If Not Us, Then Who?

A Focused Ethnography Exploring Caring Patterns Among Planetary Health Nurses

Authors

DOI:

https://doi.org/10.25071/2291-5796.182

Keywords:

Planetary, Health, Critical, Caring, Ecological Nursing

Abstract

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. 

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Author Biography

Steve Cairns, Nipissing University

Steve Cairns, RN, MEd, PhD, is a nursing and outdoor educator with an interest in scaling up nurses’ engagement in planetary health. Steve is an Assistant Professor within the School of Nursing at Nipissing University. He serves as the Ontario Representative for the Canadian Association of Nurses for the Environment (CANE-AIIE) and an Executive Member of the Ontario Nurses for the Environment (ONE–IIOE) through the Registered Nurses Association of Ontario (RNAO). Steve enjoys being outdoors with family and friends in all seasons.

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

Published

2025-12-28

How to Cite

Cairns, S. (2025). If Not Us, Then Who? : A Focused Ethnography Exploring Caring Patterns Among Planetary Health Nurses . Witness: The Canadian Journal of Critical Nursing Discourse, 7(2), 48–65. https://doi.org/10.25071/2291-5796.182