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NCT Number: NCT07512544

Building Sustainability Competencies in Future Nurses

Global warming and social justice issues are increasing the complexity of global healthcare delivery. Health systems significantly contribute to environmental harm through carbon emissions, medical waste, and resource overuse. Nurses, as the largest group in healthcare, face workplace hazards and environmental challenges, highlighting the need for institutions to promote sustainable practices and workplace safety. The United Nations' Sustainable Development Goals (SDGs) emphasize integrated social, economic, and environmental sustainability, with health and universal health coverage as key themes. The International Council of Nurses (ICN) underscores nurses' vital role in achieving these goals by linking nursing care to public health, sustainability, climate action, and education. Developing sustainability competencies in nursing education requires practical training in environmentally responsible behaviors within healthcare settings, beyond theoretical knowledge.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

About this study

Global warming and the integration of the concepts of equality and social justice into diseases and care are making healthcare delivery more complex and challenging at a global level today. Health systems contribute significantly to environmental degradation through considerable carbon emissions, medical waste production, and excessive resource use.

Nurses, the largest group within the health system, not only face a high rate of workplace accidents but also encounter a range of challenges such as increased medical waste production and carbon emissions. Therefore, it is important for healthcare institutions to support environmentally friendly behaviors and to ensure workplace safety and sustainable performance by achieving sustainable development .

The Sustainable Development Goals (SDGs), also known as the Global Goals, were adopted by the United Nations in 2015 as a universal call to action to end poverty, protect the planet, and ensure all people enjoy peace and prosperity by 2030. The 17 Sustainable Development Goals are integrated and indivisible; they acknowledge that action in one area will affect outcomes in others, and that development must balance social, economic, and environmental sustainability. Health holds a significant place in the 2030 Agenda for Sustainable Development, which sets universal health coverage as a central theme and attaches even greater importance to the interplay of the social, economic, and environmental aspects of sustainable development. The 2017 report by the ICN also highlighted the role of nurses in the SDGs by providing case studies that exemplify the link between individual and public health in nursing care. In subsequent years, ICN reports addressed the relationships between sustainability, climate change, and planetary health, emphasizing the active role of nurses in improving community health and influencing policy. Furthermore, they underscored the importance of integrating the concept of sustainability into nursing practice and education and expressed concerns over students' impact on planetary health.

To adopt a sustainability mindset in nursing education, it is necessary to impart knowledge, attitudes, and skills during training. The literature emphasizes the need to develop competencies through behaviors such as adopting waste reduction, energy conservation, and environmentally friendly practices, especially those that are specific to hospital environments, within the context of sustainable healthcare services. In this context, sustainability competencies should not remain at the theoretical knowledge level only but should also be supported by concrete practices that students can observe and interpret in the hospital environment.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Being a nursing student currently enrolled in the "HEM304 Nursing Management" course.
  • Volunteering to participate in the research and providing informed consent.

Exclusion criteria

  • Having participated in a similar sustainability training program previously.
  • Being on medical or academic leave during the study period.
  • Withdrawing from the study voluntarily at any stage.

Treatment and study plan

Sustainability Training

Behavioral

A [1 week] training program focusing on environmental, social, and economic sustainability competencies in nursing care.

Standard Nursing Curriculum

Other

Nursing students do not receive the sustainability training

No Training

Other

Nursing students do not receive the sustainability training

Clinical Practice

Behavioral

Participate in their scheduled clinical hospital rotations and also assessment the clinic throughout sustainability (up to 3 weeks)

Standard clinical practice

Other

They participate in their scheduled clinical hospital rotations up to 3 weeks (standard curriculum).

No Clinical Practice

Other

Nursing students do not participate in clinical hospital rotations during the study period

Primary outcomes

  1. The Sustainability Attitudes in Nursing Survey (SANS-2)

    Time frame: Baseline (Pre-test) and 4 weeks after the intervention (Post-test).

    The Sustainability Attitudes in Nursing Survey consists of 9 items rated on a 7-point Likert-type scale. Total scores range from 9 to 63, where higher scores indicate a more positive/higher level of sustainability attitude. The average of the item scores is calculated and a higher total score indicates a better attitude towards sustainability in nursing. The Cronbach's alpha coefficient for the original scale was reported as 0.82, while the Turkish version demonstrated a Cronbach's alpha of 0.76.

  2. Clinical Sustainability Practice

    Time frame: Throughout the clinical rotation period (up to 3 weeks)

    Assessment of students' sustainable behaviors during clinical rotations. Data will be collected regarding four key areas: waste management (proper segregation and reduction), material management (efficient use of medical supplies), water consumption, and energy conservation (turning off unnecessary equipment/lights). Evaluation will be based on Rubric scale. Higher scores indicate better adherence to sustainable healthcare practices.

Study contacts

Contact information is provided by the study sponsor or research team.

Emel Gür, Assistant Professor

CONTACT

[email protected]

+905055738268

Sponsors and collaborators

Lead sponsor

Çankırı Karatekin University

Other

Registry information

Official study title

Developing Sustainability Competencies in Nursing Students: A Randomized Controlled Study

Acronym: SUST-COMP

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Apr 6, 2026
Registry last updated
Apr 6, 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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