Evidence map›Paper›PMID 38847480›Full record

ArticleJournal of advanced nursing2025

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 and 2 more

Abstract readConsensus Statement
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Planetary Health in Nursing: A Scoping Review.Journal of advanced nursing · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Tracy Levett-JonesUniversity of Technology Sydney, Faculty of Health, Ultimo, New South Wales, Australia.ORCID https://orcid.org/0000-0003-4279-8957
Christine CatlingUniversity of Technology Sydney, Faculty of Health, Ultimo, New South Wales, Australia.ORCID https://orcid.org/0000-0001-7352-2879
Sarah CheerUniversity of Technology Sydney, Faculty of Health, Ultimo, New South Wales, Australia.
Lorraine FieldsUniversity of Wollongong, Faculty of Science Medicine & Health, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0001-5917-9496
Anna FosterSouthern Cross University, Bilinga, Queensland, Australia.ORCID https://orcid.org/0009-0008-5480-9098
Jane MaguireUniversity of Technology Sydney, Faculty of Health, Ultimo, New South Wales, Australia.ORCID https://orcid.org/0000-0001-5722-8311
Erica McintyreUniversity of Technology Sydney, Institute for Sustainable Futures, and Research Institute for Innovative Solutions for Well-Being and Health (INSIGHT), Ultimo, New South Wales, Australia.ORCID https://orcid.org/0000-0002-3970-9979
Tracey Moroney OamCurtin University, Curtin School of Nursing, Bentley, Western Australia, Australia.
Jacqueline PichUniversity of Technology Sydney, Faculty of Health, Ultimo, New South Wales, Australia.
Victoria PittUniversity of Newcastle, College of Health, Medicine and Wellbeing, University Drive, Callaghan, New South Wales, Australia.
Nicola WhiteingSouthern Cross University, Faculty of Health, Southern Cross University, East Lismore, New South Wales, Australia.ORCID https://orcid.org/0000-0001-6054-5027
Zerina Lokmic-TomkinsMonash University, Faculty of Medicine, Nursing and Health Sciences, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0003-0266-9536

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo achieve consensus on the knowledge and skills that undergraduate/pre-licensure nursing students require to steward healthcare towards a more sustainable future.

designA two-phase real-time Delphi study.

methodsPhase 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.

resultsOf 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.

conclusionThe 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

methodThis paper adheres to the Conducting and REporting DElphi Studies (CREDES) reporting guideline. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Climate ChangeClinical CompetenceGlobal HealthHealth Knowledge, Attitudes, PracticeStudents, NursingAdultCurriculumDelphi TechniqueFemaleHumansMaleadaptationclimate changeeducationknowledgemitigationnursing studentsplanetary healthreal‐time Delphiskillssustainability

Identifiers

PMID38847480
PMCPMC12623684

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.