Purpose 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. Methods 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. Results 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). Conclusion 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.
Citations
Citations to this article as recorded by
Climate change perceptions and behaviors among Korean nurses: The role of organizational initiatives Dukhyun Back, Kihye Han, Jieun Kim, Hyang Baek Nursing Outlook.2025; 73(3): 102383. CrossRef
Measuring Nurses’ Knowledge and Awareness of Climate Change and Climate-Associated Diseases: Systematic Review of Existing Instruments Omar Portela Dos Santos, Élodie Perruchoud, Filipa Pereira, Paulo Alves, Henk Verloo Nursing Reports.2024; 14(4): 2850. CrossRef
Validation of the Sustainability Attitudes in Nursing Survey-2 for nurses: A cross-sectional study Sophia J. Chung, Sun Joo Jang, Haeyoung Lee Nurse Education in Practice.2024; 75: 103898. CrossRef
Factors affecting environmental sustainability attitudes among nurses – Focusing on climate change cognition and behaviours: A cross‐sectional study Sophia J. Chung, Haeyoung Lee, Sun Joo Jang Journal of Advanced Nursing.2024;[Epub] CrossRef
Nurses' Perceptions and Behaviours Regarding Climate Change and Health: A Quantile Regression Analysis Min Kyung Park, Seoyoung Baek, Da Woon Jeong, Gwang Suk Kim Journal of Advanced Nursing.2024;[Epub] CrossRef
Exploring influences of environmental information, beliefs and self‐efficacy on nurses' climate health behaviours and their relationships Jeongmin Yi, Yeojin Yi Journal of Advanced Nursing.2024;[Epub] CrossRef
Factors related to perceptions of climate health impact and climate action: Focusing on the Health Belief Model Hansol Lee, Jaehee Kim, Yuri Lee Korean Journal of Health Education and Promotion.2024; 41(2): 31. CrossRef
Climate Change and Nursing Yoomi Jung Journal of Korean Academy of Nursing.2024; 54(4): 475. CrossRef
Development and Validation of a Dignity in Care Scale of Terminally Ill Patients for Nurses Yun Sil Ahn, Pok Ja Oh Journal of Korean Academy of Nursing.2023; 53(3): 340. CrossRef
Climate, Health, and Nursing Tool (CHANT): A confirmatory factor analysis Anna Winquist, Elizabeth C. Schenk, Cara Cook, Shanda Demorest, Ekaterina Burduli Public Health Nursing.2023; 40(2): 306. CrossRef
Factors Influencing Nursing Graduate Students’ Perception and Behavior Related to Climate Change and Health: A Secondary Data Analysis Min Kyung Park, Seoyoung Baek, Da Woon Jeong, Gwang Suk Kim Korean Journal of Adult Nursing.2023; 35(1): 71. CrossRef