Organizational resilience in nursing: a concept analysis using Rodgers' evolutionary approach

Area of Science:

• Healthcare Management
• Organizational Studies
• Nursing Science

Background:

• Organizational resilience is crucial for healthcare systems navigating complex environments.
• A clear definition and understanding of organizational resilience are needed to improve nursing strategies.

Purpose of the Study:

• To define organizational resilience, including its development, concepts, attributes, types, prerequisites, and consequences.
• To enhance nursing strategies by clarifying the phenomenon of organizational resilience.

Main Methods:

• Concept analysis using Rodgers and Knafl's evolutionary method.
• Systematic literature search across five databases (1973-2023) followed by thematic analysis.

Main Results:

• Identified six antecedents: Resource, Communication, Social Networks, Infrastructure, Organizational Structure, and People.
• Defined nine attributes: robustness, redundancy, rapidity, resourcefulness, diversity, adaptation, self-regulation, flexibility, and recoverability.
• Categorized consequences into organization, employee, and customer themes.

Conclusions:

• Organizational resilience comprises a defined set of antecedents, attributes, and consequences.
• Healthcare systems can leverage this understanding to adapt structures, processes, and resources.
• This conceptualization provides a foundation for instrument development, research, and interventions to bolster adaptive capacity.