Resilience oriented leadership in hospital management during COVID 19: a framework for hospital resilience and hypertension care continuity.
Resilience-oriented leadership has emerged as a pivotal determinant of hospital performance during the COVID-19 pandemic. This qualitative meta-synthesis systematically integrates 12 studies conducted between 2020 and 2025 across diverse geographic regions, encompassing 1 372 hospital staff. By comb...
| Publicado en: | Revista Latinoamericana de Hipertensión Vol. 21; no. 4; pp. 251 - 259 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Revista Latinoamericana de Hipertension
2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=194342294&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 194342294 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 18564550 FICN jtl: Revista Latinoamericana de Hipertensión issn: 18564550 maglogo: N pubinfo: dt: 2026 vid: 21 iid: 4 pid: 81901 pub: Revista Latinoamericana de Hipertension artinfo: ui: 194342294 10.5281/zenodo.20430845 ppf: 251 ppct: 8 formats: fmt: @attributes: type: P size: 935KB tig: atl: Resilience oriented leadership in hospital management during COVID 19: a framework for hospital resilience and hypertension care continuity. aug: au: Pramono, Rudy Wedhasari, Ni Putu Ayu Paramitha Ginting, Leni Meipina affil: Universitas Pelita Harapan, Indonesia. su: Leadership COVID-19 pandemic Psychological safety Hospital administration Digital transformation Transformational leadership sug: subj: Leadership COVID-19 pandemic Psychological safety Hospital administration Digital transformation Transformational leadership keyword: covid-19 pandemic healthcare leadership hospital crisis management Hypertension, resilience-oriented leadership qualitative meta-synthesis gestión de crisis hospitalarias Hipertensión, liderazgo orientado a la resiliencia liderazgo en el sector salud metasíntesis cualitativa pandemia de COVID-19 ab: Resilience-oriented leadership has emerged as a pivotal determinant of hospital performance during the COVID-19 pandemic. This qualitative meta-synthesis systematically integrates 12 studies conducted between 2020 and 2025 across diverse geographic regions, encompassing 1 372 hospital staff. By combining meta-ethnography and thematic synthesis, we identified six interrelated dimensions that constitute a comprehensive resilience framework: trust-based and empathetic leadership; adaptive and transformational leadership; psychological safety and well-being support; systemic and shared governance; digital adaptation and data-driven policy implementation; and human-resource support and culture. Each dimension is illustrated with direct participant quotations and corroborated across multiple contexts, demonstrating both universality and context-specific nuances. The trust-based dimension emphasizes visible presence and transparent communication; adaptive leadership facilitates rapid protocol adjustments; psychological safety mitigates burnout; shared governance ensures coordinated decision-making; digital adaptation accelerates information flow; and robust human-resource practices sustain workforce capacity. Collectively, these components operate across individual, relational, and structural levels, enabling hospitals to maintain operational continuity and sustain chronic disease care, notably hypertension management, amid crisis. The findings underscore that resilience is not a single attribute but a dynamic interplay of emotional, structural, and technological capabilities. Implications for practice include designing leadership training that fosters empathy, encouraging distributed decision-making, investing in digital infrastructure, and prioritizing staff well-being. El liderazgo orientado a la resiliencia ha surgido como un determinante fundamental del desempeño hospitalario durante la pandemia de COVID-19. Esta metasíntesis cualitativa integra sistemáticamente 12 estudios realizados entre 2020 y 2025 en diversas regiones geográficas, abarcando a 1372 empleados hospitalarios. Al combinar la metaetnografía y la síntesis temática, identificamos seis dimensiones interrelacionadas que constituyen un marco integral de resiliencia: liderazgo basado en la confianza y la empatía; liderazgo adaptativo y transformacional; seguridad psicológica y apoyo al bienestar; gobernanza sistémica y compartida; adaptación digital e implementación de políticas basadas en datos; y apoyo y cultura de recursos humanos. Cada dimensión se ilustra con citas directas de los participantes y se corrobora en múltiples contextos, demostrando tanto universalidad como matices específicos de cada contexto. La dimensión basada en la confianza enfatiza la presencia visible y la comunicación transparente; el liderazgo adaptativo facilita ajustes rápidos de protocolo; la seguridad psicológica mitiga el agotamiento; la gobernanza compartida garantiza la toma de decisiones coordinada; la adaptación digital acelera el flujo de información; Las prácticas sólidas de recursos humanos mantienen la capacidad del personal. En conjunto, estos componentes operan a nivel individual, relacional y estructural, lo que permite a los hospitales mantener la continuidad operativa y la atención de enfermedades crónicas, en particular el manejo de la hipertensión, en medio de la crisis. Los hallazgos subrayan que la resiliencia no es un atributo único, sino una interacción dinámica de capacidades emocionales, estructurales y tecnológicas. Las implicaciones para la práctica incluyen el diseño de programas de capacitación en liderazgo que fomenten la empatía, promuevan la toma de decisiones distribuida, inviertan en infraestructura digital y prioricen el bienestar del personal. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Revista Latinoamericana de Hipertensión is the property of Revista Latinoamericana de Hipertension and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Revista Latinoamericana de Hipertensión holder: Revista Latinoamericana de Hipertension dt: @attributes: year: 2026 holdings: @attributes: islocal: N |
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