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
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Note : Google Scholar may take 30 to 40 days to display the article.
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 :
- 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.
- 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.
- 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.
- 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.
- Kariuki, J., et al. (2022). Coping and mental health among healthcare workers in Kenya during COVID-19. African Journal of Primary Health Care & Family Medicine, 14(1), a3105.
- Kisely, S., Warren, N., McMahon, L., Dalais, C., Henry, I., & Siskind, D. (2020). Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: Rapid review and meta- analysis. BMJ, 369, m1642.
- Kumar, A., et al. (2021). Psychosocial support for healthcare workers in India during COVID-19. Indian Journal of Public Health, 65(3), 251–256.
- Ogbolu, Y., et al. (2021). Nigerian nurses’ experiences during the COVID-19 pandemic: A qualitative study. BMC Nursing, 20(1), 152.
- Petzold, M. B., Plag, J., & Ströhle, A. (2020). Dealing with psychological distress by healthcare professionals during the COVID-19 pandemic. Der Nervenarzt, 91(7), 611–617.
- Rucker, A., et al. (2021). Healthcare workers’ perceptions of support and helplessness during COVID-19: A qualitative study from Sweden. Journal of Nursing Management, 29(8), 2345–2353.
- Schwartz, R., et al. (2022). Healthcare worker well-being and support in South African hospitals during COVID-19. South African Medical Journal, 112(9), 713–720.
- Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of anxiety among healthcare professionals during the COVID-19 pandemic. JAMA, 323(21), 2133–2134.
- Spoorthy, M. S., Pratapa, S. K., & Mahant, S. (2020). Mental health problems faced by healthcare workers due to the COVID-19 pandemic: A review. Asian Journal of Psychiatry, 51, 102119.
- World Health Organization. (2022). Mental health at work: Policy brief. Geneva: WHO Press.
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.