Teaching commercial determinants of health in nursing education: Integrating NANDA, NIC and NOC for critical pedagogy

BACKGROUND: Commercial determinants of health, including tobacco, alcohol, ultra-processed foods, and fossil fuels, are among the leading drivers of preventable morbidity and mortality worldwide. Nursing education has traditionally emphasized individual behavioral risk factors, often neglecting structural and corporate influences on health. AIM: This article explores strategies to integrate these determinants into nursing curricula, highlighting the relevance of standardized nursing languages as pedagogical tools to foster critical awareness and advocacy skills among students. DESIGN: Narrative, pedagogical analysis drawing on public health scholarship, nursing taxonomies, and transformative education frameworks. DISCUSSION: Linking commercial determinants to nursing diagnoses such as Ineffective Health Management (00078) and Risk for Impaired Control of Health Behaviors (00246), interventions including Health Education (5510) and Addiction Management (4490), and outcomes such as Health Beliefs: Risk Control (1704) and Community Health Status (2808) provides a structured, evidence-based framework for critically analysing health inequities. CONCLUSIONS: Integrating commercial determinants into nursing education equips students with competencies not only in clinical care but also in advocacy, ethical reasoning, and public health leadership. This approach aligns with global calls for transformative education and positions nursing as a critical discipline in confronting structural drivers of disease. IMPLICATIONS FOR NURSING EDUCATION: Educators should systematically incorporate commercial determinants into curricula using standardized nursing languages as frameworks for critical pedagogy. Doing so enhances students' ability to understand and address health beyond the individual level, preparing nurses to engage in policy, advocacy, and structural transformation.