Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Validity and Reliability of the Korean Version of the Climate, Health, and Nursing Tool

한국어판 기후 건강관련 간호사 인지행동 측정도구의 타당도와 신뢰도

  • Received : 2021.10.13
  • Accepted : 2022.02.22
  • Published : 2022.04.30
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Abstract

Purpose: Climate change has various negative effects on human health, which has resulted in increased burden on the health care system. Nurses contribute significantly to assessing climate-related health risks and creating a healthy environment. This study aimed to evaluate the reliability and validity of the Korean version of the Climate, Health, and Nursing Tool (K-CHANT) to measure nurses' awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. Methods: The 22 items of English CHANT were translated into Korean with forward-backward translation techniques. Internal consistency reliability, test-retest reliability, and construct validity using confirmatory factor analysis were performed using SPSS WIN (25.0) and AMOS (26.0). Survey data were collected from 220 master's, doctoral, and post-doctoral nursing students. Results: The K-CHANT consists of 20 items across 5 domains. Two items of the original CHANT were excluded because of low content validity index and standardized regression weights. The internal consistency reliability of the K-CHANT, assessed by Cronbach's α was .81, with an intraclass correlation coefficient of .66~.90. The five subscales model was validated by confirmatory factor analysis (SRMR < .08, RMSEA < .08, AGFI > .70, CFI > .70). Conclusion: The K-CHANT has satisfactory construct validity and reliability to measure nurses' awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. Future research should examine nurses' perceptions and behaviors related to the health effects of climate change and develop an action plan to improve it.

