Evidence map›Paper›PMID 41744477›Full record

ArticleInternational nursing review2026

The Role and Mandate of Nurses in Disasters: A Delphi Study in German-Speaking Countries.

Michael Köhler, Julia Ballmann, Laura Glorius, Michael Ewers

Abstract read
In one paragraph

Article in International nursing review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Michael KöhlerCharité - Universitätsmedizin, Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Health and Nursing Science, Berlin, Germany.ORCID https://orcid.org/0000-0003-4664-5210
Julia BallmannCharité - Universitätsmedizin, Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Health and Nursing Science, Berlin, Germany.ORCID https://orcid.org/0000-0003-0933-0500
Laura GloriusCharité - Universitätsmedizin, Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Health and Nursing Science, Berlin, Germany.ORCID https://orcid.org/0009-0003-6810-8325
Michael EwersCharité - Universitätsmedizin, Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Health and Nursing Science, Berlin, Germany.ORCID https://orcid.org/0000-0003-1856-9337

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the global increase in disasters, nurses play a critical role in ensuring the protection of individual and public health even under adverse circumstances. However, in Germany, Austria, and Switzerland, the role and mandate of nurses in disasters are unclear, which can lead to uncertainty among disaster responders, decision-makers, and nurses themselves.

aimThe RAP

methodsA modified multi-stage Delphi design was conducted, using the DELPHISTAR checklist to report on this study. Following an initial round-table symposium with experts from the field of nursing, three increasingly standardized online surveys were conducted. The panel of participants was gradually expanded to include experts from related fields and professions.

resultsParticipants from German-speaking countries strongly agreed on the need to clearly define and codify the role and mandate of nurses in disaster situations. Experts, particularly nurses, called for the inclusion of disaster nurses in leadership and decision-making bodies. However, participants also noted that disaster nursing competencies in these countries are not yet sufficiently developed to meet the expected standards.

conclusionTo ensure that nurses can respond appropriately to disasters, their role and mandate must be defined, codified, and systematically implemented. Additionally, disaster nursing competencies should be systematically developed through education. IMPLICATIONS FOR NURSING AND NURSING POLICY: The responsibility for defining the role and mandate of nurses lies with the profession itself. Nurses must reach a consensus with policymakers on these definitions and ensure that they are codified, allowing healthcare systems to implement them effectively.

Indexed as

Delphi techniquedisaster nursingdisaster planningemergency respondersleadershipnurses’ role

Identifiers

PMID41744477
PMCPMC12939241

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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 OpenQuestion graph.