A Cross-Cultural Validation of the Italian Version of the Nurse’s Environmental Awareness Tool (NEAT)

Alessio Conti (), Marco Clari, Eleonora Italia, Chiara Gasparini, Beatrice Albanesi, Franco Cirio, Giancarlo Mercurio, Sara Campagna and Valerio Dimonte
Additional contact information
Alessio Conti: Department of Clinical and Biological Sciences, University of Torino, 10043 Orbassano, Italy
Marco Clari: Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy
Eleonora Italia: Department of Cardiology, Hemodinamics, Mauriziano Hospital, 10128 Torino, Italy
Chiara Gasparini: Department of Medicine, Oncology, Gradenigo Hospital, 10153 Torino, Italy
Beatrice Albanesi: Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy
Franco Cirio: Management of the Health Professions, ASL Città di Torino, 10128 Torino, Italy
Giancarlo Mercurio: Department of Translational Medicine, University of the Eastern Piedmont, 28100 Novara, Italy
Sara Campagna: Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy
Valerio Dimonte: Department of Public Health and Pediatrics, University of Torino, 10126 Torino, Italy

World, 2025, vol. 6, issue 2, 1-17

Abstract: The healthcare sector significantly impacts environmental sustainability, with nurses contributing to waste and energy use while also being positioned to lead change through sustainable practices. However, only one validated tool, the Nurses’ Environmental Awareness Tool (NEAT), is currently available to assess their environmental awareness. This study aimed to adapt the NEAT into Italian and evaluate its psychometric properties. The Italian version was developed using a five-phase approach, followed by a cross-sectional validation study to assess its validity and reliability. A sample of 382 nurses and nursing students was included. The Italian NEAT demonstrated optimal content and face validity indices, satisfactory goodness-of-fit indices confirming the original six-subscale structure (Comparative Fit Index 0.85–0.92; Tucker–Lewis Index 0.80–0.90; Standardized Root Mean Square Residual 0.05–0.08; Root Mean Square Error of Approximation 0.06–0.14), and good reliability values (Cronbach’s α 0.77–0.90; omega-ω ≥ 0.80). Construct validity results were likewise satisfactory. The participants’ scores suggested limited knowledge but adequate environmental awareness and ecological behaviors. The Italian version of the NEAT is designed for screening purposes, guiding educational interventions, and supporting research in both clinical and academic contexts. By contributing to the advancement of knowledge on sustainability in healthcare, it promotes environmentally responsible practices within the nursing profession.

Keywords: environment; sustainability; healthcare; nurses; validation study (search for similar items in EconPapers)
JEL-codes: G15 G17 G18 L21 L22 L25 L26 Q42 Q43 Q47 Q48 R51 R52 R58 (search for similar items in EconPapers)
Date: 2025
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