Preparedness, knowledge, and perception of nursing students about climate change and its impact on human health in India
Received date: 2023-06-18
Accepted date: 2024-03-29
Online published: 2024-04-30
Higher education plays an important role in all aspects of sustainability. Infusing climate change and sustainability into the curriculum is important to prepare future health-care professionals for climate change and sustainability actions to build resilient health systems. In this study, we evaluated the preparedness, knowledge, and perception regarding climate change and its impact on human health among Indian nursing students. A quantitative descriptive survey was conducted among 644 undergraduate nursing students studying in three institutes in the southern, northern, and western parts of India. We used a structured online questionnaire with established validity and reliability to collect data. The data were analyzed using Statistical Package for the Social Sciences version 26 software. The results showed that more than half of the students reported experiencing excessive increase (362; 56.2%) and decrease (374; 58.1%) in temperature in recent years. Though more than three quarters of the students (494; 76.7%) accepted the general truth that climate change is mainly caused by human activities, only less than half of the students (309; 48.0%) perceived the impact of climate change to be high. Three quarters of the students (483; 75.0%) had a high level of knowledge regarding climate change. The students who had a high level of knowledge about climate change exerted a high perceived impact of climate change (χ2=75.47; P<0.01). More than half of the students (50.9%) felt that they needed information about climate change to be included in the nursing curriculum, and only one sixth of the students (16.1%) were highly confident about engaging in climate change-related conversation with patients. Most of the students who participated in the study had basic knowledge about climate change and its impact on human health. However, there is an observed gap between knowledge and their preparedness and confidence to engage in climate change actions. Hence, we propose to strengthen the nursing curriculum by integrating various curricular and co-curricular activities related to climate change, so that future nurses are empowered to become climate change advocates.
Key words: Climate change; Curriculum; Nursing students; Human health; India
Ramya Kundayi RAVI , Priya BABY , Nidhin ELIAS , Jisa George THOMAS , Kathyayani Bidadi VEERABHADRAIAH , Bharat PAREEK . Preparedness, knowledge, and perception of nursing students about climate change and its impact on human health in India[J]. Regional Sustainability, 2024 , 5(1) : 100116 . DOI: 10.1016/j.regsus.2024.100116
| [1] | álvarez-Nieto, C., Richardson, J., Navarro-Perán, M.á., et al., 2022. Nursing students’ attitudes towards climate change and sustainability: A cross-sectional multisite study. Nurse Educ. Today. 108, 105185, doi: 10.1016/j.nedt.2021.105185. |
| [2] | An?ker, A., Spante, M., Elf, M., 2021. Nursing students’ perception of climate change and sustainability actions - A mismatched discourse: A qualitative, descriptive exploratory study. Nurse Educ. Today. 105, 105028, doi: 10.1016/j.nedt.2021.105028. |
| [3] | Filho, W.L., Yayeh Ayal, D., Wall, T., et al., 2023. An assessment of attitudes and perceptions of international university students on climate change. Clim. Risk Manag. 39, 100486, doi: 10.1016/j.crm.2023.100486. |
| [4] | Friedrich, M.J., 2017. Medical community gathers steam to tackle climate’s health effects. JAMA-J. 317(15), 1511-1513. |
| [5] | Ghazy, H.K., Fathy, D.M., 2023. Effect of awareness program regarding climate change on knowledge, attitudes and practices of university students. International Egyptian Journal of Nursing Sciences and Research. 3(2), doi: 10.21608/EJNSR.2023.277896. |
| [6] | International Council of Nurses, 2021. The ICN Code of Ethics for Nurses. [2023-12-30]. https://www.icn.ch/system/files/2021-10/ICN_Code-of-Ethics_EN_Web_0.pdf. |
| [7] | Kabir, M.I., Rahman, M.B., Smith, W., et al., 2016. Knowledge and perception about climate change and human health: Findings from a baseline survey among vulnerable communities in Bangladesh. BMC Public Health. 16, 266, doi: 10.1186/s12889-016-2930-3. |
| [8] | Kotcher, J., Maibach, E., Miller, J., et al., 2021. Views of health professionals on climate change and health: A multinational survey study. The Lancet Planetary Health. 5(5), e316-e323. |
| [9] | Liao, W.M., Yang, L.P., Zhong, S., et al., 2019. Preparing the next generation of health professionals to tackle climate change: Are China’s medical students ready? Environ. Res. 168, 270-277. |
| [10] | Maibach, E.W., Kreslake, J.M., Roser-Renouf, C., et al., 2015. Do Americans understand that global warming is harmful to human health? Evidence from a national survey. Ann. Glob. Health. 81(3), 396-409. |
| [11] | Maxwell, J., Blashki, G., 2016. Teaching about climate change in medical education: An opportunity. J. Public Health Res. 5(1), 673, doi: 10.4081/jphr.2016.673. |
