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Meso-organisational determinants of healthcare workers’ resilience

Results of a scoping review

Bibliographic Data

ID21467685
AuthorsNatalia Oprea (0009-0009-8207-7725, Bocconi University, corresponding author), Giorgio Giacomelli (0000-0002-7798-0508, Bocconi University), Marco Sartirana (0000-0001-6841-6852, Bocconi University), Elisabetta Trinchero (0000-0002-9160-1084, Bocconi University), Irène Georgescu (0000-0003-4778-1062, Université de Montpellier)
Year2025
Volume161
Pages105412
Publication date2025-11-01
Open AccessYes
TypeARTICLE
VenueHealth Policy (JOURNAL)
Journal identifiersISSN: 0168-8510 • E-ISSN: 1872-6054
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.healthpol.2025.105412
PMID40912178
OpenAlexW4412982616
LanguageEN
Citations received2
References cited84

BACKGROUND: Recent financial, environmental, and health crises have underscored the critical-but often overlooked-role of healthcare workers (HCWs) for health system resilience. Given the ongoing physical and psychological demands placed on this workforce, understanding the factors that influence their resilience is essential. OBJECTIVE: This scoping review aimed to map and synthesise multidisciplinary evidence on meso-level organisational factors that influence individual resilience among HCWs. Specifically, we focused on identifying workplace-related risk and protective factors within the immediate organisational environment. METHODS: A scoping review was conducted across multidisciplinary literature, targeting studies that examined individual resilience outcomes in relation to meso-level workplace factors. This approach allowed for the inclusion of diverse study designs and disciplinary perspectives relevant to the research question. RESULTS: A total of 66 studies met the inclusion criteria. The analysis highlighted the importance of intermediate organisational factors-such as job characteristics and empowerment, interpersonal dynamics (e.g., team cohesion, supervisory support), and psychosocial workplace conditions-in shaping HCW resilience. CONCLUSION: Although resilience is often viewed as an individual trait, this review demonstrates the critical role of meso-level organisational environments in fostering and sustaining HCW resilience. The findings support the need for policies and interventions that strengthen team functioning and workplace climate. Future research should focus on operationalising these insights into actionable strategies that bridge individual and systemic approaches to workforce resilience

Economic growth · Economics · Health care · Health care reform · Healthcare policy · Political science · Public relations · Sociology · Computer Science · Healthcare professionals’ stress and burnout · Medicine · Nursing · Nursing education and management · Psychology · Resilience and Mental Health · Health Policy

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Citations per year2
Citation span2026 - 2026 (1)
Highly citedNo

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