A Critical Intervention for Sustainable Health: Climate Change Awareness of Executive Nurses: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 108
- 主要终点
- Change in Climate Change Awareness Score Time Frame
研究概览
简要总结
Background: Climate change awareness among nurse managers is crucial for enhancing healthcare efficiency and mitigating environmental and societal impacts. This study aims to develop and implement an educational program to improve nurse managers' awareness of climate change.
Methods: A randomized controlled trial will be conducted with 108 nurse managers (54 experimental, 54 control) from two major hospitals in Istanbul, Turkey: Kartal Dr. Lütfi Kırdar City Hospital (n=71) and Göztepe Prof. Dr. Süleyman Yalçın City Hospital (n=58). Sample size was determined using G*Power 3.1.9.7, referencing the study by Alvarez-Nieto et al. (2022), assuming an effect size of 0.79, a significance level of α=0.05, and 95% power. The required sample size was calculated as 90, increased by 20% to account for potential attrition, resulting in 108 participants.
Participants will be recruited through full enumeration sampling due to the limited number of nurse managers. Data will be collected via face-to-face administration of a Demographic Information Form (12 items) and the Climate Change Awareness Scale (Ataklı & Kuran, 2022), which consists of 52 items rated on a 5-point Likert scale, with a reliability coefficient (α) of 0.92.
Intervention: Following institutional approval from the Provincial Health Directorate, education nurses will disseminate information about the study via digital communication platforms. Nurse managers will be enrolled in separate digital groups for experimental and control conditions. Pre-test data will be collected face-to-face before the intervention. The educational program will be delivered to the experimental group, while the control group will receive no intervention. Post-test data collection will occur four weeks after the intervention.
Statistical Analysis: Nominal and ordinal data will be presented as frequencies and percentages, while scale scores will be reported as means and standard deviations or medians and ranges. Normality of data distribution will be assessed using the Kolmogorov-Smirnov test. Independent Samples T-Test and One-Way ANOVA will be used for normally distributed variables, while Mann-Whitney U and Kruskal-Wallis tests will be used for non-normally distributed data. Analyses will be conducted using SPSS 26 with a significance level set at p<0.05.
Expected Outcomes: The study will evaluate the effectiveness of the educational program in enhancing climate change awareness among nurse managers. Findings will contribute to the development of targeted training programs to integrate environmental awareness into nursing leadership.
Ethical Considerations: Ethical approval and institutional permissions will be obtained prior to study commencement.
详细描述
Background and Rationale: Climate change poses significant challenges to public health and healthcare systems. Nurse managers play a crucial role in implementing environmentally sustainable healthcare practices and mitigating the negative effects of climate change on health services. Despite the increasing awareness of climate change among healthcare professionals, structured educational programs aimed at enhancing nurse managers' knowledge and attitudes regarding this issue are needed. This study aims to evaluate the effectiveness of an educational intervention in improving nurse managers' awareness of climate change.
Study Objectives: This study's primary objective is to assess an educational program's impact on nurse managers' awareness of climate change. Specific objectives include:
Measuring the baseline level of climate change awareness among nurse managers. Evaluating the effectiveness of the educational intervention in enhancing their awareness.
Identifying factors associated with higher awareness levels.
Methods:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Nurse managers working in Kartal Dr. Lütfi Kırdar City Hospital and Göztepe Prof. Dr. Süleyman Yalçın City Hospital.
- •Individuals who have at least one year of managerial experience in a healthcare setting.
- •Participants who voluntarily agree to participate in the study and provide informed consent.
- •Individuals who can complete both pre-test and post-test assessments.
排除标准
- •Nurse managers who are currently on leave (e.g., maternity, sick leave).
- •Individuals who have participated in a similar educational program on climate change awareness in the past year.
- •Those who do not consent to participate in the study.
- •Participants who fail to complete the required assessments.
结局指标
主要结局
Change in Climate Change Awareness Score Time Frame
时间窗: 4 months
Baseline and 4 weeks post-intervention Description: The difference in scores obtained from the Climate Change Awareness Scale before and after the educational program. Higher scores indicate indicate increased awareness.
次要结局
未报告次要终点
研究者
Seda Tugba Baykara Mat
Asst. Prof.
University of Beykent