Measuring Nurses’ Knowledge and Awareness of Climate Change and Climate-Associated Diseases: Protocol for a Systematic Review of Existing Instruments
Abstract
:1. Introduction
- What existing instruments are used to measure nurses’ knowledge and awareness of climate change and climate-associated diseases?
- How do the instruments identified vary in terms of their reliability, validity, and robustness for assessing nurses’ knowledge and awareness of climate change and climate-associated diseases?
- How do the different instruments address the multifaceted aspects of nurses’ knowledge and awareness of climate change and climate-associated diseases?
- What is the most reliable, robust, and valid instrument with which to measure nurses’ knowledge and awareness of climate change and climate-associated diseases?
2. Materials and Methods
2.1. Eligibility Criteria
2.1.1. Types of Studies
2.1.2. Types of Participants
2.1.3. Settings
2.1.4. Types of Outcome Measures
2.1.5. Statistical Analysis
2.2. Inclusion and Exclusion Criteria
2.3. Search Strategy
2.4. Data Collection and Analysis
2.4.1. Study Selection
2.4.2. Data Extraction
2.4.3. Assessment of the Risks in the Studies Included
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Acknowledgments
Conflicts of Interest
References
- Braitberg, G. Climate change can be seen through a disaster medicine lens. Med. J. Aust. 2022, 217, 464–465. [Google Scholar] [CrossRef]
- Campos, L.; Barreto, J.V.; Bassetti, S.; Bivol, M.; Burbridge, A.; Castellino, P.; Correia, J.A.; Durusu-Tanriöver, M.; Fierbinteanu-Braticevici, C.; Hanslik, T.; et al. Physicians’ responsibility toward environmental degradation and climate change: A position paper of the European Federation of Internal Medicine. Eur. J. Intern. Med. 2022, 104, 55–58. [Google Scholar] [CrossRef]
- Salvador Costa, M.J.; Leitão, A.; Silva, R.; Monteiro, V.; Melo, P. Climate Change Prevention through Community Actions and Empowerment: A Scoping Review. Int. J. Environ. Res. Public Health 2022, 19, 14645. [Google Scholar] [CrossRef]
- Dolatabadi, S.K.; Zakerimoghadam, M.; Rahmanian, M.; Abbasi, Z. The impact of climate change on heart failure: A narrative review study. Shiraz E-Med. J. 2021, 22, e107895. [Google Scholar]
- Pruss-Ustun, A.; Corvalán, C.F.; World Health Organization. Preventing Disease through an Estimate of the Environmental Burden of Disease; World Health Organization: Geneva, Switzerland, 2006; Volume 12, pp. 1–106. Available online: http://www.who.int/quantifying_ehimpacts/publications/preventingdisease.pdf (accessed on 13 February 2023).
- Ragettli, M.S.; Vicedo-Cabrera, A.M.; Flückiger, B.; Röösli, M. Impact of the warm summer 2015 on emergency hospital admissions in Switzerland. Environ. Health 2019, 18, 66. [Google Scholar] [CrossRef] [PubMed]
- Whitmee, S.; Haines, A.; Beyrer, C.; Boltz, F.; Capon, A.G.; de Souza Dias, B.F.; Ezeh, A.; Frumkin, H.; Gong, P.; Head, P.; et al. Safeguarding human health in the Anthropocene epoch: Report of the Rockefeller Foundation-Lancet Commission on planetary health. Lancet 2015, 386, 1973–2028. [Google Scholar] [CrossRef] [PubMed]
