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Objective: To confirm the factor structure of the Climate, Health, and Nursing Tool (CHANT) tool via confirmatory factor analysis. Design and sample: This is a cross‐sectional analysis of voluntary, anonymous responses collected online in 2019, from a non‐representative sample of 489 nurses from 12 nations with 95% of the respondents from the United States. Measurements: A confirmatory factor analysis (CFA) was conducted to test a five‐factor measurement model of the 22‐item CHANT. Reliability was examined via Cronbach's α coefficient. Results: The five CHANT subscales demonstrated acceptable reliability with Cronbach's α ranging from 0.67 to 0.91. The five‐factor model of CHANT demonstrated good fit, x2(199) = 582.747, p <.001, CFI = 0.94, RMSEA = 0.06, and SRMR = 0.04 with statistically significant item‐factor loadings. Conclusion: CHANT is a reliable and robust instrument to measure nurses' awareness, concern, motivation, and home and work behaviors regarding climate change and health, and is ready to be utilized in research, policy, professional settings, and among educators. [ABSTRACT FROM AUTHOR]

There is an urgent call to redesign health care to be more equitable, to address the climate change crisis, and to implement the United Nations' Sustainable Development Goals (SDGs) for the health of the global community. Now is the time for nurses to get involved in leading these necessary changes. In 2019, the authors were chosen to present a concurrent session at the 68th United Nations Civil Society Conference. The conference focused on SDG 11, Building Inclusive and Sustainable Cities and Communities. The experience convinced the authors that nurses have unique knowledge and skills to contribute to the mission of the United Nations. [ABSTRACT FROM AUTHOR]

Aim(s) Design Methods Results Conclusion Implications for the Profession and/or Patient Care Impact Reporting Method Patient or Public Contribution To describe a sample of healthcare professionals' responses to the valid and reliable Climate and Health Tool and compare participant characteristics relating to Climate and Health Tool subscales.Observational, cross‐sectional, multi‐site study.An electronic survey containing the Climate and Health Tool was administered to healthcare professionals across a large, multi‐state health system in the Western United States with a committed effort to reducing carbon emissions.One thousand three hundred and sixty‐three participants reported moderately elevated levels of awareness and concern around climate impacts on health and motivation to participate in climate protective actions. Respondents reported moderate levels of climate‐protecting behaviours at home and low levels at work. Females were more concerned and motivated. Medical staff and respondents reporting familiarity with system environmental initiatives reported more awareness and behaviours at home to preserve climate health.Healthcare professionals are concerned and motivated to decrease climate impacts on health yet take little action at work to preserve the climate. Because of the intersection of climate change, health, and healthcare, healthcare organizations should prioritize and support meaningful action for healthcare professionals to meet community climate health needs.Healthcare organizations committed to contributing to climate solutions can use this research to increase healthcare professionals' education, engagement, and impact to preserve the climate and health of communities. Healthcare is a major contributor to carbon emissions, yet healthcare professionals' awareness, motivation, concern, and behaviours related to climate change and health were not clear. Our research showed healthcare professionals are aware and concerned about climate impacts on health but reported low levels of workplace behaviours to protect the climate. The findings of our research will impact healthcare professionals and healthcare organizations to focus efforts on climate‐preserving behaviours. This manuscript followed the STROBE guidelines.None. [ABSTRACT FROM AUTHOR]

This article is one in a series in which contributing authors discuss how the United Nations (UN) Sustainable Development Goals (SDGs) are linked to everyday clinical issues; national public health emergencies; and other nursing issues, such as leadership, shared governance, and advocacy. The 2030 Agenda for Sustainable Development, a 15-year plan of action to achieve the goals, was unanimously adopted by all UN member states in September 2015 and took effect on January 1, 2016. The Agenda consists of 17 SDGs addressing social, economic, and environmental determinants of health and 169 associated targets focused on five themes: people, planet, peace, prosperity, and partnership. The SDGs build on the work of the UN Millennium Development Goals, which were in effect from 2000 to 2015. The current article highlights SDG 11-making "cities and human settlements inclusive, safe, resilient and sustainable.", (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)

Objective: To examine changes in registered nurse (RN) perceptions of electronic documentation over a 4-year period., Background: The investigators previously reported differences in RN perceptions prior to and 1 year after adoption of a comprehensive electronic health record (EHR)., Methods: Investigators repeated the study 4 years after adoption, using the Nurses' Perceptions of Electronic Documentation tool and interviews with a subset of RNs., Results: Nurses scored higher on ease of use domain and lower on concern about the EHR domain and showed no difference on the impacts of the EHR domain. Interviews revealed that 4 years later, some aspects of documentation were easier; the tool was comprehensive, but not without risk, and nurses remained ambivalent about the EHR., Conclusions: Use of EHR technology impacts nursing work. It is important to understand how nurses' perceptions change over time. This study gives nursing leaders insight into adoption and acceptance of an EHR.

Nurses in acute care settings are affected by the technologies they use, including electronic health records. This study investigated the impacts of adoption of a comprehensive electronic health record by measuring nursing locations and interventions in three units before and 12 months after adoption. Time-motion methodology with a handheld recording platform based on Omaha System standardized terminology was used to collect location and intervention data. In addition, investigators administered the Caring Efficacy Scale to better understand the effects of the electronic health record on nursing care efficacy. Several differences were noted after the electronic health record was adopted. Nurses spent significantly more time in patient rooms and less in other measured locations. They spent more time overall performing nursing interventions, with increased time in documentation and medication administration, but less time reporting and providing patient-family teaching. Both before and after electronic health record adoption, nurses spent most of their time in case management interventions (coordinating, planning, and communicating). Nurses showed a slight decrease in perceived caring efficacy after adoption. While initial findings demonstrated a trend toward increased time efficiency, questions remain regarding nurse satisfaction, patient satisfaction, quality and safety outcomes, and cost.