| [12] | McKinnon, S., Breakey, S., Fanuele, J.R., et al., 2022. Roles of health professionals in addressing health consequences of climate change in interprofessional education: A scoping review. J. Clim. Chang Health. 5, 100086, doi: 10.1016/j.joclim.2021.100086. |
| [13] | National Education Policy, 2020. Ministry of Human Resource Development, GOI. [2023-12-26]. https://www.education.gov.in/sites/upload_files/mhrd/files/NEP_Final_English_0.pdf. |
| [14] | Nigatu, A.S., Asamoah, B.O., Kloos, H., 2014. Knowledge and perceptions about the health impact of climate change among health sciences students in Ethiopia: A cross-sectional study. BMC Public Health. 14(1), 587, doi: 10.1186/1471-2458-14-587. |
| [15] | Nijamudeen, S.S., Nisha, D., Dutta, R., et al., 2021. Awareness of climate change and its impact on public health among medical and paramedical students in a teaching hospital of Tamil Nadu. Annals of Tropical Medicine & Public Health. 23(23), doi: 10.36295/asro.2020.2323111. |
| [16] | Pandve, H.T., Raut, A., 2011. Assessment of awareness regarding climate change and its health hazards among the medical students. Indian J. Occup. Environ. Med. 15(1), 42-45. |
| [17] | Polivka, B.J., Chaudry, R.V., Mac Crawford, J., 2012. Public health nurses’ knowledge and attitudes regarding climate change. Environ. Health Perspect. 120(3), 321-325. |
| [18] | Purcell, R., Mcgirr, J., 2014. Preparing rural general practitioners and health services for climate change and extreme weather. Aust. J. Rural Health. 22(1), 8-14. |
| [19] | Ratinen, I., 2021. Students’ knowledge of climate change, mitigation and adaptation in the context of constructive hope. Educ. Sci. (Basel). 11(3), 103, doi: 10.3390/educsci11030103. |
| [20] | Ryan, E.C., Dubrow, R., Sherman, J.D., 2020. Medical, nursing, and physician assistant student knowledge and attitudes toward climate change, pollution, and resource conservation in health care. BMC Med. Educ. 20(1), doi: 10.1186/s12909-020-02099-0. |
| [21] | Salem, M.R, Hegazy, N., Thabet Mohammed, A.A., et al., 2022. Climate change-related knowledge and attitudes among a sample of the general population in Egypt. Front Public Health. 10, 1047301, doi: 10.3389/fpubh.2022.1047301. |
| [22] | Sambath, V., Narayan, S., Kumar, P., et al., 2022. Knowledge, attitudes and practices related to climate change and its health aspects among the healthcare workforce in India - A cross-sectional study. J Clim. Chang. Health. 6, 100147, doi: 10.1016/J.JOCLIM.2022.100147. |
| [23] | Tuna, H.I., Tuna, P.T., Molu, B., et al., 2022. Determination of nursing students’ awareness of the health effects of climate change: Discovery service para EDP university. Int. J. Car. Sci. 15(2), 1149-1156. |
| [24] | van Wijk, M., Naing, S.Y., Franchy, S.D., et al., 2020. Perception and knowledge of the effect of climate change on infectious diseases within the general public: A multinational cross-sectional survey-based study. PLoS ONE. 15(11), e0241579, doi: 10.1371/journal.pone.0241579. |
| [25] | Watts, N., Adger, W.N., Agnolucci, P., et al., 2015. Health and climate change: Policy responses to protect public health. Lancet. 386(10006), 1861-1914. |
| [26] | Whitley, C.T., Takahashi, B., Zwickle, A., et al., 2018. Sustainability behaviors among college students: An application of the VBN theory. Environ. Educ. Res. 24(2), 245-262. |
| [27] | Winkler, M.S., R??sli, M., Ragettli, M.S., et al., 2015. Mitigating and adapting to climate change: A call to public health professionals. Int. J. Public Health. 60(6), 631-632. |
| [28] | WHO World Health Organization, 2018. COP24 Special Report: Health and Climate Change. [2023-11-06]. https://apps.who.int/iris/handle/10665/276405. |
| [29] | WHO World Health Organization, 2019. Health, Environment and Climate Change. [2023-11-06]. https://www.who.int/docs/default-source/climate-change/who-global-strategy-on-health-environment-and-climate-change-a72-15.pdf?sfvrsn=20e72548_2. |
| [30] | Xiao, J., Fan, W., Deng, Y., et al., 2016. Nurses’ knowledge and attitudes regarding potential impacts of climate change on public health in central of China. Int. J. Nurs. Sci. 3(2), 158-161. |
| [31] | Yale Project on Climate Change Communication, 2018. Climate Change in the Indian Mind. [2023-12-26]. https://climatecommunication.yale.edu/wp-content/uploads/2016/02/2012_08_Climate-Change-in-the-Indian-Mind.pdf. |
| [32] | Yang, L.P., Liao, W.M., Liu, C.J., et al., 2018. Associations between knowledge of the causes and perceived impacts of climate change: A cross-sectional survey of medical, public health and nursing students in universities in China. Int. J. Environ. Res. 15(12), 2650, doi: 10.3390/ijerph15122650. |
| [33] | Zeeshan, M., Sha, L.Q, Tomlinson, K.W., et al., 2021. Factors shaping students’ perception of climate change in the western Himalayas, Jammu & Kashmir, India. Curr. Res. Environmental Sustainability. 3, 100035, doi: 10.1016/j.crsust.2021.100035. |
/
| 〈 |
|
〉 |