CHANT: Climate, Health, and Nursing Tool: Item Development and Exploratory Factor Analysis

Area of Science:

• Environmental Health
• Nursing Science
• Public Health

Background:

• Climate change presents substantial risks to human health.
• Nurses play a crucial role in patient assessment, treatment, and education regarding health risks.
• The extent of nurses' awareness, motivation, and behaviors concerning climate change and health remains unquantified.

Purpose of the Study:

• To develop and validate a novel survey instrument to measure nurses' awareness, motivation, and behaviors related to climate change and health.
• To assess the psychometric properties of the developed tool.

Main Methods:

• A 22-item survey, the Climate and Health Assessment for Nursing Tool (CHANT), was developed.
• Exploratory factor analysis (EFA) was employed to determine the factor structure.
• Internal consistency was evaluated using Cronbach's alpha.
• The study included 357 participating nurses.

Main Results:

• EFA identified a robust five-factor model for the CHANT survey.
• The model demonstrated excellent fit indices (CFI = .95, RMSEA = .04, SRMR = .09).
• All subscales exhibited strong internal consistency, with Cronbach's alpha values exceeding .70.

Conclusions:

• The CHANT survey is a psychometrically sound instrument for assessing nurses' engagement with climate change and health.
• The validated CHANT tool is ready for broader application in nursing research and practice.
• This tool can inform interventions to enhance nurses' capacity in addressing climate-related health issues.