- De Schrijver, E.; Bundo, M.; Ragettli, M.S.; Sera, F.; Gasparrini, A.; Franco, O.H.; Vicedo-Cabrera, A.M. Nationwide Analysis of the Heat-and Cold-Related Mortality Trends in Switzerland between 1969 and 2017: The Role of Population Aging. Environ Health Perspect. 2022, 130, 37001. [Google Scholar] [CrossRef] [PubMed]
- Fuller, R.; Landrigan, P.J.; Balakrishnan, K.; Bathan, G.; Bose-O’Reilly, S.; Brauer, M.; Caravanos, J.; Chiles, T.; Cohen, A.; Corra, L.; et al. Pollution and health: A progress update. Lancet Planet. Health 2022, 6, e535–e547. [Google Scholar] [CrossRef]
- Filippini, M.; Masiero, G.; Steinbach, S. The impact of ambient air pollution on hospital admissions. Eur. J. Health Econ. 2019, 20, 919–931. [Google Scholar] [CrossRef]
- Anåker, A.; Elf, M. Sustainability in nursing: A concept analysis. Scand. J. Caring Sci. 2014, 28, 381–389. [Google Scholar] [CrossRef]
- Lenzen, M.; Malik, A.; Li, M.; Fry, J.; Weisz, H.; Pichler, P.-P.; Chaves, L.S.M.; Capon, A.; Pencheon, D. The environmental footprint of health care: A global assessment. Lancet Planet. Health 2020, 4, e271–e279. [Google Scholar] [CrossRef]
- Van Daalen, K.R.; Romanello, M.; Rocklöv, J.; Semenza, J.C.; Tonne, C.; Markandya, A.; Dasandi, N.; Jankin, S.; Achebak, H.; Ballester, J.; et al. The 2022 Europe report of the Lancet Countdown on health and climate change: Towards a climate resilient future. Lancet Public Health 2022, 7, e942–e965. [Google Scholar] [CrossRef] [PubMed]
- Watts, N.; Amann, M.; Arnell, N.; Ayeb-Karlsson, S.; Beagley, J.; Belesova, K.; Boykoff, M.; Byass, P.; Cai, W.; Campbell-Lendrum, D.; et al. The 2020 report of The Lancet Countdown on health and climate change: Responding to converging crises. Lancet 2021, 397, 129–170. [Google Scholar] [CrossRef] [PubMed]
- Macassa, G.; Ribeiro, A.I.; Marttila, A.; Stål, F.; Silva, J.P.; Rydback, M.; Rashid, M.; Barros, H. Public Health Aspects of Climate Change Adaptation in Three Cities: A Qualitative Study. Int. J. Environ. Res. Public Health 2022, 19, 10292. [Google Scholar] [CrossRef] [PubMed]
- Friel, S. Climate change, society, and health inequities. Med. J. Aust. 2022, 217, 466–468. [Google Scholar] [CrossRef] [PubMed]
- Polivka, B.J.; Chaudry, R.V.; Mac Crawford, J. Public health nurses’ knowledge and attitudes regarding climate change. Environ. Health Perspect. 2012, 120, 321–325. [Google Scholar] [CrossRef]
- Vaidyanathan, A.; Saha, S.; Cabrera, A.M.V.; Gasparrini, A.; Abdurehman, N.; Jordan, R.; Hawkins, M.; Hess, J.; Elixhauser, A. Assessment of extreme heat and hospitalizations to inform early warning systems. Proc. Natl. Acad. Sci. USA 2019, 116, 5420–5427. [Google Scholar] [CrossRef] [PubMed]
- Liu, C.; Chen, R.; Sera, F.; Vicedo-Cabrera, A.M.; Guo, Y.; Tong, S.; Coelho, M.S.Z.S.; Saldiva, P.H.N.; Lavigne, E.; Matus, P.; et al. Ambient Particulate Air Pollution and Daily Mortality in 652 Cities. N. Engl. J. Med. 2019, 381, 705–715. [Google Scholar] [CrossRef]
- Tobaldini, E.; Iodice, S.; Bonora, R.; Bonzini, M.; Brambilla, A.; Sesana, G.; Bollati, V.; Montano, N. Out-of-hospital cardiac arrests in a large metropolitan area: Synergistic effect of exposure to air particulates and high temperature. Eur. J. Prev. Cardiol. 2020, 27, 513–519. [Google Scholar] [CrossRef]
