A Cross-Sectional Study on Indigenous Nurses’ Knowledge and Perceptions toward Planetary Health Challenges

Background: Planetary health challenges—such as climate change and vector-borne diseases—not only threaten human health, but also jeopardize food and water security, ecosystems, economic stability, and social well-being. Registered nurses play an integral role in supporting populations affected by planetary health challenges. Purpose: The purpose of the larger cross-sectional study was to investigate the knowledge, attitudes, and practices of registered nurses in Canada related to climate sensitive vector-borne diseases. This manuscript presents findings of the Indigenous participants from the larger study. Methods: A national self-administered digital survey was distributed to practicing registered nurses in Canada. Results: Of the 382 survey respondents, 35 respondents declared as Indigenous, Metis, or Inuit. Results indicated that most worked as frontline care providers, and several were nurse educators. Study findings revealed enhanced knowledge of climate change and vector-borne diseases, as well as increased awareness of, confidence toward, preparedness, and experiences with vector-borne diseases in practice demonstrated by Indigenous, Metis, and Inuit participants. The greater knowledge and confidence of Indigenous, Metis, and Inuit nurses toward climate change and vector-borne diseases may be attributed to intergenerational knowledge transfer, which has provided them with the knowledge to observe and adapt to climate-related concerns, such as the changing vector landscape. Conclusion: Indigenous nurses are well-positioned to lead the nursing profession to a decolonization of nursing knowledge, where Indigenous knowledge is used to educate and prepare nurses to address planetary challenges in practice and assume a greater role in leading change to advocate for a climate-resilient future.