Álvarez-García Cristina, Edra Beatriz, Marques Goreti, Simões Catarina, López-Franco Mª Dolores
Department of Nursing, University of Jaén, 23071 Jaén, Spain.
Department of Nursing, Santa Maria Health School, 4049-024 Porto, Portugal.
Nurs Rep. 2025 Jan 8;15(1):13. doi: 10.3390/nursrep15010013.
Climate change adversely affects some of the fundamental determinants of health, and children are the population group most vulnerable to exposure to environmental risk factors. The main objective of this study was to validate in the Portuguese context three scales to assess attitudes, knowledge, and skills on children's environmental health. : A cross-sectional observational study was developed to translate, adapt, and validate the questionnaire consisting of the following three scales: Attitude Scale (SANS_2), knowledge scale (ChEHK-Q), and skills scale (ChEHS-Q). This was carried out in two phases: the translation and adaptation process and the validation process using classical measure theory and item response theory with undergraduate nursing students. : We obtained a valid and reliable questionnaire to measure children's environmental health competence consisting of an attitude scale (α = 0.84), a knowledge scale (Infit = 0.98, Outfit = 0.97, item reliability = 0.98, and people reliability = 0.75), and a skills scale (Infit = 1.00, Outfit = 0.99, item reliability = 0.82, and people reliability = 0.88). The mean score on the attitude scale was 28.15 (5-35) ± 4.61; 14.92 (0-26) ± 4.51 on the knowledge scale; and 42.51 (24-60) ± 6.41 on the skills scale. : We found that most Portuguese undergraduate nursing students have very good pro-environmental attitudes and good knowledge and skills in dealing with children's environmental health. The questionnaire obtained in this study will be useful for comparative studies with other countries and for evaluating the effectiveness of educational interventions.
气候变化对一些健康的基本决定因素产生不利影响，而儿童是最易受到环境风险因素影响的人群。本研究的主要目的是在葡萄牙背景下验证三个用于评估儿童环境卫生方面的态度、知识和技能的量表。开展了一项横断面观察性研究，以翻译、改编和验证由以下三个量表组成的问卷：态度量表（SANS_2）、知识量表（ChEHK-Q）和技能量表（ChEHS-Q）。这分两个阶段进行：翻译和改编过程以及使用经典测量理论和项目反应理论对本科护理专业学生进行的验证过程。我们获得了一份有效且可靠的用于测量儿童环境卫生能力的问卷，该问卷包括一个态度量表（α = 0.84）、一个知识量表（内拟合度 = 0.98，外拟合度 = 0.97，项目信度 = 0.98，人员信度 = 0.75）和一个技能量表（内拟合度 = 1.00，外拟合度 = 0.99，项目信度 = 0.82，人员信度 = 0.88）。态度量表的平均得分是28.15（5 - 35）± 4.61；知识量表的平均得分是14.92（0 - 26）± 4.51；技能量表的平均得分是42.51（24 - 60）± 6.41。我们发现，大多数葡萄牙本科护理专业学生在处理儿童环境卫生方面有非常好的环保态度以及良好的知识和技能。本研究中获得的问卷将有助于与其他国家进行比较研究，并用于评估教育干预的效果。
