Nurses’ Perceptions of Climate Change and Attitudes Toward Sustainability Practices: The Mediating Role of Nurse Managers’ Sustainable Management Behaviors

Abstract Introduction: Climate change poses major health threats, yet awareness among nurses does not always translate into sustainable practice. Nurse managers’ leadership behaviors may play a pivotal role in embedding environmental accountability within healthcare. Objectives: To examine the relationships between nurses’ perceptions of climate change and their attitudes toward sustainability practices, and to assess the mediating role of nurse managers’ sustainable management behaviors. Methods: A descriptive correlational study was conducted at an Egyptian university hospital using a convenience sample of