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

Luque-Alcaraz, Olga; Gomera, Antonio; Gándara, África Ruiz; Aparicio-Martínez, Pilar; Vaquero-Abellán, Manuel

doi:10.3390/healthcare10081420

Cited by 5 publications

(4 citation statements)

References 49 publications

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“…Nurses can positively influence the reduction of hospital waste by being informed about biohazardous waste produced while providing care, such as needles, catheters, body fluids, and so on. Validation of NEAT has been completed with Spanish-speaking populations, such as the one in this study, with a Cronbach’s alpha greater than .90 (Luque-Alcaraz et al, 2022). As such, having a baseline representation of the nurses’ environmental awareness allows for the application of teaching methods on environmental awareness to change nurses’ environmental awareness in the short term with long-term analysis following.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Environmental Practices in Northern Peruvian Hospitals

Rojas-Perez¹,

Vásquez

Manchay

et al. 2023

Workplace Health Saf

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Background: Decreasing emissions of the global healthcare sector will be an important tool for decreasing the magnitude of climate change. The environmental practices of nurses can have a positive environmental impact. The purpose of this study is to identify environmental practices performed by nurses while at work and home along with their associated factors. Methods: This study is a cross-sectional descriptive study conducted by surveying nurses from two public hospitals in Lambayeque, Peru. We utilized the Nurses’ Environmental Awareness Tool to collect information about nurses’ knowledge on environmental impacts, their risk to health, and environmental behaviors at both work and home. Results: Of the 106 participants who responded, the average age was 41 years, and 29 (28%) worked in surgical services. A little more than half of nurses reported appropriate energy use (51%) and recycling (53%) at work, while 94 (89%) implemented environmental biosafety. There was an observed association between age and years of employment with appropriate energy use, recycling, implementation of environmental biosafety, appropriate chemical substance use, and preventing medication waste. Conclusion: Nurses reported a favorable tendency toward adequate environmental practices at work and at home. However, more studies are needed to identify the factors that increase nurses’ use of these practices. Applications to Practice: As one of the most trusted professions, professional nurses have an opportunity to play a pivotal role in promoting environmental health and practices in both the workplace and their personal lives. This study highlights areas of potential intervention in the workplace to develop and promote appropriate environmental practices by nurses to decrease pollution by the healthcare sector.

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Section: Discussionmentioning

confidence: 99%

Nurses’ Environmental Practices in Northern Peruvian Hospitals

Rojas-Perez¹,

Vásquez

Manchay

et al. 2023

Workplace Health Saf

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“…The study was divided into two phases. In the first phase, a cross-sectional, descriptive exploratory analysis was performed; this analysis relied on the results revealed using the Nurse’s Environmental Awareness Tool in Spanish (NEAT-es) [ 38 ], which was divided into three subscales: nursing awareness scale (NAS), environmental behaviors outside the workplace (PEB) and sustainable behaviors in the workplace (NPEB). In the second phase, qualitative interviews with environmental nurses (see Supplementary file 1 ) were conducted in regions featuring specific environmental units that were available in person (Andalusia).…”

Section: Methodsmentioning

confidence: 99%

The environmental awareness of nurses as environmentally sustainable health care leaders: a mixed method analysis

