Evidence map›Paper›PMID 42060318›Full record

Trial reportJournal of nursing management2026

A Critical Intervention for Sustainable Health: Climate Change Awareness Among Nurse Managers.

Emine Ekici, Seda Baykara Mat, Ozan Ozkol, Fikriye Isık

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06905548 (A Critical Intervention for Sustainable Health), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT06905548 nanot yet recruitingnot on this map

A Critical Intervention for Sustainable Health: Climate Change Awareness of Executive Nurses: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of BeykentRan2025 to 2025Enrolled108ConditionsHealthcare Professionals, Sustainability, Climate ChangeArmsclimate change awareness training
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

4 authors.

Emine EkiciSchool of Nursing, Maltepe University, Istanbul, Türkiye, maltepe.edu.tr.ORCID https://orcid.org/0000-0001-7933-4107
Seda Baykara MatFaculty of Health Sciences, Department of Nursing, Beykent University, Istanbul, Türkiye, beykent.edu.tr.ORCID https://orcid.org/0000-0002-3253-0597
Ozan OzkolSchool of Nursing, Maltepe University, Istanbul, Türkiye, maltepe.edu.tr.ORCID https://orcid.org/0009-0009-5778-7282
Fikriye IsıkKartal Dr. Lütfi Kırdar Training and Research Hospital, Istanbul, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the effectiveness of a nurse-led educational program designed to improve nurse managers' awareness, knowledge, and attitudes regarding climate change and its health impacts. BACKGROUND/

introductionClimate change is one of the most urgent global public health challenges, jeopardizing key determinants of health such as air quality, access to safe drinking water, food security, and adequate housing. As frontline healthcare providers, nurses are uniquely positioned to identify environmental health risks and promote climate-resilient healthcare practices. Despite this critical role, evidence suggests that nurses' awareness and preparedness for climate-related health threats are insufficient. Therefore, strengthening climate literacy among nurse leaders is essential to enhance adaptation capacity in health systems.

methodsThis study used a pretest-posttest experimental design with hospital-level randomization and included 108 nurse managers working in two public hospitals in Istanbul. Participants were randomly assigned to intervention and control groups. The study was conducted between March and June 2025, with data collection carried out between April and May 2025. Data were collected using a Descriptive Information Form and the Climate Change Awareness Scale (CCAS). The intervention group received 90 min of face-to-face training, including theoretical content, case-based learning, and interactive assessment, whereas the control group received a 90-min lecture after data collection on climate change and its health impacts, followed by a brief question-and-answer session. Measurements were taken at baseline, immediately after the intervention, and 1 month later. Data were analyzed using Friedman and Wilcoxon signed-rank tests. RESULTS/

findingsThe intervention group demonstrated significant improvements in total and subscale CCAS scores at the postintervention time point compared with baseline and the control group (p < 0.05). Although a slight decrease was observed at the 1-month follow-up, scores remained higher than pretest levels. In the control group, although small differences were observed in certain subscales in the between-group comparisons, no statistically significant within-group changes were observed between the pretest, posttest, and follow-up scores. DISCUSSION: The findings suggest that structured and nurse-led climate training for nurse managers has the potential to strengthen climate-related awareness and preparedness capacity.

conclusionEven short-term training increases nurse managers' awareness of climate change and health.

trial registrationClinicalTrials.gov identifier: NCT06905548.

Indexed as

AwarenessClimate ChangeNurse AdministratorsAdultFemaleHealth Knowledge, Attitudes, PracticeHumansMaleSurveys and Questionnairesawarenessclimate changenurse managersnursing educationsustainability

Identifiers

PMID42060318
PMCPMC13131904

What OpenQuestion holds

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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.