If Not Us, Then Who?
A Focused Ethnography Exploring Caring Patterns Among Planetary Health Nurses
DOI:
https://doi.org/10.25071/2291-5796.182Keywords:
Planetary, Health, Critical, Caring, Ecological NursingAbstract
Planetary health challenges, such as climate change, pollution, deforestation, overfishing, and habitat destruction, are disproportionately experienced and act as threat multipliers to the health, welfare, and security of human and more-than-human species. Nurses, by virtue of their position, are increasingly confronting the health implications stemming from environmental change. An awareness that human health is interrelated with planetary health should inform their role as care providers who can develop solutions to face these unprecedented challenges.
This paper stems from a study observing the journeys, approaches, activities, and priorities of 14 registered nurses engaged in planetary health initiatives. Using a focused ethnographic methodology with data from semi-structured interviews, participant observations, and arts-informed self-reflections, this research has the potential to inform practice, policy, education, and research within the nursing profession. It also serves to highlight the importance of empowering nurses to engage in planetary health initiatives as advocates for social and environmental justice.
Downloads
References
Bender, M. (2018). Re‐conceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing inquiry, 25(3), https://doi.org/10.1111/nin.12243
Braun, V., & Clarke, V. (2020). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328–352. https://doi.org/10.1080/14780887.2020.1769238
Brigham, J. K. (2021). Integrated bodies: Language, art, and infrastructure in planetary health education. Creative Nursing, 27(4), 269–272. https://doi.org/10.1891/cn-2021-0036
Catton, H. (2023). Nursing our planet. International Nursing Review, 70(1), 7–9. https://doi.org/10.1111/inr.12825
Chinn, P. L., Falk-Rafael, A. (2018). Embracing the focus of the discipline of nursing: Critical caring pedagogy. Journal of Nursing Scholarship, 50(6), 687–694. https://doi.org/10.1111/jnu.12426
Cipriano, P. F., Blanchard, K. A., & Rosa, W. E. (2021). Preventing violence to achieve peaceful and inclusive societies. American Journal of Nursing, 121(9), 58–63. https://doi.org/10.1097/01.NAJ.0000790652.74669.ec
Cole, A. L., & Knowles, J. G. (2008). Arts-informed research. In J. G. Knowles & A. L. Cole (Eds.), Handbook of the arts in qualitative research: Perspectives, methodologies, examples, and issues (pp. 55–70). Sage Publications.
Cook, L. B., & Peden, A. (2017). Finding a focus for nursing: The caring concept. Advances in Nursing Science, 40(1), 12–23. https://doi.org/10.1097/ANS.0000000000000137
Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Sage Publications.
Cruz, E. V., & Higginbottom, G. (2013). The use of focused ethnography in nursing research. Nurse Researcher, 20(4), 36–43. https://doi.org/10.7748/nr2013.03.20.4.36.e305
Dillard-Wright, J., Walsh, J. H., & Brown, B. B. (2020). We have never been nurses: Nursing in the Anthropocene, undoing the Capitalocene. Advances in Nursing Science, 43(2), 132–146. https://doi.org/10.1097/ANS.0000000000000313
Estévez-Saá, M., & Lorenzo-Modia, M. J. (2018). The ethics and aesthetics of eco-caring: Contemporary debates on ecofeminism(s). Journal of Women’s Studies. 47(2), 123–146. https://doi.org/10.1080/00497878.2018.1425509
Faerron Guzmán, C. A., & Potter, T. (Eds.). (2021). The planetary health education framework. The Planetary Health Alliance. https://drive.google.com/file/d/1wg2zJnKj-wlGN5qK8EXC0Y2lqUwMUQNV/view
Falk Rafael, A. R. (2000). Watson’s philosophy, science, and theory of human caring as a conceptual framework for guiding community health nursing practice. Advances in Nursing Science, 23(2), 34–49. https://doi.org/10.1097/00012272-200012000-00005
Falk-Rafael, A. (2005). Advancing nursing theory through theory-guided practice: The emergence of a critical caring perspective. Advances in Nursing Science, 28(1), 38–49. https://doi.org/10.1097/00012272-200501000-00005
Falk-Rafael, A., & Betker, C. (2012). The primacy of relationships: A study of public health nursing practice from a critical caring perspective. Advances in Nursing Science, 35(4), 315–332. http://doi.org/10.1097/ANS.0b013e318271d127
Falk-Rafael, A. (2020, March 3). The community as client: A critical caring exemplar. Nursology. https://nursology.net/2020/03/03/the-community-as-client-a-critical-caring-exemplar/
Grant, M. J. & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information & Libraries Journal, 26(2), 91–108. https://doi.org/10.1111/j.1471-1842.2009.00848.x
Howes, S., & Warwick, P. (2023). Creating equitable and sustainable opportunities for nature immersion to support restoration from stress within mental health nursing: A critical interpretive synthesis. International Journal of Mental Health Nursing, 32(3), 673–686. https://doi.org/10.1111/inm.13109
Lausten, G. (2006). Environment, ecosystems, and ecological behavior: A dialogue toward developing nursing ecological theory. Advances in Nursing Science, 29(1), 43–54. https://doi.org/10.1097/00012272-200601000-00005
LeClair, J., Luebke, J., & Oakley. L. D. (2021). Critical environmental justice nursing for planetary health: A guiding framework. Advances in Nursing Science, 1–10. https://doi.org/10.1097/ANS.0000000000000398
Lincoln, Y. S., & Guba, E. (1985). Naturalistic Inquiry. Sage Publications.
Potter, T. (2022). The way of nursing: Leading disruptive change for all. Creative Nursing, 28(3), 149–153. https://doi.org/10.1891/CN-2022-0013 a Vaismoradi, M., Jones, J., Turunen, H., & Snelgrove, S. (2016). Theme development in qualitative content analysis and thematic analysis. Journal of Nursing Education and Practice 6(5):100–110. https://doi.org/10.5430/jnep.v6n5p100
Watson, J. (2008). Nursing: The philosophy and science of caring (Rev. ed.). University press.
Watson, J. (2018). Unitary caring science: The philosophy and praxis of nursing. University Press.
Zuzelo, P. R. (2016). Sustaining nature’s healing powers. Holistic Nursing Practice, 30(3), 187–189. https://doi.org/10.1097/HNP.0000000000000150
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Steve Cairns

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Witness publishes under a Creative Commons Attribution-NonCommercial 4.0 International license (CC BY-NC 4.0). Read the license terms at https://creativecommons.org/licenses/by-nc/4.0/. The author(s) retain copyright to their works.