医疗工作者弹性的中观组织决定因素：范围审查的结果

IF 3.4 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2025-08-05 DOI:10.1016/j.healthpol.2025.105412

Natalia Oprea , Giorgio Giacomelli , Marco Sartirana , Elisabetta Trinchero , Irène Georgescu

{"title":"医疗工作者弹性的中观组织决定因素：范围审查的结果","authors":"Natalia Oprea , Giorgio Giacomelli , Marco Sartirana , Elisabetta Trinchero , Irène Georgescu","doi":"10.1016/j.healthpol.2025.105412","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"161 ","pages":"Article 105412"},"PeriodicalIF":3.4000,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Meso-organisational determinants of healthcare workers’ resilience: results of a scoping review\",\"authors\":\"Natalia Oprea , Giorgio Giacomelli , Marco Sartirana , Elisabetta Trinchero , Irène Georgescu\",\"doi\":\"10.1016/j.healthpol.2025.105412\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>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.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>\",\"PeriodicalId\":55067,\"journal\":{\"name\":\"Health Policy\",\"volume\":\"161 \",\"pages\":\"Article 105412\"},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2025-08-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Policy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0168851025001678\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Policy","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0168851025001678","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

摘要

背景：最近的金融、环境和卫生危机凸显了卫生保健工作者（HCWs）在卫生系统恢复力方面的关键作用，但往往被忽视。考虑到对这些劳动力的持续的生理和心理需求，了解影响他们恢复能力的因素是至关重要的。目的：本综述旨在绘制和综合影响医护人员个体弹性的中观组织因素的多学科证据。具体来说，我们专注于识别与工作场所相关的风险和直接组织环境中的保护因素。方法对多学科文献进行范围审查，目标是研究个体弹性结果与中观工作场所因素的关系。这种方法允许纳入与研究问题相关的不同研究设计和学科观点。结果66项研究符合纳入标准。分析强调了中间组织因素的重要性，如工作特征和授权、人际动态（如团队凝聚力、主管支持）和社会心理工作场所条件，在塑造HCW弹性方面。尽管弹性通常被视为一种个体特质，但本综述表明，中观组织环境在培养和维持HCW弹性方面发挥了关键作用。研究结果支持需要制定政策和干预措施，以加强团队功能和工作场所氛围。未来的研究应侧重于将这些见解转化为可操作的战略，以弥合个人和系统的劳动力弹性方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Meso-organisational determinants of healthcare workers’ resilience: results of a scoping review

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.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.