- Cicci, K.R.; Maltby, A.; Clemens, K.K.; Vicedo-Cabrera, A.M.; Gunz, A.C.; Lavigne, É.; Wilk, P. High Temperatures and Cardiovascular-Related Morbidity: A Scoping Review. Int. J. Environ. Res. Public Health 2022, 19, 11243. [Google Scholar] [CrossRef]
- Leffers, J.; Levy, R.M.D.; Nicholas, P.K.; Sweeney, C.F. Mandate for the Nursing Profession to Address Climate Change through Nursing Education. J. Nurs. Scholarsh. 2017, 49, 679–687. [Google Scholar] [CrossRef]
- Portela Dos Santos, O.; Melly, P.; Joost, S.; Verloo, H. Climate Change, Environmental Health, and Challenges for Nursing Discipline. Int. J. Environ. Res. Public Health 2023, 20, 5682. [Google Scholar] [CrossRef] [PubMed]
- Ferreira, A.G.; De Carvalho, D.P.; Barlem, E.L.D.; Rocha, L.P.; Da Silva, M.R.S.; Vaz, M.R.C. Social Participation in Health and the Nursing Role: Using the Ecological Model/Participação Social Na Saúde e o Papel da Enfermagem: Aplicação do Modelo Ecológico. Rev. Pesqui. Cuid. Fundam. Online 2019, 11, 1360–1367. [Google Scholar] [CrossRef]
- Kalogirou, M.R.; Dahlke, S.; Davidson, S.; Yamamoto, S. Nurses’ perspectives on climate change, health and nursing practice. J. Clin. Nurs. 2020, 29, 4759–4768. [Google Scholar] [CrossRef] [PubMed]
- Schenk, E.C.; Cook, C.; Demorest, S.; Burduli, E. Climate, Health, and Nursing Tool (CHANT): Initial survey results. Public Health Nurs. 2021, 38, 152–159. [Google Scholar] [CrossRef] [PubMed]
- Spínola, H.; Entre a Literacia e a Cultura Ambiental. Literacia Científica: Ensino, Aprendizagem e Quotidiano. 2021. Available online: https://digituma.uma.pt/handle/10400.13/3237 (accessed on 5 June 2023).
- Moreno, M.; Mafra, P. Literacia Ambiental: Uma necessidade para uma sociedade ambientalmente ativa. EduSer 2019, 11, 66–76. [Google Scholar]
- Moher, D.; Liberati, A.; Tetzlaff, J.; Altman, D.G. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. BMJ 2009, 339, 332–336. [Google Scholar] [CrossRef] [PubMed]
- Stroup, D.F.; Berlin, J.A.; Morton, S.C.; Olkin, I.; Williamson, G.D.; Rennie, D.; Moher, D.; Becker, B.J.; Sipe, T.A.; Thacker, S.B. Meta-analysis of observational studies in epidemiology: A proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 2000, 283, 2008–2012. [Google Scholar] [CrossRef]
- Sedgwick, P. What is a non-randomised controlled trial? BMJ 2014, 348, g4115. [Google Scholar] [CrossRef]
- Ferriter, M.; Huband, N. Does the non-randomized controlled study have a place in the systematic review? A pilot study. Crim. Behav. Ment. Health 2005, 15, 111–120. [Google Scholar] [CrossRef]
- Pieper, D.; Puljak, L. Language restrictions in systematic reviews should not be imposed in the search strategy but in the eligibility criteria if necessary. J. Clin. Epidemiol. 2021, 132, 146–147. [Google Scholar] [CrossRef] [PubMed]
- Cochrane Training. Chapter 10: Analysing Data and Undertaking Meta-Analyses. Available online: https://training.cochrane.org/handbook/current/chapter-10 (accessed on 16 October 2023).
