{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T16:08:08Z","timestamp":1790179688046,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Climate change is contributing to increasing rates of vector\u2010borne diseases, affecting global population health. As the largest group of regulated health professionals, nurses play an integral role in climate\u2010related health challenges. The purpose of this research study was to investigate the knowledge, attitudes, and practices of registered nurses in Canada related to climate sensitive vector\u2010borne diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>A national online survey was distributed to practicing registered nurses, through contact with nursing organizations and regulatory bodies, as well as social media.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Three hundred and eighty\u2010two survey responses were included in data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Research findings suggest that nurses\u2019 knowledge on climate change and vector\u2010borne diseases was limited, especially among frontline nurses and those in Western and Northern regions of Canada. There was greater knowledge of Lyme disease compared to West Nile virus, particularly among nurses working in endemic areas. Participants did not often consider vector\u2010borne diseases in practice and demonstrated a lack of confidence and preparedness in addressing in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study validates that while climate\u2010related issues are important for nurses, nurses must be better prepared to address vector\u2010borne diseases in practice and assume a greater role in leading change to advocate for a climate\u2010resilient future.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70035","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T07:45:36Z","timestamp":1762501536000},"page":"330-345","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Registered Nurses' Knowledge, Attitudes, and Practices Toward Climate\u2010Sensitive Vector\u2010Borne Diseases: Findings From a Cross\u2010Sectional Survey"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6735-2161","authenticated-orcid":false,"given":"Shannon Y.","family":"Vandenberg","sequence":"first","affiliation":[{"name":"University of Lethbridge  Lethbridge Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Oosterbroek","sequence":"additional","affiliation":[{"name":"University of Lethbridge  Lethbridge Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Chircop","sequence":"additional","affiliation":[{"name":"Dalhousie University  Halifax Nova Scotia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Kellett","sequence":"additional","affiliation":[{"name":"University of Lethbridge  Lethbridge Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.26550\/2209\u20101092.1077"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.14745\/ccdr.v45i04a02"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2374373517736385"},{"issue":"9","key":"e_1_2_11_5_1","first-page":"22","article-title":"Nurses Are Crucial in the Fight Against Climate Change","volume":"26","author":"Brenndorfer M.","year":"2020","journal-title":"Nursing New Zealand"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4095\/314614"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n1049"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201010614\u20101"},{"key":"e_1_2_11_9_1","unstructured":"Canadian Association of Schools of Nursing.2020.Guidelines for Undergraduate Nursing Education on Climate\u2010Driven Vector\u2010Borne Diseases.https:\/\/www.casn.ca\/wp\u2010content\/uploads\/2020\/04\/CASN\u2010VBD\u2010Education\u2010Guidelines\u2010EN\u2010FNL.pdf."},{"key":"e_1_2_11_10_1","volume-title":"Position Statement: Planetary Health","author":"Canadian Nurses Association","year":"2024"},{"key":"e_1_2_11_11_1","unstructured":"Canadian Public Health Association.2021.Climate Change and Infectious Disease in Canada: Key Informant Interviews.https:\/\/www.cpha.ca\/creating\u2010national\u2010forum\u2010knowledge\u2010exchange\u2010capacity\u2010building\u2010and\u2010collaborationaddress\u2010infectious."},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1079\/9781789249637.0067"},{"key":"e_1_2_11_13_1","unstructured":"Community Health Nurses of Canada.2019.Canadian Community Health Nursing: Professional Practice Model and Standards of Practice. Toronto ON: Author."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.14745\/ccdr.v48i05a05"},{"key":"e_1_2_11_15_1","unstructured":"Government of Canada.2025.Tick\u2010Borne Disease Surveilance: Maps.https:\/\/health\u2010infobase.canada.ca\/zoonoses\/ticks\/maps.html."},{"key":"e_1_2_11_16_1","unstructured":"International Council of Nurses (ICN).2018.Nurses Climate Change and Health: Position 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