Impact of Multidimensional Education on Nursing Students' Sustainability Attitudes and Climate Change Awareness

August 27, 2026 updated by: Nurdan YALÇIN ATAR, Saglik Bilimleri Universitesi

The Impact of Multidimensional Education on Nursing Students' Sustainable Environment Attitudes and Awareness of Climate Change

This study aims to evaluate the impact of a multidimensional educational intervention on sustainable environment and global climate change for nursing students. The intervention consists of expert training provided by an environmental engineer, peer training provided by a senior nursing student, and an AI-generated animation with expert input. Students' attitudes towards a sustainable environment and their awareness of global climate change were assessed before, immediately after, and four weeks after the training.

Study Overview

Detailed Description

This study evaluates the effect of a multidimensional educational intervention on nursing students' sustainable environmental attitudes and awareness of global climate change. The intervention consists of three components: an expert-led educational session on sustainable environment and health services, a peer-led educational session on sustainable environment, health, and climate change, and a short artificial intelligence-generated animation developed with expert input.

The study uses a single-group pretest-posttest quasi-experimental design. The participants are first-year undergraduate nursing students at a state university in Istanbul, Türkiye. Participants complete assessments at three time points: before the intervention (baseline), immediately after completion of the intervention, and four weeks after the intervention. Sustainable environmental attitudes are assessed using the Sustainable Environmental Education Attitude Scale, and awareness of global climate change is assessed using the Awareness Scale of University Students About Global Climate Change.

The study aims to determine whether this multidimensional educational approach can improve nursing students' attitudes toward sustainable environmental practices and their awareness of global climate change. The findings may contribute to the development of sustainability- and climate change-related educational strategies in undergraduate nursing education.

Study Type

Interventional

Enrollment (Actual)

106

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Usküdar
      • Istanbul, Usküdar, Turkey (Türkiye), 38000
        • University of Health Sciences/ Hamidiye Faculty of Nursing

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • First-year undergraduate nursing student enrolled in the nursing department of the participating university.
  • Voluntary participation in the study.
  • Provision of written informed consent.

Exclusion Criteria:

  • Refusal to participate in the study.
  • Failure to complete either of the last two assessments (immediate post-test or 4-week follow-up assessment).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Multidimensional Educational Intervention
Participants receive a multidimensional educational intervention consisting of three components: (1) an expert-led education session on sustainable environment and health services, (2) a peer-led education session on sustainable environment, health, and climate change, and (3) a short AI-generated animation on sustainable environment and climate change that is reviewed by experts. The intervention is delivered to all participants in a single group.
The intervention consists of three components: an expert-led education session on sustainable environment and health services, a peer-led education session on sustainable environment, health, and climate change, and a short AI-generated animation reviewed by experts. The intervention is delivered to all participants in a single group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Sustainable Environmental Attitude
Time Frame: Baseline, immediately after the intervention, and 4 weeks after the intervention
Sustainable environmental attitudes will be assessed using the 30-item Sustainable Environmental Education Attitude Scale (SEEAS), developed by Afacan and Güler (2011). The scale consists of six dimensions: consciousness toward sustainable environment, negative thoughts, volunteering, frugality, sensitivity, and economical consumption. Items are rated on a 5-point Likert scale. Higher scores indicate more positive attitudes toward sustainable environment. The scale will be administered before the intervention, immediately after the intervention, and four weeks after the intervention.
Baseline, immediately after the intervention, and 4 weeks after the intervention
Awareness of Global Climate Change
Time Frame: Baseline, immediately after the intervention, and 4 weeks after the intervention
Awareness of global climate change will be assessed using the 21-item Awareness Scale of University Students About Global Climate Change (ASUSGCC), developed by Deniz et al. (2021). The scale consists of four dimensions: effects on the natural and human environment, awareness of global organizations and agreements, causes of climate change, and relationship with energy consumption. Items are rated on a 5-point Likert scale ranging from 1 (not aware at all) to 5 (completely aware). Total scores range from 21 to 105, with higher scores indicating greater awareness of global climate change. The scale will be administered before the intervention, immediately after the intervention, and four weeks after the intervention.
Baseline, immediately after the intervention, and 4 weeks after the intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Ahmet OZDEMIR, University of Health Sciences/Hamidiye Faculty of Nursing

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 19, 2026

Primary Completion (Actual)

May 20, 2026

Study Completion (Actual)

June 19, 2026

Study Registration Dates

First Submitted

August 25, 2026

First Submitted That Met QC Criteria

August 27, 2026

First Posted (Actual)

August 31, 2026

Study Record Updates

Last Update Posted (Actual)

August 31, 2026

Last Update Submitted That Met QC Criteria

August 27, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SaglikBilimleriU1

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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