Validity and Reliability of the Korean Version of the Climate, Health, and Nursing Tool

Abstract

Purpose: Climate change has various negative effects on human health, which has resulted in increased burden on the health care system. Nurses contribute significantly to assessing climate-related health risks and creating a healthy environment. This study aimed to evaluate the reliability and validity of the Korean version of the Climate, Health, and Nursing Tool (K-CHANT) to measure nurses&apos; awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. Methods: The 22 items of English CHANT were translated into Korean with forward-backward translation techniques. Internal consistency reliability, test-retest reliability, and construct validity using confirmatory factor analysis were performed using SPSS WIN (25.0) and AMOS (26.0). Survey data were collected from 220 master&apos;s, doctoral, and post-doctoral nursing students. Results: The K-CHANT consists of 20 items across 5 domains. Two items of the original CHANT were excluded because of low content validity index and standardized regression weights. The internal consistency reliability of the K-CHANT, assessed by Cronbach&apos;s aa was.81, with an intraclass correlation coefficient of .66 similar to.90. The five subscales model was validated by confirmatory factor analysis (SRMR <.08, RMSEA <.08, AGFI >.70, CFI >.70). Conclusion: The K-CHANT has satisfactory construct validity and reliability to measure nurses&apos; awareness, motivation, concern, and behaviors at work and at home regarding climate change and health. Future research should examine nurses&apos; perceptions and behaviors related to the health effects of climate change and develop an action plan to improve it.