CHANT: Climate, Health, and Nursing Tool: Item Development and Exploratory Factor Analysis

Abstract

Climate change poses significant health risks. Nurses assess, treat, and educate patients about health risks. However, nurses' level of awareness, motivation, and behaviors related to climate change and health is not known. This study developed and tested a novel tool measuring these elements. Three hundred fifty-seven nurses responded to the overall survey. Exploratory factor analysis (EFA) assessed the factor structure of the 22-item CHANT survey and Cronbach's alpha estimated internal consistency. A five-factor model was retained through the EFA, demonstrating good model fit (comparative fit index [CFI] = .95, root mean square error of approximation [RMSEA] = .04, standardized root mean square residual [SRMR] = .09), and items were internally consistent (Cronbach's alpha for each subscale >.70). CHANT has been developed and psychometrically examined and is ready for further use and study.

Views of health professionals on climate change and health: a multinational survey study

“…9 Moreover, many of these studies have focused on specific medical specialties (eg, thoracic specialists, allergy, and asthma specialists) and public health experts; although, a recent study has begun to examine nurses' views on climate change. 30 In this Viewpoint, we address this gap in the literature by surveying a sampling of health profes sionals around the world, which includes paediatricians, family physicians, general adult medicine physicians, and nurses. Specifically, we ask and answer the following exploratory research questions in this study: do health professionals have a strong understanding of key facts about climate change and feel personally engaged with…”

“… 9 Moreover, many of these studies have focused on specific medical specialties (eg, thoracic specialists, allergy, and asthma specialists) and public health experts; although, a recent study has begun to examine nurses' views on climate change. 30 …”

Climate, Health, and Nursing Tool (CHANT): Initial survey results

“…Currently, very few university curricula include content about health impacts of climate change, and little continuing education about climate change exists in nursing practice (Leffers et al, 2017). Furthermore, few survey tools exist to evaluate these gaps in a cohort broader than public health nurses (Schenk et al, 2019). Thus, we established the Climate, Health, and Nursing Tool (CHANT), the first comprehensive survey which assesses nurses' awareness, experience, motivation, and self-reported behaviors related to climate change and health (Schenk et al, 2019).…”

“…Furthermore, few survey tools exist to evaluate these gaps in a cohort broader than public health nurses (Schenk et al, 2019). Thus, we established the Climate, Health, and Nursing Tool (CHANT), the first comprehensive survey which assesses nurses' awareness, experience, motivation, and self-reported behaviors related to climate change and health (Schenk et al, 2019).…”

Validation of the Spanish Version of the Questionnaire on Environmental Awareness in Nursing (NEAT)

“…However, there is a reduced number of validated surveys focused on nurses’ perceptions regarding environmental impact, climate change, and awareness. The available surveys have been created in the United States of America, and there are not available in different languages [ 30 , 31 ]. Precisely, among the available validated questionnaires, the Climate, Health, and Nursing Tool, or CHANT [ 30 , 32 ], measures nurses’ perception of climate change and does not specifically evaluate environmental awareness.…”