A 3D Earth with a stethoscope, raising awareness of planetary health, illustrated in honor of World Health Day

Planetary Health and Planetary Health Report Card

A student-driven, metric-based initiative to inspire planetary health in health professional schools.

Planetary Health Menu

What is Planetary Health?

Planetary health is a solutions-oriented, transdisciplinary field and social movement focused on analyzing and addressing the impacts of human disruptions to Earth’s natural systems on human health and all life on Earth.

Events

back to top

What is the Planetary Health Report Card?

With the purpose of increasing planetary health awareness and accountability among medical schools, the Planetary Health Report Card (PHRC) was developed as an institutional advocacy tool in 2019 by a group of medical students at the University of California, San Francisco School of Medicine. The PHRC is a student-driven metric-based tool that aims to evaluate health professional schools on discrete metrics in five main category areas:

  1. Curriculum
  2. Interdisciplinary research in health and environment
  3. Community outreach and advocacy
  4. Support for student-led initiatives
  5. Campus sustainability

Originally created by medical students to assess medical schools, the report card is now being adapted and tested in nursing and pharmacy training programs, fostering interprofessional collaboration.

Assessing Nursing Curriculum
Using the Planetary Health Report Card

Research Poster thumbnail for Assessing Nursing Curriculum Using the Planetary Health Report Card. 

The WSU College of Nursing assessed its curriculum using the Planetary Health Report Card (PHRC), focusing on five key categories: curriculum, interdisciplinary research, community outreach and advocacy, support for student-led initiatives, and campus sustainability. Out of 21 courses, 6 include climate change and planetary health concepts, earning an A- for curriculum. Interdisciplinary research, which encourages planetary health projects, received a B+. However, community outreach and advocacy, support for student-led initiatives, and campus sustainability areas show room for improvement, with grades of C+, C, and C, respectively. The overall grade for the WSU College of Nursing is a B.

The WSU College of Nursing assessed its curriculum using the Planetary Health Report Card (PHRC), focusing on five key categories: curriculum, interdisciplinary research, community outreach and advocacy, support for student-led initiatives, and campus sustainability.

This process was led by PhD alum Dr. Molly Parker ’23 as her leadership project as a Jonas Scholar, funded by Jonas Philanthropies.

Out of 21 courses, 6 include community resilience and planetary health concepts, earning an A- for curriculum. Interdisciplinary research, which encourages planetary health projects, received a B+. However, community outreach and advocacy, support for student-led initiatives, and campus sustainability areas show room for improvement, with grades of C+, C, and C, respectively. The overall grade for the WSU College of Nursing is a B.

Presented at the Western Institute of Nursing Conference (WIN) 2024, Salt Lake City, Utah.
Credit: Angela Crable, BSN, RN; Jenifer Brewer, BSN, RN; Molly Parker, PhDc, RN; Tara Marko, PhDc, RN; Natasha Barrow, PhDc, RN; Amelia Kohut, Student; Sheila Hurst, PhD, RN; Julie Postma, PhD, RN.

Download Poster: Assessing Nursing Curriculum Using the Planetary Health Report Card (PDF)

back to top

For the planet…

Focus Areas

Abstract Worldwide Health Care Background with Futuristic Medical Technology Concept

Planetary Health Curriculum

Nursing programs must integrate planetary health into their curriculum to prepare nurses for addressing the health impacts of environmental crises and promoting preventative change.

2024 Grade A-
WSU College of Nursing

A detailed 3D rendering of Earth donning a protective face mask symbolizes global health concerns and the fight against pandemics. The image highlights the impact of worldwide health crises and the necessity for collective action.

Interdisciplinary Research in Health and Environment

Nursing schools should support interdisciplinary research on planetary health by collaborating across health and environmental sciences to address the health effects of environmental degradation.

2024 Grade B+
WSU College of Nursing

An image showing interdisciplinary research teams working together to address pressing global issues such as climate change public health or sustainable development.

Community Outreach and Advocacy

Institutions must partner with communities affected by environmental disruptions to advocate for change, raise awareness, and provide nursing students with meaningful engagement opportunities.

2024 Grade C+
WSU College of Nursing

Thriving Ecosystems and Barren Soils: A Visualization of Ecological Footprint and Sustainable Development

Support for Student-Led Planetary Health Initiatives

Nursing programs should actively support student-led initiatives on planetary health through mentorship, funding, and hands-on opportunities that align with community projects.

