{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:13:53Z","timestamp":1786119233860,"version":"build-2736575974"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004586","name":"Funda\u00e7\u00e3o Carlos Chagas Filho de Amparo \u00e0 Pesquisa do Estado do Rio de Janeiro","doi-asserted-by":"publisher","award":["E-26\/203.934\/2024"],"award-info":[{"award-number":["E-26\/203.934\/2024"]}],"id":[{"id":"10.13039\/501100004586","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This scoping review examines health system resilience, shifting the focus to beyond crisis response to include everyday adaptation, governance, and transformative capabilities in universal health systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Describe and analyze health system resilience frameworks and their implications for health workers and work systems, identifying how resilience capacities are operationalized through work organization, staffing, and governance in public health settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consensus software was used as a decision-support tool for identifying and extracting insights from peer-reviewed studies, with inclusion decisions and synthesis validated by the authors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analyzing 19 studies (2019\u20132025), we identify five key resilience capacities: absorptive (maintaining core functions), adaptive (innovation and collaboration), transformative (structural change), governance\/leadership (crisis coordination and policy stability), and resource management (surge capacity and steady supply). Resilience capacities were enacted through changes in work organization, workload distribution, and staffing flexibility, with direct implications for burnout, moral distress, and workforce sustainability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings highlight that resilience is not just about institutional capacity but also political, historical, and social contexts, with equitable governance and community engagement as critical enablers. The review calls for integrating frontline experiences, addressing systemic inequities, and fostering long-term system strengthening alongside emergency preparedness. The study underscores the need for frameworks that bridge theory and practice, ensuring resilience supports both acute shocks and chronic pressures in public health. By linking health system resilience to everyday work and work-system dynamics, this review contributes to research on work organization, prevention of work-related harm, and the design of more sustainable health work systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10519815261473908","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T17:53:58Z","timestamp":1785866038000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["From crisis response to everyday work: Exploring resilient capacities in health systems\u2019 governance and frontline operations"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9276-8193","authenticated-orcid":false,"given":"Paulo Victor Rodrigues de","family":"Carvalho","sequence":"first","affiliation":[{"name":"Centro de Estudos Estrat\u00e9gicos da Fiocruz Ant\u00f4nio Ivo de Carvalho (CEE), Funda\u00e7\u00e3o Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Jatoba","sequence":"additional","affiliation":[{"name":"Centro de Estudos Estrat\u00e9gicos da Fiocruz Ant\u00f4nio Ivo de Carvalho (CEE), Funda\u00e7\u00e3o Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula de Castro","family":"Nunes","sequence":"additional","affiliation":[{"name":"Instituto de Sa\u00fade Coletiva, Universidade Federal Fluminense, Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilson do Ros\u00e1rio","family":"Costa","sequence":"additional","affiliation":[{"name":"Centro de Estudos Estrat\u00e9gicos da Fiocruz Ant\u00f4nio Ivo de Carvalho (CEE), Funda\u00e7\u00e3o Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"22","article-title":"The resilience of the Brazilian unified health system is not (only) in responding to disasters","volume":"58","author":"Jatob\u00e1 A","unstructured":"Jatob\u00e1 A, de Carvalho PVR. 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