Vandenberg, Shannon

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    A call to action for nurses in Canada to address climate-driven vector-borne diseases
    (Canadian Association of Schools of Nursing (CASN), 2024) Vandenberg, Shannon ; Oosterbroek, Tracy A.; Chircop, Andrea; Kellett, Peter
    Purpose: Climate change is considered a public health emergency in Canada, and nurses must respond to health-related challenges faced by Canadians. The Canadian Association of Schools of Nursing (CASN) Guidelines for Undergraduate Nursing Education on Climate-Driven Vector-Borne Diseases provide a comprehensive framework to guide nurses to address these challenges. The purpose of this article is to situate the necessity of moving from knowledge to action within the five domains of the CASN guidelines to enhance nursing preparedness in education, research, and practice on planetary health and climate-related issues. Discussion: Strategies for moving from knowledge to action are presented within the domains of the CASN guidelines. Nurses’ expertise should include comprehensive knowledge of endemic and exotic vector-borne diseases (VBDs), risk communication, preventive and mitigation strategies, diagnostic and treatment practices, intersectoral collaboration, and advocacy approaches. Nurses in education and practice are required to take action to improve preparedness in addressing VBDs, and research on nurses’ practice readiness is recommended. Inclusion of a planetary health lens within the CASN Guidelines for Undergraduate Nursing Education on Climate-Driven Vector-Borne Diseases is recommended, to better align with the planetary health education framework. Conclusion: Nurses must be adequately prepared for future nursing practice and expanded roles within planetary health, which involves integrating climate change content into nursing curricula and updating nursing entry-to-practice competencies. Nursing education programs in Canada should consider the calls to action on planetary health and climate change and ensure this content is comprehensively integrated into nursing curricula, incorporating Indigenous Ways of Knowing and meaningful strategies for advocacy and leadership. It is imperative that nursing graduates are prepared for enhanced roles in leading change to advocate for a climate-resilient future.
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    A cross-sectional study on Indigenous nurses’ knowledge and perceptions toward planetary health challenges
    (Waakebiness-Bryce Institute for Indigenous Health, 2025) Vandenberg, Shannon; Oosterbroek, Tracy; Chircop, Andrea; Kellett, Peter
    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.
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    Immunization rejection in southern Alberta: a comparison of the perspectives of mothers and health professionals
    (Ingram School of Nursing, 2015) Vandenberg, Shannon Y.; Kulig, Judith Celene
    Qualitative grounded theory was used to compare and contrast the understanding and decision-making process of non-immunizing mothers and health professionals’ perceptions of these mothers’ understanding and decision-making process. The sample comprised 8 mothers with purposefully unimmunized children under the age of 6 years and 12 health professionals. Semi-structured interviews were conducted and the data generated were analyzed using data immersion, memo-writing, and 3 stages of coding. The mothers and health professionals identified similar, interrelated factors influencing the mothers’ decision, categorized into 4 groups: emotions, beliefs, facts, and information. Three primary themes were evident: the health professionals emphasized the influence of religion in decision-making to a greater extent than did the mothers, the meaning of evidence appeared to differ for mothers and health professionals, and mothers revealed a mistrust of health professionals. Immunization is a public health issue; collaboration and understanding are necessary to promote positive health outcomes in children.
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    Nurses' perceptions of climate sensitive vector-borne diseases: a scoping review
    (Wiley, 2023) Vandenberg, Shannon Y.; Chircop, Andrea; Sedgwick, Monique; Scott, David R.
    Objective Nurses are well positioned to play an integral role in the mitigation of climate change and climate-driven vector-borne diseases, however, they lack awareness and knowledge about their role. The purpose of this scoping review was to map existing literature on nurses’ perceptions, knowledge, attitudes, and experiences with vector-borne diseases, specifically Lyme disease and West Nile virus. Design A scoping review was conducted using Joanna Briggs Institute (JBI) scoping review methodology. CINAHL, ProQuest Nursing & Allied Health Premium, MEDLINE, APA PsycINFO, ProQuest Dissertations & Theses, and Web of Science were searched for English-language publications. The PRISMA-ScR was used. After initial screening as per study protocol, a total of 33 items were reviewed independently by four reviewers. Results Thirty-three articles, including seven sources from grey literature, met the criteria for this scoping review. Results were mapped according to the five domains of the Guidelines for Undergraduate Nursing Education on Climate-Driven Vector-Borne Diseases. Conclusions Findings from the review indicate that nurses play a role in climate-related health effects and should be knowledgeable about vector-borne diseases. However, scant literature exists on nurses’ knowledge, perceptions, attitudes toward vector-borne diseases, and practice readiness, signifying a need for further research on this emerging topic.
