{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T11:44:16Z","timestamp":1784202256052,"version":"3.55.0"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T00:00:00Z","timestamp":1726444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72004179"],"award-info":[{"award-number":["72004179"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72004179"],"award-info":[{"award-number":["72004179"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Resilience is crucial for a health system to better prevent and respond to public health threats and provide high-quality services. Despite the growing interest in the concept of resilience in health care, however, there is little empirical evidence of the impact of organizational resilience, especially in primary care settings. As the largest professional group in primary care, primary care nurses are taking more and more responsibilities during their daily practice, which influences both their work conditions and well-being. This study aims to examine the association between organizational resilience and primary care nurses\u2019 working conditions and well-being. Using a convenience sampling approach, we recruited 175 primary care nurses from 38 community health centres (CHCs) in four cities in China. Organizational resilience was operationalized as comprising two domains: adaptive capacity and planning capacity, and measured using a 16-item scale. The primary care nurses\u2019 working condition indicators comprised variables of psychological safety, organizational commitment, professional commitment, and self-directed learning; well-being indicators included depression and burn-out. Hierarchical linear regression models were built for analysis. We found that the sampled CHCs have a relatively high level of organizational resilience. The organizational resilience was positively associated with the four indicators of working conditions: psychological safety (\u03b2\u2009=\u20090.04, P\u2009&amp;lt;\u20090.01), organizational commitment (\u03b2\u2009=\u20090.38, P\u2009&amp;lt;\u20090.01), professional commitment (\u03b2\u2009=\u20090.39, P\u2009&amp;lt;\u20090.01), and self-directed learning (\u03b2\u2009=\u20090.28, P\u2009&amp;lt;\u20090.01). However, organizational resilience was not significantly associated with the two well-being indicators. Furthermore, we found that the adaptive capacity has stronger association compared with planning capacity. Therefore, primary care manager should build resilient organizations, especially the adaptive capacity, in order to enhance primary care nurses\u2019 psychological safety, commitment and learning behaviours. Further studies should also be conducted to understand the link between organizational resilience and primary care nurses\u2019 well-being.<\/jats:p>","DOI":"10.1093\/heapol\/czae091","type":"journal-article","created":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T02:28:51Z","timestamp":1726453731000},"page":"1065-1073","source":"Crossref","is-referenced-by-count":6,"title":["Organizational resilience and primary care nurses\u2019 work conditions and well-being: a multilevel empirical study in China"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5429-728X","authenticated-orcid":false,"given":"Wenhua","family":"Wang","sequence":"first","affiliation":[{"name":"School of Public Policy and Administration, Xi\u2019an Jiaotong University , No.28 West Xianning Road, Xi\u2019an 710049,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengyao","family":"Li","sequence":"additional","affiliation":[{"name":"School of Public Policy and Administration, Xi\u2019an Jiaotong University , No.28 West Xianning Road, Xi\u2019an 710049,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinnan","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Public Policy and Administration, Xi\u2019an Jiaotong University , No.28 West Xianning Road, Xi\u2019an 710049,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8824-3369","authenticated-orcid":false,"given":"Ruixue","family":"Zhao","sequence":"additional","affiliation":[{"name":"School of Public Policy and Administration, Xi\u2019an Jiaotong University , No.28 West Xianning Road, Xi\u2019an 710049,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huiyun","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Public Policy and Administration, Xi\u2019an Jiaotong University , No.28 West Xianning Road, Xi\u2019an 710049,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Health and Wellbeing Research Unit (HoWRU), Macquarie Business School, Macquarie University , 3 Management Drive, Sydney 2109,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"key":"2024112604355898200_R1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpsychores.2020.110343","article-title":"Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic: a systematic review and meta-analysis","volume":"141","author":"Al Maqbali","year":"2021","journal-title":"Journal of Psychosomatic Research"},{"key":"2024112604355898200_R2","doi-asserted-by":"crossref","first-page":"e2670","DOI":"10.1111\/hsc.13710","article-title":"The impact of COVID-19 on the delivery of care by Australian primary health care nurses","volume":"30","author":"Ashley","year":"2022","journal-title":"Health and Social Care in the Community"},{"key":"2024112604355898200_R3","doi-asserted-by":"crossref","first-page":"1322","DOI":"10.1016\/j.cjca.2020.11.010","article-title":"Missing data in clinical research: a tutorial on multiple imputation","volume":"37","author":"Austin","year":"2021","journal-title":"The Canadian Journal of Cardiology"},{"key":"2024112604355898200_R4","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.1111\/jonm.12853","article-title":"Authentic leadership, job satisfaction and organizational commitment: the moderating effect of nurse tenure","volume":"27","author":"Baek","year":"2019","journal-title":"Journal of Nursing Management"},{"key":"2024112604355898200_R5","doi-asserted-by":"crossref","first-page":"491","DOI":"10.15171\/ijhpm.2018.06","article-title":"What is resilience and how can it be nurtured? 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