La crisis climática como reto educativo: análisis de los programas curriculares del grado de enfermería en Madrid y Cataluña

Authors

DOI: https://doi.org/10.6018/edumed.715231
Keywords: education in nursing, curriculum, climate change, global health, environmental health education

Abstract

The ecological crisis is having increasing impacts on human health, which calls for nursing professionals to acquire adequate knowledge to address these challenges and contribute to greater resilience in healthcare systems. To this end, a content analysis was conducted of course syllabi and curricular programs of undergraduate nursing degrees in universities in Madrid and Catalonia during the 2024–2025 academic year, identifying the presence of concepts related to climate change, planetary health, environmental pollution, biodiversity, and eco-social justice. The main findings indicate a limited and uneven integration of these contents within study programs, with significant differences observed between regions and types of institutions. While 89% of Catalan universities include some reference to these topics, only 15% of those in Madrid do so, and public universities show a greater presence of such content than private ones. Environmental training in nursing appears fragmented and primarily focused on traditional environmental health approaches, with limited incorporation of broader conceptual frameworks such as planetary health or critical analyses of the socio-economic roots of the ecological crisis. A knowledge gap is identified, highlighting the need to integrate socio-environmental content and interdisciplinary approaches transversally in nursing education, in order to better prepare professionals to address the health challenges arising from the ecological crisis.

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References

1. Romanello M, Walawender M, Hsu SC, Moskeland A, Palmeiro-Silva Y, Scamman D, et al. The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action. The Lancet. 2024, 404(10465), 1847-96. https://doi.org/10.1016/S0140-6736(24)01822-1

2. Chinn PL, Kramer MK. Integrated theory and knowledge development in nursing. 8. ed. St. Louis, Mo: Elsevier Mosby. 2011, 272. https://catalog.nlm.nih.gov/discovery/fulldisplay/alma9915377933406676/01NLM_INST:01NLM_INST

3. Stephens J, Leslie K. Environmental Sustainability and Climate Change Content in Canadian Baccalaureate Nursing Programs. J Nurs Educ. 2024, 63(4), 212-7. https://doi.org/10.3928/01484834-20240207-02

4. Walker R, Pereira-Morales S, Kerr R, Schenk E. Climate Change Should Be on Every Nursing Research Agenda. ONF. 2020, 47(2), 135-44. https://doi.org/10.1188/20.ONF.135-144

5. Watts N, Amann M, Arnell N, Ayeb-Karlsson S, Beagley J, Belesova K, et al. The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises. The Lancet. 2021, 397(10269), 129-70. https://doi.org/10.1016/S0140-6736(20)32290-X

6. ICN. ICN Position Statement Health inequities, discrimination & the nurse’s role. 2023. https://www.icn.ch/news/health-inequities-and-discrimination-new-icns-position-statement-addresses-role-nurses

7. Morin J, Cohen B, Harder N, Thompson S. Nurse Educators’ Perceptions of Ecoliteracy in Undergraduate Nursing Education. QANE-AFI. 2022, 8(1). https://doi.org/10.17483/2368-6669.1287

8. Divakaran B, Lembeck S, Kerr R, Calmus H, Potter T. Nurses See “The Big Picture”: Addressing Climate Change as a Social Determinant of Global Health. Creative Nursing. 2016, 22(4), 243-8. https://doi.org/10.1891/1078-4535.22.4.243

9. LeClair J, Luebke J, Gingerich S, Oakley L, Timko Olson E, Potter T. The Future of Nursing for Planetary Health Is Today: Essential Transitions for Education and Research. QANE-AFI. 2024, 10(4). https://doi.org/10.17483/2368-6669.1464

10. Harris OO, Bialous SA, Muench U, Chapman S, Dawson-Rose C. Climate Change, Public Health, Health Policy, and Nurses Training. Am J Public Health. 2022, 112(S3), S321-7. https://doi.org/10.2105/AJPH.2022.306826

11. Gaudreau C, Guillaumie L, Jobin É, Diallo TA. Nurses and Climate Change: A Narrative Review of Nursing Associations’ Recommendations for Integrating Climate Change Mitigation Strategies. Can J Nurs Res. 2024, 56(3), 193-203. https://doi.org/10.1177/08445621241229932

12. Delnat CC. A Systematic Review of Climate Change Content Integration in Nursing Curricula. J Nurs Educ. 2025, 64(4), 227-34. https://doi.org/10.3928/01484834-20241125-02

13. Martin S, Richards C, Keogh S, Ward A. Embedding planetary health in nursing education: exploring the barriers and enablers to implementing changes in undergraduate Bachelor of Nursing curriculum. Teaching and Learning in Nursing. 2024, 19(2), e261-8. https://doi.org/10.1016/j.teln.2023.11.008

14. Véliz-Rojas L, González-Geraldo AM, Alballay Torres A, Abarca Carvajal M, Leiva Arancibia C, Abarca Vivanco C. Una propuesta para incorporar el fenómeno de crisis ambiental global en la formación profesional de pregrado en enfermería. Cienc enferm. 2023, 29. https://doi.org/10.29393/ce29-13uplc60013

15. Diallo T, Roberge M, Bérubé A, Audate PP. Integrating climate change into nursing curricula and continuing education: a scoping review protocol. BMJ Open. 2023, 13(1), e068520. https://doi.org/10.1136/bmjopen-2022-068520

16. Cook C, Demorest SL, Schenk E. Nurses and Climate Action. AJN The American Journal of Nursing. 2019, 119(4):54. https://doi.org/10.1097/01.NAJ.0000554551.46769.49

