Evidence map›Paper›PMID 41981610›Full record

ArticleBMC nursing2026

Climate anxiety among nursing students: a scoping review.

Yaqi Wu, Hejia Wan, Lisha Zhao, Jie Liu, Lulu Zhang, Jing Mao, Haozhe Sun, Zilin Zhao, Xin Wang, Xiaolei Jing

Abstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yaqi WuSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, 450046, Henan, People's Republic of China.ORCID http://orcid.org/0009-0005-2238-277X
Hejia WanSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, 450046, Henan, People's Republic of China.ORCID http://orcid.org/0009-0003-3900-1967
Lisha ZhaoDepartment of Nursing, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 451200, Henan, People's Republic of China.ORCID http://orcid.org/0009-0003-6492-7542
Jie LiuSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, 450046, Henan, People's Republic of China.ORCID http://orcid.org/0009-0004-5099-8873
Lulu ZhangSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, 450046, Henan, People's Republic of China.ORCID http://orcid.org/0009-0009-9200-6621
Jing MaoDepartment of Nursing, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, 451200, Henan, People's Republic of China.ORCID http://orcid.org/0009-0002-8145-2836
Haozhe SunHenan Luoyang Orthopedic-Traumatological Hospital, Zhengzhou, 471002, Henan, People's Republic of China.ORCID http://orcid.org/0009-0001-9564-716X
Zilin ZhaoSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, 450046, Henan, People's Republic of China.ORCID http://orcid.org/0009-0003-6167-4842
Xin WangSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, 450046, Henan, People's Republic of China.ORCID http://orcid.org/0009-0008-5223-7460
Xiaolei JingSchool of Nursing (Nursing School of Smart Healthcare Industry), Henan University of Chinese Medicine, Zhengzhou, 450046, Henan, People's Republic of China. hnzyydxjxl@126.com.ORCID http://orcid.org/0009-0001-3078-0576

Funding

General Research Project in Humanities and Social Sciences at Universities in Henan Province 2022-ZZJH-225Research and Practice Project on Higher Education Teaching Reform in Henan Province 2023SJGLX224YThe Project of Excellent Teaching Case of the Reform and Quality Improvement of Postgraduate Education in Henan Province YJS2025AL77
6 · The paper itself

Abstract

backgroundClimate change is a critical 21st-century global challenge affecting the environment, public health, and social well-being. Climate anxiety is increasingly prevalent among nursing students, who bear a dual burden of personal psychological stress and professional responsibility for addressing climate-related health consequences. However, synthesized evidence on this topic remains limited.

aimsTo comprehensively map the assessment tools, influencing factors, and intervention strategies related to climate anxiety among nursing students, identify key knowledge gaps, and provide evidence-based recommendations for future research and nursing education.

designScoping review conducted following the Arksey and O’Malley framework and reported in accordance with the PRISMA extension for Scoping Reviews (PRISMA-ScR) 2020 guidelines. DATA SOURCES: Seven major electronic databases (PubMed, Cochrane Library, Embase, CINAHL, Web of Science Core Collection, Scopus, and Medline) were searched from database inception to March 1, 2026.

methodsLiterature was screened based on the PCC (Population, Concept, Context) framework, followed by rigorous two-stage independent screening and standardized data charting by two reviewers.

resultsThirteen studies involving a total of 5,096 nursing students were included. All studies were published between 2024 and 2025, with the majority conducted in Turkey (n = 8), followed by Egypt (n = 3), Saudi Arabia (n = 1), and South Korea (n = 1). Findings confirmed a notable prevalence of climate anxiety among nursing students, shaped by multiple interrelated factors including gender, academic year, climate change awareness, intolerance of uncertainty, environmental literacy, and media exposure. Four validated assessment tools were identified. Two intervention studies (one RCT and one quasi-experimental study) suggested that structured educational programs may help mitigate certain dimensions of climate anxiety.

conclusionsClimate anxiety significantly impacts nursing students’ psychological well-being and professional readiness. Targeted educational initiatives incorporating climate change content and psychological support components are warranted. Future research should address the current geographic and methodological limitations, refine population-specific assessment tools, and rigorously evaluate psychological interventions, including cognitive behavioral approaches. IMPACT: This review provides practical guidance for nursing educators and healthcare practitioners, effectively strengthening future healthcare professionals’capacity to address climate-related challenges. PUBLIC CONTRIBUTION: Although there was no direct public or patient involvement, the review’s findings indirectly benefit the public by informing better care. Future research could integrate nursing student feedback to further refine related designs. CLINICAL TRIAL NUMBER: Not applicable, as this is a scoping review that does not involve clinical trial registration.

Indexed as

Climate anxietyNursing educationNursing studentsScoping review

Identifiers

PMID41981610
PMCPMC13217755

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.