Conceptual Framework for Resilience and Support: A Job Demands–Resources Model for Healthcare Workers in Pandemics


Authors : Jimmy F. M. Maliro

Volume/Issue : Volume 10 - 2025, Issue 10 - October


Google Scholar : https://tinyurl.com/mwjm7czn

Scribd : https://tinyurl.com/5frcn544

DOI : https://doi.org/10.38124/ijisrt/25oct1614

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Abstract : Healthcare workers (HCWs) are the backbone of resilient health systems, yet pandemics expose them to extreme job demands that threaten their well-being and performance. Drawing on the Job Demands–Resources (JD–R) theory, this conceptual paper develops a framework for strengthening HCW resilience and systemic support in Eswatini’s pandemic response. Using an abductive analytical approach, qualitative insights from 15 HCWs at a COVID-19-designated hospital were integrated with recent literature (2020–2025) to map job demands and resources into a resilience model. Key job demands identified included excessive workload, infection risk, emotional strain, and organizational gaps, while job resources encompassed training, teamwork, supportive leadership, psychosocial services, and fair compensation. The framework outlines two interrelated pathways: a health-impairment process, where excessive demands without adequate resources lead to burnout and disengagement, and a motivational process, where sufficient resources foster engagement, resilience, and retention. Policy and institutional interventions are proposed across individual, organizational, and national levels emphasizing resilience training, inclusive decision-making, mental health services, and protective legislation. The JD–R-based framework provides a holistic, evidence-informed model to balance HCWs’ demands and resources, serving as a practical guide for policymakers and health managers. By institutionalizing systemic support, healthcare systems can safeguard worker well-being, sustain motivation, and strengthen pandemic preparedness.

Keywords : Healthcare Workers, Resilience, Job Demands–Resources Theory, Eswatini, Pandemic Response, Occupational Health, Systemic Support.

References :

  1. Bakker, A. B., & Demerouti, E. (2018). Multiple levels in job demands–resources theory:       Implications for employee well-being and performance. In E. Diener, S. Oishi, &               L. Tay (Eds.), Handbook of well-being. Salt Lake City, UT: DEF Publishers.
  2. Chen, Q., et al. (2020). Mental health care for medical staff in China during the COVID-         19 outbreak. The Lancet Psychiatry, 7(4), e15–e16.
  3. Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2001). The job      demands–resources model of burnout. Journal of Applied Psychology, 86(3), 499–512.
  4. Hoover, J., et al. (2023). Responding to the impact of COVID-19 on the mental health              and well-being of health workers in LMICs. Global Mental Health, 10, e41.
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Healthcare workers (HCWs) are the backbone of resilient health systems, yet pandemics expose them to extreme job demands that threaten their well-being and performance. Drawing on the Job Demands–Resources (JD–R) theory, this conceptual paper develops a framework for strengthening HCW resilience and systemic support in Eswatini’s pandemic response. Using an abductive analytical approach, qualitative insights from 15 HCWs at a COVID-19-designated hospital were integrated with recent literature (2020–2025) to map job demands and resources into a resilience model. Key job demands identified included excessive workload, infection risk, emotional strain, and organizational gaps, while job resources encompassed training, teamwork, supportive leadership, psychosocial services, and fair compensation. The framework outlines two interrelated pathways: a health-impairment process, where excessive demands without adequate resources lead to burnout and disengagement, and a motivational process, where sufficient resources foster engagement, resilience, and retention. Policy and institutional interventions are proposed across individual, organizational, and national levels emphasizing resilience training, inclusive decision-making, mental health services, and protective legislation. The JD–R-based framework provides a holistic, evidence-informed model to balance HCWs’ demands and resources, serving as a practical guide for policymakers and health managers. By institutionalizing systemic support, healthcare systems can safeguard worker well-being, sustain motivation, and strengthen pandemic preparedness.

Keywords : Healthcare Workers, Resilience, Job Demands–Resources Theory, Eswatini, Pandemic Response, Occupational Health, Systemic Support.

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Paper Submission Last Date
31 - December - 2025

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