Evidence map›Paper›PMID 42238509›Full record

ArticleThe journal of climate change and health

Climate change awareness, motivation, and behaviours among primary health care nurses in South Africa: findings from the adapted CHANT survey.

Thandazile Sibindi, Jennifer-Anne Chipps, Talitha Crowley

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Article in The journal of climate change and health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Thandazile SibindiUniversity of the Western Cape, Faculty of Community and Health Sciences, School of Nursing, 14 Blanckenberg Street, Bellville, 7580, Western Cape Province, South Africa.
Jennifer-Anne ChippsUniversity of the Western Cape, Faculty of Community and Health Sciences, School of Nursing, 14 Blanckenberg Street, Bellville, 7580, Western Cape Province, South Africa.
Talitha CrowleyUniversity of the Western Cape, Faculty of Community and Health Sciences, School of Nursing, 14 Blanckenberg Street, Bellville, 7580, Western Cape Province, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Climate change increasingly affects global health, with low- and middle-income countries (LMICs) facing recurrent droughts, heatwaves, and extreme weather events that strain primary health care (PHC) systems. Nurses, as frontline providers, are critical for managing climate-sensitive conditions and promoting resilience. Evidence on nurses' climate-health engagement in LMICs remains limited. Objective: To assess awareness, motivation, and behaviours related to climate change among primary health care (PHC) nurses in the Western Cape, South Africa, using a contextualised Climate, Health, and Nursing Tool (CHANT). Methods: A descriptive cross-sectional survey was conducted in 38 PHC facilities. An all-inclusive sampling approach yielded 128 professional nurses. Data were collected via a self-administered questionnaire adapted for local context. Descriptive statistics and non-parametric tests were applied. Results: Most respondents (76.2%) were aware of climate change, primarily through television (75%) and social media (60.9%). Two-thirds (66.7%) had experienced extreme weather events, and 74.6% had managed climate-sensitive conditions, notably respiratory illnesses. Concern and motivation were high (90%), and 70% believed mitigation is possible; however, 51.6% perceived the issue as complex, and 25% felt overwhelmed. Climate-friendly behaviours were more frequent at home (15-77%) than at work (12-45%), and only 9% engaged in climate communication with policymakers. Conclusion: Despite strong concern and motivation, workplace climate actions remain limited. Strengthening nurses' sustainability knowledge and institutional support is essential for advancing climate-resilient PHC systems.

Indexed as

CHANT surveyClimate changeEco-nursingLMICsPrimary health careSustainability

Identifiers

PMID42238509
PMCPMC13226880

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.