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A nurse-led climate resilience program for older adults: A one-group pre/post pilot study and implications for
Fatma Magdi Ibrahim1, Safaa Mabrouk Abdelaziz Elgarhy2
1Faculty of Nursing, Mansoura University, Mansoura, Egypt; RAK College of Nursing, RAK Medical and Health Sciences University, Ras Al Khaimah, United Arab Emirates.
Background:
Climate-related stressors increasingly threaten older adults' psychological well-being, yet preliminary evidence guiding nurse-led, culturally situated community responses remains limited.
Purpose:
To examine whether a brief nurse-led climate resilience program was associated with preliminary within-group changes over time in eco-anxiety, eco-guilt, ecological grief, and psychological empowerment among older adults, and to identify implications for nursing leadership and policy.
Methods:
This pilot one-group pretest-posttest study included 140 community-dwelling adults aged 60 years and older attending a club for older adults in Damanhur, Egypt. Standardized measures were completed at baseline and 3-month follow-up; findings were interpreted as preliminary because the design did not include a comparison group and could not support causal inference.
Discussion:
At 3-month follow-up, within-group mean scores were lower for eco-anxiety (57.74-44.47; d = 1.07), ecological grief (16.75-12.98; d = 0.94), eco-guilt (20.91-17.09; d = 0.58), and psychological empowerment (24.11-19.74; d = 0.57; lower scores indicate greater empowerment). Exploratory mediation and moderation findings were treated as hypothesis-generating only. These findings suggest that a nurse-led climate resilience program may be feasible in community nursing settings serving older adults; however, controlled multisite studies are needed to assess effectiveness, clarify causal mechanisms, and establish generalizability.
Conclusion:
A brief nurse-led climate resilience program was associated with favorable preliminary within-group changes in climate-related emotional responses and psychological empowerment among older adults. Rigorous controlled research is needed before effectiveness can be concluded.
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