2024 Grade C
WSU College of Nursing

photo of statue of cougar on WSU Health Sciences campus

Campus Sustainability

Healthcare institutions must foster sustainability practices, including waste management and reducing emissions, to lead the way towards a sustainable future for the health sector.

2024 Grade C
WSU College of Nursing

back to top

Overall Rankings

The Nursing Planetary Health Report Card pilot was created by an international team of nursing students and faculty, aiming to adapt the original Planetary Health Report Card to better reflect nursing’s multifaceted curriculum and patient-centered care. Involving participants from institutions in the U.S., UK, and Germany, the team broadened metrics to include various nursing degrees while focusing on areas such as bedside care, interprofessional collaboration, and administrative support. Throughout the process, the team gained insights into how nursing programs can incorporate planetary health education, recognizing nurses’ critical role in addressing climate change. As they distribute the pilot internationally, they hope to empower nursing students to drive change within their programs for future generations.

Report Cards

2024 Nursing Planetary Health Report Card (PDF)

2024 WSU College of Nursing Planetary Health Report Card (PDF)

2024 PHRC Results for Nursing. Table of data shows the overall grades for 5 participating universities. These include University of Minnesota-Twin Cities, USA, grade A-; Trinity Western University, Canada, grade A-; University of Brighton, UK, grade B+; Washington State University, USA, grade B; University of Wisconsin-Madison, USA, grade B.

back to top

Focus Areas

Planetary Health Curriculum

Planetary Health Curriculum focus area examines how well the nursing program integrates climate change, environmental health, and planetary health concepts into its courses, including their impact on individual and community health, mental health, infectious disease patterns, food and water security, and marginalized populations. It also assesses how the program addresses sustainable healthcare, such as plant-based diets, the carbon footprint, and waste management in healthcare systems, along with the inclusion of Indigenous knowledge and strategies for discussing these issues with patients.

General results: Planetary Health Curriculum focus area examines how well the nursing program integrates climate change, environmental health effects on health, extreme weather, and their implications on mental and physical well-being. Recommendations for enhancing the curriculum include better integration of planetary health concepts across assignments, lectures, and discussions, and the training of faculty to utilize evidence-based resources​.

return to Focus Areas

back to top

Interdisciplinary Research in
Health and the Environment

The Interdisciplinary Research focus area explores faculty engagement in planetary health research, the presence of dedicated research centers, support for scholarly dissemination, and community involvement in shaping research agendas. It also looks at the availability of a centralized planetary health website, the hosting of related conferences, and membership in relevant organizations.

General results: WSU College of Nursing encourages faculty and student-led research on planetary health, promoting interdisciplinary approaches. There is a focus on areas like environmental health, climate change impacts, health equity, and sustainability. Faculty actively engage in and disseminate research related to these themes. A recommendation is to create a centralized webpage to highlight planetary health research, facilitate collaborations, and possibly join networks like the Global Consortium on Climate and Health Education (GCCHE)​.

return to Focus Areas

back to top

Community Outreach and Advocacy in
Environment and Health

Community Outreach and Advocacy focuses on partnerships with community organizations, availability of courses or events for public education on planetary health, regular communications on sustainability, continuing education opportunities, policy advocacy, and partnerships with healthcare institutions for public education.

General results: WSU College of Nursing participates in a variety of community outreach and advocacy activities related to planetary health. These include educational presentations on climate change, wildfires, and health. Efforts are made to engage with local, state, national, and international communities. However, there is a recommendation to strengthen partnerships with regional organizations, community groups, and healthcare providers to enhance education and advocacy efforts around planetary health and sustainability.

return to Focus Areas

back to top

Support for Student-Led Planetary Health Initiatives

The Support for Student-Led Initiatives focus area assesses whether there are opportunities for student representation in decision-making on planetary health, dedicated student groups with faculty support, research opportunities, support for student-led sustainability projects, and chances for students to teach or present on related topics. It also evaluates the presence of co-curricular initiatives, such as community resilience projects, speaker series, and cultural events.

