ArticleBMC nursing2026
Climate change literacy and environmental stewardship in neonatal intensive care: a mixed-methods study of nursing practice patterns.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare produces ≈ 4.4% of global greenhouse-gas emissions, and Neonatal Intensive Care Units (NICUs) are among its most resource-intensive services. In Egypt, where material constraints intensify ecological strain, the climate-change literacy and stewardship practices of NICU nurses remain undocumented.
aimTo examine climate-change literacy levels, environmental-stewardship practices, and the factors that influence their implementation among NICU nurses in Egypt.
designConvergent parallel mixed-methods study (January – March 2024).
methodsNinety-five nurses from three NICUs completed the Climate, Health and Nursing Tool (CHANT). Quantitative data were analysed in SPSS v28 (descriptives, χ², Spearman ρ, multiple linear regression). Twenty-four purposively selected nurses were interviewed, and their transcripts were analyzed using reflexive thematic analysis in NVivo 12. Meta-inferences were generated through joint-display integration.
resultsLiteracy was moderate (mean = 3.15 ± 0.89); climate awareness was higher (3.45 ± 0.82), while professional engagement lagged (2.87 ± 1.03). Prior environmental training (β = 0.35, p < 0.001) and NICU experience (β = 0.31, p < 0.001) predicted higher literacy (R² = 0.64). Stewardship behaviours differed by hospital type; for energy-efficient equipment use, χ² (2) = 8.94, p = 0.011, with the highest prevalence in general hospitals (75.7%). Qualitatively, nurses described stewardship as constrained by resource scarcity, time pressure, and unclear policy, and enabled by visible leadership, practical training, and supportive peer micro-cultures.
conclusionEgyptian NICU nurses possess the knowledge base to champion sustainability; however, systemic constraints hinder their actions. Embedding mandatory environmental modules, visible managerial endorsement, and enforceable eco-policies is essential to convert literacy into low-carbon neonatal care. IMPLICATIONS FOR PRACTICE: The study provides administrators and educators with a data-driven blueprint for greening NICU operations without compromising neonatal outcomes, thereby advancing national climate commitments and Sustainable Development Goal 3. CLINICAL TRIAL NUMBER: Not applicable.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.