Evidence map›Paper›PMID 40665433›Full record

ArticleIsrael journal of health policy research2025

Prehospital emergency nurses' response: using the socioecological framework to guide health policy recommendations.

Rinat Avraham, Yael Wittenbetg, Lior Gal, Odeya Cohen

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Article in Israel journal of health policy research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Rinat AvrahamDepartment of nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O Box 653, Beer Sheva, 8410501, Israel. benamir@bgu.ac.il.ORCID http://orcid.org/0000-0003-3039-8892
Yael WittenbetgDepartment of nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O Box 653, Beer Sheva, 8410501, Israel.
Lior GalDepartment of nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O Box 653, Beer Sheva, 8410501, Israel.
Odeya CohenDepartment of nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O Box 653, Beer Sheva, 8410501, Israel.ORCID http://orcid.org/0000-0002-2427-6381

Funding

Capacity Building of Health Teams for Emergencies Research Hub Internal
6 · The paper itself

Abstract

backgroundNurses play a vital role in disaster response during emergencies. Nevertheless, limited attention has been paid to factors that influence nurses' responses and challenges in prehospital settings. These issues became evident during the October 7, 2023, terror attack on Israel, when nurses heroically provided medical treatment, but there was no organized nurse-led initiative to provide emergency care in a prehospital setting.

aims(1) To examine the factors associated with nurses' intentions to provide prehospital emergency reponse during disasters; and (2) To understand multilevel determinantsof nurses' prehospital emergency response to inform health policy recommendations.

methodsThis study employed an explanatory sequential mixed-methods design. Between February and December 2024, a self-reporting questionnaire was distributed to Israeli nurses (n = 315), followed by a qualitative phase involving an open-ended questionnaire completed by 20 healthcare professionals involved in medical care during the attack or in senior emergency preparedness roles. Descriptive and inferential statistics and qualitative content analysis were employed. We applied the socioecological framework to organize the results from both phases.

resultsHigh personal resilience, readiness and self-efficacy, along with positive attitudes, low hesitancy, and residence in a rural-type settlement significantly predicted nurses' intention to provide prehospital emergency care. Qualitative analysis revealed four key themes related to nurses' prehospital roles: (1) individual barriers and facilitators, (2) interprofessional relationships and teamwork, (3) nurses' roles within the community, and (4) organizational and policy challenges. Findings from both phases were synthesized using the socioecological framework for analysing prehospital nursing care during emergencies.

conclusionNurses' prehospital emergency response intentions are shaped by personal, professional, and policy-level factors. Beyond education, targeted health policies must clearly define nurses' roles, strengthen interprofessional collaboration, and integrate nursing into disaster preparedness frameworks to improve system resilience and patient outcomes, particularly in the face of escalating environmental crises globally.

Indexed as

Emergency Medical ServicesEmergency NursingHealth PolicyNursesAdultAttitude of Health PersonnelFemaleHumansIsraelMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesDisaster nursingHealth policyMixed methodsPrehospital emergency careSocioecological framework

Identifiers

PMID40665433
PMCPMC12265371

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.