Keywords

References

  1. World Health Organization (WHO). Ten threats to global health in 2019 [Internet]. Geneva: WHO; 2020 [cited 2021 Mar 9]. Available from: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019.
  2. Centers for Disease Control and Prevention (CDC). Climate and health [Internet]. Atlanta: CDC; 2021 [cited 2021 Mar 9]. Available from: https://www.cdc.gov/climateandhealth/effects/default.htm#factsheets.
  3. Rocque RJ, Beaudoin C, Ndjaboue R, Cameron L, Poirier-Bergeron L, Poulin-Rheault RA, et al. Health effects of climate change: An overview of systematic reviews. BMJ Open. 2021;11(6):e046333. https://doi.org/10.1136/bmjopen-2020-046333
  4. Hong YC. Climate change and human health. Journal of the Korean Medical Association. 2008;51(8):764-769. https://doi.org/10.5124/jkma.2008.51.8.764
  5. Dhillon VS, Kaur D. Green hospital and climate change: Their interrelationship and the way forward. Journal of Clinical and Diagnostic Research. 2015;9(12):LE01-LE05. https://doi.org/10.7860/JCDR/2015/13693.6942
  6. Rodgers BL. Developing nursing knowledge: Philosophical traditions and influences. Philadelphia (PA): Lippincott Williams & Wilkins; 2005. p. 199-208.
  7. American Nurses Association (ANA). American Nurses Association 2008 climate change resolution [Internet]. Silver Spring: ANA; 2021 [cited 2021 May 17]. Available from: https://climatehealthconnect.org/?resource=american-nurses-association-2008-climate-change-resolution.
  8. Canadian Nurses Association (CNA). Climate change and health: Position statement [Internet]. Ottawa: CNA; c2017 [cited 2021 Dec 10]. Available from: https://www.cna-aiic.ca/en/policy-advocacy/policy-support-tools/position-statements.
  9. Demorest S, Spengeman S, Schenk E, Cook C, Weston HL. The nurses climate challenge: A national campaign to engage 5,000 health professionals around climate change. Creative Nursing. 2019;25(3):208-215. https://doi.org/10.1891/1078-4535.25.3.208
  10. Neal-Boylan L, Breakey S, Nicholas PK. Integrating climate change topics into nursing curricula. Journal of Nursing Education. 2019;58(6):364-368. https://doi.org/10.3928/01484834-20190521-09
  11. Liu J, Potter T, Zahner S. Policy brief on climate change and mental health/well-being. Nursing Outlook. 2020;68(4):517-522. https://doi.org/10.1016/j.outlook.2020.06.003
  12. Nicholas PK, Breakey S. Climate change, climate justice, and environmental health: Implications for the nursing profession. Journal of Nursing Scholarship. 2017;49(6):606-616. https://doi.org/10.1111/jnu.12326
  13. George M, Bruzzese JM, Matura LA. Climate change effects on respiratory health: Implications for nursing. Journal of Nursing Scholarship. 2017;49(6):644-652. https://doi.org/10.1111/jnu.12330
  14. Chalupka S, Anderko L. Climate change and schools: Implications for children's health and safety. Creative Nursing. 2019;25(3):249-257. https://doi.org/10.1891/1078-4535.25.3.249
  15. Mazhin SA, Khankeh H, Farrokhi M, Aminizadeh M, Poursadeqiyan M. Migration health crisis associated with climate change: A systematic review. Journal of Education and Health Promotion. 2020;9:97. https://doi.org/10.4103/jehp.jehp_4_20
  16. Framework Act on Health and Medical Services (KOR) Act of 2021, Pub. L. No. 15883 Stat. (2010).
  17. Anaker A, Nilsson M, Holmner A, Elf M. Nurses' perceptions of climate and environmental issues: A qualitative study. Journal of Advanced Nursing. 2015;71(8):1883-1891. https://doi.org/10.1111/jan.12655
  18. Cruz JP, Alshammari F, Felicilda-Reynaldo RFD. Predictors of Saudi nursing students' attitudes towards environment and sustainability in health care. International Nursing Review. 2018;65(3):408-416. https://doi.org/10.1111/inr.12432
  19. Liao W, Yang L, Zhong S, Hess JJ, Wang Q, Bao J, et al. Preparing the next generation of health professionals to tackle climate change: Are China's medical students ready? Environmental Research. 2019;168:270-277. https://doi.org/10.1016/j.envres.2018.10.006
  20. Polivka BJ, Chaudry RV, Mac Crawford J. Public health nurses' knowledge and attitudes regarding climate change. Environmental Health Perspectives. 2012;120(3):321-325. https://doi.org/10.1289/ehp.1104025
  21. Ryan EC, Dubrow R, Sherman JD. Medical, nursing, and physician assistant student knowledge and attitudes toward climate change, pollution, and resource conservation in health care. BMC Medical Education. 2020;20(1):200. https://doi.org/10.1186/s12909-020-02099-0
  22. Yang L, Liao W, Liu C, Zhang N, Zhong S, Huang C. Associations between knowledge of the causes and perceived impacts of climate change: A cross-sectional survey of medical, public health and nursing students in universities in China. International Journal of Environmental Research and Public Health. 2018;15(12):2650. https://doi.org/10.3390/ijerph15122650
  23. Bedsworth L. Preparing for climate change: A perspective from local public health officers in California. Environmental Health Perspectives. 2009;117(4):617-623. https://doi.org/10.1289/ehp.0800114
  24. Schenk EC, Cook C, Demorest S, Burduli E. CHANT: Climate, Health, and Nursing Tool: Item development and exploratory factor analysis. Annual Review of Nursing Research. 2019;38(1):97-112. https://doi.org/10.1891/0739-6686.38.97
