a marketised higher education system: A case study of students’ experience of participation in curriculum design. Innovations in Education and Teaching International, 50(3), 250–260. https://doi.org/10.1080/14703297.2013.796714
- Castleden, H., Lin, J., & Darrach, M. (2020). The public health emergency of climate change: How/are Canadian post-secondary public health sciences programs responding? Canadian Journal of Public Health, 111, 836–844. https://doi.org/10.17269/s41997-020-00386-3
- Clayton, S. (2020). Climate anxiety: Psychological responses to climate change. Journal of Anxiety Disorders, 74, 102263. https://doi.org/10.1016/j.janxdis.2020.102263
- Cyr, D., Childs, R., & Elgie, S. (2013). Recruiting students for research in postsecondary education: A guide. Higher Education Quality Council of Ontario. https://heqco.ca/wp-content/uploads/2020/03/Student_Recruitment_Guide.pdf
- Daly, Z., Radu, R., & Jenkins, E. K. (2024). Positioning Canadian nurses as leaders in responding to the mental health impacts of climate change: A call to action. Quality Advancement in Nursing Education - Avancées en formation infirmière, 10(4), Article 4. https://doi.org/10.17483/2368-6669.1471
- Delnat, C. C. (2025). A systematic review of climate change content integration in nursing curricula. Journal of Nursing Education, 64(4), 227–234. https://doi.org/10.3928/01484834-20241125-02
- Griffin, M. T. Q., Alfes, C. M., Chavez, F., Ea, E. E., Lynn, K. A., Rafferty, M. A., & Fitzpatrick, J. J. (2022). Incorporating climate change into doctor of nursing practice curricula. Journal of Professional Nursing, 42, 156–161. https://doi.org/10.1016/j.profnurs.2022.06.008
- Faerron Guzmán, C. A., Aguirre, A. A., Astle, B., Barros, E., Bayles, B., Chimbari, M., El-Abbadi, N., Evert, J., Hackett, F., Howard, C., Jennings, J., Krzyzek, A., LeClair, J., Maric, F., Martin, O., Osano, O., Patz, J., Potter, T., Redvers, N., … Zylstra, M. (2021). A framework to guide planetary health education. The Lancet Planetary Health, 5(5), e253–e255. https://doi.org/10.1016/S2542-5196(21)00110-8
- Faerron Guzmán, C. A., & Potter, T. (Eds). (2025). The planetary health education framework. Planetary Health Alliance. https://planetaryhealthalliance.org/wp-content/uploads/2025/02/The-Planetary-Health-Education-Framework.pdf
- Flaten, C. B., Pechacek, J. M., Potter, T. M., Mueller, C. (2023). Planetary health in nursing curricula: How one school transformed nursing curricula as they integrated planetary health concepts with the 2021 AACN essentials. Journal of Professional Nursing, 49, 52–56. https://doi.org/10.1016/j.profnurs.2023.08.010
- Freire, P. (2004). Pedagogy of hope: Reliving pedagogy of the oppressed (R. R. Barr, Trans.). The Continuum Publishing Company. (Original work published 1992)
- Government of Canada. (2024, June 10). Canada’s top 10 weather stories of 2023. https://www.canada.ca/en/environment-climate-change/services/top-ten-weather-stories/2023.html
- Hancock, T., Spady, D., & Soskolne, C. (Eds.). (2015). Global change and public health: Addressing the ecological determinants of health – the report in brief. Canadian Public Health Association. https://www.cpha.ca/sites/default/files/assets/policy/edh-brief.pdf
- Hanley, F., & Jakubec, S. L. (2019). Beyond the slogans: Understanding the ecological consciousness of nurses to advance ecological knowledge and practice. Creative Nursing, 25(3), 232–240. https://doi.org/10.1891/1078-4535.25.3.232
- Kadi-Hanifi, K., Dagman, O., Peters, J., Snell, E., Tutton, C., & Wright, T. (2014). Engaging students and staff with educational development through appreciative inquiry. Innovations in Education and Teaching International, 51(6), 584–594. https://doi.org/10.1080/14703297.2013.796719
- Khatamian Far, P. (2018). Challenges of recruitment and retention of university students as research participants: Lessons learned from a pilot study. Journal of the Australian Library and Information Association, 67(3), 278–292. https://doi.org/10.1080/24750158.2018.1500436