- Wells, G.; Shea, B.; O’Connell, D.; Peterson, J.; Welch, V.; Losos, M.; Tugwell, P. The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses; University of Ottawa: Ottawa, ON, Canada, 2014. [Google Scholar]
- Sterne, J.A.C.; Hernán, M.A.; Reeves, B.C.; Savović, J.; Berkman, N.D.; Viswanathan, M.; Henry, D.; Altman, D.G.; Ansari, M.T.; Boutron, I.; et al. ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions. BMJ 2016, 355, i4919. [Google Scholar]
- Sterne, J.A.C.; Savović, J.; Page, M.J.; Elbers, R.G.; Blencowe, N.S.; Boutron, I.; Cates, C.J.; Cheng, H.Y.; Corbett, M.S.; Eldridge, S.M.; et al. RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ 2019, 366, l4898. [Google Scholar] [CrossRef] [PubMed]
- Mokkink, L.B.; Terwee, C.B.; Patrick, D.L.; Alonso, J.; Stratford, P.W.; Knol, D.L.; Bouter, L.M.; De Vet, H.C. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: An international Delphi study. Qual. Life Res. 2010, 19, 539–549. [Google Scholar] [CrossRef] [PubMed]
- Polit, D.F.; Beck, C.T. Nursing Research: Generating and Assessing Evidence for Nursing Practice; Lippincott Williams & Wilkins: Philadelphia, PA, USA, 2008; p. 839. [Google Scholar]
- Mokkink, L.B.; Boers, M.; van der Vleuten, C.P.M.; Bouter, L.M.; Alonso, J.; Patrick, D.L.; de Vet, H.C.W.; Terwee, C.B. COSMIN Risk of Bias tool to assess the quality of studies on reliability or measurement error of outcome measurement instruments: A Delphi study. BMC Med. Res. Methodol. 2020, 20, 293. [Google Scholar] [CrossRef] [PubMed]
- Borissov, N.; Haas, Q.; Minder, B.; Kopp-Heim, D.; von Gernler, M.; Janka, H.; Teodoro, D.; Amini, P. Reducing systematic review burden using Deduklick: A novel, automated, reliable, and explainable deduplication algorithm to foster medical research. Syst. Rev. 2022, 11, 172. [Google Scholar] [CrossRef] [PubMed]
- Valentine-Maher, S.K.; Butterfield, P.G.; Laustsen, G. Environmental health advancing emancipatory policies for the common good. Adv. Nurs. Sci. 2018, 41, 57–69. [Google Scholar] [CrossRef] [PubMed]
- Neal-Boylan, L.; Breakey, S.; Nicholas, P.K. Integrating climate change topics into nursing curricula. J. Nurs. Educ. 2019, 58, 364–368. [Google Scholar] [CrossRef]
PCC | Inclusion Criteria | Exclusion Criteria |
---|---|---|
Population |
|
|
Concept |
|
|
Context | All contexts will be considered |
Climate Change | Literacy | Nursing | Tools | |
---|---|---|---|---|
Free words | ((climat* NEAR/1 (chang* OR variabilit* OR sensitivity OR warming)) OR “greenhouse effect*” OR “greenhouse gas” OR “global warming” OR “extreme weather” OR “severe weather” OR heatwave* OR coldwave OR ((hot OR cold OR heat) NEAR/1 (wave* OR snap* OR spell* OR extreme)) OR (Environmental NEXT (pollution* OR impact* OR health)) “air pollution*” OR “air quality” OR | ((information OR health NEXT/1 literac*) OR Knowledge OR (nurse* NEXT/1 role*) OR Attitude* OR Behavior* OR Motivation* OR Competenc* OR Skill* OR Expertise OR Awareness OR Comprehension OR Belief* OR empowerment | nurse* OR nursing | psychometr* OR measure* OR instrument* OR tool$ OR toolkit* OR questionnaire* OR survey* OR interview* OR “G theory” OR “generali?ability theory” |
EMTREE | ‘climate change’/exp OR ‘greenhouse effect’/exp OR ‘climate’/de OR ‘extreme weather’/exp OR ‘heat wave’/exp OR ‘cold wave (weather)’/exp OR ‘severe weather’/de OR ‘pollution’/de OR ‘air pollution’/de OR ‘environment’/de OR ‘environmental health’/de | ‘health literacy’/exp OR ‘information literacy’/exp OR ‘knowledge’/exp OR ‘attitude’/de OR ‘health personnel attitude’/de OR ‘nurse attitude’/de OR ‘behavior’/de OR ‘empowerment’/exp OR ‘motivation’/exp OR ‘competence’/exp OR ‘awareness’/exp OR ‘comprehension’/exp | ‘nurse’/exp OR ‘nursing’/exp OR ‘nursing student’/exp | ‘reproducibility’/exp OR ‘psychometry’/exp OR ‘interview’/exp OR ‘questionnaire’/exp |