  25. Washington State University (WSU). CHANT 2021: Climate and Health Tool [Internet]. Spokane: WSU; [cited 2021 Dec 10]. Available from: https://wsu.co1.qualtrics.com/jfe/form/SV_81v4C1meerkOCTX.
  26. Costello AB, Osborne J. Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research, and Evaluation. 2005;10:7. https://doi.org/10.7275/jyj1-4868
  27. Kim JM, Kim SW, Shin IS, Zheng TJ, Yoon JS. Development of Korean version of community screening interview for dementia(CSID-K). Journal of Korean Neuropsychiatric Association. 2004;43(4):445-451.
  28. Schenk EC, Cook C, Demorest S, Burduli E. Climate, Health, and Nursing Tool (CHANT): Initial survey results. Public Health Nursing. 2021;38(2):152-159. https://doi.org/10.1111/phn.12864
  29. Quinonez S, de Vries H, Eggers S, van Osch L, Stanczyk NE. The I-Change Model and how it contributes to explaining health behaviour. European Health Psychologist. 2016;18 Suppl:390.
  30. World Health Organization (WHO). Process of translation and adaptation of instruments [Internet]. Geneva: WHO; [cited 2021 Mar 17]. Available from: https://www.coursehero.com/file/30372721/WHO-Process-of-translation-and-adaptation-of-instrumentspdf/.
  31. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health. 2007;30(4):459-467. https://doi.org/10.1002/nur.20199
  32. Waltz CF, Strickland OL, Lenz ER. Measurement in nursing and health research. 4th ed. New York (NY): Springer Publishing Company; 2010. p. 147-148.
  33. Sparkman RM Jr. Book review: Multivariate data analysis with readings. Journal of Marketing Research. 1979;16(3):437. https://doi.org/10.1177/002224377901600324
  34. Bentler PM, Bonett DG. Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin. 1980;88(3):588-606. https://doi.org/10.1037/0033-2909.88.3.588
  35. Hulland J. Use of partial least squares (PLS) in strategic management research: A review of four recent studies. Strategic Management Journal. 1999;20(2):195-204. https://doi.org/10.1002/(SICI)1097-0266(199902)20:2<195::AID-SMJ13>3.0.CO;2-7
  36. Kang H. A guide on the use of factor analysis in the assessment of construct validity. Journal of Korean Academy of Nursing. 2013;43(5):587-594. https://doi.org/10.4040/jkan.2013.43.5.587
  37. K-indicator. Greenhouse gas emissions [Internet]. Daejeon: Statistics KOREA Government Official Work Conference; [cited 2021 Sep 5]. Available from: https://www.index.go.kr/unify/idx-info.do?idxCd=4288.
  38. Friedrich MJ. Medical community gathers steam to tackle climate's health effects. JAMA. 2017;317(15):1511-1513. https://doi.org/10.1001/jama.2017.0969
  39. Korea Energy Economics Institute (KEEI). World energy market insight 19-23 [Internet]. Ulsan: KEEI; c2019 [cited 2021 Dec 10]. Available from: http://www.keei.re.kr/insight?open&p=%2Fweb_energy_new%2Finsight.nsf%2Finsight_list.html&s=%3Fopen%26menu%3Dinsight%26doctype%3D3%26region%3D%25EC%259C%25A0%25EB%259F%25BD.
  40. Kim J. Individual emission trading and possibility of application in Korea. Environmental Law Review. 2008;30(2):339-367.
  41. Ministry of Economy and Finance, Ministry of Environment. National Strategy for Sustainable Development 3rd [Internet]. Sejong: Ministry of Environment; c2019 [cited 2021 Aug 29]. Available from: https://www.gihoo.or.kr/portal/kr/community/data_view.do?p=1&idx=20483&column=&groupname=data&groupid=&f=1&q=.
  42. Drost EA. Validity and reliability in social science research. Education Research and Perspectives. 2011;38(1):105-123.
  43. Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine. 2016;15(2):155-163. https://doi.org/10.1016/j.jcm.2016.02.012 Erratum in: Journal of Chiropractic Medicine. 2017;16(4):346.
  44. Stern PC. New environmental theories: Toward a coherent theory of environmentally significant behavior. Journal of Social Issues. 2000;56(3):407-424. https://doi.org/10.1111/0022-4537.00175
  45. Semenza JC, Hall DE, Wilson DJ, Bontempo BD, Sailor DJ, George LA. Public perception of climate change: Voluntary mitigation and barriers to behavior change. American Journal of Preventive Medicine. 2008;35(5):479-487. https://doi.org/10.1016/j.amepre.2008.08.020
  46. Yun J, Son HM. Mediating effects of burnout between time pressure and safety care activities of nurses. Journal of Korean Academy of Nursing Administration. 2019;25(3):248-257. https://doi.org/10.11111/jkana.2019.25.3.248
  47. Ministry of Environment (ME). SDGs: Sustainable Development Goals [Internet]. Sejong: ME; 2019 [cited 2021 Dec 16]. Available from: http://ncsd.go.kr/unsdgs?content=2.
  48. Angelini K. Climate change, health, and the role of nurses. Nursing for Women's Health. 2017;21(2):79-83. https://doi.org/10.1016/j.nwh.2017.02.003
  49. Watts N, Adger WN, Ayeb-Karlsson S, Bai Y, Byass P, Campbell-Lendrum D, et al. The Lancet Countdown: Tracking progress on health and climate change. The Lancet. 2017;389(10074):1151-1164. https://doi.org/10.1016/S0140-6736(16)32124-9
  50. Shin HS, Chi E, Han HR. Validity and reliability of the Korean version of assessment of health literacy in breast and cervical cancer screening. Journal of Korean Academy of Nursing. 2021;51(6):769-781. https://doi.org/10.4040/jkan.21108