Planetary Health: Preparing Nursing Students for the Future.

BACKGROUND: Climate change around the globe is impacting human and planetary health at unprecedented rates. Nurses are well positioned to act as climate leaders, given their critical role globally. PROBLEM: Current and future nurses must work to mitigate climate-related health effects. It is necessary that a planetary health approach is integrated into nursing education. APPROACH: Curricular modifications, using the Planetary Health Education Framework, are presented, which will promote awareness and understanding of climate health among future nurses. The framework is grounded in equity, which is well suited to nursing education, and can be readily adapted into current nursing curricula. OUTCOMES: Recommendations for nursing education are presented within the 5 domains of the framework. CONCLUSIONS: Future nurses are called on to be exemplary planetary health communicators, educators, advocates, and leaders. The Planetary Health Education Framework promotes nursing leadership in practice and in advocating for a climate-resistant future.

Nurses' perceptions of climate sensitive vector-borne diseases: A scoping review.

OBJECTIVE: Nurses are well positioned to play an integral role in the mitigation of climate change and climate-driven vector-borne diseases, however, they lack awareness and knowledge about their role. The purpose of this scoping review was to map existing literature on nurses' perceptions, knowledge, attitudes, and experiences with vector-borne diseases, specifically Lyme disease and West Nile virus. DESIGN: A scoping review was conducted using Joanna Briggs Institute (JBI) scoping review methodology. CINAHL, ProQuest Nursing & Allied Health Premium, MEDLINE, APA PsycINFO, ProQuest Dissertations & Theses, and Web of Science were searched for English-language publications. The PRISMA-ScR was used. After initial screening as per study protocol, a total of 33 items were reviewed independently by four reviewers. RESULTS: Thirty-three articles, including seven sources from grey literature, met the criteria for this scoping review. Results were mapped according to the five domains of the Guidelines for Undergraduate Nursing Education on Climate-Driven Vector-Borne Diseases. CONCLUSIONS: Findings from the review indicate that nurses play a role in climate-related health effects and should be knowledgeable about vector-borne diseases. However, scant literature exists on nurses' knowledge, perceptions, attitudes toward vector-borne diseases, and practice readiness, signifying a need for further research on this emerging topic.

Immunization Rejection in Southern Alberta: A Comparison of the Perspectives of Mothers and Health Professionals.

Qualitative grounded theory was used to compare and contrast the understanding and decision-making process of non-immunizing mothers and health professionals' perceptions of these mothers' understanding and decision-making process. The sample comprised 8 mothers with purposefully unimmunized children under the age of 6 years and 12 health professionals. Semi-structured interviews were conducted and the data generated were analyzed using data immersion, memo-writing, and 3 stages of coding. The mothers and health professionals identified similar, interrelated factors influencing the mothers' decision, categorized into 4 groups: emotions, beliefs, facts, and information. Three primary themes were evident: the health professionals emphasized the influence of religion in decision-making to a greater extent than did the mothers, the meaning of evidence appeared to differ for mothers and health professionals, and mothers revealed a mistrust of health professionals. Immunization is a public health issue; collaboration and understanding are necessary to promote positive health outcomes in children.

Les auteures se sont fondées sur une théorie qualitative à base empirique pour comparer l'analyse et la démarche des mères qui décident de ne pas faire vacciner leurs enfants, à l'idée que s'en font les professionnels de la santé. L'échantillon comprend 8 mères ayant délibérément omis de faire vacciner leurs enfants de moins de six ans et 12 professionnels de la santé. Les auteures ont mené des entrevues semi-directives dont les données ont été analysées suivant une méthode fondée sur l'immersion, la prise de notes et trois étapes de codage. Les deux groupes évoquent des facteurs semblables et interdépendants pour expliquer la décision des mères, qu'on peut répartir en quatre catégories: émotions, convictions, faits et information. Trois grands thèmes en ressortent: les professionnels de la santé insistent davantage que les mères sur l'influence de la religion dans la prise de décision; les mères et les professionnels de la santé semblent accorder un sens différent aux données probantes; les mères expriment une certaine méfiance à l'égard des professionnels de la santé. La vaccination est un enjeu de santé publique; la promotion de résultats de santé positifs chez les enfants doit reposer sur la collaboration et la compréhension des enjeux.