Quasi-experimental study shows that systems thinking training improves organizational resilience in nurse managers, indicating its potential for enhancing job satisfaction.
Healthcare systems are becoming increasingly complex. Systems thinking can help us understand this complexity and apply that understanding to design and evaluate interventions that improve health outcomes. Enhancing relationship management abilities and promoting systems thinking might be effective ways to improve nurse managers' resilience. High resilience enhances nurse managers' ability to cope with job-related stressors, increasing job satisfaction and, consequently, their retention. This study aimed to investigate the effectiveness of systems thinking training on the organizational resilience of nurse managers. This is a quasi-experimental (before-and-after) study involving a total of 105 nurse managers who were randomly selected. The educational program was designed and then provided during ten two-hour sessions. Data were collected at two time points, before and after, using a demographic questionnaire, the Connor-Davidson Resilience Scale, and the Systems Thinking Scale. The data were then analyzed using Statistical Package for the Social Sciences (SPSS) software, version 17. The results showed that the mean resilience score of the nurse managers in the study was 75.06 (standard deviations [SD]=9.01) before the intervention and 80.70 (SD=12.15) after the intervention. The difference in the mean and SD of the resilience score before and after the intervention was significant (P<0.001). Additionally, the mean systems thinking score of the nurse managers was 64.53 (SD=14.72) before the intervention and 66.40 (SD=10.37) after the intervention. The difference in the mean and SD of the systems thinking score before and after the intervention was not significant (P<0.314). The results showed that systems thinking training improved the organizational resilience of nurse managers. Given that improving resilience in nurse managers enables them to resist and overcome stressful and anxiety-provoking factors, as well as factors that cause many psychological problems, this finding is significant. Therefore, systems thinking training is recommended as an essential skill in nursing management.
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Mohammadi et al. (2025) studied this question.
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