Climate, Health, and Nursing Tool (CHANT): A confirmatory factor analysis

Area of Science:

• Environmental Health
• Nursing Research
• Psychometrics

Background:

• Climate change poses significant risks to global health.
• Nurses play a crucial role in addressing climate change impacts.
• Validated tools are needed to assess nurses' perspectives and behaviors.

Purpose of the Study:

• To confirm the factor structure of the Climate, Health, and Nursing Tool (CHANT).
• To evaluate the reliability and validity of the CHANT instrument.
• To establish CHANT as a robust tool for research and practice.

Main Methods:

• Confirmatory factor analysis (CFA) of the 22-item CHANT.
• Cross-sectional analysis of online survey data from 489 nurses across 12 nations.
• Reliability assessment using Cronbach's alpha coefficient.

Main Results:

• The five-factor measurement model of CHANT demonstrated good fit.
• All five CHANT subscales showed acceptable reliability (Cronbach's α = 0.67–0.91).
• Statistically significant item-factor loadings confirmed the model's validity.

Conclusions:

• The CHANT tool is a reliable and robust instrument for measuring nurses' climate change awareness, concern, and behaviors.
• CHANT is suitable for utilization in research, policy, professional settings, and education.
• The confirmed factor structure supports the CHANT's application in diverse nursing contexts.