17. Seabrook EM. A Search for Role Clarity: A Critical Discourse Analysis of the RN and RPN Entry-to-Practice Competencies That Shape Nursing Curriculum in Ontario, Canada. University of Western Ontario (Canada). 2023. https://ir.lib.uwo.ca/etd/9286/

18. Álvarez-Nieto C, López-Medina IM, Abad ML, Grande-Gascón ML, Álvarez-García C. Currículum enfermero y estrategias pedagógicas en materia de sostenibilidad medioambiental en los procesos de salud y cuidado. Enferm glob. 2017, 16(47), 651-78. https://doi.org/10.6018/eglobal.16.3.243151

19. Barna S, Goodman B, Mortimer F. The health effects of climate change: What does a nurse need to know? Nurse Education Today. 2012, 32(7), 765-71. https://doi.org/10.1016/j.nedt.2012.05.012

20. Véliz-Rojas LH, González-Geraldo AM, Abarca Carvajal M, Abarca Vivanco C, Leiva Arancibia C, Alballay Torres A. Representaciones sobre el cuidado de enfermería en contexto de crisis ambiental en el currículo de pregrado. REMS. 2023, 37(3). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21412023000300006&lang=es

21. Astle B. The Triple Planetary Health Crisis: Nursing Leadership in Championing the Integration of Planetary Health in Canadian Nursing Education. QANE-AFI. 2024, 10(4). https://doi.org/10.17483/2368-6669.1482

22. Sorensen C, Magalhães D, Hamacher N, Sullivan JK, Weinstein HNW, Pinho-Gomes AC, et al. Climate and health education in public health schools worldwide during 2023–24: a survey. The Lancet Planetary Health. 2024, 8(12), e1010-9. https://doi.org/10.1016/S2542-5196(24)00284-5

23. Selvam R, Séguin N, Zhang L, Lacaille-Ranger A, Sikora L, Raiche I, et al. International Planetary Health Education in Undergraduate and Graduate Medical Curricula: A Scoping Review. Journal of Graduate Medical Education. 2024, 16(6s), 58-68. https://doi.org/10.4300/JGME-D-24-00027.1

24. Lopez-Medina IM, Álvarez-Nieto C, Grose J, Elsbernd A, Huss N, Huynen M, et al. Competencies on environmental health and pedagogical approaches in the nursing curriculum: A systematic review of the literature. Nurse Education in Practice. 2019, 37, 1-8. https://doi.org/10.1016/j.nepr.2019.04.004

25. Asaduzzaman M, Ara R, Afrin S, Meiring JE, Saif-Ur-Rahman KM. Planetary Health Education and Capacity Building for Healthcare Professionals in a Global Context: Current Opportunities, Gaps and Future Directions. IJERPH. 2022, 19(18), 11786. https://doi.org/10.3390/ijerph191811786

26. Wihlborg M, Avery H. Global Health in Swedish Nursing Curricula: Navigating the Desirable and the Necessary. IJERPH. 2021, 18(17), 9372. https://doi.org/10.3390/ijerph18179372

27. Portela Dos Santos O, Melly P, Joost S, Verloo H. Climate Change, Environmental Health, and Challenges for Nursing Discipline. IJERPH. 2023, 20(9), 5682. https://doi.org/10.3390/ijerph20095682

28. Naess A. The shallow and the deep, long-range ecology movement. A summary∗. Inquiry. 1973, 16(1-4), 95-100. https://doi.org/10.1080/00201747308601682

29. Riechmann J, Almazán Gómez A. Ecologismo: pasado y presente (con un par de ideas sobre el futuro). Madrid: Catarata. 2024, 221 p. https://www.catarata.org/libro/ecologismo-pasado-y-presente_150548/

30. Goodman B. Developing the concept of sustainability in nursing. Nursing Philosophy. 2016, 17(4), 298-306. https://doi.org/10.1111/nup.12143

31. Palmeiro-Silva YK, Ferrada MT, Flores JR, Cruz ISS. Climate change and environmental health in undergraduate health degrees in Latin America. Rev Saúde Pública. 2021, 55. https://doi.org/10.11606/s1518-8787.2021055002891

32. Tirado Blázquez MC. Cambio climático y salud. Informe SESPAS 2010. Gaceta Sanitaria. 2010, 24, 78-84. https://doi.org/10.1016/j.gaceta.2010.10.004

33. Vandenberg S, Strus JA, Chircop A, Egert A, Savard J. Planetary Health in Nursing: A Scoping Review. Journal of Advanced Nursing. 2024, jan.16570. https://doi.org/10.1111/jan.16570

34. McElroy KG, Gilden R, Sattler B. Environmental health nursing education: One school’s journey. Public Health Nursing. 2021, 38(2), 258-65. https://doi.org/10.1111/phn.12815

35. Krippendorff K. Content analysis: an introduction to its methodology. 3rd ed. Los Angeles; London: SAGE. 2013, 441 p. https://methods.sagepub.com/book/mono/content-analysis-4e/toc

36. Salinas I, Guerrero G, Satlov M, Hidalgo P. Climate Change in Chile’s School Science Curriculum. Sustainability. 2022, 14(22), 15212. https://doi.org/10.3390/su142215212

Published
11-06-2026
How to Cite
Vázquez Tarrío, I., & Casellas Castellano, S. (2026). La crisis climática como reto educativo: análisis de los programas curriculares del grado de enfermería en Madrid y Cataluña . Spanish Journal of Medical Education, 7(4). https://doi.org/10.6018/edumed.715231
Issue
Vol. 7 No. 4 (2026): Spanish Journal of Medical Education
Section
Artículos

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