The Effect of an Emancipatory Knowing-Based Training Program on the Carbon Footprint of Postpartum Nursing Care

The Effect of an Emancipatory Knowing-Based Training Program on the Carbon Footprint of Postpartum Nursing Care: A Quasi-Experimental Study

This study aims to examine the effect of a training program based on Emancipatory Knowing on nurses' awareness and practices related to carbon footprint reduction in postpartum nursing care. In the first phase of the study, the carbon footprint of postpartum nursing care procedures - including those performed after both vaginal and cesarean deliveries - will be measured and compared using a validated observation-based inventory. In the second phase, nurses working in postpartum units will receive a structured educational intervention developed within the PEACE+G model framework. Before and after the training, nurses' carbon footprint-related knowledge, attitudes, and behaviors will be assessed. Findings are expected to contribute to the development of environmentally sustainable nursing practices in women's health.

Study Overview

• Status: Not yet recruiting
• Conditions: Behavioral Changes
• Intervention / Treatment: Behavioral: PEACE+G Model-Based Emancipatory Knowing Training Program

• Study Type: Interventional
• Enrollment (Estimated): 24
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: HATİCENUR BALABAN KAPTAN, RN, MSN, PhD(c) öneririm.; Phone Number: +90 5433067622; Email: haticebalaban55@gmail.com
• Study Contact Backup: Name: Ozen Kulakaç, PhD, Professor; Phone Number: 09003621919; Email: ozenkulakac@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Working as a nurse in a postpartum unit Having at least 6 months of clinical experience in postpartum care Volunteering to participate in the study Being able to read and write in Turkish

Exclusion Criteria:

• Being on leave (maternity, sick, or annual leave) during the study period Having previously received training on carbon footprint or environmental sustainability in healthcare Withdrawing consent to participate at any stage of the study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: Intervention Group; Nurses working in postpartum units who will receive a structured training program based on the PEACE+G model (Emancipatory Knowing framework) aimed at reducing the carbon footprint of postpartum nursing care.

Behavioral: PEACE+G Model-Based Emancipatory Knowing Training Program; The PEACE+G Training Program is a structured educational intervention developed based on the Emancipatory Knowing framework in nursing, extended with a Governance dimension. The program consists of theoretical and reflective practice sessions delivered to postpartum unit nurses. Content covers carbon footprint measurement in healthcare, environmentally sustainable postpartum nursing care practices, and nurses' roles in reducing greenhouse gas emissions. The training is organized around six core criteria: Praxis, Empowerment, Awareness, Cooperation, Evolvement, and Governance (PEACE+G). Pre-test and post-test assessments are conducted using the validated PEACE-KAİ instrument to evaluate changes in nurses' knowledge, attitudes, and behaviors regarding carbon footprint reduction in postpartum care.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Carbon Footprint of Postpartum Nursing Care	The carbon footprint (kg CO₂e) of postpartum nursing care procedures following vaginal and cesarean deliveries, measured using a validated observation-based carbon footprint inventory (PEACE-KAİ).	Baseline (before intervention)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Nurses' Carbon Footprint Knowledge, Attitude and Behavior	Assessed using the validated PEACE-KAİ instrument before and after the PEACE+G training program.	Baseline and immediately after intervention
Comparison of Carbon Footprint Between Vaginal and Cesarean Delivery Postpartum Care	Carbon footprint values (kg CO₂e) compared between two delivery types.	Baseline (before intervention)

Collaborators and Investigators

• Sponsor: Ondokuz Mayıs University

Study record dates

Study Major Dates

• Study Start (Estimated): April 1, 2026
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): June 1, 2027

Study Registration Dates

• First Submitted: March 10, 2026
• First Submitted That Met QC Criteria: March 10, 2026
• First Posted (Actual): March 16, 2026

Study Record Updates

• Last Update Posted (Actual): March 16, 2026
• Last Update Submitted That Met QC Criteria: March 10, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Other Study ID Numbers: 2024-1283

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: 19:54No individual participant data sharing is planned. The study involves healthcare professionals (nurses) as participants, not patients. Data will be reported only in aggregate form to protect participant confidentiality.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No