Kosycarz Ewa Agnieszka, Juszczak Dorota, Raulinajtys-Grzybek Monika, Krejner-Nowecka Anna
Department of Economic Theory, Collegium of Socio-Economics, SGH Warsaw School of Economics, Warsaw, Poland.
Department of Mathematical Statistics, Institute of Econometrics, Collegium of Economic Analysis, SGH Warsaw School of Economics, Warsaw, Poland.
Front Public Health. 2025 Aug 25;13:1606595. doi: 10.3389/fpubh.2025.1606595. eCollection 2025.
Organizational resilience is of paramount importance for coping with adversity, particularly in the healthcare sector during crises. The objective of the present study was to evaluate the impact of resilience-based interventions on the well-being of healthcare employees during the pandemic. In this study, resilience-based interventions are defined as organizational actions that strengthen a healthcare institution's capacity to cope with crises-such as ensuring adequate personal protective equipment and staff testing, clear risk-communication, alternative care pathways (e.g., telemedicine) and psychosocial support-each mapping onto the recognized resilience capabilities of material resources, information management, collateral pathways and human-capital management The research question focused on two key aspects: first, whether Polish healthcare institutions effectively implemented these interventions, and second, how these interventions were perceived by their employees. The hypothesis tested was that resilience-based interventions positively influence employee well-being.
The study was conducted between August 21, 2020, and October 6, 2020, in Poland (across all regions). It utilized a cross-sectional, online survey-based approach, targeting healthcare professionals. A 39-item questionnaire was developed and distributed via Microsoft Forms, with participants recruited through websites and newsletters from doctors, nurses, and midwives' associations. A variety of statistical methods were used to analyze the obtained data, i.e., logistic regression, proportional ordinal logistic regression, multiple marginal independence test, simultaneous pairwise marginal independence test, Cochran Q test, random forest-based imputation of missing data.
The study found that resilience-based interventions, such as access to personal protective equipment and virus-detection testing, significantly reduced anxiety among healthcare workers. The study indicated a deficiency in employer-provided psychological support. Furthermore, it demonstrated that an increase in workload does not necessarily lead to an increase in employee expectations of recognition and appreciation. Overall, this study underscores the importance of comprehensive managerial strategies in maintaining organizational resilience and improving employee well-being during crises.
This study shows that resilience-based management-especially reliable PPE, testing, and clear internal communication-helps protect healthcare workers' well-being during crises. Strengthening communication and psychological support before future emergencies remains essential. The findings echo existing research and lay groundwork for further work on healthcare resilience and staff well-being.
组织韧性对于应对逆境至关重要，尤其是在危机期间的医疗保健部门。本研究的目的是评估基于韧性的干预措施对疫情期间医护人员幸福感的影响。在本研究中，基于韧性的干预措施被定义为增强医疗机构应对危机能力的组织行动，例如确保充足的个人防护设备和员工检测、清晰的风险沟通、替代护理途径（如远程医疗）和心理社会支持，每一项都对应着物质资源、信息管理、并行途径和人力资本管理等公认的韧性能力。研究问题聚焦于两个关键方面：第一，波兰医疗机构是否有效地实施了这些干预措施；第二，员工如何看待这些干预措施。所检验的假设是基于韧性的干预措施对员工幸福感有积极影响。
该研究于2020年8月21日至2020年10月6日在波兰（所有地区）进行。采用基于在线调查的横断面研究方法，目标人群为医疗专业人员。通过微软表单开发并分发了一份包含39个条目的问卷，通过医生、护士和助产士协会的网站和时事通讯招募参与者。使用了多种统计方法来分析所得数据，即逻辑回归、比例有序逻辑回归、多重边际独立性检验、同时成对边际独立性检验、 Cochr an Q检验、基于随机森林的缺失数据插补。
研究发现，基于韧性的干预措施，如获得个人防护设备和病毒检测，显著降低了医护人员的焦虑。研究表明雇主提供的心理支持存在不足。此外，研究表明工作量的增加并不一定会导致员工对认可和赞赏的期望增加。总体而言，本研究强调了全面管理策略在危机期间维持组织韧性和提高员工幸福感方面的重要性。
本研究表明，基于韧性的管理——尤其是可靠的个人防护设备、检测和清晰的内部沟通——有助于在危机期间保护医护人员的幸福感。在未来紧急情况之前加强沟通和心理支持仍然至关重要。这些发现呼应了现有研究，并为进一步开展医疗保健韧性和员工幸福感方面的工作奠定了基础。
