{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T22:13:18Z","timestamp":1776204798919,"version":"3.50.1"},"reference-count":62,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: As early as 1995, the Institute of Medicine suggested that nurses were inadequately prepared for and educated about climate change and its health consequences. The aim of this systematic review is to identify the most reliable, robust, and valid instruments for measuring nurses\u2019 knowledge and awareness of climate change and climate-associated diseases. Methods: Included studies were appraised using the Mixed-Methods Appraisal Tool and the Appraisal tool for Cross-Sectional Studies. The psychometrics and clinimetrics of the instruments were evaluated using the COSMIN Risk of Bias checklist and the COSMIN methodology for assessing content validity. Results: Medline, PubMed, Embase, CINAHL Ebesco, Cochrane Library Wiley, Web of Science Core Collection, Trip Database, JBI OVID SP, GreenFILE EBSCO, Google Scholar, ProQuest Dissertations and Theses Global, and DART-EU were consulted. The 14 studies retained identified eight different instruments evaluating attitudes, perceptions, environmental awareness, environmental sensitivity, environmental attitudes, behaviours, motivation, concern, optimism, and experience. This review is reported according to the PRISMA guidelines. Conclusions: The New Ecological Paradigm Scale (NEPS) and the Climate, Health, and Nursing Tool (CHANT) are the most reliable, robust, and valid instruments for measuring nurses\u2019 knowledge and awareness of climate change and climate-associated diseases.<\/jats:p>","DOI":"10.3390\/nursrep14040209","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T12:01:54Z","timestamp":1728388914000},"page":"2850-2876","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Measuring Nurses\u2019 Knowledge and Awareness of Climate Change and Climate-Associated Diseases: Systematic Review of Existing Instruments"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9995-8306","authenticated-orcid":false,"given":"Omar","family":"Portela Dos Santos","sequence":"first","affiliation":[{"name":"Department of Nursing Sciences, School of Health Sciences, HES-SO Valais\/Wallis, University of Applied Sciences and Arts Western Switzerland, Chemin de l\u2019Agasse 5, CH-1950 Sion, Switzerland"},{"name":"Faculdade de Ci\u00eancias da Sa\u00fade e Enfermagem, Universidade Cat\u00f3lica Portuguesa, Rua de Diogo Botelho 1327, 4169-005 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5436-3179","authenticated-orcid":false,"given":"\u00c9lodie","family":"Perruchoud","sequence":"additional","affiliation":[{"name":"Department of Nursing Sciences, School of Health Sciences, HES-SO Valais\/Wallis, University of Applied Sciences and Arts Western Switzerland, Chemin de l\u2019Agasse 5, CH-1950 Sion, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9207-4856","authenticated-orcid":false,"given":"Filipa","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Nursing Sciences, School of Health Sciences, HES-SO Valais\/Wallis, University of Applied Sciences and Arts Western Switzerland, Chemin de l\u2019Agasse 5, CH-1950 Sion, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6348-3316","authenticated-orcid":false,"given":"Paulo","family":"Alves","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias da Sa\u00fade e Enfermagem, Universidade Cat\u00f3lica Portuguesa, Rua de Diogo Botelho 1327, 4169-005 Porto, Portugal"},{"name":"Centre for Interdisciplinary Research in Health (CIIS\u2014Wounds Research Lab), Universidade Cat\u00f3lica Portuguesa, 4169-005 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5375-3255","authenticated-orcid":false,"given":"Henk","family":"Verloo","sequence":"additional","affiliation":[{"name":"Department of Nursing Sciences, School of Health Sciences, HES-SO Valais\/Wallis, University of Applied Sciences and Arts Western Switzerland, Chemin de l\u2019Agasse 5, CH-1950 Sion, Switzerland"},{"name":"Faculdade de Ci\u00eancias da Sa\u00fade e Enfermagem, Universidade Cat\u00f3lica Portuguesa, Rua de Diogo Botelho 1327, 4169-005 Porto, Portugal"},{"name":"Service of Old Age Psychiatry, Department of Psychiatry, Lausanne University Hospital, Route de Cery 60, CH-1008 Lausanne, Switzerland"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.ejim.2022.08.001","article-title":"Physicians\u2019 Responsibility toward Environmental Degradation and Climate Change: A Position Paper of the European Federation of Internal Medicine","volume":"104","author":"Campos","year":"2022","journal-title":"Eur. 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