Posted: Feb 01, 2025
The global healthcare landscape has been fundamentally transformed by recent emergencies, exposing critical vulnerabilities in healthcare systems and highlighting the extraordinary demands placed on nursing professionals. Nurse resilience—the capacity to maintain psychological wellbeing and professional effectiveness despite extreme stressors—has emerged as a pivotal factor in healthcare system sustainability during crises. While individual resilience factors have been extensively studied, the organizational determinants of nurse resilience remain inadequately understood, particularly during prolonged healthcare emergencies. This research addresses this critical gap by examining how organizational support mechanisms influence nurse resilience trajectories during crisis conditions. Healthcare emergencies create unique organizational challenges that differ substantially from routine healthcare delivery. The conventional understanding of organizational support as primarily resource-based fails to capture the complex, multi-dimensional nature of support required during emergencies. Previous research has typically examined organizational support through static models that overlook the dynamic, evolving nature of crises and the corresponding support needs of nursing staff. Our research introduces a temporal dimension to this investigation, recognizing that the effectiveness of organizational support varies across different phases of healthcare emergencies. This study is grounded in organizational ecology theory and resilience engineering principles, which together provide a framework for understanding how organizational structures and processes either enable or constrain individual resilience. We propose that organizational support during emergencies operates through multiple interconnected pathways that extend beyond traditional resource provision to include psychological safety cultivation, adaptive capacity
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