Jeong Da Woon, Kim Gwang Suk, Park Min Kyung
College of Nursing, Yonsei University, Seoul, Korea.
Department of Cardiovascular, Severance Hospital, Seoul, Korea.
J Korean Acad Nurs. 2022 Apr;52(2):173-186. doi: 10.4040/jkan.21211.
Climate change has various negative effects on human health, which has resulted in increased burden on the health care system. Nurses contribute significantly to assessing climate-related health risks and creating a healthy environment. This study aimed to evaluate the reliability and validity of the Korean version of the Climate, Health, and Nursing Tool (K-CHANT) to measure nurses' awareness, motivation, concern, and behaviors at work and at home regarding climate change and health.
The 22 items of English CHANT were translated into Korean with forward-backward translation techniques. Internal consistency reliability, test-retest reliability, and construct validity using confirmatory factor analysis were performed using SPSS WIN (25.0) and AMOS (26.0). Survey data were collected from 220 master's, doctoral, and post-doctoral nursing students.
The K-CHANT consists of 20 items across 5 domains. Two items of the original CHANT were excluded because of low content validity index and standardized regression weights. The internal consistency reliability of the K-CHANT, assessed by Cronbach's αá was .81, with an intraclass correlation coefficient of .66~.90. The five subscales model was validated by confirmatory factor analysis (SRMR < .08, RMSEA < .08, AGFI > .70, CFI > .70).
The K-CHANT has satisfactory construct validity and reliability to measure nurses' awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. Future research should examine nurses' perceptions and behaviors related to the health effects of climate change and develop an action plan to improve it.
气候变化对人类健康有多种负面影响,这导致了医疗保健系统负担的增加。护士在评估与气候相关的健康风险和创造健康环境方面发挥着重要作用。本研究旨在评估韩文版气候、健康与护理工具(K-CHANT)的信效度,以测量护士在工作和家庭中对气候变化与健康的意识、动机、关注程度及行为。
采用正反翻译技术将英文CHANT的22个项目翻译成韩文。使用SPSS WIN(25.0)和AMOS(26.0)进行内部一致性信度、重测信度以及使用验证性因子分析的结构效度分析。调查数据收集自220名硕士、博士和博士后护理专业学生。
K-CHANT由5个领域的20个项目组成。由于内容效度指数和标准化回归权重较低,原始CHANT的两个项目被排除。通过Cronbach's α评估的K-CHANT内部一致性信度为0.81,组内相关系数为0.66至0.90。通过验证性因子分析验证了五分量表模型(SRMR < 0.08,RMSEA < 0.08,AGFI > 0.70,CFI > 0.70)。
K-CHANT在测量护士在工作和家庭中对气候变化与健康的意识、动机、关注程度及行为方面具有令人满意的结构效度和信度。未来的研究应考察护士对气候变化健康影响的认知和行为,并制定改进行动计划。