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Achieving consensus on the essential knowledge and skills needed by nursing students to promote planetary health and sustainable healthcare: A Delphi study
Journal article   Open access   Peer reviewed

Achieving consensus on the essential knowledge and skills needed by nursing students to promote planetary health and sustainable healthcare: A Delphi study

Tracy Levett-Jones, Christine Catling, Sarah Cheer, Lorraine Fields, Anna Foster, Jane Maguire, Erica Mcintyre, Tracey Moroney OAM, Jacqueline Pich, Victoria Pitt, …
Journal of advanced nursing, Vol.81(12), pp.8281-8299
12/2025
DOI: https://doi.org/10.1111/jan.16229
Appears in  Recent Faculty of Health Publications
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UN Sustainable Development Goals (SDGs)

This output has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#13 Climate Action
#14 Life Below Water

Source: InCites

Abstract

adaptation climate change education knowledge mitigation nursing students planetary health real-time Delphi skills sustainability
Aim To achieve consensus on the knowledge and skills that undergraduate/pre-licensure nursing students require to steward healthcare towards a more sustainable future. Design A two-phase real-time Delphi study. Methods Phase 1 included the generation of Planetary Health, climate change and sustainability knowledge and skill statements based on a review of relevant literature. Phase 2 consisted of a real-time Delphi survey designed to seek consensus on the proposed statements from a panel of 42 international experts. Results Of the 49 survey statements, 44 (90%) achieved ≥75% consensus and 26 (53%) achieved ≥80% consensus. Three were removed and 32 were modified to improve clarity of language. Conclusion The knowledge and skills statements that emerged through this Delphi study can serve as a guide for incorporating Planetary Health, climate change and sustainability into nursing education programs. Implications for the Profession Incorporating Planetary Health and climate change education into nursing programs has the potential to produce more environmentally conscious and socially responsible nurses. Impact The absence of consensus on the essential knowledge and skills expected of nursing students has hindered the advancement of curricula and impacted educators' confidence in teaching Planetary Health and climate change. This study has resulted in a meticulously crafted framework of knowledge and skill statements that will be beneficial to educators, the future nursing workforce, and, ultimately, the individuals and communities whom nurses serve. Reporting Method This paper adheres to the Conducting and REporting DElphi Studies (CREDES) reporting guideline. Patient or Public Contribution No patient or public contribution.

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