Goudetsidou Anna, Pesiridis Theodoros, Galanis Petros, Velonaki Venetia Sofia
Faculty of Nursing, National and Kapodistrian University of Athens, Athens, Greece.
Isr J Health Policy Res. 2025 Sep 22;14(1):58. doi: 10.1186/s13584-025-00721-4.
Over the past two decades, the increasing frequency of disasters highlights the urgent need for nurses willing to respond to these crises. Although disaster care is part of their professional role, willingness to provide care in such situations is not always guaranteed and may be influenced by various factors. Understanding what shapes their intention to provide care is critical for effective disaster planning. This study investigates the role of empathy in shaping nurses' intention to participate in disaster care, drawing on the Empathy-Altruism Hypothesis. To further contextualize this relationship, elements of the Theory of Planned Behavior-attitude toward the behavior, subjective norms, and perceived behavioral control-were also examined as potential predictors of behavioral intention.
A cross-sectional and correlational study was carried out among nurses in Greece using a convenience sampling method. Data collection took place from December 2023 to April 2024. Participants completed a questionnaire covering demographics, academic background, experiences with disasters, empathy (assessed using the Jefferson Scale of Empathy), and behavioral intentions related to disaster care. The Behavioral Intention Scale was used to assess the behavioral intention, attitude toward the behavior, subjective norms and perceived behavioral control.
The final sample included 252 nurses. Findings revealed a strong intention to participate in disaster victim care. Empathy levels were moderate to high, with a mean score of 103.56 on a 20-140 scale. Multiple linear regression, using behavioral intention as the dependent variable, revealed a significant positive association between subjective norms and behavioral intention. In contrast, empathy, attitude, and perceived behavioral control were not significantly associated with behavioral intention.
This study provides insights into the factors that influence nurses' intention to provide disaster care, with subjective norms emerging as the strongest predictor. These findings partially support the Theory of Planned Behavior and suggest that social expectations and perceived peer support may be critical in shaping willingness to respond. Although nurses exhibited strong empathy and a high intention to participate in disaster care, empathy did not significantly influence behavioral intention. Further research is needed to explore empathy's potential contribution to motivating nurses to engage in disaster response.
在过去二十年中，灾害发生频率不断增加，凸显了对愿意应对这些危机的护士的迫切需求。尽管灾害护理是护士专业职责的一部分，但在这种情况下提供护理的意愿并非总能得到保证，可能会受到各种因素的影响。了解影响他们提供护理意愿的因素对于有效的灾害规划至关重要。本研究借鉴共情 - 利他主义假说，探讨共情在塑造护士参与灾害护理意愿方面的作用。为了进一步阐明这种关系，还考察了计划行为理论的要素——对行为的态度、主观规范和感知行为控制——作为行为意愿的潜在预测因素。
采用便利抽样法，对希腊的护士进行了一项横断面相关性研究。数据收集于2023年12月至2024年4月进行。参与者完成了一份问卷，内容涵盖人口统计学、学术背景、灾害经历、共情（使用杰斐逊共情量表评估）以及与灾害护理相关的行为意愿。行为意愿量表用于评估行为意愿、对行为的态度、主观规范和感知行为控制。
最终样本包括252名护士。研究结果显示，护士参与灾害受害者护理的意愿强烈。共情水平中等偏高，在20 - 140分的量表上平均得分为103.56。以行为意愿为因变量的多元线性回归分析显示，主观规范与行为意愿之间存在显著正相关。相比之下，共情、态度和感知行为控制与行为意愿无显著关联。
本研究深入探讨了影响护士提供灾害护理意愿的因素，其中主观规范是最强的预测因素。这些发现部分支持了计划行为理论，并表明社会期望和感知到的同伴支持可能在塑造应对意愿方面至关重要。尽管护士表现出强烈的共情和参与灾害护理的高度意愿，但共情并未显著影响行为意愿。需要进一步研究以探索共情在激励护士参与灾害应对方面的潜在作用。