- LeClair, J. M., Luebke, J. M., Gingerich, S., Oakley, L. D., Timko Olson, E. R., & Potter, T. M. (2024). The future of nursing for planetary health is today: Essential transitions for education and research. Quality Advancement in Nursing Education - Avancées en formation infirmière, 10(4), Article 3. https://doi.org/10.17483/2368-6669.1464
- Martin, S., Richards, C., Keogh, S., & Ward, A. (2024). Embedding planetary health in nursing education: Exploring the barriers and enablers to implementing changes in undergraduate bachelor of nursing curriculum. Teaching and Learning in Nursing, 19(2), e261–e268. https://doi.org/10.1016/j.teln.2023.11.008
- Masselot, P., Mistry, M., Vanoli, J., Schneider, R., Iungman, T., Garcia-Leon, D., Ciscar, J.-C., Feyen, L., Orru, H., Urban, A., Breitner, S., Huber, V., Schneider, A., Samoli, E., Stafoggia, M., de’Donato, F., Rao, S., Armstrong, B., Nieuwenhuijsen, M., … Gasparrini, A. (2023). Excess mortality attributed to heat and cold: A health impact assessment study in 854 cities in Europe. The Lancet Planetary Health, 7(4), e271–281. https://doi.org/10.1016/S2542-5196(23)00023-2
- Matahela, V. E. (2025). Ubuntu philosophy as a transformative pedagogical approach for advancing planetary health in nursing education in the Anthropocene era. Teaching and Learning in Nursing, 20(2), 164–173. https://doi.org/10.1016/j.teln.2025.01.011
- Maunder, R. E., Cunliffe, M., Galvin, J., Mjali, S., & Rogers, J. (2013). Listening to student voices: Student researchers exploring undergraduate experiences of university transition. Higher Education, 66(2), 139–152. https://doi.org/10.1007/s10734-012-9595-3
- Mitra, D., Serriere, S., & Stoicovy, D. (2012). The role of leaders in enabling student voice. Management in Education, 26(3), 104–112. https://doi.org/10.1177/0892020612445678
- Mohamed, S. A. A. K., & Shaban, M. (2025). Global disparities and innovations in integrating planetary health into nursing curricula: A rapid review as a framework for change. Teaching and Learning in Nursing, 20(2), 181–188. https://doi.org/10.1016/j.teln.2025.01.026
- Myers, S., & Frumkin, H. (Eds.). (2020). Planetary health: Protecting nature to protect ourselves. Island Press. https://doi.org/10.5822/978-1-61091-966-1
- National Aeronautics and Space Administration. (2024, October 23). Evidence. https://science.nasa.gov/climate-change/evidence/
- Nicholas, P. K., Breakey, S., Tagliareni, M. E., Simmonds, K., Sabo, K. K. (2021). Climate change and population health: Incorporating stages of nursing’s political development. Nursing Outlook, 69(1), 65–73. https://doi.org/10.1016/j.outlook.2020.08.001
- Organisation for Economic Co-operation and Development. (n.d.). OECD future of education and skills 2030: Student voices on curriculum (re)design. https://www.oecd.org/content/dam/oecd/en/about/projects/edu/education-2040/2-1-curriculum-design/Student-voices-on-curriculum-redesign%20(3).pdf
- O’Neill, G., & McMahon, S. (2012). Giving student groups a stronger voice: Using participatory research and action (PRA) to initiate change to a curriculum. Innovations in Education and Teaching International, 49(2), 161–171. https://doi.org/10.1080/14703297.2012.677656
- O’Reilly, J., & O’Grady, E. (2024). ‘Our opinions really matter’: Conceptualising and operationalising authentic student voice through negotiated integrated curriculum. Education, 52(6), 811–829. https://doi.org/10.1080/03004279.2024.2331954
- Planetary Health Alliance. (2025). What is planetary health? https://planetaryhealthalliance.org/what-is-planetary-health
- Poland, B., Parkes, M. W., Hancock, T., McKibbon, G., & Chircop, A. (2020). A changing role for public health in the Anthropocene: The contribution of scenario thinking for reimagining the future. In K. Zywert & S. Quilley (Eds.), Health in the Anthropocene: Living well on a finite planet (pp. 170–188). University of Toronto Press.
