NCT06905548

Brief Summary

Background: Climate change awareness among nurse managers is crucial for enhancing healthcare efficiency and mitigating environmental and societal impacts. This study aims to develop and implement an educational program to improve nurse managers' awareness of climate change. Methods: A randomized controlled trial will be conducted with 108 nurse managers (54 experimental, 54 control) from two major hospitals in Istanbul, Turkey: Kartal Dr. Lütfi Kırdar City Hospital (n=71) and Göztepe Prof. Dr. Süleyman Yalçın City Hospital (n=58). Sample size was determined using G\*Power 3.1.9.7, referencing the study by Alvarez-Nieto et al. (2022), assuming an effect size of 0.79, a significance level of α=0.05, and 95% power. The required sample size was calculated as 90, increased by 20% to account for potential attrition, resulting in 108 participants. Participants will be recruited through full enumeration sampling due to the limited number of nurse managers. Data will be collected via face-to-face administration of a Demographic Information Form (12 items) and the Climate Change Awareness Scale (Ataklı \& Kuran, 2022), which consists of 52 items rated on a 5-point Likert scale, with a reliability coefficient (α) of 0.92. Intervention: Following institutional approval from the Provincial Health Directorate, education nurses will disseminate information about the study via digital communication platforms. Nurse managers will be enrolled in separate digital groups for experimental and control conditions. Pre-test data will be collected face-to-face before the intervention. The educational program will be delivered to the experimental group, while the control group will receive no intervention. Post-test data collection will occur four weeks after the intervention. Statistical Analysis: Nominal and ordinal data will be presented as frequencies and percentages, while scale scores will be reported as means and standard deviations or medians and ranges. Normality of data distribution will be assessed using the Kolmogorov-Smirnov test. Independent Samples T-Test and One-Way ANOVA will be used for normally distributed variables, while Mann-Whitney U and Kruskal-Wallis tests will be used for non-normally distributed data. Analyses will be conducted using SPSS 26 with a significance level set at p\<0.05. Expected Outcomes: The study will evaluate the effectiveness of the educational program in enhancing climate change awareness among nurse managers. Findings will contribute to the development of targeted training programs to integrate environmental awareness into nursing leadership. Ethical Considerations: Ethical approval and institutional permissions will be obtained prior to study commencement.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
108

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Apr 2025

Shorter than P25 for not_applicable

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 25, 2025

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 1, 2025

Completed
Same day until next milestone

Study Start

First participant enrolled

April 1, 2025

Completed
29 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2025

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2025

Completed
Last Updated

April 1, 2025

Status Verified

March 1, 2025

Enrollment Period

29 days

First QC Date

March 25, 2025

Last Update Submit

March 25, 2025

Conditions

Keywords

randomized controlled trialsustainable healthcareeducational interventionclimate change awarenessNurse managers

Outcome Measures

Primary Outcomes (1)

  • Change in Climate Change Awareness Score Time Frame

    Baseline and 4 weeks post-intervention Description: The difference in scores obtained from the Climate Change Awareness Scale before and after the educational program. Higher scores indicate indicate increased awareness.

    4 months

Study Arms (2)

Intervention Group: Climate Change Awareness Education (for the group receiving the training)

EXPERIMENTAL

(for the group receiving the training)

Behavioral: climate change awareness training

Control Group: No Educational Intervention

NO INTERVENTION

(for the group that does not receive the training)

Interventions

The climate change training planned for nurse managers consists of 4 sessions of 2 days, each lasting 40 minutes.

Intervention Group: Climate Change Awareness Education (for the group receiving the training)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Nurse managers working in Kartal Dr. Lütfi Kırdar City Hospital and Göztepe Prof. Dr. Süleyman Yalçın City Hospital.
  • Individuals who have at least one year of managerial experience in a healthcare setting.
  • Participants who voluntarily agree to participate in the study and provide informed consent.
  • Individuals who can complete both pre-test and post-test assessments.

You may not qualify if:

  • Nurse managers who are currently on leave (e.g., maternity, sick leave).
  • Individuals who have participated in a similar educational program on climate change awareness in the past year.
  • Those who do not consent to participate in the study.
  • Participants who fail to complete the required assessments.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Central Study Contacts

Emine EKİCİ, Asst. Prof.

CONTACT

Seda Tuğba Baykara Mat, Asst. Prof.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: This study employs a randomized controlled trial (RCT) design to assess the impact of an educational intervention on nurse managers' awareness of climate change and its implications for healthcare. Participants will be randomly assigned to either an intervention group receiving structured climate change and healthcare sustainability training or a control group receiving no intervention. The training includes theoretical and interactive sessions on climate-related health risks, mitigation strategies, and sustainable hospital practices. Baseline and post-intervention data will be collected using validated instruments, including the Climate Change Awareness Scale. The study aims to determine whether targeted education can enhance climate change awareness among nurse managers and support environmentally responsible decision-making in healthcare settings.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Asst. Prof.

Study Record Dates

First Submitted

March 25, 2025

First Posted

April 1, 2025

Study Start

April 1, 2025

Primary Completion

April 30, 2025

Study Completion

June 1, 2025

Last Updated

April 1, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share