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    Planetary health in nursing: a scoping review
    (Wiley, 2024) Vandenberg, Shannon ; Avanthay Strus, Jacqueline/Jack; Chircop, Andrea; Egert, Amanda; Savard, Julie
    Aim To map the extent of the use of the term ‘planetary health’ in peer-reviewed nursing literature. Design Scoping Review. Data Sources CINAHL, ProQuest Nursing & Allied Health Premium, MEDLINE, APA PsycINFO, ProQuest Dissertations & Theses and Web of Science were searched in January and February 2024 for English and French-language publications. A follow-up search was conducted on 10 June 2024 to determine if additional literature was published. Review Methods A scoping review was conducted using the Arksey and O'Malley methodology for scoping reviews. To be included the article had to explicitly use the term ‘planetary health’ and ‘nursing’ or ‘nurses’. Results Sixty-eight articles met the criteria for the scoping review and were included in this review, with the majority published between 2017 and 2024. Predominant literature included discussion papers, commentaries and editorials. A lack of original research is apparent. Most of the publications were calls to action for nurses to advance planetary health in nursing education, practice, research and advocacy work. Conclusions Literature confirms that planetary health is a recent and an important topic in nursing, and nurses have a well-documented role to play in planetary health, given the numerous calls to action in nursing leadership, education, practice and research. There is a need to publish the essential work nurses are doing in planetary health in various nursing domains. Impact This scoping review revealed a clear and urgent call to action for nurses to address planetary health. Given this finding, nurses have a responsibility to advocate for a planetary health approach in the profession and take action to contribute to planetary health through education, research, practice and advocacy.
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    Planetary health: a pragmatic theoretical framework to guide nursing education, research, and practice
    (Elsevier, 2025) Vandenberg, Shannon; Oosterbroek, Tracy; Chircop, Andrea; Kellett, Peter
    The term Planetary Health has been used in mainstream narrative in the past decades, but the term has only recently gained traction in nursing literature. Nurses are highly trusted and well-positioned to play an integral role in planetary health, by addressing the various challenges and health effects associated with planetary health decline. Issue: While the traditional scope of nursing practice includes health promotion, and illness, injury, and disease prevention, planetary health incorporates broader issues such as climate change, pollution, biodiversity loss, resource scarcity, and marine degradation. Nurses may lack knowledge and confidence regarding planetary health issues, which may correlate to inadequate confidence and feelings of unpreparedness in practice. Therefore, planetary health presents as a pragmatic theoretical framework for nursing education, practice, and research. Purpose: The purpose of this manuscript is to advocate for the applicability of planetary health for nursing practice, education, and research, incorporating an example of a research study that examined nurses’ percep- tions toward climate sensitive vector-borne diseases. Planetary health challenges are threatening human health globally, and nurses must be prepared to preserve human and planetary health.
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    Striving for health equity through nursing education: a critical examination of non-traditional community health placements
    (School of Nursing, York University, 2024) Magnuson, Morgan; Vandenberg, Shannon; Vogelsang, Laura
    The use of non-traditional community health placements is common in undergraduate nursing programs; however, we know little about how these initiatives impact partner organizations or equity-denied communities. Based on our experiences as nursing faculty who facilitate these placements, we critically reflect on whether students can advance the health equity agendas of our partner organizations. Using the political economy of health inequities, we discuss how biomedicalism and neoliberalism shape and constrain our students’ work and identify potential harms created by this approach. Furthermore, we link non-traditional community health placements to our current political economy to determine who benefits from this model of nursing education. Finally, we identify strategies to mitigate these harms by critically reflecting on our practice and committing to more equitable partnerships
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    "We’ve lost a lot of lives:” the impact of the closure of North America’s busiest supervised consumption site on people who use substances and the organizations that work with them
    (Springer Nature, 2025) Magnuson, Morgan; Vandenberg, Shannon; Oosterbroek, Tracy; Dey, Kevin
    Background Supervised Consumption Sites (SCS) are an evidence-based harm reduction intervention that reduces the risk of fatal drug poisonings. However, these approaches have faced political opposition in Canada, resulting in the closures of SCS in some provinces. Our study examines the aftermath of the closure of what was once North America’s busiest SCS, located in Lethbridge, Alberta, Canada, offering a contextualized exploration of regressive drug policies. Methods Our study adopts a descriptive qualitative design to explore the Lethbridge SCS closure and the city’s current state of harm reduction service provision. We conducted 37 interviews to understand the perspectives of people who use substances (PWUS) and staff members of organizations that provide harm-reduction services in Lethbridge. We chose to use reflexive thematic analysis, which allows for a critical realist and contextual approach to data analysis. Results We developed three themes based on our analysis. Our first theme speaks to the harms of SCS closures on PWUS and organizations that provide harm reduction services. Next, our second theme highlights participants’ perspectives on the political motivations behind the SCS closure. Our last theme explores how PWUS and organizations navigate the political opposition to harm reduction approaches while responding to the worsening unregulated drug poisoning crisis. Conclusions Our findings speak to the dangers of political decisions that restrict access to harm reduction services within the context of the current unregulated drug poisoning crisis.