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The Effects of Environmental Health Literacy and Climate Change-Health Perception on Climate Change-Health Nursing Practice Among Korean Community Health Practitioners: A Descriptive Correlational Study

Choi RM, Jang Y

Public health nursing (Boston, Mass.), 2026

144 participants

Abstract

Background: The climate crisis is among the most pressing public health threats of the 21st century, and the climate-health competencies of primary care nursing personnel serving medically underserved areas are a critical determinant of community resilience. Korean Community Health Practitioners (CHPs), established in 1980 under the Special Measures Act for Public Health and Medical Services in Rural Areas, have provided primary health care (PHC) in medically underserved rural regions for over 40 years; however, their environmental and climate-health competencies have rarely been studied.

Aims: This study examined the effects of Environmental Health Literacy (EHL) and Climate Change-Health Perception on Climate Change-Health Nursing Practice among Korean Community Health Practitioners.

Design: A descriptive cross-sectional correlational study.

Methods: Of 1,899 health practice posts nationwide as of 2023, we recruited Community Health Practitioners working in 567 health practice posts located in two administrative regions (J Special Self-Governing Province and J Province). Data were collected via a structured online survey from September 24 to October 31, 2024, yielding a final analytic sample of 144 participants. We administered the Korean Environmental Health Literacy scale (K-EHL, 38 items), the Korean version of the Climate, Health, and Nursing Tool (K-CHANT) Awareness/Concern/Motivation subscales (12 items), and a 32-item Climate Change-Health Nursing Practice checklist…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 144 participants or records.

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