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From Awareness to Intent: Nursing Students' Service-Learning Attitudes Across Academic Levels.

Mary S Haras, Jill Ogg-Gress, Melody Wilkinson

    The Journal of Nursing Education
    |March 16, 2026
    PubMed
    Summary

    Nursing students

    Area of Science:

    • Nursing Education
    • Community Health
    • Social Determinants of Health

    Background:

    • Service-learning (SL) is a pedagogical approach that addresses social determinants of health through immersive, community-based experiences.
    • Schwartz's model of altruistic helping behavior provides a framework for understanding student motivations in SL.
    • Nursing education increasingly utilizes SL to foster socially responsive practice.

    Purpose of the Study:

    • To examine nursing students' attitudes toward service-learning.
    • To identify factors influencing nursing students' intent to engage in SL activities.

    Main Methods:

    • A cross-sectional survey was administered to 113 nursing students (prelicensure, advanced practice, doctoral).
    • The Community Service Attitudes Scale (CSAS-Brief) was used to measure attitudes.

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  • One-way ANOVA and one-sample t-tests were employed for data analysis.

    • Main Results:

    • The overall mean CSAS-Brief score was 5.34 (SD = 0.74), with high internal consistency (Cronbach's α = .918).
    • Doctoral students reported significantly lower scores for perceived seriousness and intent compared to other student groups.
    • Prior SL participation and years of RN experience were significant predictors of higher intent to engage in SL.

    Conclusions:

    • Curricular integration and scaffolding opportunities are crucial for strengthening socially responsive practice.
    • SL can enhance long-term community involvement among nursing students across all academic levels.
    • Targeted interventions may be needed to foster positive attitudes toward SL in doctoral nursing programs.