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This study aims to evaluate the effect of peer education on climate change awareness and climate change anxiety levels among nursing students at the Faculty of Health Sciences, Istanbul Aydin University.
Within the scope of the study, changes in students' awareness and anxiety levels before and after the peer education intervention will be assessed.
The study is expected to contribute to improving nursing students' knowledge and awareness regarding the health impacts of climate change and to support the integration of sustainability and environmental health into nursing education.
The aim of this study is to evaluate the effect of peer education on climate change awareness and climate change anxiety levels among nursing students at the Faculty of Health Sciences, Istanbul Aydin University.
The study will be conducted using a single-group quasi-experimental pretest-posttest design. Nursing students enrolled in the department will constitute the study population.
Based on a power analysis conducted with a significance level of 0.05 (α=0.05), a statistical power of 95% (1-β=0.95), and a medium effect size (Cohen's d=0.50), a minimum sample size of 54 participants was calculated. Considering a possible data loss rate of 10-15%, it is planned to recruit approximately 65 students.
The study aims to determine nursing students' knowledge, awareness, and sensitivity regarding the health impacts of climate change, and to contribute to strengthening the sustainability and environmental health components of nursing education.
This research is also aligned with the International Council of Nurses (ICN, 2018) call for nurses to reduce the negative effects of climate change on public health, support climate action, and contribute to sustainable development goals.
Furthermore, the study contributes to the United Nations Sustainable Development Goals (SDGs):
Goal 3: Good Health and Well-being Goal 4: Quality Education Goal 13: Climate Action
Exclusion Criteria:
Being a non-nursing student or a guest student Not providing informed consent Submitting incomplete questionnaires (≥20% missing responses)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Peer Education Group | Experimental | Participants will receive peer education on climate change. Pretest and posttest assessments will be conducted to evaluate changes in awareness and anxiety levels. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Peer Education | Other | Peer education sessions will be provided to nursing students to improve their knowledge and awareness about climate change and its health impacts. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Climate Change Awareness Levels | Climate change awareness will be measured using the Climate Change Awareness Scale (CCAS). Changes in total scores from baseline (pre-intervention) to post-intervention will be evaluated. Higher scores indicate higher levels of climate change awareness. | Baseline and immediately after peer education intervention |
| Change in Climate Change Anxiety Levels | Climate change anxiety will be assessed using the Climate Change Worry Scale. Changes in total scores from baseline (pre-intervention) to post-intervention will be evaluated. Higher scores indicate higher levels of climate-related anxiety. | Baseline and immediately after peer education intervention |
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Inclusion Criteria:
Being a nursing student at the Faculty of Health Sciences Being enrolled at Istanbul Aydin University Voluntarily agreeing to participate in the study Providing informed consent
Exclusion Criteria:
Being a student outside the nursing department or a guest student Not providing informed consent Submitting incomplete questionnaires (≥20% missing responses)
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tuğba ŞAHİN TOKATLIOĞLU, Dr. | Contact | +905394748707 | tsahintokatlioglu@aydin.edu.tr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Aydin University, Faculty of Health Sciences | Recruiting | Istanbul | None Selected | 34295 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Atwoli L, Baqui AH, Benfield T, Bosurgi R, Godlee F, Hancocks S, et al. Call for emergency action to limit global temperature increases, restore biodiversity, and protect health; wealthy nations must do much more, much faster. Int J Health Policy Manag. 2021;10(10):602-4. Hess JJ, McDowell JZ, Luber G. Integrating climate change adaptation into public health practice: using adaptive management to increase adaptive capacity and build resilience. Environ Health Perspect. 2012;120(2):171-9. Xie E, de Barros EF, Abelsohn A, Stein AT, Haines A. Challenges and opportunities in planetary health for primary care providers. The lancet Planetary Health. 2018;2(5):e185-7. Bugaj TJ, Heilborn M, Terhoeven V, Kaisinger S, Nagy E, Friederich H-C, et al. What do Final Year Medical Students in Germany know and think about climate change?-the climattitude study. Med Educ Online. 2021;26(1):1917037. Bülbül, S. & Kocagözoğlu, S. G. (2022). Sürdürülebilir kalkınma hedefleri gözüyle iklim değişikliği. Yalçın, S.S., editör. Küresel İklim Değişikliğinin Çok Disiplinli Gözden Geçirilmesi ve Çocukluktan Erişkinliğe Etkileri. 1. Baskı. Ankara: Türkiye Klinikleri, 115-9. https://www.turkiyeklinikleri.com/ article/tr-surdurulebilir-k Ergin, E., Altinel, B., & Aktas, E. (2021). A mixed method study on global warming, climate change and the role of public health nurses from the perspective of nursing students. Nurse Education Today, 107, 105144. https://doi. org/10.1016/j.nedt.2021.105144 Gürgen Şimşek, H. & Altuğ Özsoy S. (2024). Sağlık kuruluşlarında hemşireler için yeşil bir uygulama: Geri dönüşüm. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(1), 145-151. https://dergipark.org.tr/tr/download/ article-file/3062390 Amerson, R. M., Boice, O., Mitchell, H., & Bible, J. (2022). Nursing faculty's perceptions of climate change and sustainability. Nursing Education Perspectives, 43(5), 277-282. https:// doi.org/10.1097/01.NEP.000.000.0000000991 Leffers, J., McDermott-Levy, R |
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Participants will receive a peer education intervention on climate change. A pretest-posttest design will be used to evaluate changes in climate change awareness and climate change anxiety levels before and after the intervention.
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