Luque-Alcaraz,

Aparicio-Martínez,

Gomera

et al. 2024

BMC Nurs

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Background People worldwide are concerned with the possibility of climate change, microplastics, air pollution, and extreme weather affecting human health. Countries are implementing measures to reduce environmental impacts. Nurses play a vital role, primarily through Green Teams, in the process of promoting sustainable practices and minimizing the environmental footprint of health care facilities. Despite existing knowledge on this topic, assessing nurses’ environmental awareness and behavior, including the barriers they face, is crucial with regard to improving sustainable health care practices. Aim To analyze the environmental awareness and behavior of nurses, especially nurse leaders, as members of the Green Team and to identify areas for improvement with regard to the creation of a sustainable environment. Methods A sequential mixed-method study was conducted to investigate Spanish nurses. The study utilized an online survey and interviews, including participant observation. An online survey was administered to collect quantitative data regarding environmental awareness and behavior. Qualitative interviews were conducted with environmental nurses in specific regions, with a focus on Andalusia, Spain. Results Most of the surveyed nurses (N = 314) exhibited moderate environmental awareness (70.4%), but their environmental behavior and activities in the workplace were limited (52.23% of participants rarely performed relevant actions, and 35.03% indicated that doing so was difficult). Nurses who exhibited higher levels of environmental awareness were more likely to engage in sustainable behaviors such as waste reduction, energy conservation, and environmentally conscious purchasing decisions (p < 0.05). Additionally, the adjusted model indicated that nurses’ environmental behavior and activities in the workplace depend on the frequency of their environmental behaviors outside work as well as their sustainable knowledge (p < 0.01). The results of the qualitative study (N = 10) highlighted certain limitations in their daily practices related to environmental sustainability, including a lack of time, a lack of bins and the pandemic. Additionally, sustainable environmental behavior on the part of nursing leadership and the Green Team must be improved. Conclusions This study revealed that most nurses have adequate knowledge, attitudes, and behaviors related to environmental sustainability both inside and outside the workplace. Limitations were associated with their knowledge and behaviors outside of work. This study also highlighted the barriers and difficulties that nurses face in their attempts to engage in adequate environmental behaviors in the workplace. Based on these findings, interventions led by nurses and the Green Team should be developed to promote sustainable behaviors among nurses and address the barriers and limitations identified in this research. Graphical Abstract

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“…All six qualitative studies were assessed as adequately ful lling all the criteria speci ed by MMAT, that is a clear congruity between the research objectives and the methodological approach, as represented by the data collection method, the data analysis procedure, and the interpretation appropriately grounded in the data. The mixed-method studies failed to ful ll one [25], two [26], and, respectively, four [27] of a total of ve criteria evaluated. A signi cant terminological ambiguity was identi ed, e.…”

Section: Quality Appraisal Of the Studiesmentioning

confidence: 99%

Association Between Climate Change and Patient Health Outcomes: a Mixed-methods Systematic Review

Turzáková,

Kohanová,

Solgajová

et al. 2024

Preprint

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Introduction: Climate change poses significant threats to the environment, biodiversity, and socioeconomic stability worldwide. Its impact on human health, particularly within healthcare systems, is growing in concern. Nurses, as front-line healthcare workers, play a crucial role in addressing climate-related health risks. However, there is a gap in understanding nursing perspectives on climate change and its implications for patient health outcomes. Aim: To synthesize empirical evidence on the association between climate change and patient health outcomes from a nursing perspective. Methods: A mixed-methods systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was carried out in January 2023 in six scientific databases including CINAHL, PubMed, Scopus, ProQuest, Web of Science, and OVID Nursing. Studies focusing on climate change and patient health outcomes from a nursing perspective were included. Data extraction, quality appraisal, and synthesis were performed systematically. Results: The systematic review included 18 studies of a mainly quantitative nature. Three main themes emerged as follows: Climate Healthcare Interplay; Future Nurses as Agents of Change; and Navigating Sustainability Challenges in Nursing. These themes highlighted nurses' awareness of the interrelation between climate and health, the need for environmental education in nursing, and the challenges that hinder sustainable nursing practices. Conclusion: This review underscores the importance of integrating climate change topics into nursing education and fostering organizational support for sustainable nursing practices. Addressing these challenges is essential for nurses to mitigate the health risks posed by climate change effectively.

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

Cited by 5 publications

References 49 publications

Nurses’ Environmental Practices in Northern Peruvian Hospitals

Nurses’ Environmental Practices in Northern Peruvian Hospitals

The environmental awareness of nurses as environmentally sustainable health care leaders: a mixed method analysis

Association Between Climate Change and Patient Health Outcomes: a Mixed-methods Systematic Review

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