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MScN Research Proposal

Analysing Ontario PHNs Knowledge, Attitudes and Beliefs about Roles and Responsibilities in Addressing Climate Change
by

Megan Laan

on 17 June 2013

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Transcript of MScN Research Proposal

What are Ontario PHNs’ knowledge and attitudes towards the environment and climate change?
Do PHNs in Ontario believe that climate change is a hazard to their community’s health?
Do PHNs in Ontario believe that their local public health agency, PHNs in general or they, themselves, should address climate change?
What independent variables about PHNs are correlated with positive attitudes towards addressing climate change in practice?
What are barriers to PHNs in Ontario addressing climate change in their practice?

quantitative non-experimental descriptive design
cross-sectional survey
Sample: at least 180 public health nurses in Ontario working 0.5 FTE or more
Cluster sample of local public health agencies
Convenience sample of PHNs
Primarily for comparing with previous studies
Descriptive statistics of attitudes, knowledge, and beliefs
Comparison between groups
ANOVA for geographic regions, age cohorts, education level, sex, OPHS standard addressed in work, years of work, political leaning
Correlations between TPB components and intention to act, if possible
First study done with front line public health practitioners
Baseline data on PHNs and climate change
Inform policy on PHN involvement in climate change work
Draw attention to the issue of climate change and public health
Provide information about the implementation of CNA's guidelines in PHN practice.
Highlight the potential for PHN practice to address emerging public health issues for policymakers, local public health agencies and nursing organizations.
Draw attention to the educational needs of PHNs in climate change and environmental health issues.
Analysing Ontario PHNs Knowledge, Attitudes and Beliefs about Roles and Responsibilities in Addressing Climate Change
Megan Laan, RN, BScN
Masters of Science in Nursing student

Background & Literature Review
Literature Review
Research Questions
Methods
Study Design & Sample
Theory of Planned Behavior & Measures
Data Collection Plan
Proposed Analysis
Conclusion
Significance of the Work
Implications for Nursing Practice
Limitations & Future Work
Climate Change & Public Health
International Reports:
No studies have been done to date with front line public health staff.
Five studies done with senior public health officials or management in Canada and the United States
One survey done with public health nursing administrators in the United States
One qualitative study done with senior officials in Ontario
A national survey and Ontario qualitative study showed little top of mind association of climate change with health.
Subjective Norm
Behavior
Perceived Behavioral Control
Attitudes Toward the Behavior
Intention
NEP Scale
Climate Change Attitudes
Risk Perception
Attitude towards public health action
Beliefs about roles
Others opinions about climate change
Priority of climate change action in local public health agencies/PHNs
Expectations to address climate change
Beliefs about local public health agencies/PHNs ability to address climate change
Self-efficacy and control
Knowledge level and knowledge needs
Open-ended barriers
Intention to act
Current behavior on CNA recommendations
$2 donation
E-mail reminders
CNO engagement
Video of researcher
Website and Facebook Page
Accurate details about survey length
Recruitment Techniques
Only be representative of Ontario PHN’s.
Self report questions could lead to biased responses.
No detailed information about PHN’s work on climate change.
Not able to test the TPB model in detail.
May not reach those whose work may be most acceptable to tie to climate change.
Will not address the venues in which PHN’s could address climate change or their beliefs about specific actions occurring in their agency.
Theory of Planned Behavior & Measures
Subjective Norm
Behavior
Perceived Behavioral Control
Attitudes Toward the Behavior
Intention
NEP Scale
Climate Change Attitudes
Risk Perception
Attitude towards public health action
Beliefs about roles
Others opinions about climate change
Priority of climate change action in local public health agencies/PHNs
Expectations to address climate change
Beliefs about local public health agencies/PHNs ability to address climate change
Self-efficacy and control
Knowledge level and knowledge needs
Open-ended barriers
Intention to act
Current behavior on CNA recommendations
Detailed Analysis Plan
Group Comparisons
Qualitative Analysis
Descriptive Statistics
Theory of Planned Behavior
Actual Model Questions
NEP Scale
Climate Change questions
Risk Perception
Beliefs about local public health agencies and PHNs roles
Perceptions of others work in the community
Community vulnerability
Personal intention to act & action on CNA recommendations
PHN action on CNA recommendation
Knowledge of climate change
ANOVA Comparisons on descriptive statistics for:
geography
age
education
gender
OPHS standards addressed in work
years in public health
political leaning
Content Analysis of:
Environmental Health Risks
Climate Change Health Risks
Barriers & Enablers
Report frequencies
Subjective Norm
Behavior
Perceived Behavioral Control
Attitudes Toward the Behavior
Intention
Question 9 & 10
Question 18
(2 measures)
Question 18 (2 for controllability, 2 for self-efficacy)
Question 19
Intention
Question 18
(3 measures)
Full transcript