The Dutch-translated Climate and Health Tool for nurses: cross-cultural adaptation and validation.
The Dutch version of the Climate and Health Tool is a validated instrument that can help assess nurses' competencies related to climate change and health.
Where it sits
this study against the rest of the eloralintide corpusSummary and findings
The study aimed to translate and validate the Climate and Health Tool for nurses from American-English into Dutch. A total of 292 nurses participated in the psychometric evaluation. The Dutch version demonstrated moderate model fit and good internal consistency.
Abstract
<h4>Background</h4>Health systems in the Netherlands must be equipped to respond to climate-related challenges. As a trusted interface between society and healthcare, nurses play a critical leadership role in mitigating and addressing climate-sensitive health risks. Establishing a baseline understanding of nurses' awareness, concern, motivation and behaviors related to climate change is therefore essential. However, no validated Dutch instrument exists to assess these competencies. The Climate and Health Tool, originally developed and validated in the United States of America, has demonstrated strong reliability and validity and offers a promising foundation for adaptation.<h4>Objective</h4>To translate, culturally adapt and validate the Climate and Health Tool from American-English into Dutch.<h4>Methods</h4>The study followed a six-stage process. The first five stages focused on cross-cultural adaptation and translation, including forward-backward translation, expert committee review, and field pre-testing. The sixth stage consisted of psychometric evaluation. Nurses from across the Netherlands were recruited through the Dutch Nurses Association and other in- and external networks, starting from the 19th of June 2025. Data were analyzed using a confirmatory factor analysis. Internal consistency was evaluated using McDonald's omega and Cronbach's alpha.<h4>Results</h4>Translation procedures, expert committee review, and pre-testing interviews indicated good overall comprehensibility, with minor revisions implemented to improve interpretability. Psychometric evaluation was conducted in a sample of 292 nurses with varied ages, work experience and healthcare backgrounds. The 22-item, five-factor Dutch version of the Climate and Health Tool demonstrated moderate model fit, good internal consistency, and acceptable standardized factor loadings.<h4>Conclusions</h4>This study provides a reliable and validated Dutch instrument for assessing nurses' awareness, concern, motivation, and behavior regarding climate change and health. The Dutch version of the Climate and Health Tool offers researchers, educators, and healthcare organizations a robust method for evaluating climate-related competencies and supports broader efforts to prepare Dutch health systems for current and emerging climate-related challenges.<h4>Tweetable abstract</h4>The Dutch version of the Climate and Health Tool is a validated Dutch instrument to assess nurses' awareness, concern, motivation and behavior on climate related health challenges-supporting stronger climate ready health systems.
Background
This paper addresses the need for a validated instrument to assess nurses' competencies related to climate change in the Netherlands. Prior to this study, no such tool existed in Dutch, despite the critical role of nurses in addressing climate-sensitive health risks. The adaptation of the Climate and Health Tool, originally developed in the USA, is significant for enhancing the preparedness of Dutch health systems.
Methods
The study employed a six-stage process for cross-cultural adaptation and validation of the tool. The first five stages included forward-backward translation, expert committee review, and field pre-testing. The sixth stage involved psychometric evaluation using confirmatory factor analysis with a sample of 292 nurses.
Results
The psychometric evaluation indicated good internal consistency for the Dutch version of the tool. Specific metrics for model fit and internal consistency were not detailed in the abstract. The study also noted minor revisions to improve the tool's comprehensibility based on pre-testing feedback.
Interpretation
The findings suggest that the Dutch version of the Climate and Health Tool is a reliable instrument for assessing climate-related competencies among nurses. However, the abstract does not provide detailed statistical metrics to assess the clinical significance of the findings. Limitations include the lack of detailed psychometric results and potential confounds related to the sample's representativeness.
Key findings
- Sample of 292 nurses with varied ages, work experience, and healthcare backgrounds.
- The 22-item, five-factor Dutch version demonstrated good internal consistency.
- Moderate model fit was reported for the psychometric evaluation.
Limitations
- No specific numeric findings reported for psychometric evaluation metrics.
- Sample may not be representative of all nurses in the Netherlands.