A Model for Enhancing Workforce and Health System Resilience Against Natural and Human Crises
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Date
2024-10-31
0009-0009-8751-1842 Journal Title
Journal ISSN
Volume Title
Publisher
Brieflands
Abstract
Background: Human resources are the most crucial asset of any organization, and by maintaining and strengthening them, organizational goals can be achieved. In the context of health systems, human resource resilience is primarily focused on the theoretical development of this concept and its various dimensions. Objectives: This study aimed to develop a model to enhance the resilience of human resources within the health system. Methods: This study used a mixed-methods approach, conducted in two stages. In the first stage, a scoping review of relevant literature was carried out across multiple databases (Scopus, ScienceDirect, PubMed, and Google Scholar) to identify dimensions and preliminary indicators for the model. A total of 20 studies that met the inclusion criteria were analyzed. Studies were included if they met two criteria: (a) the term "resilience" was used in the title, abstract, or keywords, and (b) the main analytical focus was on health systems. In the second stage, the initial model was designed using the fuzzy Delphi technique. The degree of association of each component and factor in the final model was assessed using the fuzzy DEMATEL method for the primary components and the interpretive structural modeling (ISM) technique for secondary components. Finally, the relationships between the indicators were determined based on the effectiveness and influence of the components. Results: Three key dimensions were identified in this study: (1) behavioral dimension (work experience, creativity, work commitment, and job design), (2) motivational dimension (in-service training, lifestyle changes, self-esteem, empathy, interaction with the surrounding environment, and continuous performance evaluation), and (3) empowerment dimension (employee welfare, rewards, job promotion, damage compensation, timely handling of complaints, and job security). Conclusions: To foster and sustain resilience in human resources, it is essential to address behavioral, empowerment, and motivational dimensions within the health sector. Managers should consider the dimensions and indicators proposed in this model to improve workforce resilience.