- Redvers, N., Lockhart, F., Zoe, J. B., Nashalik, R., McDonald, D., Norwegian, G., Hartmann-Boyce, J., & Tonkin-Crine, S. (2024). Indigenous Elders’ voices on health-systems change informed by planetary health: A qualitative and relational systems mapping inquiry. The Lancet Planetary Health, 8(12), E1106–1117. https://doi.org/10.1016/S2542-5196(24)00277-8
- Romanello, M., McGushin, A., Di Napoli, C., Drummond, P., Hughes, N., Jamart, L., Kennard, H., Lampart, P., Rodriguez, B. S., Arnell, N., Ayeb-Karlsson, S., Belesova, K., Cai, W., Campbell-Lendrum, D., Capstick, S., Chambers, J., Chu, L., Ciampi, L., Dalin, C., … Hamilton, I. (2021). The 2021 report of the Lancet Countdown on health and climate change: Code red for a healthy future. The Lancet, 398(10311), P1619–1662. https://doi.org/10.1016/S0140-6736(21)01787-6
- Ross, J., & Speirs, J. (2024). Championing a move from sustainability to planetary health in nursing curriculum. Nurse Education Today, 139, 106220. https://doi.org/10.1016/j.nedt.2024.106220
- Stephens, J., & Leslie, K. (2024). Environmental sustainability and climate change content in Canadian baccalaureate nursing programs. Journal of Nursing Education, 63(4), 212–217. https://doi.org/10.3928/01484834-20240207-02
- St. John, K., & Briel, L. (2017). Student voice: A growing movement within education that benefits students and teachers. VCU Center on Transition Innovations. https://centerontransition.org/publications/download.cfm?id=61
- Tee, N. C. H., Yeo, J.-A., Choolani, M., Poh, K. F., & Ang, T. L. (2024). Healthcare in the era of climate change and the need for environmental sustainability. Singapore Medical Journal, 65(4), 204–210. https://doi.org/10.4103/singaporemedj.smj-2024-035
- Tutticci, N., Del Fabbro, L., Richards, C., Tulleners, T., Varsani, D., Best, O., & Ward, A. (2025). Reconceptualizing nursing curricula for planetary health: A web-based desktop audit. Teaching and Learning in Nursing, 20(2), 106–112. https://doi.org/10.1016/j.teln.2024.06.016
- Tutticci, N., & Huss, N. M. (2025). An analysis of sustainable decision-making using clinical reasoning. Teaching and Learning in Nursing, 20(2), 131–136. https://doi.org/10.1016/j.teln.2024.11.013
- United Nations. (n.d.). Youth in action. https://www.un.org/en/climatechange/youth-in-action
- Watson, J., Horseman, Z., Fawcett, T., Hockley, J., & Rhynas, S. (2020). Care home nursing: Co-creating curricular content with student nurses. Nurse Education Today, 84, 104233. https://doi.org/10.1016/j.nedt.2019.104233
- Watts, N., Adger, W. N., Agnolucci, P., Blackstock, J., Byass, P., Cai, W., Chaytor, S., Colbourn, T., Collins, M., Cooper, A., Cox, P. M., Depledge, J., Drummond, P., Ekins, P., Galaz, V., Grace, D., Graham, H., Grubb, M., Haines, A., … Costello, A. (2015). Health and climate change: Policy responses to protect public health. The Lancet, 386(10006), P1861–1914. https://doi.org/10.1016/S0140-6736(15)60854-6
- Whitmee, S., Haines, A., Beyrer, C., Boltz, F., Capon, A. G., de Souza Dias, B. F., Ezeh, A., Frumkin, H., Gong, P., Head, P., Horton, R., Mace, G. M., Marten, R., Myers, S. S., Nishtar, S., Osofsky, S. A., Pattanayak, S. K., Pongsiri, M. J., Romanelli, C., … Yach, D. (2015). Safeguarding human health in the Anthropocene epoch: Report of The Rockefeller Foundation–Lancet Commission on planetary health. The Lancet, 386(10007), P1973–2028.https://doi.org/10.1016/S0140-6736(15)60901-1

