{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T09:21:47Z","timestamp":1788340907616,"version":"build-2803163510"},"reference-count":56,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to explore nurses' ecological footprint awareness and how this awareness is reflected in their professional practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Healthcare services contribute significantly to environmental degradation through intensive energy consumption, the use of disposable materials, and large\u2010scale waste production. As the largest professional group within healthcare systems, nurses play a critical role in promoting environmentally sustainable practices. Understanding nurses\u2019 perceptions and experiences related to ecological footprint awareness is essential for developing sustainable healthcare practices and policies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative phenomenological study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study included 18 nurses working in different hospitals located in several cities in the eastern region of Turkey. Data were collected through semi\u2010structured in\u2010depth interviews and analyzed using Braun and Clarke's reflexive thematic analysis. The analysis focused on identifying patterns of meaning in nurses\u2019 experiences regarding ecological footprint awareness and environmental sustainability in clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Although many participants demonstrated awareness of ecological footprint issues, the translation of this awareness into environmentally sustainable practices remained limited. The analysis identified four main themes: \u201cSustaining Care in the Face of a Depleting Nature\u201d, \u201cAwareness Exists, Implementation is Limited\u201d, \u201cThe Quest for Sustainable Nursing\u201d and \u201cEthical and Emotional Burden of the Ecological Footprint\u201d.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Nurses experience environmental sustainability as both a professional and ethical concern embedded within daily care practices. However, the translation of environmental awareness into sustainable clinical practices is often constrained by structural and organizational factors. Strengthening institutional policies, leadership support, and environmental education in nursing is essential to promote sustainable healthcare practices.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/phn.70147","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T05:00:56Z","timestamp":1783054856000},"page":"1272-1284","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Can Care Continue While Nature is Depleted? A Qualitative Study on Ecological Footprint Awareness and Nursing Practices"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7087-8810","authenticated-orcid":false,"given":"Nesrullah","family":"Ay\u015fin","sequence":"first","affiliation":[{"name":"First Aid and Emergency Assistance Programme, Department of Medical Services and Techniques Hakkari University  Hakkari Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2316-3446","authenticated-orcid":false,"given":"Kemal","family":"Yaran","sequence":"additional","affiliation":[{"name":"Department of Medical Services and Techniques Mu\u015f Alparslan University  Mu\u015f Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2192-9521","authenticated-orcid":false,"given":"Jiyan Tan","family":"Ay\u015fin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Van Training and Research Hospital, University of Health Sciences  Van Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1272-4223","authenticated-orcid":false,"given":"Samet","family":"Kolta\u015f","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Hakkari University  Hakkari Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6992-6229","authenticated-orcid":false,"given":"Kamber","family":"S\u00fcmer","sequence":"additional","affiliation":[{"name":"Department of Emergency Aid and Disaster Management, Faculty of Health Sciences Hakkari University  Hakkari Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4519-3286","authenticated-orcid":false,"given":"Emine Kurt","family":"Can","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Nursing, Faculty of Health Sciences Van Y\u00fcz\u00fcnc\u00fc Y\u0131l University  Van Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.63278\/jicrcr.vi.1907"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.105185"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.37184\/lnjpc.2707\u20103521.2.10"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12121"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12655"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201003285\u20105"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912\u2010025\u201003313\u20104"},{"issue":"1","key":"e_1_2_12_9_1","first-page":"231","article-title":"Nitel Ara\u015ftirmalarda \u00d6rnekleme Y\u00f6ntemleri ve \u00d6rnek Hacmi Sorunsali \u00dczerine Kavramsal Bir Inceleme","volume":"7","author":"Baltac\u0131 A.","year":"2018","journal-title":"Bitlis Eren \u00dcniversitesi Sosyal Bilimler Dergisi"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/jonm\/5296442"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2025.101333"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/nursrep15070226"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2026.02.003"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0958305X211008610"},{"key":"e_1_2_12_16_1","volume-title":"Qualitative Inquiry and Research Design: Choosing among Five Approaches","author":"Creswell J. 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