This study aims to examine the effect of a training program based on Emancipatory Knowing on nurses' awareness and practices related to carbon footprint reduction in postpartum nursing care. In the first phase of the study, the carbon footprint of postpartum nursing care procedures - including those performed after both vaginal and cesarean deliveries - will be measured and compared using a validated observation-based inventory. In the second phase, nurses working in postpartum units will receive a structured educational intervention developed within the PEACE+G model framework. Before and after the training, nurses' carbon footprint-related knowledge, attitudes, and behaviors will be assessed. Findings are expected to contribute to the development of environmentally sustainable nursing practices in women's health.
Working as a nurse in a postpartum unit Having at least 6 months of clinical experience in postpartum care Volunteering to participate in the study Being able to read and write in Turkish
Being on leave (maternity, sick, or annual leave) during the study period Having previously received training on carbon footprint or environmental sustainability in healthcare Withdrawing consent to participate at any stage of the study
Single group
PEACE+G Model-Based Emancipatory Knowing Training Program
BehavioralThe PEACE+G Training Program is a structured educational intervention developed based on the Emancipatory Knowing framework in nursing, extended with a Governance dimension. The program consists of theoretical and reflective practice sessions delivered to postpartum unit nurses. Content covers carbon footprint measurement in healthcare, environmentally sustainable postpartum nursing care practices, and nurses' roles in reducing greenhouse gas emissions. The training is organized around six core criteria: Praxis, Empowerment, Awareness, Cooperation, Evolvement, and Governance (PEACE+G). Pre-test and post-test assessments are conducted using the validated PEACE-KAİ instrument to evaluate changes in nurses' knowledge, attitudes, and behaviors regarding carbon footprint reduction in postpartum care.
Carbon Footprint of Postpartum Nursing Care
The carbon footprint (kg CO₂e) of postpartum nursing care procedures following vaginal and cesarean deliveries, measured using a validated observation-based carbon footprint inventory (PEACE-KAİ).
Nurses' Carbon Footprint Knowledge, Attitude and Behavior
Assessed using the validated PEACE-KAİ instrument before and after the PEACE+G training program.
Comparison of Carbon Footprint Between Vaginal and Cesarean Delivery Postpartum Care
Carbon footprint values (kg CO₂e) compared between two delivery types.
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