Kruger Katherine, Brysiewicz Petra, Lori Jody, Bell Sue Anne
School of Nursing, University of Michigan, 400 North Ingalls Rm 4346, Ann Arbor, MI 48109, United States.
School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Int J Nurs Stud Adv. 2025 May 29;9:100361. doi: 10.1016/j.ijnsa.2025.100361. eCollection 2025 Dec.
The aim of this study was to explore the extent to which the nursing workforce contributes to health system resilience globally through a scoping review of peerreviewed literature.
The World Health Organization (WHO) has emphasized the need for the development of resilient health systems to meet current and future disaster readiness needs. The WHO has also emphasized mechanisms that will achieve this goal including a focus on strengthening the global nursing workforce to achieve the Sustainable Development Goals. However, there is limited synthesized research focusing on the contributions of the nursing workforce in developing and fostering health system resilience globally.
Using Joanna Briggs Institute methodology for scoping reviews, three key databases (PubMed, CINAHL, and Scopus) were searched for publications from 2006 until April 2024. English-language, research studies, and quality or process improvement projects were included. Systematic and scoping reviews, as well as studies focused on individual resilience, were excluded. Studies meeting search criteria were exported and screened first by title and abstract and subsequently underwent a full-text review using Covidence software. Quantitative and qualitative data from studies meeting inclusion criteria were extracted and analyzed according to study objectives to create a narrative synthesis. This study was registered in Open Science Framework on May 28, 2024.
Eleven articles were included of the 795 total retrieved. Overall, there is limited discussion of the nursing workforce in health system resilience. Eight of the 11 articles (73 %) suggest that the nursing workforce is involved in operationalizing resilience during disasters, 10 articles (91 %) call for nurses to be leaders in policy and the development of resilient health systems, however, this review found zero reports in the literature of the nursing workforce's role in the planning, development, and leadership of resilient systems.
Nurses are essential to resilient health systems, however, there is limited research examining the nursing workforce and its contributions to resilient health systems, particularly within disaster contexts. More targeted research on nursing workforce contributions to achieve resilient health systems is needed.
本研究旨在通过对同行评审文献的范围综述，探讨全球护理人员对卫生系统恢复力的贡献程度。
世界卫生组织（WHO）强调需要发展具有恢复力的卫生系统，以满足当前和未来的备灾需求。WHO还强调了实现这一目标的机制，包括注重加强全球护理人员队伍以实现可持续发展目标。然而，针对全球护理人员在发展和促进卫生系统恢复力方面的贡献的综合研究有限。
采用乔安娜·布里格斯研究所的范围综述方法，检索了三个主要数据库（PubMed、CINAHL和Scopus）2006年至2024年4月的出版物。纳入英文的研究性研究以及质量或过程改进项目。排除系统性综述和范围综述，以及关注个人恢复力的研究。符合检索标准的研究首先通过标题和摘要进行筛选，随后使用Covidence软件进行全文审查。根据研究目标，提取并分析符合纳入标准的研究中的定量和定性数据，以进行叙述性综合分析。本研究于2024年5月28日在开放科学框架中注册。
在总共检索到的795篇文章中，纳入了11篇。总体而言，关于护理人员在卫生系统恢复力方面的讨论有限。11篇文章中有8篇（73%）表明护理人员在灾难期间参与了恢复力的实施，10篇文章（91%）呼吁护士成为政策制定和发展具有恢复力的卫生系统的领导者，然而，本综述在文献中未发现关于护理人员在恢复力系统的规划、发展和领导方面作用的报告。
护士对具有恢复力的卫生系统至关重要，然而，研究护理人员及其对具有恢复力的卫生系统的贡献的研究有限，特别是在灾难背景下。需要开展更有针对性的研究，以探讨护理人员对实现具有恢复力的卫生系统的贡献。
