Transcultural Adaptation of Environmental Health Questionnaire with Attitude, Knowledge, and Skills Scales for Portuguese Nursing Students
<b>Background/Objectives:</b> Climate change adversely affects some of the fundamental determinants of health, and children are the population group most vulnerable to exposure to environmental risk factors. The main objective of this study was to validate in the Portuguese context three...
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MDPI AG
2025-01-01
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| Series: | Nursing Reports |
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| author | Cristina Álvarez-García Beatriz Edra Goreti Marques Catarina Simões Mª Dolores López-Franco |
| author_facet | Cristina Álvarez-García Beatriz Edra Goreti Marques Catarina Simões Mª Dolores López-Franco |
| author_sort | Cristina Álvarez-García |
| collection | DOAJ |
| description | <b>Background/Objectives:</b> Climate change adversely affects some of the fundamental determinants of health, and children are the population group most vulnerable to exposure to environmental risk factors. The main objective of this study was to validate in the Portuguese context three scales to assess attitudes, knowledge, and skills on children’s environmental health. <b>Methods</b>: A cross-sectional observational study was developed to translate, adapt, and validate the questionnaire consisting of the following three scales: Attitude Scale (SANS_2), knowledge scale (ChEHK-Q), and skills scale (ChEHS-Q). This was carried out in two phases: the translation and adaptation process and the validation process using classical measure theory and item response theory with undergraduate nursing students. <b>Results</b>: We obtained a valid and reliable questionnaire to measure children’s environmental health competence consisting of an attitude scale (α = 0.84), a knowledge scale (Infit = 0.98, Outfit = 0.97, item reliability = 0.98, and people reliability = 0.75), and a skills scale (Infit = 1.00, Outfit = 0.99, item reliability = 0.82, and people reliability = 0.88). The mean score on the attitude scale was 28.15 (5–35) ± 4.61; 14.92 (0–26) ± 4.51 on the knowledge scale; and 42.51 (24–60) ± 6.41 on the skills scale. <b>Conclusions</b>: We found that most Portuguese undergraduate nursing students have very good pro-environmental attitudes and good knowledge and skills in dealing with children’s environmental health. The questionnaire obtained in this study will be useful for comparative studies with other countries and for evaluating the effectiveness of educational interventions. |
| format | Article |
| id | doaj-art-8ec5148d52f348e2816cf9e78dbc8b13 |
| institution | Kabale University |
| issn | 2039-439X 2039-4403 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj-art-8ec5148d52f348e2816cf9e78dbc8b132025-01-24T13:44:28ZengMDPI AGNursing Reports2039-439X2039-44032025-01-011511310.3390/nursrep15010013Transcultural Adaptation of Environmental Health Questionnaire with Attitude, Knowledge, and Skills Scales for Portuguese Nursing StudentsCristina Álvarez-García0Beatriz Edra1Goreti Marques2Catarina Simões3Mª Dolores López-Franco4Department of Nursing, University of Jaén, 23071 Jaén, SpainDepartment of Nursing, Santa Maria Health School, 4049-024 Porto, PortugalDepartment of Nursing, Santa Maria Health School, 4049-024 Porto, PortugalDepartment of Nursing, Santa Maria Health School, 4049-024 Porto, PortugalDepartment of Nursing, University of Jaén, 23071 Jaén, Spain<b>Background/Objectives:</b> Climate change adversely affects some of the fundamental determinants of health, and children are the population group most vulnerable to exposure to environmental risk factors. The main objective of this study was to validate in the Portuguese context three scales to assess attitudes, knowledge, and skills on children’s environmental health. <b>Methods</b>: A cross-sectional observational study was developed to translate, adapt, and validate the questionnaire consisting of the following three scales: Attitude Scale (SANS_2), knowledge scale (ChEHK-Q), and skills scale (ChEHS-Q). This was carried out in two phases: the translation and adaptation process and the validation process using classical measure theory and item response theory with undergraduate nursing students. <b>Results</b>: We obtained a valid and reliable questionnaire to measure children’s environmental health competence consisting of an attitude scale (α = 0.84), a knowledge scale (Infit = 0.98, Outfit = 0.97, item reliability = 0.98, and people reliability = 0.75), and a skills scale (Infit = 1.00, Outfit = 0.99, item reliability = 0.82, and people reliability = 0.88). The mean score on the attitude scale was 28.15 (5–35) ± 4.61; 14.92 (0–26) ± 4.51 on the knowledge scale; and 42.51 (24–60) ± 6.41 on the skills scale. <b>Conclusions</b>: We found that most Portuguese undergraduate nursing students have very good pro-environmental attitudes and good knowledge and skills in dealing with children’s environmental health. The questionnaire obtained in this study will be useful for comparative studies with other countries and for evaluating the effectiveness of educational interventions.https://www.mdpi.com/2039-4403/15/1/13child healthenvironmental healthnursing studentsquestionnaire |
| spellingShingle | Cristina Álvarez-García Beatriz Edra Goreti Marques Catarina Simões Mª Dolores López-Franco Transcultural Adaptation of Environmental Health Questionnaire with Attitude, Knowledge, and Skills Scales for Portuguese Nursing Students Nursing Reports child health environmental health nursing students questionnaire |
| title | Transcultural Adaptation of Environmental Health Questionnaire with Attitude, Knowledge, and Skills Scales for Portuguese Nursing Students |
| title_full | Transcultural Adaptation of Environmental Health Questionnaire with Attitude, Knowledge, and Skills Scales for Portuguese Nursing Students |
| title_fullStr | Transcultural Adaptation of Environmental Health Questionnaire with Attitude, Knowledge, and Skills Scales for Portuguese Nursing Students |
| title_full_unstemmed | Transcultural Adaptation of Environmental Health Questionnaire with Attitude, Knowledge, and Skills Scales for Portuguese Nursing Students |
| title_short | Transcultural Adaptation of Environmental Health Questionnaire with Attitude, Knowledge, and Skills Scales for Portuguese Nursing Students |
| title_sort | transcultural adaptation of environmental health questionnaire with attitude knowledge and skills scales for portuguese nursing students |
| topic | child health environmental health nursing students questionnaire |
| url | https://www.mdpi.com/2039-4403/15/1/13 |
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