General results: Although some student-led projects exist on topics like climate change and sustainability, there is no specific student initiative dedicated to planetary health education. Student volunteers have contributed to preparing and engaging in the Planetary Health Report Card (PHRC) evaluation. A recommendation is to establish a student task force focused on planetary health, supported by faculty and administrators, and to develop a dedicated planetary health section on the College of Nursing website.

return to Focus Areas

back to top

Campus Sustainability

Sustainability initiatives are among the most visible aspects of planetary health efforts, especially in higher education. The healthcare sector has a critical role in addressing environmental impacts, as it is a major contributor to greenhouse gas emissions and pollution. By integrating sustainability practices, the healthcare industry can help protect and restore local and global ecosystems. This focus area explores the commitment of WSU College of Nursing to sustainable operations, including renewable energy use, waste reduction, and eco-friendly procurement, to ensure a healthier future.

General results: WSU has strengths in sustainability practices, particularly regarding lab supplies, sustainable procurement, and building practices on the Spokane campus. However, there is a need for a comprehensive plan for carbon neutrality and divestment from fossil fuels. The report recommends developing sustainability guidelines for events, training, composting, and dining practices, and enhancing collaboration with the WSU Sustainability Task Force​.

return to Focus Areas

back to top

Resources for Students & Faculty

back to top

Planetary Health Websites

GLOBAL

GOVERNMENT

UNITED STATES

NURSING

back to top

PLANETARY HEALTH LITERATURE

  • Demorest, S., Cook, C., Schenk, E., Harris, L., & Earley, A. (2024). School of nursing climate commitment: Nursing faculty bring climate to the classroom. International Journal of Environmental Research and Public Health, 21(5), 589. https://doi.org/10.3390/ijerph21050589
  • Brand, G., Wise, S., Bedi, G., & Kickett, R. (2023). Embedding indigenous knowledges and voices in planetary health education. The Lancet Planetary Health, 7(1), e97–e102. https://doi.org/10.1016/s2542-5196(22)00308-4
  • Evans‐Agnew, R., LeClair, J., & Sheppard, D. (2023). Just‐relations and responsibility for planetary health: The global nurse agenda for climate justice. Nursing Inquiry, 31(1). https://doi.org/10.1111/nin.12563
  • Glauberman, G., Bray, M., & Freeman, K. (2023). Planetary health and nursing: A call to action. Hawai’i Journal of Health & Social Welfare, 82(5), 120–122.
  • Portela Dos Santos, O., Melly, P., Joost, S., & Verloo, H. (2023). Climate change, environmental health, and challenges for nursing discipline. International Journal of Environmental Research and Public Health, 20(9), 5682. https://doi.org/10.3390/ijerph20095682
  • Redvers, N., Faerron Guzmán, C. A., & Parkes, M. W. (2023). Towards an educational praxis for planetary health: A call for transformative, inclusive, and integrative approaches for learning and relearning in the anthropocene. The Lancet Planetary Health, 7(1), e77–e85. https://doi.org/10.1016/s2542-5196(22)00332-1
  • Vandenberg, S. Y. (2023). Planetary health. Nurse Educator, 48(6), 293–297. https://doi.org/10.1097/nne.0000000000001420
  • Amerson, R. M., Boice, O., Mitchell, H., & Bible, J. (2022). Nursing faculty’s perceptions of climate change and sustainability. Nursing Education Perspectives. https://doi.org/10.1097/01.nep.0000000000000991
  • LeClair, J., & Potter, T. (2022). Planetary health nursing. AJN, American Journal of Nursing, 122(4), 47–52. https://doi.org/10.1097/01.naj.0000827336.29891.9b
  • Redvers, N., Celidwen, Y., Schultz, C., Horn, O., Githaiga, C., Vera, M., Perdrisat, M., Mad Plume, L., Kobei, D., Kain, M. C., Poelina, A., Rojas, J. N., & Blondin, B. (2022). The determinants of planetary health: an Indigenous consensus perspective. The Lancet. Planetary health6(2), e156–e163. https://doi.org/10.1016/S2542-5196(21)00354-5
  • Astle, B. (2021). Planetary health in nursing: A transdisciplinary equity-centered approach. Creative Nursing, 27(4), 237–241. https://doi.org/10.1891/cn-2021-0027
  • Butterfield, P., Leffers, J., & Vásquez, M. (2021). Nursing’s pivotal role in global climate action. BMJ, n1049. https://doi.org/10.1136/bmj.n1049
  • Ergin, E., Altinel, B., & Aktas, E. (2021). A mixed method study on global warming, climate change and the role of public health nurses from the perspective of nursing students. Nurse Education Today, 107, 105144. https://doi.org/10.1016/j.nedt.2021.105144
  • Iyer, H. S., DeVille, N. V., Stoddard, O., Cole, J., Myers, S. S., Li, H., Elliott, E. G., Jimenez, M. P., James, P., & Golden, C. D. (2021). Sustaining planetary health through systems thinking: Public health’s critical role. SSM – Population Health, 15, 100844. https://doi.org/10.1016/j.ssmph.2021.100844
  • Rogers, H. (2021). A daily practice for planetary health. Creative Nursing, 27(4), 267–268. https://doi.org/10.1891/cn-2021-0025
  • Barna, S., Maric, F., Simons, J., Kumar, S., & Blankestijn, P. J. (2020). Education for the anthropocene: Planetary health, sustainable health care, and the health workforce. Medical Teacher, 42(10), 1091–1096. https://doi.org/10.1080/0142159x.2020.1798914
  • Kalogirou, M., Olson, J., & Davidson, S. (2020). Nursing’s metaparadigm, climate change and planetary health. Nursing Inquiry, 27(3). https://doi.org/10.1111/nin.12356
  • Moysés, S. J., & Soares, R. C. (2019). Planetary health in the anthropocene. Health Promotion International, 34(Supplement_1), i28–i36. https://doi.org/10.1093/heapro/daz012
  • Potter, T. (2019). Planetary health: The next frontier in nursing education. Creative Nursing, 25(3), 201–207. https://doi.org/10.1891/1078-4535.25.3.201
  • Leffers, J., Levy, R., Nicholas, P. K., & Sweeney, C. F. (2017). Mandate for the nursing profession to address climate change through nursing education. Journal of Nursing Scholarship, 49(6), 679–687. https://doi.org/10.1111/jnu.12331
  • The Lancet Health and Climate Policy (PDF)
  • The Lancet: Views of health professionals on climate change and health: a multinational survey study
  • The Lancet: Planetary health learning objectives: foundational knowledge for global health education in an era of climate change (PDF)
  • Climate Change and Population Health: Incorporating Stages of nursing Political development

