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NCT Number: NCT07293845

Can Nursing Students' Knowledge and Attitudes Toward Climate Change

Climate change is a major global problem threatening individual health, public health, and health systems. Climate change poses a significant global threat to social and environmental health determinants, such as the disruption of food systems, the spread of climate-sensitive diseases, and the increased frequency and intensity of extreme weather events. The World Health Organization (WHO) estimates that climate change will cause approximately 250,000 additional deaths annually from malaria, diarrhea, malnutrition, and heat stress between 2030 and 2050. In this context, nursing students, as future healthcare providers, need to be prepared and knowledgeable about global warming, climate change and its impacts on health, climate change mitigation, adaptation and resilience, and the promotion of a healthy environment for a sustainable future. Therefore, the purpose of this study was to examine the effects of climate change education on nursing students' knowledge and attitudes regarding climate change and health.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kastamonu University

Kastamonu, Turkey (Türkiye)

About this study

Climate change is a major global problem threatening individual health, public health, and health systems. Climate change poses a significant global threat to social and environmental health determinants, such as the disruption of food systems, the spread of climate-sensitive diseases, and the increased frequency and intensity of extreme weather events. The World Health Organization (WHO) estimates that climate change will cause approximately 250,000 additional deaths annually from malaria, diarrhea, malnutrition, and heat stress between 2030 and 2050. Climate change leads to increased mortality and illness due to extreme weather events such as heat waves, storms, and floods; increases in the frequency and intensity of food-borne, water-borne, and vector-borne infectious diseases; exacerbations of chronic diseases; and increases in mental health problems. Consequently, it negatively impacts individual health physically, mentally, and socially. Due to the increasingly negative impacts of climate change on human health, nurses can serve as expert resources for patients, community members, and policymakers. However, nurses need to be well-equipped and highly aware of this issue. In this context, it is emphasized that nurses' climate-related competencies should be enhanced both today and in the future, starting with the educational process and developing independent practices rather than topics covered in existing courses. In this context, nursing students, as future healthcare providers, need to be prepared and knowledgeable about global warming, climate change and its impacts on health, climate change mitigation, adaptation and resilience, and the promotion of a healthy environment for a sustainable future. Therefore, the purpose of this study was to examine the effects of climate change education on nursing students' knowledge and attitudes regarding climate change and health.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Being a 4th-year nursing student
  • Voluntarily participating

Exclusion criteria

  • Having any situation that would prevent communication

Treatment and study plan

Climate Module

Behavioral

Training Module on Climate Change

Primary outcomes

  1. Climate, Health, and Nursing Tool

    Time frame: 8 weeks

    The Climate, Health, and Nursing Tool (CHANT) was developed by Schenk and colleagues (2016). The Turkish validity and reliability study was conducted by Yalçın and Aktaş, and the scale can be used to assess awareness of climate change as well as knowledge and attitudes regarding the climate-health relationship. The scale consists of 48 items and five subdimensions: knowledge, awareness, motivation, concern, and behaviors. There is no total scale score; instead, evaluations are based on subdimension scores. In the validity and reliability analysis, the Cronbach's alpha value for the overall scale was reported as 0.93; for the knowledge subdimension 0.78, for awareness 0.97, for motivation 0.89, for concern 0.95, and for behaviors 0.94.

Sponsors and collaborators

Lead sponsor

Kastamonu University

Other

Registry information

Official study title

Can Nursing Students' Knowledge and Attitudes Toward Climate Change Be Strengthened for a Sustainable Future?: A Quasi-Experimental Study

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Dec 19, 2025
Registry last updated
Jul 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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