MeSH | “Climate Change”[Mesh] OR “Greenhouse Effect”[Mesh] OR “Climate”[Mesh:NoExp] OR “Extreme Weather”[Mesh] OR “Extreme Heat”[Mesh] OR “Environmental Pollution”[Mesh:NoExp] OR “Air Pollution”[Mesh:NoExp] OR “Environment”[Mesh:NoExp] OR “Environmental Health”[Mesh] | “Information Literacy”[Mesh] OR “Knowledge”[Mesh] OR “Attitude”[Mesh:NoExp] OR “Attitude of Health Personnel”[Mesh:NoExp] OR “Nurse’s Role”[Mesh] OR “Behavior”[Mesh:NoExp] OR “Motivation”[Mesh] OR “Professional Competence”[Mesh] OR “Awareness”[Mesh] OR “Empowerment”[Mesh] OR “Comprehension”[Mesh] | “Nurses”[Mesh] OR “Nursing”[Mesh] | “Reproducibility of Results”[Mesh] OR “Psychometrics”[Mesh] OR “Surveys and Questionnaires”[Mesh] OR “Interviews as Topic”[Mesh] |
CINAHL | (MH “Climate+” OR MH “Extreme Weather” OR MH “Heat” OR MH “Cold” OR MH “Environmental Pollution” OR MH “Air Pollution” OR MH “Environment” OR MH “Environmental Health” | MH “Information Literacy+” OR MH “Knowledge+” OR MH “Attitude” OR MH “Attitude of Health Personnel” OR MH “Nurse Attitudes” OR MH “Behavior” OR MH “Empowerment” OR MH “Motivation” OR MH “Professional Competence+” OR MH “Cognition” | MH “Information Literacy+” OR MH “Knowledge+” OR MH “Attitude” OR MH “Attitude of Health Personnel” OR MH “Nurse Attitudes” OR MH “Behavior” OR MH “Empowerment” OR MH “Motivation” OR MH “Professional Competence+” OR MH “Cognition” | MH “Reproducibility of Results” OR MH “Psychometrics” OR MH “Interviews+” OR MH “Interview Guides+” OR MH “Questionnaires+” OR MH “Surveys+” |
All term with “*”means that means that all the terms in the same truncation are added together |
Sources | Search Date | Total Number of References Found | After Removing Duplicates |
---|---|---|---|
Databases | 28 May 2023 | ||
Pubmed | 25 | 3 | |
Medline OVID SP | 411 | 411 | |
Embase.com | 1402 | 1085 | |
CINAHL Ultimate EBSCO | 392 | 242 | |
Cochrane Library Wiley | 18 | 10 | |
Web of Science-Core Collection | 322 | 160 | |
JBI OVID SP | 39 | 38 | |
GreenFILE EBSCO | 36 | 11 | |
Total | 2645 | 1960 | |
Other sources | |||
DART-Europe.eu | 51 | 51 | |
ProQuest Dissertations and Theses | 6 | 6 | |
TRIP database.com | 1232 | 1232 | |
Google Scholar | 200 | 200 | |
Total | 1489 | 1489 | |
Results | 4134 | 3449 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Portela Dos Santos, O.; Melly, P.; Joost, S.; Verloo, H. Measuring Nurses’ Knowledge and Awareness of Climate Change and Climate-Associated Diseases: Protocol for a Systematic Review of Existing Instruments. Int. J. Environ. Res. Public Health 2023, 20, 6963. https://doi.org/10.3390/ijerph20206963
Portela Dos Santos O, Melly P, Joost S, Verloo H. Measuring Nurses’ Knowledge and Awareness of Climate Change and Climate-Associated Diseases: Protocol for a Systematic Review of Existing Instruments. International Journal of Environmental Research and Public Health. 2023; 20(20):6963. https://doi.org/10.3390/ijerph20206963
Chicago/Turabian StylePortela Dos Santos, Omar, Pauline Melly, Stéphane Joost, and Henk Verloo. 2023. "Measuring Nurses’ Knowledge and Awareness of Climate Change and Climate-Associated Diseases: Protocol for a Systematic Review of Existing Instruments" International Journal of Environmental Research and Public Health 20, no. 20: 6963. https://doi.org/10.3390/ijerph20206963