PLANETARY HEALTH REPORT CARD LITERATURE

  • The Planetary Health Report Card (PHRC) 2024: Inspiring Change in Healthcare Education
  • Hampshire, K., Islam, N., Kissel, B., Chase, H., & Gundling, K. (2022). The planetary health report card: A student-led initiative to inspire planetary health in medical schools. The Lancet Planetary Health, 6(5), e449–e454. https://doi.org/10.1016/s2542-5196(22)00045-6

INDIGENOUS VOICES

back to top

Frequently Asked Questions

What is the purpose of the Planetary Health Report Card in nursing?
The Planetary Health Report Card (PHRC) is a tool designed to evaluate and improve how nursing programs integrate planetary health topics into their curriculum, research, community outreach, and sustainability practices. It assesses strengths and areas for growth to ensure future nurses are well-equipped to address environmental health issues and climate change’s impacts on health.

How is planetary health incorporated into nursing curricula?
The nursing curriculum is evaluated on how it includes topics such as the impact of extreme weather events, climate change on health, food and water security, pollution, infectious diseases, and the relationship between ecosystem health and human health. The PHRC also looks at how the curriculum teaches sustainable healthcare practices, emphasizes indigenous and traditional knowledge systems, and includes strategies for discussing environmental issues with patients and other health professionals.

What benefits come from integrating planetary health into nursing education?
By integrating planetary health into nursing education, future nurses are better prepared to address the health impacts of climate change, advocate for sustainable healthcare practices, and support affected communities. It enhances their ability to understand and mitigate the effects of environmental degradation on human health and provides them with the skills to work towards a more sustainable healthcare system.

How do nursing programs engage in community outreach related to planetary health?
Community outreach efforts may include partnerships with local or regional organizations to promote environmental health education, public-facing events or courses on planetary health, and advocacy for policies addressing sustainability and climate change. Nursing programs often look for opportunities to share information on climate change, health equity, and resilience to environmental disruptions with the broader community.

back to top

WSU College of Nursing Faculty

Faculty supporting planetary health through education and research.

back to top

Program Advisors

back to top

About this page

This Planetary Health Report Card page is the result of a Master of Nursing project by Angela Crable, BSN, RN, CWOCN, at the WSU College of Nursing. Her work focused on integrating planetary health concepts into nursing education as part of a quality improvement initiative, aiming to enhance nursing students’ understanding of the vital connection between environmental sustainability and health outcomes.

back to top