Impact of Multidimensional Education on Nursing Students' Sustainability Attitudes and Climate Change Awareness

This study aims to evaluate the impact of a multidimensional educational intervention on sustainable environment and global climate change for nursing students. The intervention consists of expert training provided by an environmental engineer, peer training provided by a senior nursing student, and an AI-generated animation with expert input. Students' attitudes towards a sustainable environment and their awareness of global climate change were assessed before, immediately after, and four weeks after the training.

Completed

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Key information

Conditions

Climate Change Awareness Attitude Behavior Nursing Education

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Health Sciences/ Hamidiye Faculty of Nursing

Istanbul, Usküdar, 38000, Turkey (Türkiye)

About this study

This study evaluates the effect of a multidimensional educational intervention on nursing students' sustainable environmental attitudes and awareness of global climate change. The intervention consists of three components: an expert-led educational session on sustainable environment and health services, a peer-led educational session on sustainable environment, health, and climate change, and a short artificial intelligence-generated animation developed with expert input.

The study uses a single-group pretest-posttest quasi-experimental design. The participants are first-year undergraduate nursing students at a state university in Istanbul, Türkiye. Participants complete assessments at three time points: before the intervention (baseline), immediately after completion of the intervention, and four weeks after the intervention. Sustainable environmental attitudes are assessed using the Sustainable Environmental Education Attitude Scale, and awareness of global climate change is assessed using the Awareness Scale of University Students About Global Climate Change.

The study aims to determine whether this multidimensional educational approach can improve nursing students' attitudes toward sustainable environmental practices and their awareness of global climate change. The findings may contribute to the development of sustainability- and climate change-related educational strategies in undergraduate nursing education.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

First-year undergraduate nursing student enrolled in the nursing department of the participating university.
Voluntary participation in the study.
Provision of written informed consent.

Exclusion criteria

Refusal to participate in the study.
Failure to complete either of the last two assessments (immediate post-test or 4-week follow-up assessment).

Treatment and study plan

Multidimensional Educational Intervention

Behavioral

The intervention consists of three components: an expert-led education session on sustainable environment and health services, a peer-led education session on sustainable environment, health, and climate change, and a short AI-generated animation reviewed by experts. The intervention is delivered to all participants in a single group.

Primary outcomes

Sustainable Environmental Attitude

Time frame: Baseline, immediately after the intervention, and 4 weeks after the intervention

Sustainable environmental attitudes will be assessed using the 30-item Sustainable Environmental Education Attitude Scale (SEEAS), developed by Afacan and Güler (2011). The scale consists of six dimensions: consciousness toward sustainable environment, negative thoughts, volunteering, frugality, sensitivity, and economical consumption. Items are rated on a 5-point Likert scale. Higher scores indicate more positive attitudes toward sustainable environment. The scale will be administered before the intervention, immediately after the intervention, and four weeks after the intervention.
Awareness of Global Climate Change

Time frame: Baseline, immediately after the intervention, and 4 weeks after the intervention

Awareness of global climate change will be assessed using the 21-item Awareness Scale of University Students About Global Climate Change (ASUSGCC), developed by Deniz et al. (2021). The scale consists of four dimensions: effects on the natural and human environment, awareness of global organizations and agreements, causes of climate change, and relationship with energy consumption. Items are rated on a 5-point Likert scale ranging from 1 (not aware at all) to 5 (completely aware). Total scores range from 21 to 105, with higher scores indicating greater awareness of global climate change. The scale will be administered before the intervention, immediately after the intervention, and four weeks after the intervention.

Sponsors and collaborators

Lead sponsor

Saglik Bilimleri Universitesi

Other

Registry information

Official study title

The Impact of Multidimensional Education on Nursing Students' Sustainable Environment Attitudes and Awareness of Climate Change

Important dates

Study start: 2026
Primary completion: 2026
Study completion: 2026
First posted: Aug 31, 2026
Registry last updated: Aug 31, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed