The Mediating Role of Resilience Between Empathy and Professional Competence Among Emergency Nurses in the West Bank, Palestine: Partial Least Squares Structural Equation Modeling

Document Type

Article

Source of Publication

International Nursing Review

Publication Date

3-1-2026

Abstract

Aim: This study examined the levels of and relationship between resilience, empathy, and professional competence among emergency nurses in Palestine. Background: Emergency nurses working in conflict-affected regions such as Palestine encounter extreme stressors that may adversely impact their resilience, empathy, and professional competence. These factors are vital for sustaining high-quality nursing care, yet their interrelationships remain insufficiently understood. Methods: A cross-sectional design was employed, recruiting 236 emergency nurses from governmental hospitals across the West Bank, Palestine. Data were collected using the Connor–Davidson Resilience Scale, Toronto Empathy Questionnaire, and the short Nurse Professional Competence Scale. Data analysis involved IBM SPSS Statistics 26.0 and SmartPLS 4.0, applying structural equation modeling to assess relationships among variables. Results: Participants had low resilience (M = 72.8, SD = 26.7), above-average empathy (M = 46.3, SD = 13.1), and high professional competence (M = 78.0, SD = 10.7). Empathy did not directly predict professional competence (β = 0.11, p = 0.13) but significantly predicted resilience (β = 0.96, p < 0.01). Resilience strongly predicted professional competence (β = 0.86, p < 0.01) and fully mediated the empathy–competence relationship (indirect effect = 0.81, p < 0.01). Conclusion: The mediation effect underscores resilience as a pivotal mechanism through which empathy influences professional competence in high-stress, conflict-affected settings. Enhancing resilience is essential to translate empathy into effective professional performance among emergency nurses in Palestine. Implications for Nursing: Interventions focusing on resilience-building and emotional regulation can improve nurses’ competence, reduce burnout, and support sustainable quality nursing care delivery. Implications for Nursing Policy: Policymakers should prioritize resilience enhancement strategies in nursing education and workplace policies, especially in conflict-affected healthcare environments.

ISSN

0020-8132

Publisher

Wiley

Volume

73

Issue

1

Disciplines

Computer Sciences | Social and Behavioral Sciences

Keywords

emergency nurses, empathy, nursing competency, resilience

Scopus ID

105026840991

Indexed in Scopus

yes

Open Access

yes

Open Access Type

Bronze: This publication is openly available on the publisher’s website but without an open license

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